Should You Buy or Start a Practice? The Most Pressing Questions Answered

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In this insightful episode of Healthcare Distilled, host Airto Zamorano talks to Carly Carlson and Jenny Smerud, partners at Fiat Tax Advisors, who specialize in healthcare accounting with years of experience helping doctors, dentists, and veterinarians successfully buy, sell, and build thriving medical practices.

They discuss the dream of owning a practice and navigating the "harsh reality of the business side", which often feels like "navigating a jungle blindfolded."

Carly and Jenny share valuable insights on:

The pros and cons of buying versus starting a new practice from an accountant's point of view.
The biggest financial differences between buying and starting, including cash flow and what to expect when financing.
Evaluating an existing practice before buying, looking beyond just the numbers.
Why most practice acquisitions fail, and how it has nothing to do with financials but with culture and personality.

Whether you're a medical professional or an aspiring entrepreneur, this conversation is packed with practical advice and actionable tips to help you navigate the challenges of business growth. Learn how to avoid costly mistakes and fast-track your path to practice ownership success.

Visit Fiat Tax Advisors: https://www.fiattax.com/

#HealthcareBusiness #PracticeOwnership #PrivatePractice #DentistLife #Doctorpreneur

Chapters
00:00 Introduction
03:50 Pros and cons of buying/starting a new practice
08:10 Biggest financial differences between buying/starting
11:58 What it takes to actually be a business owner
15:08 The learning curve for each approach
23:42 Can you shift focus within an acquired practice?
25:50 Common misconceptions doctors have about both paths
34:50 Making the choice consciously
37:56 Wrapping up