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March 02.2025
3 Minutes Read

Selling a Practice with Family on Staff: What to Consider

FSelling a Practice with Family on Staff: What to Consider


Understanding the Dynamics of Selling a Practice with Family Members

Selling a medical practice is often one of the most significant decisions for physician-owners, especially in the concierge medicine landscape. As a board-certified internal medicine physician and someone who has navigated the complexities of both family dynamics and practice management, I've seen firsthand the emotional and financial implications of having family members on staff during a sale. But how much does this familial tie truly affect the sale?

Navigating Emotions vs. Business Realities

When it comes to family-run practices, the emotional stakes can intensify. According to Ericka Adler, a health care attorney, buyers conduct extensive due diligence before finalizing any deal. This process extends to examining staffing choices, which can increase the complexity of the transaction. As family members often carry a dual burden of emotional loyalty and professional responsibility, prospective buyers may view this situation as a potential risk. They want to ensure that familial relationships won’t lead to conflicts that could disrupt operations.

Conversely, many buyers acknowledge the strengths that family members can bring to a practice. These include established relationships and an inherent understanding of the practice’s culture. However, it is crucial to prepare these family members for possible changes in roles and expectations, ensuring the prospective buyer recognizes their value as integral to the practice's success.

The Buyer’s Perspective: What They Want to Know

When potential buyers analyze a practice for sale, they typically assess various factors: operational continuity, cultural fit, and the potential for growth and development. As highlighted in the article by the Practice Transitions Group, prospective buyers often seek to maintain established team dynamics. However, they are also wary of any complications that family members may introduce. For instance, buyers may be concerned about job security for non-family staff members if the family dynamics could lead to favoritism or rogue management styles.

Preparing for the Sale: Transparency is Key

Effective communication is a vital tool in mitigating buyer concerns regarding family involvement. Clearly defining roles—both for family members and other staff—can help demonstrate to buyers that there is a structured environment in place. This structure reassures buyers that the practice operates professionally and that relationships do not cloud judgment when it comes to potential changes post-sale. Ensuring that family members are aware of their roles and responsibilities can aid in a smooth transitional process.

Contrasting Family Firms and Non-Family Firms

Research suggests family firms often outperform non-family ones, particularly in terms of financial performance and sustainability. This notion supports the idea that family-run practices, when professionalized, can leverage their operational advantages effectively. However, the tension between maintaining familial bonds and upholding professional standards can be a delicate balancing act that must be acknowledged during negotiations.

In healthcare, where emotional intelligence and interpersonal relationships are crucial, maintaining the family aspect can be beneficial. The socioemotional wealth theory posits that family businesses prioritize long-term success over short-term financial gain, thus creating a stable environment that prospective buyers may find attractive.

Actionable Insights: Steps to Prepare Your Practice for Sale

1. **Evaluate Staffing Dynamics:** Assess the roles and impacts of family members on the practice’s day-to-day operations and culture. Are they enhancing or hindering the performance?

2. **Professionalize Roles:** This means creating clear job descriptions, setting performance metrics, and ensuring accountability irrespective of familial ties.

3. **Communicate Openly:** Transparent conversations with both family and non-family staff about the potential sale can build trust and reduce anxiety.

4. **Engage a Specialist:** Work with an M&A advisor experienced in healthcare transitions. They can help navigate the intricacies of selling a practice with family members involved.

Conclusion: Preparing for Future Transitions

Navigating the sale of a practice becomes an intricate journey when family members are involved—but it also opens opportunities for enhanced value creation for both the seller and buyer. As you prepare for this important step, recognizing each facet of your practice, from staffing dynamics to emotional ties, ensures a seamless transition. Embrace the complexities and leverage them to your advantage.

For those looking to refine their strategies and gain further insights into business transitions, consider engaging with expert advisors who specialize in maximizing the value of healthcare practices.


Financial Fitness

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06.01.2025

April's Stabilized Inflation: What It Means for Concierge Medical Practices

Update Understanding April's Inflation Data: Stabilization or Stagnation? April's inflation figures revealed a mixed bag for the economy, with a slight stabilization yet an impending concern looming on the horizon. According to the Commerce Department, the monthly inflation rate rose by just 0.1%, marking a 2.1% increase on an annual basis—aligning closely with forecasts. An interesting element to note is the core inflation rate, which excludes volatile food and energy prices, maintained a growth of 0.1% month-on-month and reached an annual rate of 2.5%. These trends highlight a nuanced picture where consumer sentiment is lingering around cautious optimism, particularly relevant for medical concierge practice owners who must adeptly navigate the waters of financial decisions amidst economic flux. The Implication of Tariffs on Inflation: Ongoing Concerns While these initial figures seem stable, they're accompanied by a significant caveat: the effects of tariffs have yet to make their presence known in the inflation calculus. As business owners attempt to forecast operational costs, understanding the ripple effects of tariffs becomes vital. Many in the healthcare sector, especially those in concierge medicine, may face increased overheads that could indirectly affect fee structures or service offerings. Moreover, food prices showed a rare decline of 0.3%, which could be a breathing space for many families. However, energy and shelter costs are on the rise—up by 0.5% and 0.4%, respectively. For concierge practices, maintaining a patient-centric approach while strategically planning financial routes is crucial in an environment where both personal and business costs may fluctuate unexpectedly. Consumer Behavior Insights: Spending and Saving Trends This month also saw consumer spending growth slow to a mere 0.2%, a significant drop from a previous 0.7% increase in March. This reduction presents a crucial insight: patients may be tightening their budgets, which could challenge the appointment frequency in concierge models that encourage higher engagement for premium services. Conversely, an increase in the personal savings rate, now at 4.9%, suggests that consumers are preparing for potential economic uncertainties. How can concierge practices harness this insight? By adapting marketing strategies to resonate more profoundly with patients who may be decision-heavy about discretionary spending, practice owners need to ensure that their services articulate clear value propositions—enhancing patient health outcomes while justifying the investment in premium care. Personal Income Growth: A Silver Lining On a positive note, personal income saw a robust increase of 0.8%, exceeding the forecasted 0.3%. This uptick may allow for expanded expenditure in healthcare realms, particularly for those inclined toward personalized medical services. This means that while the overall economic environment presents challenges, there is a space for agile practices to thrive by reassessing their value and integrating services that cater specifically to these financially buoyant segments. Future Predictions: Navigating Through Economic Headwinds Looking ahead, the convergence of inflation stabilization and tariff impacts will require astute maneuvering from concierge medical practices. Understanding the currents of economic patterns will not only help in planning for staffing and operational costs but also assist in marketing strategies aimed at patient engagement and retention. As inflationary pressures can reshape the decision-making landscape for patients, it becomes imperative for concierge practices to stay informed, agile, and responsive to these macroeconomic shifts. By actively engaging with patients and tailor offerings depending on their financial behavior, practices can secure their standing as trusted providers within their communities. In sum, while inflation statistics provide crucial insights for business owners, the underlying implications—especially regarding tariffs and consumer behavior—can guide strategic planning for a health-focused entrepreneurial landscape. For concierge medical practice owners aiming to grow their business, being proactive and engaged in these discussions not only shields them from potential economic drawbacks but also allows them to capitalize on emerging opportunities.

06.01.2025

Revolutionary Spur Stent System Gains FDA Approval: What It Means for Concierge Practices

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R","city":"Sheridan","state":"WY","zip":"82801","email":"info@banidadigital.com","tos":"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","privacy":"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