SUMMARY Entering into an associateship and forming a partnership are major career-shaping and, to a great extent, life determinative decisions. OMSs cannot take such decisions lightly. Once the OMS decides to go the associateshippartnership route, he or she must be aware that there are many legal concerns involved in the process. Each associateship is unique. The doctors can customize the relationship, address all details, and design the associateship and partnership to their individual circumstances. It is essential that each OMS involved in any type of associateship attempt to understand the myriad legal concerns. The associates must be able to communicate with each other in an effective and professional manner. Putting it all together, however, is not a “do-it-yourself” matter. Competent health-care advisors can guide, advise, protect, and help tremendously. Each OMS must consult with them at various stages of the relationship. Doing this could be one of the better small investments an OMS will make. Although our example in this article involves only two OMSs, the philosophies, prin- ciples, and concerns hold true for a multiperson organization. The more OMSs involved, the more complicated the various situations become. In either case, duo or multiple, if the doctors are not aware of the myriad legal aspects in such relationships they could be much worse off. The doctors must understand that there are complicated federal, state, and local labor, tax, and other laws and regulations under which they must operate. In each instance, however, they must have a baseline or starting point. At all stages they have to factor in reasonable bailout provisions. They should work with competent, experienced advisors who will explain the legal facts, ramifications, and alternatives. One of the difficulties the OMS will encounter is that there is a great deal of strategic planning that requires vision and anticipation. Usually the OMS finds this difficult to comprehend. Nevertheless, it is necessary, especially in the never-anticipated cases of premature and unexpected death, illness, incapacity, and change. Basic planning can prevent legal and emotional turmoil. It can protect the doctors and their families from the ravaging effects of uncertainty, short- and long-term taxation, estate taxation, extended and expensive nego tiations, frustration, and mental and physical anguish. This article is not meant to be and cannot be an all-inclusive discourse. Its primary purpose is to point out the myriad legal concerns that each doctor already in, about to enter, or anticipating to leave an associateship and partnership situation can face; however, if each doctor and each advisor are reasonable, realistic, rational, and flexible throughout the process each concern will become a comfort.
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