
Working Healthcare · 2026-07-21 · 1h 1m
Physician burnout rises, administrative burdens pile up and private equity money floods into healthcare, but most doctors still ask one urgent question: “What are my real options?” In this re-release of a foundational episode of Working Healthcare, Meredith Hirsh sits down with Justin Hand, founder and managing director of Westcove Partners, to map those options with clear, pragmatic detail and a sharp eye for legacy. Justin opens with the staggering scale of global healthcare private equity and explains why low- and middle-market practices draw such intense investor interest. He breaks down platform practices, bolt-ons and strategic acquirers, then shows how each path reshapes a physician’s autonomy, income and succession plan. Meredith pushes on the real-world pressure points, from ASC decisions and hospital affiliations to growing physician and administrator burnout, and Justin responds with candid stories from more than 90 healthcare transactions. Together they explore “income repair,” MSO structures and equity rollover, translating finance jargon into concrete examples that matter to clinic owners who juggle payroll and patient care every day.
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