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Care, Code, and Capital

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by Megadata Health Systems

7 episodes
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Podcast Overview

Care, Code, and Capital explores how healthcare, technology, and investment intersect to shape the future of the industry. Host Dan Brody speaks with founders, operators, and investors about what’s actually working in health tech — and what it takes to turn innovation into real-world impact.

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2/20/2026

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Recent Episodes

Episode thumbnail for Grit, Recovery, and AI Trailblazing in Healthcare | Episode 6 of Care, Code, and Capital

June 22, 2026

Grit, Recovery, and AI Trailblazing in Healthcare | Episode 6 of Care, Code, and Capital

<p><br>Nick DeStefane didn't set out to build a healthcare company. He set out to play professional baseball.</p><p><br>Then the recession hit, his school shut down early, and his senior season never happened. So he turned to the only industry he'd ever really known — the one he was literally born into.</p><p><br>His father bought a nursing home out of bankruptcy court in 1989. Nick took his first steps there. By 15, he was working as an assistant maintenance director. He traveled across Missouri living out of Motel 8s, learning every skilled nursing facility from the floor up.</p><p><br>Then came sobriety. Twelve years ago, Nick hit a crossroads. His best thinking had gotten him somewhere he didn't want to be. So he changed everything about how he thought — and that decision changed everything about how he leads.</p><p><br>He eventually left a comfortable role, partnered with Jonathan Lutz, and opened American Medical Administrators the next day. Today, AMA — operating under Reliant Care Management Company — runs 60-plus skilled nursing facilities, employs approximately 6,000 people, and operates outpatient clinics across 14 states. They're closing on their first hospital in July.</p><p><br>In this episode, Dan Brody sits down with Nick DeStefane, President of American Medical Administrators, to talk about what two decades inside long-term care — and one life rebuilt from the ground up — actually taught him.</p><p><br>What we cover:</p><ul><li>Why AI in skilled nursing starts with documentation and the auditory scribing technology AMA is building to protect reimbursements</li><li>The daily bedside model catching patient deterioration before anyone in the building sees it coming</li><li>Why healthcare fragmentation is the biggest problem in long-term care — and how AMA is building the continuum to solve it</li><li>What it looks like when a nursing home operator goes all-in on AI before the rest of the industry knows it needs to</li><li>Why Nick believes the death of healthcare is found in corporatism — and what he's building instead</li></ul><p><br>One line that stuck with us: "AI is the future of everything. Forget healthcare — everything. If we're not all in on figuring that out, you're going to fall way behind."</p><p><br>Subscribe to Care, Code, and Capital for conversations at the intersection of healthcare, technology, and business growth.</p>

Episode thumbnail for The AI Revolution in Skilled Nursing | Episode 5 of Care, Code, and Capital

May 26, 2026

The AI Revolution in Skilled Nursing | Episode 5 of Care, Code, and Capital

<p><br>Shalom Reinman didn't set out to build a healthcare technology company.</p><p>He set out to find a job. His brother talked him out of his entrepreneurial ideas and into a billing role at a nursing home. $23,000 a year. 2008. He figured he'd learn the business.</p><p><br>He learned more than that.</p><p><br>He taught himself accounting. He fixed a company-wide billing glitch on a Sunday because it needed fixing. He mastered IBM business intelligence systems. He built Excel workbooks so sophisticated they started to break. And when they did, he pushed to hire a programmer — to a boss who asked him, straight-faced: "How is a programmer going to help me fix a boiler?"</p><p>Two years later, that same boss was asking job applicants what they knew about a data warehouse.</p><p><br>Shalom eventually built one of the most advanced analytics platforms in long-term care from inside a nursing home company. When the opportunity came to take it to the broader industry, he left and started Megadata.</p><p>Today, Megadata has 80-plus integrations, a Series A from Blueprint Equity, and data warehouse customers who are building AI-powered workflows on top of their data — without writing a single line of code.</p><p>In the newest episode of Care, Code, and Capital, Dan Brody sits down with Shalom to talk about what 18 years on the inside of long-term care data actually taught him:</p><ul><li>Why the user interface of healthcare technology is about to look nothing like it does today</li><li>How Megadata's team used oxygen saturation data to detect Covid outbreaks before anyone in the building knew they had one — and how that story ended up on ABC Nightline</li><li>What the combination of a data warehouse, 80-plus integrations, and tools like Claude actually unlocks for a nursing home operator</li><li>Why the operators moving on AI now are the ones who will set the pace — and what happens to those who don't</li></ul><p>One line that stuck with us: "The humans who use AI most effectively are going to be the most valuable people in the room. The ones who avoid it — they get left in the dust."</p><p>Worth your time, whether you're an operator, a technologist, or anyone trying to understand where healthcare data is actually going.</p>

