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Common Deal Breakers in Healthcare Transactions: Part 4

Posted by Heather Danesh | Sep 01, 2026 | 0 Comments

PART 4 OF 4: The Human Dynamics That Break Deals

The emotional and interpersonal forces behind many failed transactions.

Behind many failed healthcare deals lies not a legal defect or a bad number, but a human one. A practice is a life's work, and the people on both sides bring emotion, ego, and fear to the table alongside their business objectives. These forces break deals that made sense on paper. This article addresses the human dynamics that derail transactions and how to manage them.

Seller's remorse and identity

For many physicians and dentists, the practice is inseparable from their identity, and selling it can trigger a hesitation that has nothing to do with the terms. A seller who is not truly ready — who wavers, slows the process, or reopens settled points — can break a deal from the inside. Recognizing whether a seller is genuinely prepared to let go is as important as any term.

Ego and the need to win

Negotiations fail when a party needs to win more than they need to close. Treating every point as a contest, refusing reasonable compromise, or attaching pride to positions that should be tradeable can destroy a deal that was well within reach. The most productive parties separate the goal of a good deal from the urge to prevail on every issue.

Advisors who inflame rather than resolve

Advisors can save a deal or sink it. Counsel or consultants who posture, escalate minor points, or negotiate to demonstrate their own toughness can turn a workable transaction adversarial. The right advisors protect their client firmly while keeping the deal moving; the wrong ones make themselves the obstacle.

Communication breakdowns

Many deals die of poor communication rather than genuine disagreement:

  • Assumptions never voiced until they collide late in the process.

  • Parties negotiating through intermediaries who filter or distort.

  • Silence and delay that breed suspicion where none was warranted.

  • Misread intentions that harden into positions.

Managing the human side

The human dynamics of a deal can be managed deliberately. Aligning expectations early, communicating directly and candidly, choosing advisors who solve rather than inflame, and recognizing when emotion is driving a position all help keep a deal on track. A transaction is a relationship before it is a document, and treating it that way prevents many failures.

 

How West Coast Health Law Can Help

We help healthcare buyers and sellers navigate the practical and human sides of a transaction — keeping negotiations constructive, expectations aligned, and the deal moving toward a close. If you are entering into a practice transaction, we can help you manage both the legal and the interpersonal dynamics that determine whether it succeeds. 

West Coast Health Law offers a FREE consultation which you may schedule by clicking the button on our website.

 

This article is provided for general informational purposes only and does not constitute legal advice or create an attorney-client relationship. Laws change and every transaction is different; consult a qualified attorney about your specific situation.

About the Author

Heather Danesh

Dr. Heather N. Danesh is a healthcare attorney specializing in practice startups, transitions, regulatory compliance, and corporate healthcare governance. She provides strategic legal support to medical and dental practices, ensuring compliance with healthcare regulations and managing complex legal issues related to mergers, acquisitions, and practice formation.

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