Episode Transcript
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Speaker 1 (00:00):
Welcome to another edition of CEOs. You should know. My
name is Eric Lemu and I am here with Nick Biffano,
President and CEO of Alliance Orthopedics. Nick, thank you so
much for coming in. You made the truck from Jersey today.
Speaker 2 (00:11):
Good morning. Thank you for having me. This is a
great experience and looking forward to it.
Speaker 1 (00:15):
We're thrilled to have you on here. You know, listen,
we're excited to have you on with us today. Your
story is incredible. You've overcome a lot to get to
where you are. You want to give us a little
background on you.
Speaker 2 (00:26):
Yeah, it started from day one when I was born.
I was born a congenital heart defect at uh tetrology
of philot and it was about a good eight months
of trying to figure out how to survive, you know, uh.
For your audience out there, I always put in perspective
when I give a kind of a conversational peace regarding it.
(00:47):
You know, if you have a child and you you
help a child more than five minutes and they would cried,
you know what would that look like? Well, for me,
I couldn't cry for more than five minutes or so
I died the whole in the heart you know, lost
auction to the brain and really realistically, if that happened,
you know, unfortunately, back in the late seventies, there was
really not much options until surgery was the option eventually.
(01:08):
So you know, it was, you know, a really good
piece of the story for myself because I got to
understand healthcare at a whole new lens from day one.
Speaker 1 (01:20):
Yeah, that's interesting. I mean, look where you've taken it
from there. So tell me a little bit about Alliance Orthopedics.
You've been You've been what the company you said for
was it eighteen years?
Speaker 2 (01:30):
So I've been in healthcare for eighteen years. I started
a management consulting in twenty twelve and thirteen, and that
was Alliance Health Systems, and I really focused on helping
doctors put systems together to support their expertise so they
can really take care of people the way I was
taken care of as an infant.
Speaker 1 (01:50):
Yeah, I got to think, you know, like my kids,
are you growing up? They're young? My six year olds, like,
I want to be a teacher. My twelve year olds,
so I want to play softball for a living. Were
you always like I want, you know, I want to
be involved in healthcare you know, you grew up kind
of in that world.
Speaker 2 (02:03):
I grew up in the world I always wanted to
be in hospitality. Yeah, in service, I felt like there
was and that's kind of where my schooling took me
to and I focused heavily on the industry, and when
I learned a lot about really high level customer service,
I kind of tied that back into a lot of
my my tools that I use today for how we
(02:26):
deliver service to patients and physicians. So I think that
was I think that's been the genesis for our ultimate success,
really focusing on delivering service excellent.
Speaker 1 (02:38):
Love that. Let's uh, let's dive a little bit into Alliance.
You know, tell me how does it stand out against
the competition? What makes you guys a little different?
Speaker 2 (02:47):
You know, when I think about what we when I
got into it and I said magical consulting, and then
you know, about six years into it, it was doing
a lot and I realized a lot of people wouldn't
put the systems in place, and they wouldn't stick to
the system. They get successful, and then they stopped doing it.
And it was you know, when I met a few doctors,
we really put a a mso a supergroup together and
(03:08):
became Alliance Orthopedics in about twenty eighteen, and it was
really everybody focusing on a trend that was needed where
a lot of doctors were losing their independence and dedependence
to hospital systems or these supergroups that were different sponsors
coming in and you know, formulated a really good relationship
(03:29):
with a lot of doctors who wanted to you know,
keep their independence, and that's that was important for me.
And you know, really when we look at what we've built,
we're building on tools that really focus on efficiency and feedback.
And the more we have those tools, the more we've
been able to grow and really stand out versus individuals
(03:53):
and groups that are not investing in those tools. And
those tools are from you know, data point research and
AI in the back end and to the modalities that
are in each facility on the front end. And I
think that's really you know, a separating factor for us.
