WEALTH PLANNING FOR
HOSTED BY DAVID B. MANDELL, JD MBA
Join attorney, wealth manager, and well-known author David Mandell, JD, MBA for Wealth Planning for the Modern Physician, a podcast dedicated to improving a physician’s financial bottom line. The podcast focuses on the wealth planning concerns faced by today’s doctor, with the goal of helping physicians make better financial decisions.
David talks with doctors from every specialty and stage of career about their real-world lessons in financial matters, and interviews industry experts in all areas of wealth management. Look for new episodes every other Thursday. Subscribe and listen today!
OJM partners and orthopaedic surgeon Dr. Sanjeev Bhatia have authored this financial resource to provide physicians with wealth planning strategies to protect assets, reduce taxes, invest wisely and build retirement wealth during all phases of their medical careers.
OJM Group has helped more than 1500 physicians across the U.S. with the financial challenges they face as individuals, employees, and medical practice owners. Click the button below to learn how we work with physicians.
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In this 21st and final episode of Season 2, David recaps the season’s 20 episodes. He briefly summarizes each episode and highlights a pearl or two from each. This can serve as a helpful reminder for listeners who have heard all 20 episodes to revisit ones that they found most valuable, and can motivate those who missed any episodes to visit our podcast page and listen during the show’s hiatus.
Look for new episodes in August when the Wealth Planning for the Modern Physician podcast resumes with Season 3!
Listen in as David chats with nationally recognized healthcare attorney Jason Greis about all things related to ambulatory surgery centers (ASCs). Jason provides an overview of his firm and practice and then outlines some benefits of ASC ownership for physicians, along with some trends he is seeing in the marketplace.
Jason then explains the restrictions that can limit ASC involvement for physicians and describes the types of doctors or groups that may not be a good fit for ASC ownership. David and Jason then discuss four common pitfalls physicians might encounter when starting a new ASC, how payors are dealing with ASCs, and what Jason sees in terms of joint ventures these days.
Jason then speaks to financial returns for an ASC, including ROI and valuation multiples, and concludes with pearls of advice for physicians considering an ASC launch and those already involved with one.
Listen in as David chats with Brett Spark, the President of Aroris, a healthcare consulting firm. Brett outlines his career path in various areas of healthcare, from large institutions to CEO of small private practices, and his decision to create Aroris and become an entrepreneur.
Brett then explains where he sees the most common payor contract pitfalls in private practices and why a review of such contracts—to understand what a practice has as baseline—is so critical. He also describes how their process involves a full discovery “diagnostic” of all payor contracts before even entering into negotiation.
This episode focuses the timely topic of taxes, as it is released on April 14. OJM Group partner and CPA Carole Foos joins David to talk taxes.
David starts by turning the mic over to Carole for an overview of the latest developments in tax proposals from the Biden Administration, which recently released its 2023 budget proposal. Carole covers the latest on C corporations, S corporations SALT limitations, capital gains and income tax rates.
David then examines one element of the Biden proposal – the “Billionaire’s tax” – and explains how the super-wealthy use one tax strategy to avoid capital gains taxes on appreciated assets. He shares a few examples and quotes from articles, and then explains the strategy: Buy, Borrow, Die.
David then outlines four ways physicians can use “Buy Borrow Die” in their own planning, including ways he has implemented the strategy for himself.
Carole and David then conclude by encouraging all listeners to focus on their 2022 tax planning early in the calendar year.
In this episode, pain management specialist Dr. John Prunksis joins David to discuss his career path, the significant growth of this practice, and his involvement with the Lithuanian Parliament and U.S. government.
Listen in as John first explains how he became involved with the Lithuanian Parliament and what he helped accomplish as a member there. John and David then discuss John’s path into pain management from anaesthesia, the challenge of creating a pain-centered private practice early on, and the value he gained from joining a CEO/business owner study group.
Listen in as David chats with former biotech corporate executive, multiple-time entrepreneur and medical practice consultant Louis Frisina. They begin by discussing Louis’s career path, from embarking on studies leading to both law and medicine and then shifting to a business career as a management consultant.
