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October 15-17, 2026 | Atlanta, GA USA

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A CMT LEADERSHIP HUB FOCUS AREA

Succession, Valuation & The Next Chapter

Planning transitions, protecting value, and thinking long-term

Because thoughtful planning today helps protect the future of both physicians and the patients they serve.

Editorial & Educational Disclaimer: This material is provided for educational and informational purposes only and reflects general industry observations and editorial perspectives. It is not intended as legal, financial, valuation, accounting, or professional advice. Physicians and practice owners should evaluate all transition-related decisions independently and in consultation with appropriate licensed advisors.

Organizations Active in the Membership-Based Care Landscape

The following organizations are active in various areas of membership-based and concierge medicine. Physicians exploring long-term planning or transition conversations may encounter these groups during their own independent research.

This list is provided for general awareness only and does not constitute endorsement, recommendation, or brokerage representation. Physicians should conduct their own due diligence and consult appropriate professional advisors before entering into any transaction or agreement.

Preparing for Future Transition

Succession and exit planning are rarely urgent — until they are.

Thoughtful preparation helps protect patients, teams, and practice reputation while giving physicians greater flexibility and confidence about what comes next.

This section highlights leadership considerations and early planning insights featured in our books and recorded conference sessions on long-term practice planning.

Recommended resources:

WHAT YOU’LL FIND IN THIS SECTION

Practice Valuations & Exit Realities

Valuation, buyers, and what physicians should understand before a transition

Every practice eventually reaches a transition point.

Whether that moment is years away or quietly approaching, understanding practice value and market realities is part of thoughtful leadership. Planning ahead allows physicians to protect continuity of care, preserve what they have built, and make decisions from a position of clarity rather than urgency.

Concierge and membership-based practices often operate differently from traditional volume-driven models — and are frequently evaluated differently as well. Patient relationships, continuity of care, brand reputation, recurring revenue, and operational stability all influence how practices may be perceived over time by potential partners, successors, or buyers.

This page/focus area and educational resource section offers perspective and educational insight drawn from Concierge Medicine Today’s leadership resources, conference sessions, and recorded conversations focused on sustainability, transition planning, and long-term practice stewardship.

Preparing Early: Practical Considerations

Physicians considering a future transition — whether through partnership, internal succession, or eventual sale — often find it helpful to begin planning well in advance. Thoughtful preparation can create more flexibility and help ensure smoother outcomes for patients, staff, and the practice itself.

Common considerations include:

Strengthening Practice Stability
Practices that demonstrate consistent operations, stable patient relationships, and clear financial organization are often better positioned for future transition discussions.

Planning for Sustainable Income and Continuity
Understanding how revenue, expenses, and compensation structures may evolve over time can help physicians plan for long-term financial sustainability and potential transition scenarios.

Recruiting and Mentoring Future Physicians
For some practices, internal succession through recruitment and mentorship of younger physicians offers a path toward continuity and gradual leadership transition.

Learning from Colleagues and Peers
Many physicians find value in speaking with peers who have navigated similar transitions. Shared experiences often provide practical insight that complements formal advisory guidance.

Evaluating Potential Partners Carefully
Not all partnership or acquisition opportunities are structured equally. Thoughtful due diligence and clear alignment of values and expectations are essential when considering outside involvement.

Getting the Financial “House” in Order
Accurate bookkeeping, organized financial records, and clear reporting structures can significantly influence transition readiness and long-term practice value. Practices that maintain consistent financial documentation often experience fewer surprises when evaluating future options.

Real Estate and Asset Considerations
Ownership of office space or related assets may influence transition options and long-term planning decisions.

Coordinating with Personal Advisors
Advance planning with financial, legal, and tax advisors can help physicians evaluate long-term goals and understand potential implications of various transition pathways.

Engaging Experienced Strategic Advisors
Professionals familiar with healthcare transactions and membership-based practice models can provide valuable perspective when exploring future options.

Understanding Practice Value

What makes a membership-based practice valuable — and to whom?

Practice value may be influenced by a range of factors, including:

Valuation considerations are rarely one-size-fits-all. Instead, they reflect a combination of operational, financial, and relational elements that shape how a practice may be viewed over time.

Educational discussions on these topics are explored throughout Concierge Medicine Today’s leadership resources, books, and conference sessions addressing long-term sustainability and stewardship of modern practices.

Educational Resources & Recorded Conversations

The following recorded sessions and leadership resources offer additional perspective on practice valuation, financial organization, and transition planning:

Bookkeeping & Financial Organization for Modern Practices
Why clean financials matter — and how organized bookkeeping supports practice stability, valuation clarity, and long-term transition readiness.

Private Equity or Private Buyer: Understanding Transition Pathways
A practical overview of considerations physicians may explore when evaluating potential transition options.

Practice Valuation Education: Understanding How Practices Are Evaluated
A discussion of general valuation concepts and factors that may influence perceived practice value.

Consolidation Trends in Membership-Based Medicine
An overview of emerging trends and considerations affecting independent practices.

Practice Sustainability & Leadership Sessions (CMF On-Demand)
Recorded conference sessions focused on long-term planning, stewardship, and leadership considerations for modern practices.

Industry Advisors & Professional Organizations
Exploring conversations with experienced advisors may help physicians better understand available options and considerations specific to their individual circumstances.

A Thoughtful Approach to the Future

Succession and transition planning are not solely financial decisions. They are leadership decisions that influence patients, care teams, and the long-term legacy of a practice.

Beginning these conversations early allows physicians to explore options with clarity and intention rather than under pressure. With thoughtful planning and the right guidance, practices can navigate future transitions while preserving the relationships and continuity that define relationship-based care.