Episode thumbnail for Building the "Disney World of Healthcare" with Marc Halpert

May 11, 2026

Building the "Disney World of Healthcare" with Marc Halpert

<p>This is not a story about a nursing home operator. It's a story about someone who fell in love with taking care of people — and built 63 facilities because of it.</p><p><br>What does it take to lead one of the most innovative long-term care organizations in the country? For most people in this industry, the answer involves capital, connections, and a clear roadmap. Marc Halpert had a phone call, a flight to Minnesota, and a decision he almost said no to three times.</p><p><br>He said yes. And then he built something that someone eventually called the Disney World of healthcare.</p><p><br>In Episode 5 of Care, Code, and Capital, Dan Brody sits down with Marc Halpert — CEO and co-founder of Monarch Healthcare Management — for a conversation that covers the director of nursing who ran across a room and hugged him, the moment he stood on stage in front of his entire company and couldn't hold it together, and why Monarch was the first nursing home in the United States to deploy automated robots before anyone else was even talking about it.</p><p><br>This is not a highlight reel. It's the full picture.</p><p>‍<br><strong>How Marc Got In<br></strong><br></p><p>Marc will tell you the foundation was built before he ever ran anything.</p><p>He started in healthcare as an admissions coordinator, working his way through a psychiatric facility on the South Side of Chicago before anyone handed him a title worth talking about. What followed was a decade of intentional groundwork inside a multi-facility company. He stripped and waxed floors. He worked as a dietary aide, passing trays when his cooking didn't pass muster. He went through administrator training, ran an 84-bed mom-and-pop nursing home, and started building a real understanding of what great care could look like when someone actually cared enough to build it.</p><p>Every department. Every role. Not as an executive observer — as someone who had to actually do the job.</p><p>"In 2005, if you wanted to make money in healthcare, you were told to become an administrator. But I never really thought about the money. I just wanted to do better than what I was seeing."</p><p>By the time Marc was ready to build something of his own, he didn't just understand how to run a facility. He understood what it felt like to be every person inside one.</p><p><strong>The Phone Call That Started Everything<br></strong><br></p><p>Eleven years ago, Marc got a call from a friend about an opportunity in Minnesota. He said no twice. The third time, he said yes — because someone told him you can't say no a third time.</p><p>He flew to New Prague, Minnesota, walked into the first facility, and fell in love.</p><p>"My entire company knows the love story of how I came to Monarch. Every single person."</p><p>What he inherited was four nursing homes, three assisted living facilities, a small corporate office, and 18 employees. The care was good. The staff was warm. The census was fine. The problem was simpler and more stubborn than any of that: complacency. A status quo that nobody had ever thought to challenge.</p><p>Marc thought to challenge it on day one.</p><p>The name came from Josh's wife, who discovered the Monarch butterfly is the state insect of Minnesota. The logo came from a design firm that kept returning with one consistent element across every rendition: orange. A Tough Mudder race that summer produced t-shirts that said "Bleed Orange." One by one, staff members started showing up in orange shirts, orange watches, orange kicks — and something started to feel like something real.</p><p>"It transfers this concept of branding because you're not just you — you're part of a family."</p><p><strong>The First Nursing Home in America to Use Robots<br></strong><br></p><p>Innovation made it into Monarch's mission statement a few years ago. Not as a talking point — as a commitment. Because Marc had already seen enough of the future to know where long-term care was going, and he wasn't interested in waiting to be surprised by it.