Group Practice with Neal Goldstein is a podcast providing insights on law, business, and physician group practices. Each episode provides valuable information on successful legal structures and strategies for physician groups, while also occasionally featuring physician leaders and other healthcare and business leaders who have built and maintained successful organizations. If you’re a private practice physician group leader, this is the show for you.
Group Practice with Neal Goldstein
Claim This Podcastby Neal Goldstein
5.0(3 reviews)
20 episodes
Updated Daily
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Podcast Overview
Group Practice with Neal Goldstein is a podcast providing insights on law, business, and physician group practices. Each episode provides valuable information on successful legal structures and strategies for physician groups, while also occasionally featuring physician leaders and other healthcare and business leaders who have built and maintained successful organizations. If you’re a private practice physician group leader, this is the show for you.
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Publishing Since
2/10/2026
1 verified contact email on file for Group Practice with Neal Goldstein
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Recent Episodes
June 30, 2026
Competing with the Hospital Employed Group
<p>The report of the private medical practice’s death has been greatly exaggerated. Here is exactly how independent doctors are beating hospital systems.</p> <p>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 stop playing defense and start leveraging their true competitive advantages.</p> <p>What you will learn:</p> <p>● Why the massive bureaucracy of hospital scheduling creates a patient access advantage for independent clinics.</p> <p>● How private practices can use ancillary profit-sharing to compete with inflated hospital compensation offers.</p> <p>● The hidden reason why high-deductible insurance plans are driving patients away from hospitals and toward independent doctors.</p> <p>● Why hospital brands suffer from “dilution” while focused private practices build stronger, localized authority.</p> <p>● How to pitch independent practice solutions directly to the hospital C-suite to solve problems their employed groups cannot</p> <p>Timestamps:<br /> 00:00 — The Demise of Private Practice is Exaggerated<br /> 00:52 — Advantages of Private Practice vs. Hospitals<br /> 03:40 — How Hospitals Control Primary Care Referrals<br /> 04:23 — Winning on Patient Access and Experience<br /> 08:44 — Competing with Hospital Physician Compensation<br /> 12:59 — Hospital Bureaucracy vs. Private Practice Agility<br /> 17:53 — Why Less Expensive Private Care Wins Patients<br /> 21:40 — Hospital Marketing Budgets vs. Focused Branding<br /> 25:57 — Playing Offense: Partnering with the Hospital</p> <p>Neal Goldstein is an experienced healthcare attorney, legal strategist, and board member specializing in medical practice structures. He served as the structural engineer for the founding of the Illinois Bone and Joint Institute and has provided guidance on healthcare governance through his work on hospital system boards. His work focuses on navigating the Stark Law, corporate practice of medicine doctrines, and professional risk management</p> <p>Website: https://www.pfs-law.com/<br /> Website: https://www.goldsteingrouppractice.com/<br /> Website: https://nealtgoldstein.com/<br /> LinkedIn: https://www.linkedin.com/in/neal-t-goldstein-841aa652/</p> <p>Show subscribe and platform links<br /> New episodes every week — subscribe so you never miss a conversation on the business of medicine.<br /> Spotify | Apple Podcasts | YouTube</p> <p>Disclaimer<br /> This episode is for informational and educational purposes only and does not constitute legal, financial, or medical advice.</p> <p>#PrivatePractice #MedicalBusiness #HealthcareAdministration #PhysicianOwned #HospitalSystem #MedicalGroup #PracticeManagement #GroupPractice</p>
June 23, 2026
Buy-In of Partner: Admission of an employed doctor to partner.
