By Dutch Rojas
After we sold Sano Surgery in the fall of 2022, I spoke with more than two hundred independent practices, including orthopedic groups, surgical centers, and a few physician-owned hospitals.
Each one had its own rhythm, with different EMRs, benefit plans, and ways of operating.
But they all had one thing in common: not a single one was working with other practices to coordinate their property and casualty insurance.
We’re talking about core lines like:
* General liability
* Professional liability (medical)
* Commercial property
* Cyber insurance
* Workers’ comp
* EPLI (employment practices liability insurance)
* Auto/fleet (for mobile or multi-site practices)
* D&O (directors and officers)
Everyone was negotiating alone, paying retail, and repeating the same process, broker by broker, practice by practice. It was an invisible tax on being independent.
That’s when the coalition model was born.
The idea was simple, almost insultingly so. If practices signed unified Broker of Record letters and approached P&C like a group instead of as one-offs, they could negotiate as a block. Think Costco, but for medical liability and asset protection.
The outcome wasn’t just lower expenses; it was better leverage, better coverage terms, and, for some, a way to convert insurance into an income-generating asset via captives.
We didn’t build bureaucracy.
We built a strategy.
The independent future isn’t lonely.
It’s coordinated.
And the most innovative practices aren’t waiting for permission.
Build with us if you’re ready to stop paying full price for independence. Physicians Capital is now forming the next pool of independent practices and hospitals.
Send DM with “PNC” for my 5-page overview.
