The motivation behind medical practice acquisitions for hospital systems and private equity investors is easy to understand: acquire multiple practices to gain economies of scale, boost productivity and increase profits. However, integrating various medical practices together under a single management structure comes with its share of challenges for buyers.

The days of the physician or specialist practicing alone have long been on the wane. Between 1983 and 2014, the percentage of doctors practicing individually dropped from 41 percent to 17 percent, and the number of doctors working in practices of 25 or more physicians soared from 5 percent to 20 percent, according to the Commonwealth Fund.

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