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[jdkelso]

I would recommend leaving on your terms. This practice is mismanaged and the physicians in the practice can't fix it. Physicians sometimes like to fix...

[jdkelso]

East Bay Hand's answer is really good. I think the best thing to do is to get an understanding of what is being offered. Generally, you want to be an...

[jdkelso]

We got an line on a local university that gets new pianos on a routine schedule for all their music professors. It was not really used at all. We got...

[jdkelso]

The other way to find out the wrvus is to take a standard month and look at all your cpt codes and convert that month to wrvus and extrapolate.
...

[jdkelso]

This does not appear to be an standard arrangement unless it is an investment which is split by the hospital and the physicians. If is for professional...

[jdkelso]

I voted polls are awesome cause it’s a “trick” question. A hotdog has the carbs all crunched up in there. So, 1 dog is like 1/2 a sandwich....

[jdkelso]

I am the spender and my wife is the saver.
#1 (0 pt) If I had to pick I would get the chicken right there. I don't like those too much...they just...

[jdkelso]

I look at a lot of hospitalist agreements and $103K differential is hard to explain away. You can probably do it but there is fine line. I have some...

[jdkelso]

Great summary. I agree the buy out dollars are not generally used as the sale pitch for the younger folks. The buy out price after taxes is not sufficient...

[jdkelso]

@spiritrider your comments are helpful and I think a good reminder.  I saw more of the future growth of a practice in relation with my comments. Whil...

[jdkelso]

I like to recommend PLLCs or the equivalent (depending on the state).  That is what I learned as a young attorney and I still believe in it.  If you...

[jdkelso]

The MGMA data that you have does not look correct.  It is low.  I am looking at the 2019 data.  The 2017 data is not that far off the 2019 data.  It...

[jdkelso]

Most attorneys don't just lock their doors and put up a "gone fishin' " sign.  I think having someone you trust set the stage for estate planning is...

[jdkelso]

I agree with Glenn above.  This is not really a situation that you could provide concrete remedies via posts.  You all have a huge operation and will...

[jdkelso]

I just pulled up the MGMA data.  It is more private practice focused.  The AAMC data is very low.  The MGMA data has academic jobs as well and it is...

[jdkelso]

In order to negotiate you need to know what your productivity is.  In this case you have 3 years worth of billing and collection data.  Using compensation...

[jdkelso]

Agreed.  The LLC allows you to have "limited liability" in case something happens to renters in the house or on the property.  They can only sue for...

[jdkelso]

I agree with all the spousal issues presented above.  It's tricky.  Now what?  Here is a more formal answer if you decide to pull the cord and bail...

[jdkelso]

We split our twins up in kinder.  It was really good for them.  In 3rd grade they had this great program where 2 teachers would team teach.  1 would...

[jdkelso]

I would reach out to your accountant because you are going to want to make sure who ever gives you accounting advice will represent you if you are audited....

[jdkelso]

My advice would be to surround yourself with experts who can help you with things you are not an expert in or people who love things you hate.  I know...

[jdkelso]

The sky is the limit on how this arrangement would be structured and I would not try to provide estimates because it is literally all over the board....

[jdkelso]

I am a health care attorney and one of my clients sent me this link.  I normally don't respond to these things because there is a conflict of interest....