Louis then walks listeners through his biotech career—starting as an executive at a Swiss multi-national firm and then to Fisher Scientific—eventually deciding to leave the C-suites and join a small startup… and then another.
Louis then explains why he wanted to enter the field of aesthetic medicine and how he ended up working with physicians and medical practices as a consultant.
Finally, Louis provides a few insights on the best practices he sees in private medical practice and his current focus on the growing trend of regenerative medicine.
Listen in as David chats orthopaedic surgeon Dr. Steve Hamilton and practice CEO Andy Blankemeyer as they discuss what they have learned a few years out of a private equity investment into their practice – Beacon Orthopaedics and OrthoAlliance.
After Steve and Andy initially explain their roles at the practice and the growth they have enjoyed in recent years, David discusses this business journey with them, beginning with how they came to consider a private equity partner following initial skepticism.
Steve and Andy then explain the challenges that high growth has presented, as a physician working in the practice and CEO running the practice. They chat with David about the importance of culture fit, flexibility, physician autonomy, the challenges COVID presented and more.
Finally, Steve and Andy impart some lessons learned and give advice to other physicians and practices considering private equity transactions.
Listen in as David chats with author and consultant Frank Maselli. They begin by discussing Frank’s career path, from the military to Wall Street to being a speaker, author and trainer.
They then examine what Frank thinks about assessment tests and how he approaches them. Frank then explains the “3-part mind” and how it impacts interactions with your team. Next, Frank explains the Kolbe A test and how he uses this to evaluate teams. David and Frank then chat about how this evaluation worked at OJM Group.
Finally, Frank gives some advice about how to hire the right person for the job and the kind of work he does with organizations to get the most out of the people they already have.
In this episode, orthopaedic surgeon Dr. Benjamin Domb joins David to discuss his career path, running a large subspecialty practice and the award he and the practice recently won. Listen in as Ben explains how he always wanted to be a sports medicine orthopaedic surgeon, even though he comes from a family of professional musicians. Ben and David then discuss the financial challenges of physicians during training, Ben’s decision-making process in choosing his first job, and the importance of a “privademic” environment to him.
Next David and Ben discuss Ben’s decision to move his Foundation from the original practice and form a new hip-only clinical practice alongside it. They discuss Ben’s role in his practice, his hiring of a CEO, and the importance of being “mission-focused.” David then asks Ben about the circumstances around his winning the Ernst & Young Entrepreneur of The Year 2021 Midwest Award. Finally, David and Ben discuss the One Thing he would tell younger physicians.
Listen in as David chats with nationally recognized healthcare mergers and acquisitions (M&A) attorney Gary Herschman. Gary begins by describing his firm and practice and then gives some statistics in terms of the number of M&A deals in the medical practice space.
David and Gary then dive into the reasons why a medical practice might consider merging with another practice, becoming an acquirer or being acquired. They then discuss how investors value medical practices, when to involve an attorney, and key success factors. Finally, Gary explains why an accurate understanding of the deals that are out there benefits physicians, even if they decide not to move forward.
Listen in as host David Mandell chats with entrepreneur and experienced private investor David Victor. They begin by discussing Victor’s career path, leaving the practice of law to join his father in the startup that became American Education Institute (AEI), where Mandell lectures every year.
They then explore AEI in more depth – what services it offers, why physicians might be interested in it, how COVID forced Victor to transform the business, and why the business may be stronger now than ever before.
Next, Victor explains his approach to investing in private businesses, including a dive into a cannabis-focused real estate project he is excited about today. He concludes with some advice to others looking to invest significantly into private businesses.
Listen in as David chats with student loan expert Ryan Frailich. David and Ryan begin with Ryan’s career path — from a teacher to human resources professional to Certified Financial PlannerTM with an expertise and certification in student loans (CSLP).
David and Ryan then dive into student loans – discussing Income Driven Repayment plans, the pros and cons of private refinancing, the Public Service Loan Forgiveness program, and various factors that can impact an individual physician’s student loan management strategy.
Finally, Ryan gives his thoughts on how young physicians in practice should think about balancing the desire to pay off student loans with other financial goals.
