1 rich Libsyn https://www.libsyn.com 90 600 In this episode, Rich Collins, CFO of Orthopaedic Associates of Hartford, shares how his group transformed its physician-owned real estate investment structure to better support practice growth and future physician ownership. He explains how the group's original ownership model, created when its surgery center opened in 2017, unintentionally limited opportunities for new physicians while allowing retired owners to retain their interests indefinitely. Rich walks through the complex process of restructuring the investment, including navigating fractional ownership valuations, negotiating buyouts with retired physicians, leveraging existing building equity to finance expansion, and creating a new operating agreement with flexible A and B share classes. He also discusses the importance of establishing clear buyout formulas and governance provisions to eliminate future uncertainty. Throughout the conversation, Rich emphasizes that physician-owned real estate should be designed to evolve alongside the practice. His experience offers practical guidance for groups seeking to align ownership with active physicians while creating a sustainable framework for future growth and expansion. To participate in conversations like this one, attend the CPOMP 2027 Annual Meeting, January 21-23, 2027 at the Omni Scottsdale Resort and Spa at Montelucia. Register at&amp;nbsp;www.CPOMP.org/cpomp-2027.&amp;nbsp; The Physician-Owned Medical Real Estate Podcast http://cpomp.libsyn.com/website <iframe title="Libsyn Player" style="border: none" src="//html5-player.libsyn.com/embed/episode/id/42205655/height/90/theme/custom/thumbnail/yes/direction/forward/render-playlist/no/custom-color/88AA3C/" height="90" width="600" scrolling="no" allowfullscreen webkitallowfullscreen mozallowfullscreen oallowfullscreen msallowfullscreen></iframe> https://assets.libsyn.com/secure/item/42205655