Thoughts on Healthcare Markets & Technology
Thoughts on Healthcare Markets & Technology Podcast
Part I: Forbes 400 Class of 2026: What the 15 Richest People in US Healthcare Reveal About Where the Money Actually Sits (Hint: Not in Software, Payers, or Anything With a Demo Day)
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Part I: Forbes 400 Class of 2026: What the 15 Richest People in US Healthcare Reveal About Where the Money Actually Sits (Hint: Not in Software, Payers, or Anything With a Demo Day)

Forbes 400 2026 healthcare names: 15 people, $136B combined. No payers. No pharmacy benefit managers. No EHR founders. No digital health. Zero.

The 15 break into four buckets: 1 hospital operator, 5 distribution/supply, 5 medical devices, 3 biotech/services, 1 software. That is the whole map.

Three cousins from Medline - Charlie Mills, Andy Mills, Wendy Abrams - are worth $21B combined. Their family has been in hospital supply since 1910. The moat: nursing staff know where the gauze is.

The only software name is Keith Dunleavy at $4.6B after 20+ years building Inovalon. Compare that to $21B for three people distributing gauze over 60 years. That ratio is the whole story.

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