</p><p>Monarch was the first nursing home in the United States of America to deploy automated robots in a resident care setting. The program launched in partnership with the University of Minnesota Duluth. The robots came in, interacted with staff and residents, and delivered on some of what they were supposed to — and not all of it.</p><p>Marc will tell you it didn't fully work. He'll also tell you it was one of the best decisions he ever made.</p><p>"When I saw the demo for the first time, I said — wow. This is the future. It's going to go somewhere."</p><p>His take on AI follows the same logic. He's been using it in his day-to-day work and will tell you with a laugh that he still doesn't fully understand how it works. What he knows is that it opened up a new world. His staff knows more about it than he does. He surrounds himself with people specifically because of that.</p><p>"I'm excited. The future is going to bring us something."</p><p>What he's clear about — even with all of that optimism — is where the line is.</p><p>"Is a machine going to take care of a resident? No. No human needs to take care of human. That's not going anywhere."</p><p><strong>The Hug That Changed a Building<br></strong><br></p><p>Marc tells a story about walking into a distressed facility Monarch was taking over. The announcement had been made. The staff was waiting. He introduced himself and got ready to start the work.</p><p><br>The director of nursing came across the room and hugged him.</p><p><br>"She said — thank you so much. I know this place could be awesome. We just needed someone to love us. Someone to believe."</p><p><br>That moment lives in the same category as the holiday party where Marc watched his entire team get emotional watching themselves in a music video they'd made together — and the stakeholders meeting where he stood on stage, looked out at what Monarch had become, and couldn't hold it together.</p><p>"I got emotional on stage looking around like — what happened? And it's beautiful. It would not have happened without all those people."</p><p>These aren't moments of weakness. They're the receipts for a decade of showing up.</p><p>‍<br><strong>The Dress Code Line That Says Everything</strong></p><p><br>Monarch's dress code has one non-negotiable item at the top: a smile must be worn at all times.</p><p>It sounds simple. Marc will tell you it isn't — and that it's also the most important thing Monarch does. Because a smile isn't just an expression. When it's modeled from leadership down, it becomes a culture. When it becomes a culture, it becomes what 5,000 people feel when they walk into work. And when 5,000 people feel that — it's what 5,300 residents feel when someone walks into their room.</p><p><br>"We try to lead with a smile. It's our first line of our dress code. It's expected. And it's rewarded."</p><p>‍<br><strong>The Future of Long-Term Care</strong></p><p><br>Marc doesn't pretend to have all the answers on where the industry is going. What he has is a clear-eyed view of what he's watching.</p><p>On aging: the demand is structural. Baby boomers are getting older. Nobody has fixed that. The need for skilled nursing isn't a trend — it's a guarantee. Monarch has built specialty programs around their communities' specific needs, including a growing focus on memory care as dementia and Alzheimer's present in younger and younger patients.</p><p>On care models: he believes in aging in place where it's possible. Even as a nursing home owner, his honest answer is that if someone can stay home and get good care there, that's the best outcome...</p>

7 total episodes available

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What is Care, Code, and Capital?

Care, Code, and Capital explores how healthcare, technology, and investment intersect to shape the future of the industry. Host Dan Brody speaks with founders, operators, and investors about what’s actually working in health tech — and what it takes to turn innovation into real-world impact.

How often does this podcast release new episodes?

This podcast updates daily.

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This podcast is available on 4 platforms including Apple Podcasts, Spotify, and more. You can also use the RSS feed directly.

Does this podcast accept guests?

Yes, this podcast regularly features guests.

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