Listen as David chats with retirement plan expert Scott McHenry. David and Scott talk about Scott’s career path – from a position inside a large firm to the transition to his own firm about 15 years ago.
David and Scott then dive into Cash Balance Plans (CBPs). They discuss how these plans can be more favorable than other qualified plans, such as pensions, profit-sharing plans and 401(k)s, and define the type of practice or physician that is a good candidate for a CBP.
They wrap up with key success factors in implementing CBPs, how CBPs can work with 401(k)s, what happens if a CBP is terminated and how Scott and his firm work with physicians and practices throughout the U.S.
In this episode, orthopaedic surgeon Dr. Kevin Plancher joins David to discuss his academic and private practice career, experiences with finance and speaking alongside David at an upcoming orthopaedic meeting.
Listen in as Kevin explains how he ended up in orthopaedics when coming from a family in finance and building a department with other “young guns” in his first job out of training. Kevin then talks about his decision to leave the hospital setting for his own practice after some years.
Next David and Kevin discuss his interest in academics and how Kevin balances his practice responsibilities with two teaching positions at two medical schools. They then chat about a finance course where both David and Kevin will be speaking, as part of the Ortho Summit in Las Vegas in December. Kevin explains why it is important to him to speak with fellow doctors about business and finance.
Finally, David and Kevin discuss the One Thing he would tell younger physicians and the One Thing he would counsel fellow experienced doctors.
In this episode, orthopaedic surgeon Dr. Matthew Provencher joins David to discuss varied experiences he has had in his career.
Listen in as Matthew explains how he ended up in orthopaedics when his dream of being a Navy pilot didn’t work out. He then talks about his experience as a Naval surgeon, taking care of the SEALs and working on humanitarian missions and what he learned from those positions. He continues to share details about his time at Mass General in Boston, his time as the team physician for the New England Patriots , and what led him to move from Boston to Vail and join the Steadman Clinic.
Finally, they wrap up the episode sharing some information about a few of Dr. Provencher’s entrepreneurial activities.
Listen in as David chats with CPA and financial consultant Jessica Nunn. David and Jessica discuss Jessica’s initial interest in finance and accounting, including her education and initial jobs with larger firms working with public companies.
David and Jessica then dive into Jessica’s decision to go out on her own to help smaller clients like medical and dental practices and their owners. Then Jessica discusses how she helps practice owner clients today, giving some real examples of challenges that arise and how to improve processes and profitability.
Listen in as David chats with author and nationally recognized asset protection attorney Bo Loeffler. David and Bo begin by discussing Bo’s background as a litigator and U.S. Bankruptcy Trustee and how that has helped him as an asset protection attorney. Bo also chats about his experience in representing lottery winners.
David and Bo then dive into a few specific tools often used in asset protection planning, including insurance and exempt assets. They then cover limited liability companies (LLCs) and trusts—discussing the key success factors for each and pitfalls to avoid.
In this episode, orthopaedic surgeon Dr. David Yanoff joins David to discuss varied topics. Listen in as Dr. Yanoff shares why he initially became interested in medicine and how his military service guided him into orthopaedic surgery. He then explains his sudden departure from his first practice for a new town and how that led to building a thriving practice and owning the building where he practiced.
They discuss this, his process for gradual retirement, and much more, in episode 4 of season 2 of the Wealth Protection for the Modern Physician podcast.
This episode focuses on the timely topic of the Employee Retention Tax Credit (ERC), which many medical practices may be able to take advantage of for significant tax savings. From its origins in the CARES Act in 2020 and the rules that related to it around the PPP loans and more, to the changes recently enacted by Congress as a part of the Consolidated Appropriations Act of 2021 (CAA).
In conclusion, Carole explains what medical practices should be doing now to see if they are eligible for the ERC.
Listen in as Michael explains his interest in becoming an orthopaedic surgeon following a college gymnastic career and his early exposure to business and finance. Michael then describes his first job out of training and the unique focus that practice had on pro-active marketing – and lessons he took away from that experience that all doctors can implement.
Michael and David then discuss his move from that practice to the Hospital of Special Surgery (HSS) and what went into that decision.
