Dan Gofman

Let's keep hospice focused first and foremost on the PATIENT. After all, we only get one chance to do it right... "There are six primary trends that are influencing consolidation and professional practices: regulatory complexity. technology and integration, private equity ownership. demographics, economies of scale and consumer expectations,” Henderson said. “So many of these things that we see that are influencing health care consolidation need to be pointing toward the patient." #patientsfirst #hospicecare #youonlygetoneshot https://lnkd.in/gbbgV-YF

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Happy Thanksgiving. A positive EBIDA trend to report in independent hospitals in the October. Median margins hit their highest levels in at least eighteen months. While some of this is attributable to growth in net patient revenue, the underlying drives were meaningful expense productivity gains. Want to learn more about independent hospital performance? Follow Community Hospital Forum #hospitalmanagement #hospitals #healthcareleadership #healthcareleaders #nurseleaders #nursesonlinkedin #physicians #healthcareinnovation #healthcarequality #hospital

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Senate report slams private equity's ownership of hospitals PE ownership had negative consequences, including lower quality of care, decreased staffing and higher prices, report says Just look at what Prospect accomplished with its hospitals in CT and Rhode Island. Yale was slated to purchase the three hospitals Prospect owned in CT and is trying to get out of its agreement due to mismanagement of the facilities, deterioration of the physical plant, late payment of taxes, and stiffing vendors. A colleague of mine has been stiffed 75k for coding services with no hopes of collecting, that is called theft of services #propsectmedicalholdings, #privateequityisbadforhealthcare, #patientssuffer, #vendorsuffers https://lnkd.in/evqa9CgX

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Weekly lessons learned - Where did that $200 Billion of acute care revenue go? Hospital C-suites, Carter Williams and I did quick math >$200 BILLION in acute I/P revenue will evaporate if just 25% of those w/1 chronic condition take a GLP-1 and 50% of those avoid 1 hospitalization. This aligns w/Yubin Park, PhD recent data on ACR which would only add to this estimate. And hims & hers is showing this revenue shift real time with a 70% YOY increase Matthew Holt. Even 23andMe is making a comeback play w/Lemonaid Health (part of 23andMe) Sergei Polevikov, ABD, MBA, MS, MA 🇮🇱🇺🇦 Sticking w/"meanwhile an entirely new healthcare ecosystem is being built and we are still focused on heads in beds" 🙄 Superpower and Max Marchione went live with their beta and a video that liteally compares him to Steve Jobs, Bill Gates, Elon Musk and Jeff Bezos in 0:38 sec., well alrighty then. As of now it's a marketplace w/diagnostic testing akin to Function Health (on steroids) comingsoon. Josh Erndt-Marino 😉 One of my favorites Michael Muntner at Crestview Partners announced Cardinal Health has added a GI MSO and Advanced Diabetes Supply to its portfolio 😉 Thatch Chris Ellis is partnering with Quickbooks (hello 1 million small businesses) to bring ICHRA to the masses, hope POTUS doesn't kill it - Brad O’Neill Brendan Keeler was on fire pointing out that AI is actually live on Epic, TEFCA vetting process update and a substack piece for the ages chronically Epic's battle scars and brokedown AI w/impacts, Patrick McGill, MD MBA calls copilots a game changer and Christina Farr added to this by asking - Is AI "time savings" going to mean doctors and care teams get more time with their existing patients than the 6m visit? or have to do more... When will we learn our bricks and mortar lesson?! Forward Health literally imploded in a matter of months after burning $100M largely on pods Guy Culpepper, MD In food news 🥕 Dear health systems you have better choices than Sodexo! Matriark Foods (Anna Hammond) is now a Vizient, Inc #environmentallypreferredsupplier - you can impact your Scope 3 emissions goals AND provide healthy delicious foods to patients 🥑 If you don't know Clancy Harrison and The Food Dignity Movement you should If Robert F. Kennedy can steer clear of reversing vaccines, maybe he really can help "Making America Healthy" - #foodishealth vs. #pharmaisking. Graham Walker, MD Andy Mychkovsky Erin W. Martin Billy Wynne did a great piece in Health Affairs about what the election could mean for HC and Andrew Schwab continues to share great post election intel and Sachin H. Jain, MD, MBA weighed in on MA impacts For my next rabbit hole this week - the report for Accountable Health Communities Model is out Darshak Sanghavi along w/2023 ACO REACH 2023 results next week. $1.6B program savings results which Chris Deacon pointed out could in fact be losses via evaluation findings - I'm conflicted - after working with so many ACOs I know they create true value.

