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ESOP Essentials 2025

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In 2021, Eyecare Medical Group (EMG), a specialty ophthalmology practice based in Maine, transitioned to an Employee Stock Ownership Plan (ESOP) as part of a broader strategy to remain independent, retain its unique culture, and reward both physicians and staff. The decision to implement an ESOP came as EMG was navigating a wave of succession planning needs and approaching physician retirements. Tradi tional medical buyouts posed financial and cultural challenges, particularly in a landscape constrained by Medicare reimbursements. Rather than default to private equity or sell to a hospital system, EMG chose to forge a more creative path—one that preserved its independence and identity while positioning the next generation of physician leaders for success. The ESOP provided exactly that: a flexible, v alues-aligned solution that reinforced a culture of ownership at every level. Importantly, the plan design wasn't one-size-fits-all. EMG worked closely with Bellview to restructure the original setup to better align with their organizational structure. No one ever fully understands an ESOP at first," Lindsay recalls. "But having Bellview at the table made it make sense. They brought clarity, creativity , and calm. They earned our trust and were in the trenches throughout the process." EMG's co-CEOs, Lindsay and Lynn, are proud to lead through a shared leadership model grounded in collaboration. "We believe in stronger, better-together leadership—collaboration over hierarchy," says Lindsay. "The ESOP reflects that same philosophy by ensuring everyone has a stake in our success." 207-669-2254 inquiries@bellviewassociates.com bellviewassociates.com "The ESOP engages talent, offers financial gain, and eliminates traditional physician buy-ins, making ownership accessible from day one."

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