The Capital Compass

Strategic capital planning: Balancing financial pressure, equipment needs & long-term growth

Wed, 12 Aug 2026 17:38:53 -0300

00:04 — Introduction & Episode Overview

Host Susan Edwards introduces the challenge facing healthcare executives: how to continue investing in critical equipment, infrastructure, and technology while operating margins remain under pressure.
Healthcare organizations are balancing:
- Aging equipment
- Demand for advanced technology
- Workforce challenges
- Changing patient expectations
- Financial and operational constraints
Guests:
- Danny Cisneros, Associate Principal, Capital Equipment Solutions, Vizient
- Jon Nickvis, Senior Vice President, Kaufman Hall
The conversation explores how organizations can prioritize investments, evaluate funding models, and build sustainable capital strategies.

01:44 — Today’s Financial Environment

Every dollar matters as health systems operate under continued financial pressure.
Major facilities and strategic investments traditionally receive significant financial scrutiny, while equipment spending can be more reactionary.
Treating equipment financing as a strategic decision can help organizations:
- Preserve cash
- Improve capital efficiency
- Maintain financial flexibility.

02:26 — Bringing Discipline to Capital Equipment Planning

Strong organizations establish clear ownership of the equipment planning and financing process.
Without accountability, organizations risk:
- Evergreen lease extensions
- Keeping equipment longer than intended
- Difficult end-of-term requirements
- Unplanned financial decisions
Ownership needs to begin upfront, not when a contract or lease is about to expire.

03:17 — Post-COVID Capital Decisions & Embedded Leases

Accounting changes have influenced how organizations evaluate equipment leases.
Health systems may turn to placement agreements that bundle:
- Equipment
- Services
- Software
- Disposables
- Reagents
These arrangements can unintentionally circumvent strategic capital decision-making and create accounting complexity.

04:02 — The “Spiderweb” of Placement Agreements

Large organizations may lack a consistent process for auditing placement agreements.
Ownership may shift between individuals and departments over time.
Agreements can include right-of-use assets that may need to be treated as equipment leases.
Poor visibility creates:
- Equipment risk
- Strategic risk
- Accounting risk
- Audit risk.

05:02 — The Need for Specialized Expertise

Real estate and capital equipment may both affect the balance sheet, but require very different expertise.
Legacy ownership structures can leave responsibility with individuals who were never intended to manage an expanding equipment portfolio.
As organizations grow, processes need to mature rather than continuing to rely on institutional knowledge alone.

06:25 — Capital Equipment as a Growing Strategic Priority

Equipment planning is receiving greater attention as organizations recognize its connection to:
- Clinical outcomes
- Patient care
- Operational performance
- Cybersecurity
Aging technology can introduce new risks, making it increasingly difficult to rely on reactive replacement strategies.

08:01 — Balancing Immediate Needs With Long-Term Strategy

Organizations should avoid using placement agreements simply to circumvent capital approval.
Instead, leaders should develop a forward-looking capital plan that evaluates:
- What equipment is needed
- Why and when it is needed
- How it should be financed
Options may include:
- Cash
- Finance leases
- Fair-market-value operating leases
- Placement agreements
Finance should be involved earlier in the process.

09:28 — The Visibility Problem

Equipment does not suddenly become outdated when a quote reaches sourcing.
Waiting until procurement begins means many cost decisions may already be effectively determined.
Service, IT, implementation, and other expenses also need consideration.
The larger challenge may be less about access to capital and more about visibility into future equipment needs.

10:09 — CapEx, OpEx & Hidden Equipment Costs

Organizations may lack clarity around what should be treated as capital expense versus operating expense.
Vendors should not be relied upon to make accounting decisions for health systems.
A right to use equipment may represent an embedded lease requiring balance-sheet treatment.
Earlier finance and treasury involvement can reduce total cost and accounting risk.

11:57 — When Keeping Aging Equipment Costs More Than Replacing It

Deferred equipment replacement can create costs far beyond maintenance.
Equipment downtime can:
- Shut down operating rooms
- Delay or reschedule procedures
- Increase administrative work
- Reduce revenue
- Affect surgeon relationships
- Push patients and procedures to competing sites.

