Can you point to where you are? If you are at the maturity stage, you have some big decisions to make. Some doctors describe this stage as chronic renal failure? Is this where your business or practice is at? See if you can mark “X” where you are on this cycle! Give us a call, and we can tell you how you can re-grow your practice, so it is attractive for the next generation of owners to take over.

Where do you exist on this lifecycle? Mark it with the letter “X”.

Succession planning – Is your practice attractive for the next generation to invest in?

There is nothing attractive about a business or practice that does not have an exciting future! After all, nobody wants to get on board of the Titanic!

You only need one younger owner to attract many other younger owners. It is about leaving a legacy and not a liability. An excellent succession plan allows the senior owners to gradually retire and not be forced into a “cold turkey” retirement.

This occurs mainly in mature practices, because part time doctors continue to incur many full time overheads, which make them eventually unsustainable if there are not enough providers. More importantly owners are throwing good money after bad. If a practice owner is going to quit within 2 years, then it does not make sense to invest in new plant and equipment and infrastructure. This includes people, unless you are going to remain in business or practice for at least another 5 years, regardless of whether you can sell the practice or not. Many owners do recognise this fact and they undercapitalise their practices which can lead to declining quality of care. This is obvious to patients and staff by the old magazines, the waiting room in desperate need of painting, staff with little or no training, and a low level of investment in computerisation and practice infrastructure. These are the warning signs and this can result in a medico-legally risky environment! Furthermore, this first impression does put off doctors and providers from joining the practice.

Finally, why invest in something you can’t eventually sell? This should be a choice and not a fait accompli. A good practice must demonstrate an attractive future and investment return. If you do not understand or cannot explain this, this is the main reason why your practice cannot be sold for a fair value. This has more to do with financial literacy, rather than your practice being worth very little. Many practices are worth a lot and the owners do not realise this. The following diagram illustrates the point. Contact us for further information.

Business Life Cycle for Medical Practices


This section will answer the following questions for you.

Do you earn while you sleep?

Buying or selling a practice – what is it really worth?

Do you have enough to retire?

What are you really worth?

David Dahm You Tube video coming, check out our Webinar Event that covers this Topic.

For more information on Financial Security Read on…

For more insights visit our blog.

About me: David Dahm BA (Acc.), CA., FCPA, CTA, FFin, CPM, FAAPM, FAIM, FGLF.

Chartered Accountant, Chartered Tax Adviser, Registered Tax Agent, Former AGPAL Surveyor 10 years of service

David Dahm is CEO and founder of the national medical and healthcare chartered accounting firm Health and Life and global Founder and CEO of the not for profit project the International Healthcare Standards and Ethics Board (

After a serious work related car accident in 1989, and nine operations later I continue to be a patient and provider advocate. I enter my third decade as a national Chartered Accountant for Medical and Healthcare practices in Australia. I am a former 10-year Australian General Practice Accreditation surveyor. I come from a medico family. I have served on the AAPM national Board and was the inaugural national Chair of the Certified Practice Manager CPM post nominal. I continue to provide accounting tax and practice management advice to many practices all over Australia.

You know who you are and I thank you for this real honour and privilege to serve you and your community through you. Note, I am not a lawyer please seek appropriate legal and accounting advice. This information is for general information and discussion only.