Who is this episode for?

Whether you’re interested in entrepreneurship, starting or building a business, or wondering about going through the process of selling one, this conversation is for you. It’s particularly interesting for anyone working in or interested in healthcare, as well as those who want to better understand the economics and business dynamics facing independent pharmacies in today’s environment.

About our guest

Mike Ruane opened a traditional retail pharmacy in July of 2021. While he used the same branding and name, it was independent from his family’s well-known “The Prescription Center” pharmacy based in Downtown Scranton. A year after opening, and after seeing a significant unmet need in the market, he made a bold pivot, turning the business into a specialty pharmacy focused on serving patients living with mental health conditions, substance use disorders, HIV, and/or Hepatitis C.

At the time, The Prescription Center-Specialty Pharmacy’s dual specialty accreditations made it one of fewer than 10 independent specialty pharmacies in the state of Pennsylvania and the only behavioral health-focused pharmacy in Northeastern Pennsylvania. What happened next was pretty incredible. In just over four years, TPC went from just a handful of patients on day one to serving thousands of patients each month across nearly 40 counties across Pennsylvania, becoming one of the largest truly independent pharmacies in the state.

As Mike put it when describing the story of building and growing TPC, it took “a lot of hard work and a little luck.” In October 2025, Mike sold The Prescription Center-Specialty Pharmacy to a private equity-backed regional pharmacy, where he is now engaged as a senior-level employee focused on business development and mergers and acquisitions.

In this conversation, Mike shares how he recognized the opportunity that led to the pivot, what it was like competing as an independent pharmacy against PBMs, and why building a loyal, talented team was so important to TPC’s growth. We also discuss how they scaled the business while maintaining a high level of service, how he approached the decision to find the right mission-aligned partner to sell to, and how the support of his family and wife, Brittany, was so important throughout those years.

We talk about his new role, his next chapter, and the lessons he learned along the way. Mike also shares how he is reflecting on his experience over the last few years. This is a great story about entrepreneurship, taking a risk, and building something from the ground up.

Thanks to Mike for sitting down with us, and we hope you enjoy the episode!

Disclosures: Alliance Wealth Advisors, LLC (“Alliance”) is an SEC Registered investment advisory firm that is independently owned and operated. The information in this interview is provided for informational purposes only and should not be taken as investment, legal, or tax advice. Opinions expressed in this interview are subject to change without notice. It is important to remember that investments in securities involve risk, including the potential loss of principal invested. Past performance is no guarantee of future results and diversification does not guarantee a profit or protect against loss in a declining financial market. Alliance does not guarantee the suitability or potential value of any particular investment or strategy and accepts no liability for reliance on this presentation. Alliance also does not make any representations as to the accuracy, timeliness, suitability, completeness, or relevance of any information prepared by any unaffiliated third party mentioned in this communication and takes no responsibility. Our guest, Michael Ruane, did not receive any compensation for this interview, not otherwise affiliated with, the firm and is not a client of Alliance Wealth Advisors at the time of this publication. For more information regarding Alliance, please visit alliancewealthadvisors.com/legal-disclosures.

Who is this episode for?

Whether you’re thinking about making a career change, starting something of your own, or just trying to make a positive change in your life, this conversation is for you. It’s also for anyone who has ever struggled with asking for help or who would like to better understand the different modalities available when it comes to therapy and coaching.

About our guest:

Our guest for this episode is Patrick McDonough, LCSW, CAADC, founder of McDonough Counseling & Coaching in Dunmore, PA. Pat has spent his career working with people dealing with addiction, mental health, and the many challenges that come with life. He also has his own story of recovery, which has had a significant impact on how he approaches his work today.

In this conversation, we start with Pat’s own inflection point: the decision to stop being an employee and start his own practice shortly after he and his wife, Alicia, welcomed their first child. We talk about what went into that decision, the uncertainty and doubt that came with it, what he underestimated about running a business, and what he has learned since taking the leap.

