Episode 6: Inside HealthTrust: Past, Present, and What’s Next

Founder & CEO Alan Plush and CFO/Partner Samantha Medred of HealthTrust, one of healthcare real estate’s leading valuation advisory firms join Ben for a two-part conversation on the past, present, and future of senior housing and healthcare valuation. Alan rewinds to his Sarasota start, the leap from boutique shops to forming HealthTrust post Sarbanes-Oxley, and how the firm scaled from a small team to 1,500–1,700 appraisals a year nationwide. He explains why technology (and now AI) boosts speed but never replaces judgment, and how a coach-player leadership style keeps him close to the work and the client. Samantha breaks down today’s market mechanics: how HealthTrust’s geo and product-type teams (HUD/SNF/CCRC/AL) use a live data platform; what’s really happening with HUD timelines; how state-by-state Medicaid policy drives SNF demand and cap rates; and why older-vintage AL often trades at higher yields until stabilized. You’ll hear practical insight on underwriting vs. performance, cap-rate reality vs. hype, and how the next generation of leaders is preparing for an AI-enabled future.