Not to get too bogged down with details, but this winter she is looking to change EMR systems. The current one is the most expensive/established EMR for her field.

Rent is 12,000 dollars of expenses. EMR is almost trivial.

Vast majority of private practices are closing or being purchased by larger hospital systems.

Sure, same is true for software startups. Trade long hours and slightly above market pay for a lump sum payment and predictable patient load? The increasing complexity of interacting with health insurance providers and diagnostic labs has something to do with it, also. Why wouldn't a lot of them do that?

In Canada, the governments have been actively discouraging the solo practitioner practices for GPs.

Turns out that telling your patients to go to ER or a walk-in clinic every weekend/evening/holiday/illness/leave isn’t the best care.

And continuity of care if you retire/fall ill is rarely done well.

Multi-practitioner clinics can share an on-call schedule or evening/weekend hours, get bonuses for doing so and save money.

Also allows for flexible schedules. Want to work 3 days a week? Sure! Had a child and want to still work the occasional weekend only for a bit? Ok!