Finally, Michael summarizes a lecture he gives on personal branding for physicians. He explains several key success factors that physicians can apply to build a strong brand in their community, encourage referrals and build a busy practice.
Listen in as David chats with CPA and professional EOS implementer Crystal Faulkner about the Entrepreneurial Operating System and how physicians and practice owners can benefit from using it in their practices or entrepreneurial ventures. David and Crystal discuss what the EOS is, how it differs from other strategic planning processes, and what the 6 key components of a business/practice are. They then examine the challenge and approach to dealing with people on the team and getting them in the “right seat”. Crystal then covers the importance of culture and how her clients who use the EOS fared during the pandemic.
Listen in as David chats with Jerry Kelsheimer and Ronnen Isakov, President and Managing Director of Medic Management Group, a national “one stop” solution for healthcare management.
David, Jerry and Ronnen examine several aspects of the business of medicine, including ways that Medic Management Group helps physicians and medical practices. They discuss what “thinking like an entrepreneur” means for physicians and the questions entrepreneurial practice owners should ask. The also cover risks inherent to today’s medical practice, exit planning and more.
Listen in as David talks with ophthalmologist, Desmond McGuire, MD. Desi explains his first exposure to ophthalmology back in high school, as well as how his parents influenced his commitment to saving for retirement. Dr. McGuire and David then review how Desi founded his practice by purchasing it from a few physicians and then buying out one of the doctor’s individual practices—and key success factors in those deals.
Desi and David then examine the risk of signing personal guarantees on investment deals, with Desi sharing a private investment deal he was involved in that did not go as planned. Finally, they discuss what has made Desi’s practice thrive and how he has gone about bringing on new partners in the practice so successfully.
Listen in as guest host and OJM Group Co-Founder Jason O’Dell chats with Mark Grosvenor, Executive Vice President and Chief Technology Officer for NFP (National Financial Partners) about several important topics for physicians and medical practices, including cyber fraud involved with PPP loans (and practical steps to take to avoid it), what “social engineering” attacks are, what a business should do if they are a victim of cyber fraud.
Listen as Brad covers a number of important issues, including common compliance red flags in medical and dental private practices. He also dives briefly into HIPAA, Stark, and anti-kickback rules, and outlines important elements to recognize in 2021. Finally, Brad discusses a crucial success factor that every doctor should understand when working with their attorney.
Listen in as Dr. Jen Haley joins David to discuss how her upbringing influenced her decision to become a physician, why she shifted specialties during her training, and how a few unplanned significant decisions have shaped her career and financial life. Jen also talks about her Radiance Revealed Podcast and reveals a few important financial habits and philosophies which have allowed her to become financially independent now and practice in a way that fits her lifestyle.
In this episode, anesthesiologist and fellow podcaster Dr. Richard Marn joins David to discuss various topics. Listen in as Richard explains his decision to pursue anesthesiology, when he originally planned to be a surgeon, and his choice to leave a large academic institution after many years for solo private practice. They also discuss Richard’s and his wife’s investments in real estate and their search, with some successes and failures, to get tailored asset protection advice.
In this episode, David is joined by investment bankers Clint Bundy and Stewart Carlin from The Bundy Group. Clint and Stewart each discuss success factors for physicians looking to sell their practice, merge into larger practices or even become an acquirer. They also cover a few common mistakes they often see in the medical practice space.
In this episode, David speaks with Cleveland Clinic Florida orthopaedic surgeon Dr. Gregory Gilot and his collaborator “Your Financial Therapist” Erika Wasserman.
Greg and Erika then explain the basics around Financial Therapy—what it is, how it differs from typical individual or couples therapy, and how physicians could benefit from a short course of Financial Therapy to alleviate many types of stresses that come with the student loans, the practice of medicine, marriage, etc.
In this episode, gastroenterologist and entrepreneur Mukul Mehra, MD joins the program to discuss his career journey and business pursuits.
Listen in as Mukul explains his financial choices on schools to attend, job selection and how he sought the right financial firm to guide him. He and David also discuss how Mukul’s time away from the practice led to insights which culminated in his successful healthcare company and the importance of finding the right mentor in business.
