In Santa Barbara, a unique primary care practice is seeking a new senior physician to eventually take the helm. This established practice, led by a CMDA member for over 45 years, has cultivated a large and loyal patient following, often caring for multiple generations within families. What sets this practice apart is its independent status, allowing for patient-centered care without corporate constraints. The practice serves a broad spectrum of patients, including those with managed care through an IPA, PPO, traditional Medicare, and a small number on Medicaid. The patient age range starts at 16, with a younger associate handling some children. The senior physician has cultivated a positive and supportive environment, working alongside a dedicated staff and associates. Patients consistently praise the excellent and respectful care they receive, leading to strong word-of-mouth referrals. The practice embraces a holistic approach to health, recognizing the importance of diet, exercise, and lifestyle. Located across from a hospital, the modern and well-equipped office provides a comfortable setting. A fantastic Nurse Practitioner and a younger physician are integral to the team and are enthusiastic about continuing the practice’s success under new leadership. This is an opportunity to join the senior physician and gradually assume leadership within the next 18 months, not a practice sale.