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Almost Clinical
Welcome to Almost Clinical, the podcast where healthcare, law, and business converge in the most captivating way. Hosted by the dynamic trio from Buttaci Leardi & Werner – Vincent Buttaci, John Leardi, and Paul Werner – this show is your backstage pass to the gritty, multifaceted world of healthcare management.
Every episode brings you face-to-face with the realities of running a healthcare practice, navigating legal hurdles, and capitalizing on business opportunities.
Forget the clichés and technical jargon – Almost Clinical is all about accessible, engaging conversations that cut through the noise. Here, you’ll get straight-talking insights and no-nonsense discussions perfect for savvy healthcare leaders and business owners with hectic schedules and a thirst for industry knowledge.
What makes Almost Clinical essential listening? It’s all about melding perspectives:
~Clinical Insights: Get the scoop on the latest in medical practice, patient care innovations, and what’s really needed to enhance healthcare delivery.
~Legal Realities: Learn about the pitfalls and legal entanglements healthcare practices face, and why compliance can sometimes feel like navigating a minefield.
~Business Opportunities: Find out who’s making waves in the industry, where the money is flowing, and how to seize emerging opportunities.
Almost Clinical isn’t just about talking shop; it’s about understanding the nuances and balancing acts that keep a healthcare practice thriving. Our goal is to make you feel like part of the conversation, providing insights that go beyond headlines and Twitter threads.
Our conversations are as engaging and enlightening, featuring guests from all corners of the healthcare world. Whether dissecting a new regulation or exploring innovative business models, we aim to shed light on the issues that impact the day-to-day operations of healthcare practices.
So, whether you’re a healthcare leader, a business owner, or simply someone interested in how these fields overlap and influence each other, be sure to tune in to Almost Clinical today!
Almost Clinical
Behind the Term Sheet with Anthony DeSena: Real Talk on Transactions, Trust & Timing
Use Left/Right to seek, Home/End to jump to start or end. Hold shift to jump forward or backward.
In this milestone episode, Almost Clinical hosts Vincent, John, & Paul welcome the show’s first-ever guest: Anthony DeSena, CEO of Pax Health, a fast-scaling behavioral health platform. A former physical therapist turned operator, Anthony brings rare perspective as both a seller and buyer in private equity-backed healthcare transactions.
Together, they explore the rapidly evolving landscape of healthcare investment – from founding and scaling a physical therapy group to over 100 clinics, through M&A integration, private equity exits, and the launch of Pax Health.
With transparency, humor, and insight, Anthony shares what makes a transaction successful, the pitfalls providers overlook, and why alignment – not just capital – is critical for long-term growth in the sector.
Highlights include:
- Behind the scenes of Anthony’s first private equity-backed growth story, including lessons learned during complex integrations and managing scale
- Helping operators understand transaction readiness, value creation, and when not to sell
- Why trust, storytelling, and goal alignment were critical to closing three simultaneous deals and an investment in under 90 days
- The elements of an investable practice
- The hidden risks buyers watch for – and why full transparency always wins
- What buyers really want from sellers post-closing – and why the “what’s next” conversation matters
- How investors navigate structural limitations – and why clinical ownership still plays a vital role.
- What practice leaders should do now to be attractive to acquirers, including real advice on data rooms and diligence.
BONUS: Stay until the end to learn the ‘ruthless’ guiding principle that Anthony abides by – even when the stakes are high.
Join Almost Clinical hosts Vincent Buttaci, John Leardi, and Paul Werner as they challenge each other’s views on how to operate, invest, and succeed in healthcare’s rapidly shifting landscape, translate legalese into business sense for healthcare providers, executives, private equity professionals, and strategic stakeholders, and explore the issues shaping the business of medicine today and tomorrow.