<p>A massive partnership buy-in might make founders rich today, but it could permanently destroy the medical practice’s future growth.</p> <p>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 valuation models often fail in the healthcare space. Whether you are a founder looking to expand or a young doctor navigating a partnership offer, this outlines exactly how the money should work.</p> <p>What you will learn:<br /> ● The exact differences between hard asset, accounts receivable, and goodwill buy-ins.<br /> ● Why requiring new doctors to buy into their own generated receivables is financially fair but psychologically controversial.<br /> ● How to shift accounts receivable buy-ins into pre-tax income to save new partners money over a two-to-three-year period.<br /> ● Why using private equity EBITDA multiples to value traditional physician groups usually fails.<br /> ● The Path to Parity model that scales an employed doctor’s profit share incrementally over five years.<br /> ● Why the concept of a standard buy-in formula for your specific region or specialty is usually a complete myth.<br /> ● How one Midwest medical group used a shockingly low $20,000 buy-in to drive massive practice growth and recruit top talent.</p> <p>Timestamps:<br /> 00:00 — The Financial Aspects of Medical Partnership Buy-Ins<br /> 01:00 — How to Value Hard Assets and Equipment<br /> 03:14 — Buying Into Your Own Accounts Receivable<br /> 05:58 — Paying for Organizational Costs and Goodwill<br /> 08:17 — Structuring Buy-In Payments (Pre-tax vs. After-tax)<br /> 14:32 — Why EBITDA Valuation Fails for Medical Practices<br /> 18:52 — The Capital Contribution Model for Medical Groups<br /> 21:29 — The Path to Parity Buy-In Model Explained<br /> 23:18 — Is Your Partnership Buy-In Set Too High or Low?</p> <p>Neal Goldstein is an experienced healthcare attorney, legal strategist, and board member specializing in medical practice structures. He served as the structural engineer for the founding of the Illinois Bone and Joint Institute and has provided guidance on healthcare governance through his work on hospital system boards. His work focuses on navigating the Stark Law, corporate practice of medicine doctrines, and professional risk management</p> <p>Website: https://www.pfs-law.com/<br /> Website: https://www.goldsteingrouppractice.com/<br /> Website: https://nealtgoldstein.com/<br /> LinkedIn: https://www.linkedin.com/in/neal-t-goldstein-841aa652/</p> <p>Show subscribe and platform links<br /> New episodes every week — subscribe so you never miss a conversation on the business of medicine.<br /> Spotify | Apple Podcasts | YouTube</p> <p>Disclaimer<br /> This episode is for informational and educational purposes only and does not constitute legal, financial, or medical advice.</p> <p>#MedicalPractice #HealthcareBusiness #PhysicianPartnership #MedicalGroup #PracticeManagement #DoctorLife #MedicalBusiness #HealthcareFinance #PartnershipBuyIn #GroupPractice</p>
June 16, 2026
Partner Admission: Admitting an employed physician into partnership
<p>Most medical groups assume new partners must buy into the practice’s real estate, but that expectation might be turning away top doctors.</p> <p>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 admission.</p> <p>What you will learn:<br /> ● The eligibility period for partnership depends heavily on market dynamics and the size of the buy-in amount.<br /> ● A doctor’s productivity and clinical quality serve as the baseline business criteria for partnership.<br /> ● Treating staff rudely is a massive red flag that must be corrected sternly before an employed doctor is promoted.<br /> ● Medical groups should consider carving out real estate ownership so buy-ins remain affordable for new partners.<br /> ● Anti-kickback safe harbors strictly prevent a group practice from financing a new partner’s surgery center buy-in.<br /> ● The “income partner” model used by law firms can help medical groups retain talent without giving away voting rights.</p> <p>Timestamps:<br /> 00:00 — When is an employed physician eligible for partnership?<br /> 03:55 — The business criteria for making an employed doctor a partner<br /> 07:00 — Why acceptance by patients and staff is critical for promotion<br /> 09:47 — Should new practice partners buy into the medical real estate?<br /> 11:58 — Anti-kickback safe harbors and surgery center ownership<br /> 15:47 — How the income partner model works for medical groups</p> <p>Neal Goldstein is an experienced healthcare attorney, legal strategist, and board member specializing in medical practice structures. He served as the structural engineer for the founding of the Illinois Bone and Joint Institute and has provided guidance on healthcare governance through his work on hospital system boards. His work focuses on navigating the Stark Law, corporate practice of medicine doctrines, and professional risk management</p> <p>Website: https://www.pfs-law.com/<br /> Website: https://www.goldsteingrouppractice.com/<br /> Website: https://nealtgoldstein.com/<br /> LinkedIn: https://www.linkedin.com/in/neal-t-goldstein-841aa652/</p> <p>Show subscribe and platform links<br /> New episodes every week — subscribe so you never miss a conversation on the business of medicine.<br /> Spotify | Apple Podcasts | YouTube</p> <p>Disclaimer<br /> This episode is for informational and educational purposes only and does not constitute legal, financial, or medical advice.</p> <p>#MedicalPractice #PhysicianPartnership #HealthcareLaw #PracticeManagement #MedicalGroup #SurgeryCenter #NealGoldstein #GroupPractice #IncomePartner #HealthcareBusiness</p>
20 total episodes available
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- What is Group Practice with Neal Goldstein?
- How often does this podcast release new episodes?
This podcast updates daily.
- Where can I listen to this podcast?
This podcast is available on 4 platforms including Apple Podcasts, Spotify, and more. You can also use the RSS feed directly.
- Does this podcast accept guests?
Yes, this podcast regularly features guests.
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