For practice owners
The practice. And your life.
A buy-in, a distribution or a sale reaches past the business. Keep your personal plan in the conversation.

Where the practice meets your plan.
Distributions in context
Size and time distributions against your tax bracket and household cash flow.
Buy-in financing
How you pay for a buy-in shapes your debt, cash and savings for years.
One balance sheet
For many owners the practice is the largest asset. Your investment and estate plans should count it.
Decisions we help you prepare for.
Worked through with your CPA, attorney and valuation specialists.
Entity structure
LLC, S corporation, professional corporation or partnership. Weigh tax, liability and flexibility with your CPA and attorney.
Buy-in and buy-out terms
Price, payment schedule, timing and equity are often negotiable. Look at the personal effect before you sign.
Practice valuation
Revenue mix, payer contracts, productivity, equipment, real estate and goodwill all affect value. Work from an independent valuation.
Compensation models
Productivity-based, equal split or a mix. The model shapes incentives, retention and taxes.
A sale or a move into a system
Sale proceeds, the practice 401(k) and a new employer's benefits arrive together. Starting early keeps more of the timing in your hands.
Retirement
When and how you step back, and what the practice is worth to you on the way out.
Guides for owners.
Plain answers to the questions that come with a change in the practice.
- Joining a hospital or group: what should I ask before I sign?Pay, benefits, restrictive covenants and buy-ins: the questions to take to your attorney, accountant and advisor.
- My practice is being sold. What happens to my money?The sale proceeds, the old practice 401(k) and your new benefits, and who handles which part.
- What happens to my 401(k) when my practice is sold?Whether the plan ends or carries on, your rollover options, and the paperwork that avoids tax surprises.
Common questions.
What should I bring to a first conversation?
How do you work with my CPA and attorney?
When should we start?
Can you help with the practice's own 401(k)?
Put the next decision in context.
Tell us what is changing and who is already involved.