Editorial & Educational Disclaimer

This material is provided by Concierge Medicine Today for educational and informational purposes only and reflects general industry observations and editorial perspectives. It is not intended as legal, financial, valuation, accounting, or professional advice. Physicians and practice owners should evaluate all transition-related decisions independently and in consultation with appropriate legal, financial, tax, accounting, and professional advisors.

OTHER Topics in this section include:

Topics in this section include practice valuation, internal succession planning, patient continuity during transitions, and long-term leadership considerations for physicians thinking about their next chapter.

The goal is not urgency.
It is clarity.

Because thoughtful planning today helps protect the future of both physicians and the patients they serve.

FOR many physicians, building a relationship-based practice represents years — often decades — of thoughtful work, professional commitment, and patient trust. Yet at some point, every practice reaches an important question: what comes next?

Succession planning and long-term transition strategy are increasingly relevant across concierge and membership-based medicine. Whether a physician intends to practice for many more years, gradually scale back, bring on a partner, or eventually transition ownership, thoughtful planning can help protect both patient continuity and the value of what has been built.

This section explores the practical and strategic considerations surrounding succession, valuation, and practice transition within modern membership-based care. Drawing from ongoing conversations with physicians, advisors, and industry leaders, it offers a balanced look at how practices can prepare for future change while maintaining stability in the present.

PRACTICE VALUATION REALITIES

Understanding the potential value of a membership-based practice can be complex. Traditional valuation models used in healthcare do not always translate neatly to concierge or hybrid practices, where recurring membership revenue, patient loyalty, and continuity of care may play significant roles.

Factors that may influence practice value include:

For many physicians, valuation is less about immediate sale and more about long-term planning. Knowing how a practice might be perceived by potential future partners or buyers can help inform decisions made years in advance.

This section explores general valuation considerations and emerging trends within membership-based care, providing context rather than prescriptive financial guidance.

WHY SUCCESSION MATTERS NOW

Across healthcare, many physicians are beginning to think more intentionally about long-term career sustainability and eventual transition planning. For those in concierge and membership-based practices, these considerations often carry additional complexity due to the highly relational nature of the model.

Unlike large institutional settings, relationship-based practices are frequently built around the continuity and trust developed between physician and patient over many years. This makes transition planning not only a financial or operational decision, but also a deeply relational one.

Waiting until a transition becomes urgent can limit available options and place unnecessary strain on patients, staff, and the physician. Conversely, practices that begin thinking early about succession and long-term structure often find themselves better positioned to maintain stability, protect value, and preserve continuity of care.

Thoughtful planning does not mean immediate change.
It simply ensures that options remain available when the time comes.

INTERNAL SUCCESSION & PARTNER TRANSITIONS

Not all transitions involve selling a practice. Many physicians explore internal succession strategies that allow for continuity while gradually shifting leadership responsibilities.

These approaches may include:

Internal succession can offer advantages in preserving culture and maintaining patient relationships, but it requires thoughtful planning and clear communication. Establishing expectations early, documenting agreements carefully, and maintaining alignment among all parties can help ensure smoother transitions.

Leadership continuity is often as important as ownership continuity. Practices that intentionally prepare future leaders tend to navigate transitions with greater stability and confidence.

PATIENT CONTINUITY & TRUST

One of the defining characteristics of concierge and membership-based care is the strength of the physician–patient relationship. As a result, transition planning must consider not only operational and financial factors, but also patient trust and continuity.

Patients often value transparency and reassurance during periods of change. Thoughtful communication, gradual transitions when possible, and clear introduction of new clinicians can help maintain confidence and continuity.

Many practices find that when transitions are handled with care and intention, patients remain supportive and engaged. Conversely, abrupt or poorly communicated changes can create unnecessary uncertainty.

Protecting patient relationships during times of transition is not only a professional responsibility — it is also essential to preserving the long-term value and reputation of the practice.

DESIGNING THE NEXT CHAPTER

For some physicians, succession planning involves eventual sale or retirement. For others, it may include gradual scaling back, mentorship roles, advisory positions, or simply creating more flexibility in later career stages.

There is no single path forward. Each physician’s timeline, goals, and personal circumstances differ. What matters most is thoughtful reflection and intentional planning.

Considering questions such as these can be helpful:

Addressing these questions early can create space for more options and fewer pressures later.

FROM THE FIELD

Across membership-based care, physicians are beginning to speak more openly about transition planning and long-term sustainability. Many note that conversations around succession were once rare but are becoming increasingly common as the field matures.

Common themes include:

These shared experiences continue to shape how modern practices approach the concept of a “next chapter.”

TOOLS & RESOURCES

Practical tools and reflection guides can help physicians begin thinking more clearly about long-term planning and transition readiness. Resources in this section are designed to support thoughtful discussion and internal planning.

Available resources may include:

These materials are provided for educational and informational purposes and are intended to support discussion rather than provide individualized legal or financial advice.

CONTINUING THE CONVERSATION

because Leadership includes planning what comes next.

At Concierge Medicine Today, conversations around succession and long-term practice sustainability continue to grow. Through our Leadership Hub, podcast interviews, and the annual Concierge Medicine Forum, physicians and advisors share perspectives on how relationship-based practices can navigate transition thoughtfully and responsibly.

Remember, Succession planning is not only about endings.
It is about stewardship.

Thoughtful preparation helps ensure that the relationships, trust, and care built over many years can continue — even as practices evolve into their next chapter.

watch & listen

Concierge Medicine Today provides educational resources to help physicians understand succession, transition, and retirement considerations in membership-based practices. This content is informational only and does not constitute legal, tax, financial, or investment advice. Physicians should consult qualified professionals before making transition decisions.