From there, our conversation moves into Pat’s work with addiction and mental health, including a timely discussion about his work helping people struggling with gambling. We also discuss the explosion of sports betting, and how everything from gambling to investing has become increasingly focused on instant gratification and how access has been made easier than ever with the help of technology.

One of the things both of us realized while talking was how Pat’s work has similarities to the way people think about money, and how our earliest experiences can shape our beliefs. We talk about how easy it is to chase the quick win rather than doing the small things consistently over time. Whether you’re working through recovery, building a business, managing your finances, or investing for the future, the long game of small boring decisions tend to work a lot better than looking for the next short-term thrill. We also get into why our financial behavior can sometimes be a reflection of what is going on in our lives, and the importance of having someone in your corner who can help you see things differently.

This was a wide-ranging conversation, and we had a lot of fun throughout. Thanks to Pat for sitting down with us and sharing his story authentically, and we hope you enjoy the episode.

Disclosures: Alliance Wealth Advisors, LLC (“Alliance”) is an SEC Registered investment advisory firm that is independently owned and operated. The information in this interview is provided for informational purposes only and should not be taken as investment, legal, or tax advice. Opinions expressed in this interview are subject to change without notice. It is important to remember that investments in securities involve risk, including the potential loss of principal invested. Past performance is no guarantee of future results and diversification does not guarantee a profit or protect against loss in a declining financial market. Alliance does not guarantee the suitability or potential value of any particular investment or strategy and accepts no liability for reliance on this presentation. Alliance also does not make any representations as to the accuracy, timeliness, suitability, completeness, or relevance of any information prepared by any unaffiliated third party mentioned in this communication and takes no responsibility. Our guest, Patrick McDonough did not receive any compensation for this interview, not otherwise affiliated with, the firm and is not a client of Alliance Wealth Advisors at the time of this publication. For more information regarding Alliance, please visit alliancewealthadvisors.com/legal-disclosures.

About our guest

Who is this episode for?Whether you’re an investor, business owner, or just trying to make sense of everything happening in technology today, this is a conversation you will enjoy.About our guestAlex is the founder of Big Technology, reaching more than 150,000 newsletter subscribers and racking up millions of podcast downloads a year, all built around making tech, business, and AI news accessible to a broader audience. He’s interviewed some of the most powerful people in the industry, including Sam Altman, Larry Ellison, and Mark Zuckerberg, and he’s a regular on-air contributor at CNBC and the author of Always Day One. He has become a trusted voice covering A.I., technology and the companies that are shaping our future.About this episodeAI is moving faster than any technology we’ve seen before, and it’s becoming harder to separate what’s real from what’s hype. On this episode of Off the Page, we sit down with Alex Kantrowitz. Alex is a veteran journalist who has his finger on the pulse of everything happening in tech and AI right now, which, these days, is a lot.In this conversation, we cover:Where the AI race stands today, and who’s positioned whereWhether compute is really as scarce as companies claimWhat’s next for OpenAI and Anthropic going public — and if the economics make senseWhy the economy may be resting on two companies succeedingWhether AI is actually replacing white-collar jobsThe pushback against data centers in local communities and what that means for big tech companiesDisclosures: Alliance Wealth Advisors, LLC (“Alliance”) is an SEC Registered investment advisory firm that is independently owned and operated. The information in this interview is provided for informational purposes only and should not be taken as investment, legal, or tax advice. Opinions expressed in this interview are subject to change without notice. It is important to remember that investments in securities involve risk, including the potential loss of principal invested. Past performance is no guarantee of future results and diversification does not guarantee a profit or protect against loss in a declining financial market. Alliance does not guarantee the suitability or potential value of any particular investment or strategy and accepts no liability for reliance on this presentation. Alliance also does not make any representations as to the accuracy, timeliness, suitability, completeness, or relevance of any information prepared by any unaffiliated third party mentioned in this communication and takes no responsibility. Our guest, Alex Krantrowitz did not receive any compensation for this interview, not otherwise affiliated with, the firm and not client of Alliance Wealth Advisors at the time of this publication. For more information regarding Alliance, please visit alliancewealthadvisors.com/legal-disclosures

Who is this episode for?

