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Healthcare 100

The Ultimate Playbook for Scaling in Healthcare

Hosted by Amol Nirgudkar, CEO of Patient Prism, alongside the operators actually doing it: the founders, CEOs, and executives scaling healthcare organizations from one location to hundreds.

Real numbers, real mistakes, and the decisions that made the difference.

Now Playing

Why Buying a Practice Is Not the Same as Building a DSO

Aug 19, 2026

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Episodes

An operator who scaled it. A technologist who instruments it.

Meet Your Hosts


Amol Nirgudkar

Amol has spent 20 years turning healthcare practices and groups into thriving enterprises, working as a certified public accountant, business consultant, author, and inventor holding five patents.

He co-founded Patient Prism, the growth platform trusted by more than 10,000 clinics across the United States, pairing AI call tracking and conversational analytics with CRM automation so schedules fill with the right patients. He has also launched ventures in finance and real estate.

  • 10,000+ clinics on the Patient Prism platform
  • 5 patents as an inventor
  • 20+ years advising healthcare organizations

A.J. Peak

A.J. built Peak Dental Services from a single location into a nearly $100M-revenue DSO with more than 60 practices and 650 employees. It is a four-time Inc. 5000 company that has raised $100M.

He now leads Health Wealth Capital, syndicating capital for medical real estate, where he has structured six funds, negotiated more than 100 triple-net leases, and built a $50M AUM portfolio returning double-digit IRRs. A former McKinsey manager and Kellogg MBA, he has authored two books.

  • Scaled a DSO to ~$100M revenue and 60+ practices
  • $100M+ capital raised; PE recapitalization completed
  • $50M AUM across six medical real estate funds
About the Show

What each episode actually covers

From multi-site operators and private equity partners to healthtech pioneers, each episode pulls back the curtain on the growth engines behind America’s fastest-scaling DSOs, MSOs, AI platforms, and RCM powerhouses.

Every week you get the strategies, systems, and capital structures that drive real results — plus at least one $100K+ idea you can implement right away.

Who It's For

Three seats at the table

Operators

Tactical frameworks to multiply EBITDA and enterprise value — centralization, clinician alignment, and the operational decisions that compound.

  • Margin levers that actually compound
  • Clinician alignment through fast growth
  • Centralized support that speeds sites up
Investors

Insight into emerging trends and high-yield deal structures, from recapitalizations to medical real estate and triple-net strategy.

  • Recap timing, terms, and trade-offs
  • Where multiples are actually expanding
  • Medical real estate as a value lever
Innovators

How to turn technology into traction and scale faster with fewer missteps — what actually gets adopted inside a 200-site organization.

  • What survives contact with a real front desk
  • Adoption inside a 200-site organization
  • Turning a pilot into a platform decision
What We Get Into

The conversations most operators only have privately

Multi-Site Growth

Scaling from one location to hundreds and what breaks along the way

Recapitalization

Private equity recapitalization: timing, structure, and what you give up

Buy vs. Build

Buying a practice vs. building a DSO: why they aren’t the same business

Clinician Buy-In

Centralizing support functions without losing clinician buy-in

AI in Practice

AI and automation that survive contact with a real front desk

Medical Real Estate

Medical real estate as an EBITDA and value-creation lever

Revenue Leaks

Revenue cycle, patient acquisition, and where the leaks actually are

Cyber Readiness

Cybersecurity: what to do before, during, and after an event

FAQ

Before you hit play

Frequently Asked Questions

Engaging conversations that educate, inspire, and connect professionals across the healthcare industry, helping them navigate industry trends, investment opportunities, and technological advancements. Every episode aims to leave you with at least one $100K+ idea you can act on.

Roughly 30 minutes. Short enough for a commute, long enough to go past the surface.

Healthcare professionals, investors, private equity firms, and entrepreneurs looking for insights into healthcare innovation, investments, and leadership.

The show is primarily audio, and we record video when possible for YouTube and social clips.

Apple Podcasts, Spotify, and YouTube, or straight from the player at the top of this page. New episodes land in whichever app you already use.