KevinMD January 27, 2026
Most physicians begin their careers with a deeply held belief: If treatment is good, patients will come. It feels intuitively correct, and early in practice it often appears to be true. Clinical outcomes build trust, trust brings patients, and for a time the system seems to sustain itself. Yet after years of working inside physician-owned hospitals, group practices, and large corporate health systems, I have learned an uncomfortable truth. Good medicine is essential, but it is not sufficient to build a durable hospital.
Physician-owned hospitals are usually born from the right place. They emerge from passion, ethical commitment, personal sacrifice, and long working hours. They are often built on the founder’s reputation and clinical credibility. Corporate hospitals, by contrast, begin...
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