Episode breakdown:
00:00 – Intro: Ray Cohen’s MedTech Resume
02:21 – 44 Years, 0 BigCo Jobs: Ray’s Founding Philosophy
05:04 – How He Closed a $600M Deal Without an Investment Banker
08:05 – Why Relationships Matter More Than Bankers in M&A
11:19 – When Is the Right Time to Sell a MedTech Company?
13:44 – Why He Took Axonics Public *Before* FDA Approval
15:53 – $111M in Year 1 During COVID — How They Pulled It Off
17:42 – Why Most Commercialization Efforts Fail
19:19 – $230M IPO: How He Built the Case for Kestra’s Public Debut
22:36 – Turning Venture Dollars into a $1.2B Public Company
24:02 – The Founder’s Trap: Pivot or Persevere?
27:57 – How to Work with Strategics Without Giving Away the Deal
29:37 – Loyalty, Teams & Why Integrity Still Wins in MedTech
34:12 – Stop Worrying About Dilution. Raise More Than You Need.
35:43 – The $30M Fight Against Medtronic — And Why They Won
38:23 – The American Dream is Still Alive in MedTech
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