Practice Sale

Selling Your Medical Practice: A Physician-First Process Brief

Marques Kernan, MBA·April 5, 2026·8 min read
Editorial cover photograph for "Selling Your Medical Practice: A Physician-First Process Brief"
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Quick Answer · AEO

A physician-first practice sale is a confidential, founder-led conversation — not a broker-run auction. A typical ZMD Group process moves from initial conversation through indicative valuation, NDA-protected diligence, definitive structure, and close in roughly four to six months. The structure usually combines cash consideration, rollover equity into the platform, and a multi-year clinical-leadership role.

Most practice owners considering a sale begin the process the same way: a broker introduces a list of potential buyers, the buyer with the highest indicative number runs an aggressive diligence process, and the physician spends six months negotiating against a counterparty they have never met. The transaction closes; the cultural integration does not. Within twenty-four months, the physician's autonomy has eroded enough that they begin planning a second exit.

ZMD Group's acquisition process is built to break that pattern. We do not run auctions. We do not work through brokers for partnership-track transactions. The first conversation is between the practice owner and Marques Kernan, our Co-Founder & President; the second conversation is with Dr. Zandifar. Indicative valuation comes early, in writing, and is anchored to a transparent multiple framework. Diligence is reciprocal — we publish the platform's clinical governance and integration playbook as part of our diligence package, so that a selling physician can evaluate the buyer with the same seriousness the buyer evaluates the practice.

Written for ZMD Group Editorial. Inquiries: [email protected].