Group Practice with Neal Goldstein

Artificial intelligence is accumulating human experience at a rapid pace, but there is one critical skill it can never replicate: human judgment. Host Neil Goldstein breaks down the Chicago Bears’ victory over the Philadelphia Eagles to uncover a powerful lesson about the 10,000-hour rule. By comparing a 14-year NFL journeyman’s preparedness to a physician’s daily practice, this...

Medicine is facing a crisis of declining pay, AI threats, and corporate takeovers. But the death of the private medical practice is a myth. Neal Goldstein brings 37 years of legal experience representing physician groups to tackle the harsh realities driving doctor burnout today. He unpacks the exact pressures forcing younger physicians out of the field and reveals why independent medicine is stil...

You have heard the insult for years: doctors are terrible at business. It is a complete myth, and objective data proves exactly why. Host Neal Goldstein kicks off a new series on the governance and management of group medical practices. He breaks down why healthcare providers struggle with executive decisions and how successful private practices build wealth. This is essential listening for practi...

Standard medical office leases are built to favor the landlord. Missing the small print in pass-through costs can easily drain seven figures. Healthcare attorney Neal Goldstein breaks down why medical practices need specialized commercial leasing teams before signing a long-term commitment. You will discover how landlords hide capital costs inside common area fees, why your developer should never...

Owning your medical building feels like guaranteed wealth, but it often drains your practice cash flow, inflates buy-ins, and creates bad incentives. Neal Goldstein breaks down the critical financial and strategic pitfalls physician groups face when purchasing a medical office building. This breakdown explains why treating commercial property as an individual investment play rather than a cost-con...

Most professionals think competition kills private practices. The reality is far worse: failing to niche down and scale teams will crush you first. In this episode of Group Practice, host Neal Goldstein sits down with Scott Becker, founder of Becker’s Healthcare and longtime McGuireWoods partner. Together, they unpack how physician owners, healthcare leaders, and entrepreneurial attorneys ca...

Transitioning from sixty to zero miles an hour is dangerous for retiring doctors and bad business for medical group practices. Host Neal Goldstein explains the critical concept of physician wind down status. This strategy allows senior partners to reduce their clinical and administrative burdens while paving the way for younger talent to ascend within the organization. Group leaders and retiring p...

Retiring from a medical group does not guarantee a massive payout. If you breach your non-compete, you could lose everything. Neal Goldstein breaks down the financial realities of partner redemptions in medical group practices. This breakdown reveals how to fairly value hard assets and accounts receivable while protecting the practice from bad leavers. It is essential listening for any physician n...

Forcing a medical partner to sell their shares feels brutal, but failing to do it can destroy your entire group practice. Neal Goldstein reveals the complex realities of partner redemptions in medical groups. This discussion breaks down why mandatory buyouts are actually essential for succession planning and how to protect your organization from legal friction. If you run a group practice or plan...

Medical practices think shielding Medicare patients from private deals keeps them safe from fraud laws. That false comfort can ruin your medical career. Healthcare attorney Neal Goldstein breaks down the dangerous reality of federal carve-outs in medical contracts. This breakdown reveals how state laws and hidden kickback definitions trap unsuspecting doctors. It is essential listening for practic...

Selling your medical practice is the biggest financial decision of your life, but going into negotiations without an expert is a massive mistake. Michael Kroin is the co-founder of Physician Growth Partners, an investment banking firm specializing in healthcare transactions. He breaks down why independent physicians need a specialized team to navigate the complex world of private equity buyouts, h...

A single buried sentence in your hospital agreement could expose you to unlimited personal liability that your insurance absolutely refuses to cover. Neal Goldstein reveals the immense financial dangers of contractual indemnity provisions found inside professional services agreements. This critical discussion breaks down why deep-pocketed hospitals shift their legal risk onto doctors and exactly h...