Speaker 1 (04:08):
So it's pretty much everything from that first appointment that
you have with the patient to the end to recovery
to you know, the pt that they need to do
to get back up in the shape, right, So it's
everything in between.
Speaker 2 (04:21):
It starts at the first phone call right, the intake
form even goes before that. You know, how people perceive
us in a community online, you know our brand period,
what does it actually mean? What are the standards of it?
Does it build confidence without even a conversation, and then
as soon as the first conversation happens, where a patient
would be calling into the organization making sure they're being seen, heard,
(04:44):
understood and feel that positive effect. Right. You know, so
when you think about my history of where I was
in school, and I was a Wall Street guy for
many years, about five six years, and then I was
in a bad car acts in two thousand and six.
That's really transformed me to dive fully into healthcare. I
saw this huge gap and the gap was really doctors
(05:08):
were very black and white, and and everything was that way,
and and patients weren't being seen her understood anymore. And
and you know, I really looked at that. I said, Okay,
how do I play a role as a management consultant?
And I was able to help a lot of you know,
individuals and doctors until I, you know, founded the Alliance
(05:28):
Orthopedic and really transform that piece.
Speaker 1 (05:30):
I like that you mentioned bedside matter. You know that's
so important when you go go to a doctor, you
go to a surgeon, anyone that you're you're seeing. You
want that person to make you feel comfortable, right.
Speaker 2 (05:42):
Yeah, And again it goes back from the intake call.
When somebody comes on the intake call. Basically we're following,
you know, their guidelines, how long they've been dealing with
injury or their illness, and really understanding, you know, what's
been going on, what matters to them, you know, what,
what can't they do, what are they what are there's
some of those challenges that they need to overcome. It's
(06:02):
not just hey, we have a doctor to support and
fix this for you, but what is it that is
really lingering? You know, so we you know, we really
address those things and they feel right out of the
gate that all right, somebody's listening to me, somebody's hearing
me out, and I'm going to have the best care.
And that really drives into each facility that you know,
we've built, and that standard of communication has really built
(06:26):
a camaraderie internally with the team, but also externally in
the communities where they build trust with the you know,
the important you know avatars such as you know, the
township police and the athletic directors and the athletic trainers
so to speak, in each in each sector of these
school systems and the community of public work. So from
that perspective, it goes a long way. When you know,
(06:48):
people now need to be against, seen, heard, understood more
than ever.
Speaker 1 (06:51):
Yeah, and that from what you're saying, that makes it
seem like a community organization, community based facility, right. Yeah.
Doctors that are you know, low that are from here
and know the town and know the cities.
Speaker 2 (07:03):
Yeah, And I think that's the key too. It's accessible,
having a team that patients have access to communicate with
their doctor and ensuring that they feel comfortable to ask questions.
A lot of patients, you know, I've seen there they
get just datas follow and that that's what they said,
but they get intimidate to answer ask questions to physicians
or anybody. And we really want an open dialogue. We
(07:25):
want feedback, you know, at all aspects of the industry
and the business where we can learn from it and
grow from it. And I think that's one of the
really important factors and what separates what we've built in
the last I would say five seven years is that
you know, alliance Orthopedic has about twelve thousand and five
star online reviews on Google, and these are life changing reviews.
(07:49):
These is not like you know, so people go in
depth and really get excited about that the team that's
there and really knowing that they genuinely care about the
long term health and well being. And I think that's
the most important piece of the growth for.
Speaker 1 (08:05):
Us by far, by far. You know, being somebody that
grew up playing sports, you know, bad back, shoulder that
would dislocate every time playing football, playing basketball. You know,
sports injuries is a big thing there. What are some
of the things that you guys really thrive on.
