Selling your medical practice is a big decision, one that often comes with a pile of paperwork and legal terms that can make your head spin. Among the most talked-about of these is the non-compete clause. If you’re getting ready to sell your practice, understanding what this clause means, how it works, and how to approach it strategically can save you a lot of headaches later on.
In simple terms, a non-compete clause is an agreement that restricts you from opening or working for a competing practice within a certain geographic area and time frame after the sale. Sounds straightforward, but these clauses can get surprisingly complex. Let’s walk through what you need to know and what to look out for.
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ToggleWhat is a Non-Compete Clause in a Practice Sale?
When selling your medical practice, the buyer is often investing not only in your physical space and equipment but also in the goodwill you’ve built over the years. That includes your patient base, your reputation in the community, and your referral networks. To protect this investment, buyers will usually ask you to sign a non-compete clause.
This clause is meant to ensure that you do not open up shop right next door or start poaching your former patients immediately after the sale. It is a standard part of most practice sales, but the details of the clause can vary significantly from one deal to the next.
Why Do Buyers Push for These Clauses?
Buyers are understandably protective. They want to make sure the value of what they are purchasing does not drop the moment you hand over the keys.
If you were to open a competing practice down the street or start working with a local competitor, that could quickly unravel the buyer’s investment.
In fact, the strength of a buyer’s position in negotiating restrictive covenants usually depends on the location, the nature of the practice, and the market dynamics in that area. In high-competition areas, these clauses tend to be tighter and more aggressively enforced.

Key Elements of a Non-Compete Clause
Not all non-compete agreements are created equal. Here are the major components you’ll want to keep an eye on:
- Timeframe: How long will the restriction last? One to three years is typical, but it can be longer in some states.
- Geographic Scope: How wide is the restricted area? This can range from a few miles to an entire county or even multiple zip codes.
- Activity Restrictions: What kind of activities are you prohibited from doing? Are you barred from practicing medicine altogether or just certain specialties?
- Scope of Services: Does the clause cover all types of patient care or only those you used to provide at your old practice?
Is the Non-Compete Clause Enforceable?
This is where things get tricky. Non-compete enforceability depends heavily on your state’s laws. Some states, like California, are famously against enforcing non-competes in most cases. Others take a more flexible approach as long as the restrictions are considered reasonable and fair.
Courts usually evaluate non-compete enforceability based on three main factors:
- Is the clause protecting a legitimate business interest?
- Is the restriction reasonable in time and geography?
- Is it unduly harsh or oppressive on the seller?
If a clause is too broad or aggressive, it might not hold up in court. But don’t rely on the court to rescue you after the fact. It is far better to get it right from the beginning.
How to Approach Negotiation
You do not have to accept the first draft of a non-compete clause that lands on your desk. In fact, negotiating restrictive covenants is one of the most critical parts of the sale process. This is where having experienced legal and brokerage support becomes invaluable.
Here are a few tips when going into negotiations:
- Understand your goals: Are you planning to retire completely, or would you like to continue working part-time in a nearby area? Clarify this from the start.
- Know your market: What are typical restrictions in your region? Talk to your broker and attorney to learn what’s reasonable.
- Push for clarity: Vague language is a problem. Make sure the clause is specific about distance, time, and scope of services.
- Consider trade-offs: Sometimes, you can agree to a longer restriction in exchange for a higher purchase price or other favorable terms.
Post-Sale Considerations
After the ink dries, the non-compete clause does not just go away. You will need to be careful about what you do next. Even if you want to consult, teach, or volunteer in a medical setting, you should double-check that your activities do not violate the terms of your agreement.
Violating a non-compete clause can lead to lawsuits, financial penalties, and damage to your professional reputation. It is always safer to run your plans by a legal advisor before making any post-sale moves.

Alternatives and Compromises
If you feel boxed in by a proposed non-compete, there are often creative alternatives that still protect the buyer’s interests without overly restricting your future. For example:
- Non-solicitation clauses: These prevent you from actively recruiting your old patients or staff but still allow you to practice medicine elsewhere.
- Geographic carve-outs: You might be allowed to practice in certain parts of the city or within a defined radius outside the restricted area.
- Time-limited employment options: You could negotiate the ability to work at a hospital or another practice for a short period after the sale.
These compromises can help bridge the gap between your needs and the buyer’s concerns.
Final Thoughts
Non-compete clauses are a standard part of medical practice sales, but they should never be taken lightly. You owe it to yourself to fully understand the terms, evaluate the impact on your future, and make sure you’re not signing away more than you intended.
Working with a knowledgeable broker and attorney will give you the confidence to approach the negotiation with clarity and strategy. It’s your career, your livelihood, and your next chapter on the line. Take the time to get it right.
Let Strategic Medical Brokers guide you through the complexities of commercial real estate valuation. From structuring deals to reviewing non-compete clauses, our team understands every step of the journey. Partner with experts who know what it takes to secure your future while protecting the value you’ve built. Reach out to us today to start a smooth, informed, and profitable transition!
 
								 
				




