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Associateships

Reason the doctor is seeking an associate?

Good:

  • Doctor is too busy and wants too reduce his patient load.
  • Doctor is busy and wants to reduce work hours, take more holidays.
  • Doctor is preparing to retire and wants to sell.
  • Doctor wants someone to build practice with buy in opportunity.
Bad:
  • Doctor wants associate to build practice with no buy in opportunity.
  • Doctor wants associate to share costs/overhead.
Pros:
  • No start up costs or initial capital required.
  • Overhead or costs are a percentage of revenue, not fixed.
  • Immediate income and positive cash, although initially small.
  • Immediate patient flow, although initially small.
  • Location is established, greater opportunity for new patients.
  • May become a purchase/buy in opportunity.
  • Get to view/learn practice operations/procedures.
  • Get to view/learn Doctor’s clinical/treatment style.
  • Easy access to second opinion when required.
  • Staff is already trained and experienced, also a good info source.
  • Access to clinic’s contacts and suppliers.
  • Access to reactivate old patient files.
  • Access to evening and weekend hours, good for new patients.
  • No administrative responsibilities.
  • Doctor is responsible for your source deductions.
Cons:
  • No ownership, an employee, therefore little influence on issues.
  • Income is slow to build, perhaps competing with existing Doctor.
  • Income potential is lower than ownership.
  • Friction over clinical/treatment style/beliefs.
  • Personality conflict with staff, no power to hire/fire.
  • May rush into a bad situation/contract and be locked in for years.
  • Practice not as busy as you were led to believe.
  • Doctor hires you to help build practice.
  • Doctor hires you to lower costs and overhead.
  • Your dream location for practice is taken during associateship.
What should be included in a fair and equitable associateship agreement?
  • Always have a lawyer evaluate the agreement before signing.
  • Payment should be approx. 50% of all revenues generated for the clinic.
  • Revenues should include treatments, reports and products sold.
  • Payment % should increase with increasing revenues to a fixed maximum.
  • Doctors' hours should rarely overlap, less competing.
  • New patients should be evenly shared, unless patient very specific.
  • A reasonable non-compete clause.
  • A non-solicitation agreement.
  • A first right of refusal on the sale of the practice.
  • An idemnification and save harmless clause for both parties.
  • A probation period for both parties to assure the relationship is fair/equitable.
  • Holidays of two-three weeks.
  • Not allowed to bring in other associate.
  • Doctor responsible for all expenses except licensing and malpractice.
A sample associate agreement is available in the Members’ Only area of the web site.
 

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