Whether you’re interested in entrepreneurship, starting or building a business, or considering your own major career move this conversation is for you.

About our guest

Our guest for this episode is Jeff Roba, President of Roba Family Farms and Lakeland Orchard.

What began as a dream started by his parents has steadily grown into one of Northeastern Pennsylvania’s favorite year-round destinations. In this conversation, we explore Jeff’s unique path back home, how he met his wife Juls while working on the farm, and the unique dynamics that come with working in a family-owned business.

This was such a great conversation and covers a wide range of interesting topics. Jeff shares the importance of understanding the difference between value and price when creating a great customer experience, why the simple idea of treating others the way you would want to be treated is a guiding principle for their business, and how “tight feedback loops” help him and his team execute, improve, and adapt. We also discuss how the size of their operation has evolved over the years and what it takes to scale a business while preserving and protecting it’s core values.

Finally, we talk about everything they have to offer visitors this year, look ahead to the future, and discuss how they plan to continue creating memorable experiences for tens of thousands of families each year.

Thanks to Jeff for sitting down with us, and we hope you enjoy the episode!

Disclosures: Alliance Wealth Advisors, LLC (“Alliance”) is an SEC Registered investment advisory firm that is independently owned and operated. The information in this interview is provided for informational purposes only and should not be taken as investment, legal, or tax advice. Opinions expressed in this interview are subject to change without notice. It is important to remember that investments in securities involve risk, including the potential loss of principal invested. Past performance is no guarantee of future results and diversification does not guarantee a profit or protect against loss in a declining financial market. Alliance does not guarantee the suitability or potential value of any particular investment or strategy and accepts no liability for reliance on this presentation. Alliance also does not make any representations as to the accuracy, timeliness, suitability, completeness, or relevance of any information prepared by any unaffiliated third party mentioned in this communication and takes no responsibility. Our guest, Jeff Roba did not receive any compensation for this interview, not otherwise affiliated with, the firm and is a client of Alliance Wealth Advisors at the time of this publication. For more information regarding Alliance, please visit alliancewealthadvisors.com/legal-disclosures.

Why Listen?

In this conversation, we sat down with Garrett Baldwin to talk about the role liquidity plays in financial markets, investing, and personal finance. We explore why liquidity isn’t just about having cash on hand. It is about breathing room—and the ability to keep your options open for individuals and families. As Garrett puts it, having liquidity is essential to every financial plan because “liquidity is permission.” It is permission to borrow, to expand, to take risks and to make financial decisions without stress or anxiety.

Garrett breaks down how liquidity influences market behavior, the often-overlooked “financial plumbing” of the system, investment strategies in your portfolio, and the broader economic landscape. We also dig into the behavioral side of liquidity and why it matters so much for financial planning, especially during periods of market volatility. We wrap up with practical takeaways for investors on managing portfolios in a fast-changing environment.

About Our Guest

Garrett Baldwin is a macro and commodity economist from Maryland. He is the author of the Substack site Me and the Money Printer and the host of a daily trading show at TheoTrade. He is a graduate of Northwestern’s Medill School of Journalism with advanced degrees from the University of Indiana, Purdue University, and Johns Hopkins University.

This conversation breaks down the following article: What Do You Mean By Liquidity?

Key Takeaways

• Liquidity is having a margin of safety, providing breathing room for financial decisions.
• Wealth is not just net worth; it’s about having options.
• Liquidity acts as a shock absorber for our lives.
• Markets respond to liquidity conditions, not just earnings.
• The structure of the market has shifted significantly over the past 30 years.
• Investors must consider liquidity when making investment decisions.
• Behavioral finance plays a crucial role in how individuals react to liquidity changes.
• Understanding the plumbing of the financial system is essential for investors.
• Planning for liquidity events is critical for retirement success.
• Ongoing communication with your financial planner is vital for effective liquidity management.

