FAQs

Below you will find a list of questions we get asked most frequently about how the Meroka model works and whether it’s right for you!

How is your acquisition model different from traditional buyers like Private Equities (PEs)?

Meroka acquires your business through an Employee Stock Ownership Plan (ESOP). ESOP is a transition tool that allows you to get liquidity for the practice you’ve built while also providing a pathway for another independent physician to succeed you in operating the practice. Meroka helps you set up this structure and manage this transition.

Unlike other buyers, we don’t share in the profits of your practice, and we never sell your practice as we will be your perpetual partners. This ensures all of the wealth generated by your practice benefits the owners, which include your staff, and guarantees the practice’s longevity as an independent pillar of your community. 

If you don’t acquire our practice, then how do I receive cash for my practice?

Meroka acquires your business through an Employee Stock Ownership Plan (ESOP). ESOP is a transition tool that allows you to get liquidity for the practice you’ve built while also providing a pathway for another independent physician to succeed you in operating the practice. Meroka helps you set up this structure and manage this transition.

ESOPs borrow money to acquire practices from retiring sellers. Meroka helps facilitate the setup of the ESOP, funds it, and that cash is used to compensate you. This provides the great benefit of allowing you to obtain liquidity for your practice without sacrificing its independence. 

How does Meroka make money? 

Unlike other buyers, we don’t share in the profits of your practice. We know operating independently is a challenge. You have limited time, and you have no bargaining power compared to all of the health systems around you. Meroka operates as your dedicated MSO, and we charge a fee for that. We work for you, provide you with the scale advantages that are traditionally enjoyed by large health systems, and help you solve some of the biggest challenges in your business.

Who takes over my practice when I retire?

Meroka helps you transition your practice over many years. Throughout that process we help you identify potential successors (either inside your practice or from the community). This process allows you to hand pick the perfect fit for the role, help them get established, and make sure they treat your patients with the same personalized care you have been practicing. Setting up a new independent practice has gotten substantially more cumbersome over the last few decades for new physicians.You’ll provide the opportunity for the next generation of physicians to practice independently and grow.

How do I make sure my staff are taken care of and are in good hands?

Meroka acquires your business through an Employee Stock Ownership Plan (ESOP). ESOP is a transition tool that allows you to get liquidity for the practice you’ve built while also providing a pathway for another independent physician to succeed you in operating the practice. Meroka helps you set up this structure and manage this transition. 

You’ll be involved in the process of recruiting a physician who will succeed you in running your practice, and you’ll have a direct impact on who this person will be and how they’ll treat your staff and patients. Additionally shares in the ESOP are given to all staff to allow them to have ownership stake in the practice and build wealth. Research shows that employees that are part of ESOPs will feel more ownership in their place of employment, are more productive, have less turnover, and have double the retirement savings of their peers who have worked in traditional companies. 

Still have questions?