On the Brink, Season 1, Episode 9
About This Episode
Over the course of this first season, we covered a lot of ground. We dug into the forces reshaping surgical practice — how patient expectations are evolving alongside the push toward outpatient care, and what that means for how surgeons deliver services. We also tackled the harder conversations about reimbursement pressures and provider burnout, issues that threaten the long-term sustainability of healthcare in communities across the country.
Today, we’re looking forward. Our guest is NexCore CEO Greg Venn. Greg has spent more than 25 years working in healthcare real estate. He’s seen firsthand how the physical infrastructure of healthcare has evolved and has a clear perspective on where things are headed. His experience spans the development and investment side of the industry, giving him a unique vantage point on the decisions that will shape surgical practices for years to come.
In this season finale conversation, we give surgeons the insight they need to navigate what’s next — particularly when it comes to ambulatory surgical centers. As ASCs continue to grow in importance, understanding the real estate and investment landscape behind them becomes essential. Greg’s perspective connects the dots between infrastructure trends and the practical realities of running a surgical practice in the decade ahead.
Key Themes and Takeaways
- Season one covered the forces reshaping surgical practice. From evolving patient expectations to reimbursement pressures and provider burnout, this season explored the challenges threatening the long-term sustainability of healthcare delivery.
- Institutional capital is now a mainstream partner for physicians. What was once the domain of large health systems is now accessible to surgeons — and understanding how to work with institutional investors opens new possibilities for practice ownership.
- The future of healthcare is local and integrated. Medical facilities are increasingly embedded within the communities they serve, changing how care is delivered and how real estate decisions get made.
- ASCs are only growing in importance. As the shift toward outpatient care accelerates, understanding the real estate and investment landscape behind ambulatory surgical centers becomes essential for surgeons thinking about their future.
- Flexibility is a strategic advantage. Surgeons who consider adaptable investment structures — rather than locking into rigid arrangements — are better positioned to protect their income and navigate uncertainty in the years ahead.
- Infrastructure decisions shape practice decisions. The physical spaces where care happens aren’t separate from clinical strategy. Greg’s perspective connects the dots between real estate trends and the practical realities of running a surgical practice.
Chapters
- 00:36 – Looking to the Future of Healthcare
- 01:44 – The Evolution of Healthcare Real Estate
- 08:54 – The Future of Medical Office Spaces
- 16:21 – Exploring Future Medical Facility Designs
- 24:15 – The Future of Healthcare Real Estate
About the Host
Carolyn Wilson brings decades of operational expertise in ASC development and healthcare real estate.
She’s guided countless physician groups through the journey from initial conversation to successful operations—and she understands the challenges that keep surgeons up at night.
Connect with Carolyn Wilson on LinkedIn
About the Guest
Greg Venn is CEO and founding partner of NexCore Group, where he leads organizational strategy, identifies new opportunities, and oversees the executive team managing business planning, operations, real estate development, and capital finance. An architect by training, Greg has spent more than 25 years in healthcare real estate, guiding the development of specialized projects ranging from $10 million to $200 million. His approach is grounded in the values he learned growing up on a cattle ranch in Southeast Colorado: integrity, straight talk, and doing what you say.
You can connect with Greg Venn on LinkedIn.