Finally, Mukul gives his advice to physicians – on protecting one’s time and taking risks.
In this episode, David interviews Dr. David Goldberg, a dermatologist, attorney, law professor and dermatologic surgery fellowship director.
Dr. Goldberg discusses his motivation to become a physician, his experience in joining a private practice after training and the decision to leave that practice and go out on his own. He then explains his decision to go to law school at night and what he took away from that training.
Finally, Dr. Goldberg explains his advice to fellow physicians regarding liability and asset protection and the recent merger of his practice and his new position.
As the new year begins and the Biden administration takes office, this episode focuses on the timely topic of 2021 tax planning.
David opens with an overview of two tax-related topics: (1) the improvement of the tax-favored asset class of permanent life insurance by a federal law passed at the end of 2020; and (2) the tactic of timely tax loss/gain harvesting – which should be implemented throughout the year, not just in the fourth quarter.
David then brings on his partner Carole Foos, CPA, to discuss the Biden tax proposals, what we might expect in terms of tax changes in 2021, and strategies that can be implemented to leverage advantageous rules and minimize the impact of rules that could negatively affect doctors.
This episode focuses on a powerful wealth planning opportunity for physicians that is time-sensitive — leveraging today’s historically low interest rates. You’ll hear from David, as well as his OJM Group partner, Jason O’Dell, MS, CWM, as they discuss techniques for leveraging low interest rates in a number of wealth planning areas.
Today we have two guests joining the show: Drs. Robin and Evander Fogle, from Atlanta, Georgia. Robin is a Reproductive Endocrinology and Infertility Specialist, while Evander is an Orthopaedic Surgeon. In this episode, we discuss their stories of how they met, and their medical training paths across the U.S. (and Evander’s stint as staff surgeon at Guantanamo Bay, Cuba).
A second-generation physician, Jonathan explains why he became a plastic surgeon, his background in getting a master’s degree in public health, and his choice to become an employed physician out of fellowship. He and David discuss Jonathan’s decision to buy a private practice in San Francisco and everything that was involved in that transaction, including his use of an SBA loan and creation of a business plan.
Michael S. Byrd is a partner at the law firm of ByrdAdatto, a national business and healthcare boutique law firm. As the son of a doctor and entrepreneur, Michael has a personal connection to both business and medicine, and he has blended these life experiences to become a leading advocate for doctors and dentists throughout the United States. Today he joins the show to share his advice for any physicians looking to become involved in entrepreneurial activities, including running a private practice.
Dr. Jeffrey Segal is a board-certified neurosurgeon, attorney and founder of Medical Justice, a physician-based organization focused on keeping doctors from being sued for frivolous reasons. He is also the founder of eMerit, which helps doctors protect and preserve their reputations—particularly online. Jeff joins the show today to discuss his journey from physician to CEO to attorney to CEO.
In this opening episode, Sanjeev Bhatia, MD, joins the show to discuss investing, making informed job decisions, and more. You will learn the importance of viewing investing as a long-term game (and not being discouraged if you lose money in the beginning), why we must be careful not to over-analyze ourselves, and why the first job you take is not necessarily your perfect job.
Listen in as David chats with nationally recognized healthcare attorney Jason Greis about the important and sensitive topic of creating win-win strategies for exiting retiring partners from a medical practice. Jason begins by describing his firm and practice and then gives some reasons why setting a partner exit pathway is so important for the exiting partners, the practice and younger partners. Jason covers what is typically involved to incorporate exit plans into the legal documents of a practice and why having a solid exit plan can actually be a practice differentiator for recruitment of younger physicians.
Listen in as David chats with Trisha Talbot, real estate advisor and entrepreneur behind DocProperties.
Trisha begins by explaining what her training, certifications, and experience in real estate were before launching her own firm. She then relates her motivation to launch DocProperties and delves into the unique aspects of healthcare real estate and the challenges for physicians looking to own it.
Trisha then shares her answers to a few common questions she hears from physicians and discusses a typical first step for a doctor considering a new office or piece of real estate. Finally, Trisha explains when a practice might consider selling a property, and important factors affecting that decision.