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Latest / Off the Chart: A Business of Medicine Podcast

S1 Ep136: The financial forces threatening independent practice, with John Pack of Mitsubishi HC Capital America

Nearly half of all physicians are now employed by or affiliated with a hospital system, and the forces behind that consolidation aren't slowing down.

John Pack, vice president of health care finance at Mitsubishi HC Capital America, explains to Physicians Practice Managing Editor Keith A. Reynolds what's driving independent practices toward consolidation, and why mid-size practices in particular get stuck in a lending no man's land.

He walks through what lenders are actually looking at when they evaluate a practice, including EBITDA — that's earnings before interest, taxes, depreciation and…

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