I have been representing and advising physicians for decades. Early in my professional career, almost all physicians coming out of training put out their own shingles and established a solo practice. Some joined smaller groups. A few went into academia. But, the Philadelphia area had very few large medical groups. Things evolved over time so that most physicians decided to join practices as opposed to starting from scratch.

But, it has only been in the past few years that big financial players such as private equity firms (PE) and venture capitalists have become actively involved in the medical practice space. PE folks are looking for ways to make huge returns on investment over a short timeframe (aren’t we all?). Most are looking to “flip” things within an average of five years.