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Q2 2024 saw a resurgence in home-based care M&A, driven by strategic acquisitions and a cautious yet optimistic private equity landscape. Based on the Q2 2024 Home-Based Care M&A Report from Mertz Taggart, here are the top three trends that I see: 1. Increased Deal Activity: After a slow first quarter, M&A activity picked up significantly, particularly in home health and hospice sectors. 2. Private Equity Influence: Private equity’s role in M&A was smaller than usual due to tightened credit markets, but optimism is rising for more deals in the latter half of 2024. 3. Strategic Acquisitions: Companies like Addus and Amedisys made strategic moves to expand their market share, signaling continued consolidation in the industry. As deal activity heats up, how will these trends shape the future of home care? You can read the full report here - https://hubs.ly/Q02KY4r90 #HomeCare #MergersAndAcquisitions #HealthcareTrends

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PE acquisitions of healthcare providers organizations has slowed this year. I think this is just a pause to take a deep breath before the next plunge. Look for activity to start to spike again later in the year. #healthcare #hospitals #clinics #healthsystems #pe #privateequity #venturecapital #mergers #acquisitions #consolidation

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How does an orthopedic surgeon wind up working for companies like Apple McKinsey & Company Exactech and JointMedica ? Listen to our latest DOCTORS EYES ONLY podcast from Vestia Personal Wealth Advisors to find out the story of Sharat Kusuma, MD, FAAOS. This was a blast to record. #wealththatmatters

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More Scrutiny for Healthcare Private Equity Transactions In my opinion, the demonization of private equity in healthcare services is misguided and largely fails to recognize this simple truth, the reimbursement policies and extraordinary compliance costs superimposed by the government are the primary reasons physicians do not remain in private practice. Declining reimbursement and increasing costs continue to erode physician practice profitability (and yes, outside of government businesses must actually be profitable to stay in business....) When it is no longer financially viable to stay in private practice, physicians are faced with four choices 1) Close their doors (retire/leave medicine), 2) leave the community and practice elsewhere with better reimbursement, 3) become an employee of a hospital or health system, or 4) partner with private equity (and remain in private practice). Both #1 and #2 are generally bad for the communities they serve, and #3 immediately increases the cost of care (and limits choices) by forcing reimbursement under the hospital fee schedule - which can be several times higher for the same exact same services. #4 can provide an alternative that is beneficial to the public and helps drive cost efficiencies to healthcare. When the government discusses private equity, however, it is almost always with disdain. “When private equity firms buy out healthcare facilities only to slash staffing and cut quality, patients lose out,” said Chair Lina M. Khan of the FTC. “Through this inquiry, the FTC will continue scrutinizing private equity roll-ups, strip-and-flip tactics and other financial plays that can enrich executives but leave the American public worse off.” https://buff.ly/439TJHp PE is undoubtedly focused on generating a return on its investment, but that return most commonly comes from temporary reductions in physician compensation and cost efficiencies related to non-clinical functions - not a reduction in the quality of care. In fact, under many value-based reimbursement models, PE returns are enhanced only with reduced cost of care and improvements to the quality of care. To paraphrase Mark Twain, "“It ain't what [the government] doesn't know that gets [us] into trouble. It's what [they] know for sure that just ain't so.” #healthcareprivateequity #physiciandeals

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This is the Natural End Result of Private Equity Hospital Ownership 👉 Buy a hospital <> and strip off all profit and send teh $'s back to HQ 👉🏻 Fulfill your mission to MAXIMIZE RETURN ON INVESTMENT 👉🏼 When you have destroyed the hospital's ability, to provide adequate care with a margin - Part it out to the vultures for the remaining scraps of profit. 👉🏽 AND KICK THE CORPSE(S) TO THE CURB ABANDONING ALL THE PATIENTS, THE WORKERS AND ANY SEMBLENCE OF A MISSION OF PROVIDING HEALTH CARE. IN THIS USA - THIS IS THE FUTURE of for-profit healthcare. It cannot help but be this way Because the underlying mission is to maximize the return on investment rather than provide quality Medical Care, or support the health and well-being at the population. 👉🏾 We are an international disgrace. 👉🏻 By far the worst healthcare system in the first world. Once again the only HashTag that makes any sense at all -- is this one #FUBAR https://lnkd.in/gRHUS398

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🚨 The Rising Cost Crisis in Healthcare: How Bridge Oncology is Leading the Way 🚨 The latest Kaufman Hall Physician Flash Report for Q3 2024 highlights what many of us in healthcare have been seeing for years: 📢 Physician subsidies now exceed $300,000 per FTE – a staggering 5% increase from last year. 📢 Total expenses per provider FTE are up 5%, driven by labor costs comprising 84% of expenses. 📢 While productivity rises, revenue per work unit is declining, placing immense pressure on providers and systems. These trends paint a clear picture: the current model is unsustainable. As subsidies and costs spiral, the burden is falling squarely on providers, creating instability across service lines. At Bridge Oncology, we saw this coming four years ago. We built a model designed to: 👉 Stabilize radiation oncologists' roles with predictable compensation and workload balance. 👉 Reduce the rising subsidy burden for hospitals, systems, and networks. 👉 Create efficient, data-driven operations that lower costs without compromising patient care. 💡 How do we do it? By integrating tailored workflows, value-based pathways, and advanced tools like the OncoLogic Map, we identify gaps, reduce inefficiencies, and ensure alignment between financial goals and clinical priorities. We partner with organizations to derisk operations, standardize processes, and optimize outcomes for providers, systems, and—most importantly—patients. The data is clear: change is necessary. Bridge Oncology is proving that a better model exists—one that balances the needs of providers and systems while creating sustainable, high-quality care for patients. ----- Sameer Keole Community Oncology Alliance Texas Oncology Navista HCA Healthcare Providence Health & Services Sutter Health AdventHealth Atrium Health Blake Madden Thyme Care McKesson American College of Radiology Radiology Partners ----- https://lnkd.in/edrnXXvB -----