13:07 — Cybersecurity, Maintenance & Operational Risk

Aging equipment may require greater:
- HTM labor
- Parts expense
- Service support
Older operating systems can create cybersecurity vulnerabilities.
Inconsistent equipment across departments can also increase training and change-management burden.
Aging technology may slow procedures and create workarounds that reduce efficiency.

14:55 — The Long-Term Cost of Deferring Capital Decisions

Lease extensions can become surprisingly expensive.
Equipment intended for a three-year lease may cost significantly more when repeatedly extended.
Jon explains that organizations need to align:
- Useful equipment life
- Lease term
- End-of-term flexibility
Otherwise, seemingly easy short-term extensions can substantially increase long-term costs.

16:26 — Connecting Capital Investment to Patient Care

Equipment strategy should ultimately support the health needs of the community.
Access to innovative technology can help clinicians:
- Diagnose patients sooner
- Perform procedures efficiently
- Improve clinical outcomes
- Support post-procedure care
Capital equipment is an important component of delivering high-quality care.

18:08 — Creative Equipment Funding Models

New models include:
- Pay-per-use
- Pay-per-click
- Cloud agreements
- Managed equipment services
- Other bundled arrangements
These structures are not inherently bad, but organizations should compare them against traditional alternatives such as cash purchases and leases.
Contract terms can determine whether an organization retains flexibility to upgrade technology later.

20:44 — Avoiding Pressure-Driven Capital Decisions

Urgent equipment needs can put finance teams in a difficult position.
Time-limited supplier offers may encourage organizations to make decisions before contracts receive adequate review.
Short-term convenience can create longer-term financial and contractual constraints.

21:12 — Hidden Financial & Strategic Risk

Alternative financing arrangements may appear to reduce short-term financial pressure while increasing long-term risk.
Potential exposures include:
- Technology risk
- Legal risk
- Audit risk
- Accounting risk
- Rating agency risk
Individually small agreements can become significant when aggregated across a large health system.

22:38 — Turning Equipment Into a Strategic Asset

Capital equipment should align with an organization's mission and strategic priorities, rather than being replaced simply because it is old.
Leaders may need to prioritize high-impact technology over lower-priority replacements.
Greater visibility allows organizations to allocate limited capital toward equipment that best supports service-line and organizational goals.

24:30 — Capital Planning as a Competitive Advantage

Capital planning can help organizations support:
- Service-line growth
- Margin improvement
- Clinical recruitment
- Technology modernization
Finance, treasury, supply chain, procurement, and clinical stakeholders should collaborate earlier.
Contracts should provide enough flexibility to respond as technology and strategic priorities evolve.

26:08 — Best-in-Class Care Requires Best-in-Class Tools

Modern equipment can be part of an organization's competitive positioning.
Clinicians recognize differences in the technology available to them.
Organizations positioning themselves as leaders and innovators need equipment capable of supporting that strategy.

26:57 — Capital Planning Trends Over the Next 3–5 Years

Capital equipment is becoming a more visible strategic priority.
Health systems are increasingly turning to subject matter experts to help:
- Improve processes
- Increase visibility
- Manage financial pressures
- Avoid adding unnecessary staffing simply to support inefficient workflows
More organizations are recognizing that equipment planning requires dedicated expertise.

28:52 — Moving Capital Equipment From Afterthought to Strategy

Capital equipment historically received less strategic attention than real estate, M&A, and other major investments.
That is beginning to change.
Organizations that successfully align:
- Capital acquisition planning
- Cash vs. financing decisions
- Contract structures
- Rapid technology change
  may position themselves ahead of peers.

30:01 — Final Advice: Start With Visibility

Danny’s takeaway:

Understand what equipment and assets you currently have.
Greater fleet visibility is the first step toward effective long-term planning.
Organizations must become comfortable with:
- Process change
- New technology
- Improving capital-management maturity.

30:38 — Take Ownership of Capital Decisions

Jon’s takeaway:

Ask: “Was this our decision, or was this our supplier’s decision?”
Health systems should own decisions about:
- What equipment to acquire
- How to pay for it
- Which financing structure creates the greatest value
Suppliers can be important partners, but the health system must retain strategic ownership.

31:03 — Closing

Susan summarizes the central message: healthcare organizations do not necessarily have to choose between fiscal responsibility and strategic investment.
Successful capital strategies align investment decisions with organizational priorities, evaluate funding options thoughtfully, and direct resources toward areas with the greatest potential impact.
Listeners are encouraged to explore additional capital planning and equipment strategy resources and subscribe to Capital Compass.