To survive in independent medicine, you must control where the surgery happens. But partnering with a hospital might be your biggest mistake. Neal Goldstein breaks down exactly why medical group practices need to own their Ambulatory Surgery Centers (ASCs). He reveals why controlling the site of service protects your revenue, why single-specialty centers outperform multi-specialty ones, and how to...

Half of all advertising spend is wasted—and in healthcare, your front desk intake might be the biggest leak destroying your patient growth. Peter Cunningham is a three-time entrepreneur and the founder of Evolve Healthcare Marketing, a digital agency specializing in private physician groups and provider organizations. In this conversation with host Neal Goldstein, Peter reveals why traditional med...

The report of the private medical practice’s death has been greatly exaggerated. Here is exactly how independent doctors are beating hospital systems. Neal Goldstein draws on over 30 years of experience to reveal why private medical practices still hold the upper hand against well-capitalized hospital-employed groups. This episode is a strategic playbook for independent physicians looking to...

A massive partnership buy-in might make founders rich today, but it could permanently destroy the medical practice’s future growth. Neal Goldstein breaks down the financial realities and mechanics of admitting an employed doctor as a partner into a medical group. This episode explores how medical groups structure partnership buy-ins, the components of a fair deal, and why traditional valuati...

Most medical groups assume new partners must buy into the practice’s real estate, but that expectation might be turning away top doctors. Neal Goldstein breaks down the complexities of admitting an employed physician into partnership at a medical group practice. This episode explores the exact timeline, criteria, and ancillary venture rules you need to structure a safe and profitable partner...

Most doctors think a malpractice lawsuit will ruin their life. But the truth is, you are statistically more likely to win than lose. Bill Rogers is a veteran medical malpractice defense lawyer and partner at Swanson, Martin and Bell in Chicago. In this episode, he breaks down the reality of facing a lawsuit, the emotional toll it takes on physicians, and the strategic secrets to winning in front o...

The litigation tracker template built by expert group practice consultants is the single most effective tool for lowering medical malpractice payouts. In this episode, veteran practice advisor Neal Goldstein breaks down the operational blueprint for running an active, proactive professional risk management program. Discover how medical groups can leverage clinical data, maintain strict defense pos...

Most healthcare leaders treat medical groups like clinical entities. Legal and financial experts know they are actually structured as business arrangements. Neil Goldstein breaks down the operational paradigm of physician group ownership. Learn how the separation of clinical functions from business structures allows healthcare practices to maximize operational efficiency and growth under modern re...

Most healthcare founders think corporate ownership of medical practices is strictly illegal. The truth is much more complex. Healthcare attorney Neal Goldstein breaks open the state-level laws governing Fee Splitting and the Corporate Practice of Medicine (CPM). In this episode, he strips away the legal fluff to reveal the exact structural workarounds private equity firms use to acquire, manage, a...

Most sleep specialists are just CPAP purveyors. If the mask fails you, they often have no next step. Dr. Len Covello is changing that narrative. Neal Goldstein sits down with Dr. Len Covello, an otolaryngologist and sleep surgery innovator who developed the sleep surgical program at Powers Health. This episode cracks open the “system failure” in sleep medicine and provides a holistic r...

In this episode, Neal Goldstein breaks down the “two hats” physicians wear in private equity transactions: seller and rollover owner/employee. He explains that while most physicians focus heavily on upfront cash, indemnities, and non-competes in the sale, they often don’t pay as much attention to equally critical employment and rollover equity agreements. Neal highlights why it is important to foc...

In this episode of Group Practice, host Neal Goldstein discusses why private equity (PE) firms are often able to operate more strategically than independent physician groups—and how those groups can adopt similar approaches without selling. Drawing on his experience, Neal explains that PE firms benefit from centralized decision-making, clear performance metrics like EBITDA, and shorter investment...

In this follow-up episode of Group Practice, host Neal Goldstein addresses listener feedback about non-competes in physician practices. He tackles three key questions: Are non-competes ever appropriate? What’s the point of enforcing them if they’re often struck down? And what alternatives exist?   Neal argues non-competes remain appropriate in several contexts: competing against hospital systems,...