CPOMP 2024 Annual Meeting

The CPOMP 7th Annual Meeting took place at The Broadmoor in Colorado Springs, CO from Thursday, September 19 – Saturday, September 21, 2024. Physician-owners and executives of independent physician groups from across the country met to discuss all topics related to their medical real estate ownership. Members, their guests, and sponsors enjoyed several networking events including receptions with lively local entertainment and a hike at the beautiful Garden of the Gods. See below for the timely topics discussed and the attending groups.

See Who Attended

Slides & Videos (Attendees Only)

CPOMP 2024 Topics

Physician-Owned Real Estate 101 (Breakout Session #1)

Physician-owned real estate has become a vital source of ancillary income that creates advantages in recruitment and retention, enhancing the strength and longevity of the independent practice. It is imperative that physicians understand how to optimize the outcomes and create a sustainable investment.

Economic topics focused on producing highly favorable returns with minimal investment and personal risk, along with investment fundamentals such as responsible leveraging, financing basics, and maximizing cash-on-cash returns. Operational topics included the keys to creating an Operating Agreement that will facilitate partner buy-ins and assure funding of buyouts at exit, resulting in a long-term sustainable real estate ancillary.

4 Essential Tax Strategies for Physicians (Breakout Session #2)

Dive into an in-depth exploration of four key topics focused on tax strategies for physician groups:

Depreciation Methodologies: Learn strategic approaches to accelerated depreciation, including cost segregation, and its implications across fluctuating ownership phases.

Exploring Environmental Tax Benefits: Understand available tax incentives and gain insights into assessing their ultimate benefits versus costs.

Refinance Cash Out Considerations: Gain clarity on the tax implications of cash-out refinancing, including factors influencing both immediate and long-term tax consequences.

Navigating Unconventional Exits: Master the art of structuring buyouts to potentially defer, or even avoid, capital gains taxes.

Optimizing Consensus for the Ultimate Operating Agreement

Learn from physicians and executives highlighting the trials, tribulations, and successes of operating agreement formation. Focus will be applied to the unique nature of operating agreements designed for physician-owned real estate and methods of creating organizational alignment that will stand the test of time. Learn how and why practices have evolved their real estate operating agreement to meet the evolved needs of the practice. Listen to members who have overcome specific challenges and created a framework for change.

Keynote Luncheon – Faking Financial Acumen: What Are the Signs in Your Group & How to Treat It

Featuring Jill Arena, CEO, Heath e Practices

Jill is a nationally recognized expert in medical practice finance and operations, as well as revenue cycle management and leadership development. She earned her Fellowship from the American College of Medical Practice Executives in 1999, and she currently serves on the boards of several physician groups in a key advisor role. She is the author of Physician, Heal Thy Financial Self, which is written for physicians who want to master the finances of their practices, and she produces a weekly podcast for physicians and administrators, called Medical Money Matters.

Jill derives a great deal of professional satisfaction from guiding clients through important transitions in their practices to ensure that their businesses thrive. She wholeheartedly believes that the practice of medicine can and should be both financially viable and joyful.

Anatomy of Joint Venture Proposals

In this session, real estate experts, physicians and executives who have “been there, done that” will dissect initial letters of intent (LOIs) with seemingly innocuous terms. They will explain exactly how those innocent terms can have a major impact on the outcome for the doctors in the real estate entity and to the practice itself, and how they approached the negotiation of those terms. Special focus will be applied to the end result and applying lessons learned moving into future negotiations.

Update on the Sale/Leaseback Environment: Considerations & Potential Opportunities

Real estate experts discuss current and future outlook of the sale leaseback market. Particular focus will be applied to current opportunities such as UP REITs that include the ability to avoid capital gains tax and monetize in a secondary sale event. Risks and considerations of different structures will be discussed as well as the unique opportunity that the current interest rate environment presents.

10 Questions to Test Your Physician-Owned Real Estate Knowledge

An assortment of tricky, yet fundamental, multiple-choice questions will be reviewed, analyzed, and answered by a team of consultants, legal and accounting experts. Don’t miss this opportunity to see how you fared and to enjoy some tangible takeaways that expand your physician owned real estate knowledge.