In this episode of How Health Systems Work, Jim Burke and Steve Pratt are joined by Andrew Dick, a healthcare real estate attorney with 18 years of experience helping hospitals and health systems navigate complex property decisions.
Andrew breaks down why real estate strategy is no longer just about buildings—it’s about survival. From the explosive growth of ambulatory surgery centers (ASCs) to the shifting role of nonprofit ownership, Andrew explains how health systems can strengthen their financial position, improve patient access, and avoid costly pitfalls.
The conversation explores:
Why ASCs are transforming care delivery and hospital margins
How partnerships, acquisitions, and management companies can help health systems adapt
What health systems should know about property tax risks and pilot agreements
How nonprofit foundations can help structure smarter real estate deals
Why health systems need to critically assess what they own, what they lease, and how they use it
Whether you’re a healthcare executive, board member, or operations leader, this episode offers practical guidance on using real estate strategy as a tool for resilience and growth.