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Recovering lost value in capital procurement

Wed, 05 Aug 2026 18:32:31 -0300

Healthcare organizations often negotiate strong pricing, incentives and contract terms for capital equipment, but the full value of those agreements can be lost as projects move into execution. In this episode, we examine where value leakage occurs, why it can be difficult to detect and how Vizient’s Capital Procurement Recovery program helps healthcare organizations validate pricing, activate contract benefits and recover missed value while protecting every capital dollar invested.

Guests:

Vizient Capital Procurement Recovery subject matter experts

Capital Equipment Solutions and Contract Services

Vizient

Moderator:

Susan Edwards

Product Marketing Manager

Vizient

Show Notes:

[00:52 – 02:25] Why is protecting negotiated capital value increasingly important for healthcare organizations?

[02:25 – 04:35] How fragmented project teams and stakeholder handoffs create blind spots during capital procurement.

[04:35 – 06:30] The operational, clinical and financial effects of value leakage.

[06:30 – 08:40] Why margin pressure makes recovering every available capital dollar more important.

[08:40 – 10:40] The client challenge that led to the development of Capital Procurement Recovery.

[10:40 – 12:45] How missed pricing tiers, rebates and incentives can reduce the value of a negotiated agreement.

[12:45 – 14:50] The discovery process: validating purchases, contract terms and supplier commitments.

[14:50 – 16:55] The difference between a traditional vendor and a strategic capital procurement partner.

[16:55 – 18:55] How Vizient’s GPO relationships, contract knowledge and market perspective support recovery efforts.

[18:55 – 20:45] What the Capital Procurement Recovery review looks like in practice.

[20:45 – 22:35] The performance-based model and how it aligns success with measurable value delivered.

[22:35 – 24:20] Why active validation matters throughout the capital procurement lifecycle.

[24:20 – 26:08] Key takeaways: do not assume negotiated terms will be realized automatically, and use recovered value to support patient care, infrastructure and future growth.

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Holding the line: Capital strategy for rural and independent community hospitals

Mon, 04 May 2026 17:51:51 -0300

Today we're going to explore the current state of rural hospitals and independent community hospitals, many of which are navigating razor thin margins and rising capital costs. We'll talk about emerging policy support and how this may impact capital investment decisions.

Guests:

Russell Hall

VP, Independent Community Market

Vizient

Rebecca Gayden

Sr Principal, Capital Equipment Solutions

Vizient

Host:

Susan Edwards

Product Marketing Manager

Vizient

Show Notes:

[01:40 – 3:27] State of the union when it comes to rural hospitals

[03:27 – 04:09] The pressures being faced by rural and community hospitals and how that affects capital spend

[04:09 – 04:46] The tradeoffs being made

[04:46 – 6:27] How an independent hospital needs to prioritize

[6:27 – 8:22] Rural health transformation funds

[8:22 – 9:08] Following the money

[9:08 – 13:41] Determining eligibility and other options

[13:42 – 15:55] How we bridge the gap between strategy and action

[15:55 – 17:57] The most effective use of dollars

[17:57 – 19:10] Maximizing capital dollars

[19:10 – 20:47] Additional levers and Group buys

[20:47 – 24:11] What's ahead

[24:11 – 25:42] Wrap up and suggestions

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The Capital Commit Program

Fri, 09 Jan 2026 18:15:26 -0400

Haphazard plans aren't really plans at all and when you are dealing with capital commitments that can range from thousands to hundreds of thousands of dollars In expense, the work you do BEFORE you spend Is as Important as the spend Itself. That's where Capital Commit comes In.

Guests:

Mahogany Laur
Program Services Manager
Vizient

Tammi Pegues
Program Services Director
Vizient

Host:

Susan Edwards
Product Marketing Manager
Vizient

Show Notes:

[00:45 – 05:08] What Is the capital commit program? What Is the history of It?

[05:08 – 08:04] The power of aggregation and the Ideal client.

[08:04 – 09:20] Utilizing leverage and commitment.

[09:20 – 12:10] Group buys and how commit Is different.

[12:10 – 14:52] How does the program support the suppliers? The power of Data.

[14:52 – 15:46] Price paid transparency.

[15:46 – 20:32] What Is the future of Capital Commit?