As retirement approaches, one of the most important, and most misunderstood, decisions is when to begin Social Security benefits. There is no universal “right” answer. Some individuals choose to start benefits early out of concern about the program’s long-term stability. Others view Social Security as a temporary income bridge to help pay down debt or ease the transition into retirement. The reality is that every situation is different, and the decision carries meaningful financial consequences. Small missteps can permanently reduce lifetime benefits, making careful planning essential.

In our latest Off the Page episode, we sat down with Tom Barrett. Tom is a managing director of applied insights for Hartford Funds. Tom engages and educates financial professionals and their clients about emerging opportunities in financial services. These opportunities range from tactical strategies in areas such as retirement-income planning and legacy planning to anticipating and preparing for long-term demographic and lifestyle changes.

It was a great conversation, and we encourage you to listen to the episode and reach out to our team with any questions.

In our latest episode, we sat down with our own Jude McDonough, who heads up our Retirement Plan Consulting business. We discussed the parties to a corporate retirement plan and their roles in servicing the plan.It was an informative conversation for anyone in charge of a corporate retirement plan. We encourage you to reach out to us if you have any questions about your corporate retirement plan.The corporate retirement plan is a key benefit to the employees that is easy to overlook. There is no renewal for the plan, so it is something that is put off until a later date. In reality, it is usually a major investment from the employer and is important to the employees. The service providers that you choose can make or break your plan and can have a major impact on your employees.The different parties to the plan are replaceable and often interchangeable. If you are not getting the service you need from one of the parties to your plan, you can replace that service provider. Some changes have more disruption than others. The most difficult provider to replace is the recordkeeper. A good Investment Advisor can help you improve your situation with your recordkeeper without necessarily having to move the plan.If you are not getting any service from your Investment Advisor, they are the easiest party to replace. Your employees deserve to have access to someone who can help them with their retirement plan and be a resource for their financial needs. Furthermore, the Investment Advisor can help you select and monitor the fund lineup, review your recordkeeper relationship, benchmark your plan fees, and act as a liaison between you and the other service providers. If you are paying an Investment Advisor and not getting any service, you should consider looking at alternatives to benefit you and your employees.

We were very excited to support the 28th annual Go Joe Bike Ride to benefit Saint Joseph’s Center. We had a lot of fun in the Backyard on WNEP with Meteorologist Joe Snedeker and were honored to have Sister Maryalice Jacquinot, IHM, President & CEO of Saint Joseph’s Center, as a guest on our Podcast. We discussed the history of their annual summer festival, and the important role it plays in helping them support the vital work they do. We also highlight the work some of the their amazing staff and volunteers do to help the most vulnerable members of our community each and every day.

Saint Joseph’s Center is a staple in our community as their work has a direct impact on so many families here in Northeast PA. The Go Joe Bike Ride and Telethon are major fundraisers for this great cause. The bike ride ends at the Saint Joseph’s Center Summer Festival, where many community members gather to enjoy some great food and family fun. Please follow this link for more information on the festival and ways to support Saint Joseph’s Center.

We hope you enjoy the interview with Sister Maryalice. We were honored to have her as a guest! The festival is this weekend (July 25th-27th) at Marywood University- we hope to see you there!

Disclosures: Alliance Wealth Advisors, LLC (“Alliance”) is an SEC Registered investment advisory firm that is independently owned and operated. The information in this interview is provided for informational purposes only and should not be taken as investment, legal, or tax advice. Opinions expressed in this interview are subject to change without notice. Alliance also does not make any representations as to the accuracy, timeliness, suitability, completeness, or relevance of any information prepared by any unaffiliated third party mentioned in this communication and takes no responsibility. Our guest, Sister Mayalice Jacquinot did not receive any compensation for this interview, not otherwise affiliated with, the firm and not client of Alliance Wealth Advisors at the time of this publication. For more information regarding Alliance, please visit alliancewealthadvisors.com/legal-disclosures.