Speaker 2 (08:23):
What do you specialize on exactly what you just said,
you know, from anywhere from the youth sports to our population,
our age that we can warriors and and we thrive
on making sure that people are doing what they love,
finding a path where they don't live life with limitations,
they live with life with opportunities. And that's what really
(08:45):
gets the doctors and the facilities excited is really having
you know, patients not say Okay, this is my life
now and I'm going to stop living the way I
want to live because of this injury or illness they
actually have the tools and resources inside each facility to
be served at a at a higher level. And we
(09:07):
take a lot of pride in and in our modalities.
And when I say modalities, you know, the higher level
equipment that we that we have in our in our places.
That's we have more advanced equipment than the New York Giants,
the New York Jets. So we take a lot of
pride in that. We take a you know, we take
a lot of pride in making sure that you know,
every patient has access whether they're you know, your your
(09:31):
pick A ball player, to your high school football star
and and to a a you know, anybody in between.
And from that perspective, the open mindset that we have,
it's it's really great to see that you have somebody
at fifty to seventy years old doing you know, high
level activities next to somebody who's twenty years old doing
(09:52):
that or and and they're they're they're really rooting for
each other to get better every day.
Speaker 1 (09:56):
I'm glad you mentioned pickaball. How many you know, how
has business been? Pickleball started about three four years ago.
It became a cultural phenomenon, like people are all into it.
You know, you go by any park anywhere, you see
hundreds of people from the twenties, the forties, fifties, sixties
playing pickleball. I'm sure that's pickle ball is great.
Speaker 2 (10:16):
You know, injuries around it, there's a lot of injuries.
But you know what's great about pickleball not not that
the injuries, but it's it's it really focuses on motor skills.
And I think a lot of our population, especially older population,
really enjoy it because they become so sedentary that they
stop focusing on motor the motor skills, and I think
that's why it's so addictive, because they feel stimulated. But yes,
(10:40):
we do have a huge patient population that actually that
are avid pickleball players, that that that love diving on
the on the on the hardwood and fracturing their wrist
and asking can I play in two weeks because we
have you know, want to play in this tournament that's
coming up. And so it's definitely a phenomenon that has
(11:01):
been super exciting to be around. And we do I
think organizations has about six or seven you know regional
partnerships in these pickupball communities and really showing them how
to stay healthy dinking.
Speaker 1 (11:15):
Yep, I like that. Let's let's talk a little bit
about innovation. What are some of the things that you
guys are doing that's you know, making you kind of
stand out a little bit more.
Speaker 2 (11:23):
Yeah, so that's really that's really you know, my focus
on the management side is really technology and we use
data and AI for everything and ensuring that you know,
our efficiency of service is respond and our response time
to our doctor's needs and our patients' needs are are
(11:46):
getting better every day. And what I mean by that
is that anything from a standard MRI, you know, looking
at frequency how long it would take for that to
get authorized and approved when ordered, to the service of
the MRI, to the service of any type of interventional
procedure or any you know, physical therapy or occupational therapy modality.
So we look at those things, we measure them, and
(12:07):
we try to find ways and tools on our back
end systems to really drive how to become more efficient.
And the more we invest and focus on those tools,
the better the outcomes have been for both again the
doctor and the patient, and that it has helped us
continue to grow. And because we focus on innovation so much,
(12:30):
it's really you know, the the marketing is becomes easy.
And what I mean by that is that people feel
that if they want to get the result they're looking
for it, they they're gonna they're gonna call Alience Orthopedics.
Speaker 1 (12:43):
And I'm sure word of mouth is big. A lot
of people are telling their friends, they're posting on social
in the recovery room right there, getting a lot of
a lot of people that way.
Speaker 2 (12:53):
Yeah, I mean, I think you know this is it's
a good point. You know, we're here today because one
of our our our team members that has been instrumental
for us in one of our locations as a family
member that is in this that works for this company,
and you know, he's been a huge asset for our success.