[20:32 – 22:37] Wrap up and suggestions

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Unlocking value

Mon, 08 Dec 2025 12:16:37 -0400

Where is the true value in capital equipment procurements? Capital purchases are often high-stakes decisions that require coordination between clinical, financial and operational teams. Listen In as we unlock the secrets to finding value within your capital expenditures.

Guest:

Adam Fairbourn

Sr. Director, Contract Services

Vizient

Joni Swartz

Sr. Director, Contract Services

Vizient

Host:

Susan Edwards

Product Marketing Manager

Vizient

Show Notes:

[01:24 – 03:05] What makes capital equipment procurement unique?

[03:05 – 05:30] Vizient's bid process explained.

[05:30 – 07:13] How important is the total cost of ownership?

[07:13 – 9:58] What value can be unlocked In the GPO national agreements.

[9:58 – 12:17] Examples of how the framework Is put together.

[12:17 – 13:39] What Is the value of unlocking a GPO?

[13:39 – 14:58] How can smaller clients unlock the same value?

[14:58 – 16:18] Are group buys available?

[16:18 – 19:10] Unlocking value on a large scale.

[19:10 – 21:45] Are there quick wins to be found?

[21:45 – 23:05] Wrap up and suggestions

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Precision equipment planning boosted by Vizient’s GPO

Fri, 14 Nov 2025 14:31:10 -0400

What makes medical equipment planning such a crucial part of the construction, expansion and renovation equation? When you think of construction costs, you can't limit yourself to thinking of bricks and drywall. There's way more to It. In this episode, we explore the costs associated with medical equipment and medical equipment planning so that you're better Informed when It comes time to renovate or build that new medical space.

Guest:

Patrick Melone

Associate Principal, Capital Equipment Solutions

Vizient

Host:

Susan Edwards

Product Marketing Manager

Vizient

Show Notes:

[00:52 – 02:21] What's the big picture? Why Is medical equipment planning Important?

[02:30 – 03:30] The hidden pitfalls of construction and expansion projects.

[03:31 – 04:50] How do you now need to approach equipment planning with new developments in technology?

[04:51 – 7:27] How does cyber security play into planning?

[7:28 – 9:10] Where can cost overruns happen?

[9:20 –10:45] The lifecycle of equipment. The total cost of ownership.

[10:47 – 11:29] The Importance of terms and conditions.

[11:27 – 12:24] Is sustainability a key decision-making element?

[12:24 – 14:17] The Vizient difference. The value of the GPO.

[14:17 – 16:34] How do we get a project to the finish line?

[16:34 – 18:02] Budget management.

[18:02 – 19:09] The role of medical equipment planning during the construction process.

[19:09 – 19:56] The owner contractor architect meeting.

[19:56 – 21:17] Key takeaways and things to think about.

[21:17 – 22:15] Wrap up and suggestions

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Total cost of ownership

Wed, 08 Oct 2025 13:09:35 -0300

What is the true cost of ownership when it comes to medical equipment? When you think of capital spending, ownership costs can become very configurable from the standpoint that everyone has different systems, tools and methods to arrive at a base value. That's why Vizient has put tools in place that allow for a certain amount of standardization and consistency, essentially leveling the field when it comes to ownership costs and strategies.

Guest:

Danny Cisneros

Sr. Consulting Director

Vizient

Host:

Susan Edwards

Product Marketing Manager

Vizient

Show Notes:

[00:46 – 03:15] What Is total cost of ownership? What Is Its history?

[03:15 – 04:13] The science behind "unbundling" of equipment costs

[04:13 – 08:20] How does the cost of ownership Impact expansion?

[08:20 – 10:22] The approach to consolidating people and resources

[10:22 – 12:28] Unbundling and the lifecycle of equipment

[12:28 – 13:44] Finding the hidden costs and working over time

[13:44 – 15:27] Assets advice for organizations

[15:27 – 16:22] Balancing needs and outcomes for the ASC's

[16:22 – 19:07] Real life examples and how to respond

[19:07 – 21:15] Does everyone face the same challenges and what Is It about capital equipment that adds to the complexity of the Issue?