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Recently, I had the opportunity to listen to a podcast featuring the CEO's of Prime Therapeutics and Cap Rx. Investing time to learn what I can has always been crucial to my growth, and this podcast hit the mark for me. I was able to uncover some nuggets of wisdom that I can use to educate myself further. It's always exciting to learn from industry leaders and gain insights that can help me excel in my field. https://lnkd.in/eZTMUmiu

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Direct Pediatric Care and the other derivatives of direct care are becoming mainstream. Agree, it is not just a fad, or a fringe model, or one only for patients with disposable income. Direct care models are part of the solution to our broken fee-for-service medical care. It is about prevention, not repair. It is about relationships, not throughput. It is about doing what is right for the patient, not the industry. I love seeing the rapid progress and attention in the market place. https://lnkd.in/gHHKSwBd

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Who would you rather be in charge of your healthcare? Pick one: Dr. Stevens Your physician of 7 years Who has served your community for 25 years Or Apollo Global Management Or Shore Capital Partners Or Blackstone Group Or Bain Capital Didn’t think so P.S. if you want to see impact of private equity in healthcare and the numbers behind it all then you’ll want to read The Healthcare Breakdown, where I breakdown the business behind what’s happening in healthcare today Check it out here: https://buff.ly/47NeASx See you out there!

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Mandatory bundles in surgery are a bi-partisan objective, and (in)ability to optimize cost/quality will dramatically impact hospital P&L. Regular insights from granular data , and AI-based decision support are the only way to systemically reduce unwanted variability and be both profitable and high quality.

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10 mid-market PE deals from the past week: ➡️ Vector Capital Management has acquired Bigtincan Holdings, which provides sales enablement software and AI solutions. ➡️ Argosy Healthcare Partners sponsored a recap of Nicklas Medical Staffing, a FL-based staffing firm for pathology and histology labs ➡️ Platinum Equity invested in Global the Source, a master distributor of HVAC/R components, with will be merged with existing Platinum portfolio company MARS ➡️ RECOGNIZE invested in SDG Corporation, a CT-based provider of cybersecurity services ➡️ CES Power, a live events infrastructure firm owned by Allied Industrial Partners, acquired Base Craft | Nationwide TV and Film Equipment Leasing, a provider of services and equipment for the motion picture industry ➡️ OpenClinica, a MA-based portfolio company of Thompson Street Capital Partners, acquired BuildClinical, a NY-based provider of patient recruitment software for academic researchers ➡️ Comvest Private Equity bought Bland Landscaping Company, an NC-based provider of commercial landscaping services ➡️ Morgan Stanley Capital Partners agreed to buy Prescott's, a CO-based provider of outsourced clinical engineering services ➡️ Priority Courier Experts Express, a Minneapolis-based portfolio company of TRIDENT acquired Indiana's NOW Courier Inc. ➡️ TTDS Thermal Technology Distribution Solutions, a Cincinnati-based portfolio company of Gryphon Investors, acquired Applied Thermal Systems of Minneapolis ➡️ Echo AI (acquired by Calabrio), which uses generative AI in a customer conversation platform, was acquired by Thoma Bravo-backed customer interaction analytics specialist Calabrio, Inc. ➡️ Amulet Capital Partners, LP acquired Theoria Medical, a managing service org for senior living communities #PrivateEquity #MergersandAcquisitions #Acquisitions #PE #Acquisitions

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Very insightful innovation discussion with leading Hospital executives. Healthcare providers need to continue innovating to survive long term. Learn more about innovation at Healthcare Development & Innovation Group (HDIG).

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Another gem of wisdom from our CDO Brian Hamilton at Allied OMS. We believe when you bring together successful investing experience and real-world operating experience, you can share a deeper connection with your doctor shareholders, empowering significantly better outcomes. Want to learn more about how to put Doctor Equity ™ or Entrepreneur Equity ™ to work for you? Let's start a conversation. https://lnkd.in/g_hHBwDD Allied OMS Aviva Aesthetics BGS Alliance LifeFlow Partners Phase 1 Equity

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