And you know, one of the things that we always
pride ourselves on in any faster the organization is that
(13:16):
we want to be able to leverage everybody's experience and
knowledge and not you know, and be open minded to
the team members' feedback and abilities to help each faster
the business. So I think from that perspective, it's just
building an ecosystem that allows, you know, the five hundred
(13:36):
team members that aligns to feel they're a part of
something and that's been my dream for forever, is to
ensure that you know, everybody's aligned and kind of focusing
together to make it themselves and their peers better every
day and their family too.
Speaker 1 (13:51):
Yeah. It empowers people. It gets people that much more
invested it in the mission. Yeah, that's great. So you
guys are in New Jersey. You have how many.
Speaker 2 (13:59):
Locations currently there's eight locations and two ambilatory locations, and
we are in the process of some expansion and in
one of our locations we were diving into Alliance Performance,
which is a partnership of paric Prese's Speed and Performance
is ranging. I think there's about a thousand affiliates and
(14:20):
one hundred Speed schools throughout the world, and they really
dial in with high school and collegiate and professional athletes.
So that's an area that we are making a huge advancement.
And then we're also making advancements in imaging. We're bringing
our own imaging and house so we'll have MRIs so
patients have more access and the ability to get served
(14:41):
in a much more efficient matter. So you know, people's
time to me matters. They have other better things to
do and deal with ailments and injury and if we
can help serve them in a more you know, efficient manner.
I think that's where the ultimate success lies for healthcare.
And I think that's where our focus has always been,
is trying to find ways to to serve somebody bigger
(15:04):
than ourselves and and serve that community.
Speaker 1 (15:07):
That's great, that's great values to I you know, look
through Google reviews before just to get to see hear
a little bit more about what people are saying. And
everyone says, wait time you get there, you check in
and they take you right away. Like that's that's very
important for that. Yes, so I commend that. I always
hated going to a dentist and you're there for an hour,
hour and a half before they see you. And all right,
(15:29):
so let's uh, let's let's talk about like personalized treatment.
How do you figure out what somebody needs? Like everyone's
got something different.
Speaker 2 (15:40):
Yeah, so then they dance the key right from the intake, right,
everybody's life is different, everybody's you know, goals are different.
And I think what we've built in technology is that
we've allowed them to outline it from the intake of
the call, but also the intake of paperwork that they
fill out and then we measure that and they getting
they getting the tools in resources from the physician and
(16:01):
and then we you know, one of the biggest things
that really helped us is that you know, we don't
get sat shiated. What does that mean is that we
have quality assurance across the board. You know, I have
team members and we have an office in Aruba that
you know, oversees and hears every phone call that happens
amongst every patient that comes in and scores them and
gives them guidance to make sure that do we listen
(16:23):
to what they actually had to say, that we write
those things down so we so the doctor has actually
the ailments and the goals of this individual, and then
the doctor address those goals. So really, you know, everybody
gets to individualized care. It's not like, hey, you have this,
you get that, it's it's what do you want to
accomplish going forward? What matters most to you? Yes, obviously
feeling better and being pain free, but what are some
(16:45):
of the things you want to get back to, whether
it's golf, pick a ball, running, and you know, working
with the team to really create the insurance the layers there,
because as you get bigger, you want to make sure
that your standards don't waiver, and that's where the technology
really comes in to kind of tease out those points
and really use it for coaching and have it have
(17:07):
accessible points where they can see where they can improve.
And I think that when you have an open minded
organization and they understand that you have a standard, that
everybody's really driven to to really look at data in
the best possible way to say, how do I improve
because it's going to help more people be better every day.
Speaker 1 (17:25):
Yeah, of course, hat I tell you, Nick, I'm sold.
I'm in listen. This was great having you here. Nick Bafano,
President CEO of Alliance Orthopedics, thank you so much for
coming in. We were very excited to work with you
guys and set up a partnership and see how we
can collaborate together. Awesome, but thank you so much. We
really appreciate it.
Speaker 2 (17:46):
Thank you for such an honor to be here with you.
I appreciate you guys.
Speaker 1 (17:48):
All Right,