[21:15 – 22:12] Terminology

[22:12 – 23:44] Wrap up and suggestions

Links | Resources:

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Capital spend insights: Data that deliver smarter procurement decisions

Thu, 04 Sep 2025 12:16:44 -0300

Whether you're navigating decentralized purchasing, benchmarking spend, or trying to align capital budget system wide, the Capital Spend Insights tool was built to transform how your organization approaches capital planning. Mike Kolp, associate principal from Vizient's Capital Equipment Solutions team joins host Susan Edwards to share how health systems are using Capital Spend Insights to unlock smarter, faster and more strategic decisions.

Guests:

Mike Kolp,

Associate Principal, Vizient Capital Equipment Solutions

Vizient

Moderator:

Susan Edwards

Marketing Communications Manager

Show Notes:

[01:09 – 02:04] The why behind Capital Spin Insights

[02:05 – 03:15] Industry overarching trends needing solutions for capital provurement

[03:16 – 03:59] How capital spend insights tool changes visibility traditionally exposed in the capital procurement process

[04:00 – 05:11] How Capital Spend Insights make the quote review process better

[05:12 – 07:37] Comparing Capital Spend Insights to what's available in the marketplace from other competitors

[07:38 – 10:22] How Capital Spend Insights works alongside or in tandem with the other Vizient data solutions

[10:45 – 11:36] How full fledged subscribers are they using the tool most effectively in their organizations today

[11:37 – 13:00] Common types of projects that got clients interested in using this tool

[13:01 – 17:09] The tool’s GPO compliance component and the pull through of budget alignments

[17:10 – 19:03] New improvements and enhancements for the solution

[19:04 – 20:41] Comparing Capital Spend Insights to key Competitors

[20:42 – 23:25] Key Takaways

[23:26 – 24:19] Next steps for people interested in the tool

[24:20 – 25:08] Mike will be talking about the tool at the Vizient Summit

Links | Resources:

Link to Capital Equipment Solutions webpage: Click here
Link to Capital Spend Insights video: Click here
Capital Spend Insights fact sheet: Click here

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Theranostics: A new weapon against cancer – part 2

Tue, 12 Aug 2025 08:50:00 -0300

Theranostics is a groundbreaking topic that's reshaping how we diagnose and treat cancer. It's a cutting-edge approach in cancer care, combining diagnosing and treating cancer using the same molecular tools. Theranostics has the spotlight because it's delivering on a promise we've been chasing for years in cancer care, truly personalized targeted treatment with fewer side effects than traditional options.

Guests:

Lindsay Williams, MBA, CNMT, R.T.(N)(CT)(ARRT)

Pharmacy Sourcing Portfolio Executive

Vizient

Setu Shah, MPH

Sr. Associate, Intelligence

Sg2

Janna Laton, MBA, CNMT, NMTCB(CT), R.T.(R)(N)(MR)(ARRT)

Independent Contributor and SME

Host:

Adam Fairbourn, MBA, CNMT

Senior Director, Contract Services

Vizient, Capital Equipment Solutions

Show Notes:

[00:48 – 01:55] What it takes for a healthcare organization to implement Theranostics

[01:56 – 04:04] Success stories solving for some of the access and workflow issues

[04:05 – 05:11] Education and training programs needed to support demand for nuclear medicine specialists and technologists

[05:12 – 07:54] What's driving that growth in the field

[07:55 – 09:34] What’s most exciting about theranostics over the next five to 10 years

[09:34– 10:08] Will Theranostics become the standard of care for more types of cancer than we see today

[10:09 – 11:30] The future of cancer care and Theranostics

[11:30– 12:03] What Vizient is doing on the Theranostics front

Links | Resources:

Vizient article - https://www.vizientinc.com/insights/diagnostic-imaging

Sg2 Perspectives Podcast: Transforming Cancer Care Delivery

Sg2 Perspectives Podcast: Cell and Gene Therapy in Practice

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Theranostics: A new weapon against cancer – part 1

Tue, 29 Jul 2025 09:00:00 -0300

Guests:

Lindsay Williams, MBA, CNMT, R.T.(N)(CT)(ARRT)

Pharmacy Sourcing Portfolio Executive

Vizient

Setu Shah, MPH

Sr. Associate, Intelligence

Sg2

Janna Laton, MBA, CNMT, NMTCB(CT), R.T.(R)(N)(MR)(ARRT)

Independent Contributor and SME

Host:

Adam Fairbourn, MBA, CNMT

Senior Director, Contract Services

Vizient, Capital Equipment Solutions

Show Notes:

