Episode 125: When Groups Merge But Their Cultures Don't

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Welcome back to the podcast where we dig into the business realities of medical practice—from strategy to staffing to leadership and beyond. If you’re part of a medical group that’s ever been through a merger—or even just considered one—today’s episode is going to hit close to home.

We’re diving into a topic that doesn’t always make the due diligence checklist, but it absolutely determines the long-term success or failure of any group merger: culture.

You’ve probably heard the old Harvard Business Review quote: Culture eats strategy for lunch. That line’s been floating around boardrooms for decades now. And it’s never been more relevant than in healthcare—especially when two or more medical groups merge.

Because here’s the truth: You can have the best financials, a perfect legal structure, a slick shared EHR, and a promising growth strategy. But if the cultures of the merging groups don’t align—or worse, actively clash—none of that matters. Your strategy won’t survive the day-to-day behavior of people who don’t trust each other, don’t communicate well, and don’t feel seen in the new reality.

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