[00:45] Defining Theranostics and why it’s getting attention

[02:10] “See what you treat and treat what you see” captures the power of Theranostics

[03:10] Why neuroendocrine tumors and prostate cancer are particularly well suited for this approach

[03:50] Prostate specific membrane antigen or PSMA targeted imaging and treatment work and results

[05:28] How Theranostics compares with more traditional cancer treatments in terms of precision and side effects

Links | Resources:

Vizient article - https://www.vizientinc.com/insights/diagnostic-imaging

Sg2 Perspectives Podcast: Transforming Cancer Care Delivery

Sg2 Perspectives Podcast: Cell and Gene Therapy in Practice

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Twenty years of group buys

Tue, 01 Jul 2025 09:30:00 -0300

This episode highlights the mainstay of Vizient’s group purchasing strategy – the Group Buy Program. Celebrating 20 years of delivering value, the Group Buy Program is a flexible, time-bound program for healthcare organizations that enables them to achieve enhanced savings, better terms and product upgrades while leveraging their GPO participation.

Guests:

Rebecca Gayden

Senior Principal, Capital Equipment Solutions

Vizient

Tammi Pegues

Program Services Director, Group Buys

Vizient

Host:

Susan Edwards

Marketing Communications Manager

Vizient

Show Notes:

[01:00-2:28] Origins of the Group Buy Program

[02:29-04:29] How the program has evolved

[04:30-05:23] Quarterly inspiration to put deals together

[05:24-06:48] Variety and flexibility – no commitment required, advanced planning capability, value from group buys

[07:15-08:23] Two decades of growth

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Imaging’s expanding impact – Navigating demand, innovation and strategy in 2025 – part 2

Tue, 24 Jun 2025 08:50:00 -0300

On this episode, we finish our discussion on the dynamic growth and future of diagnostic imaging. Imaging is expanding well beyond the hospital walls and factors into any strategic plans for the future.

Guests:

Gurmeet Bawa, MS

Consulting Director

Sg2 Intelligence

Vizient

Adam Fairbourn, MBA

Director, Contract Services

Capital Equipment Solutions

Vizient

Host:

Andrew Rebhan, MHIHIM

Senior Consulting Director

Sg2 Intelligence

Vizient

Show Notes:

[00:58-02:02] Sustainability and imaging

[02:03-03:17] A new energy efficiency

[03:18-06:12] Promising strategies for workforce challenges

[06:13-09:11] AI innovation and adoption

[09:12-12:57] Mobile imaging technologies and reaching more patients

[12:58-14:51] Capital planning and equity

[14:52-16:24] Advocacy efforts to keep an eye on

[16:25-17:50] Looking ahead to exciting future

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Imaging’s expanding impact – Navigating demand, innovation and strategy in 2025 – part 1

Thu, 05 Jun 2025 08:50:00 -0300

Diagnostic imaging is a dynamic growth engine in healthcare, reaching into areas such as AI, sustainability and emerging therapies with tremendous improvements now and in the near future. Its reach goes well beyond the hospital walls. On the next two episodes, our guests examine where diagnostic imaging is today and the forces determining its future.

Guests:

Gurmeet Bawa, MS

Consulting Director

Sg2 Intelligence

Vizient

Adam Fairbourn, MBA

Director, Contract Services

Capital Equipment Solutions

Vizient

Host:

Andrew Rebhan, MHIHIM

Senior Consulting Director

Sg2 Intelligence

Vizient

Show Notes:

[01:10-02:20] Primary forces driving growth in diagnostic imaging

[02:21-03:37] Imaging’s importance to the growth of a health system

[03:38-05:30] Changing strategies involving imaging

[05:31-06:47] Infrastructure and equipment trends

[06:48-07:58] Rising and widespread demand

[07:59-08:58] Precision is key

[09:00-09:54] Challenges ahead

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The Capital Compass

Tue, 13 May 2025 17:22:23 -0300

Chart your course with The Capital Compass, an exciting new podcast to help you navigate your journey to value. On The Capital Compass, we explore today's most dynamic areas in capital spend strategy. From imaging and Group Buys, we dive into the emerging trends and market drivers that are shaping the big decisions for capital procurement. As a part of the powerful lineup of Vizient podcasts, The Capital Compass is available on all your favorite podcast channels.