Form Submission

General Practice Questions
Could we please get answers to the following questions regarding the nature and specific circumstances of the Practice:
What is the legal structure? (S-Corp, C-Corp, etc.)
When did the Practice open?
MM slash DD slash YYYY
How many locations? Are they rented or owned?
Square feet for the location(s)?
Number of operating suites at the location(s)?
Address(es) of the locations(s)?
Hours of operations for the Practice?
Do any of the doctors accept trauma call? If so, how is it billed?
Does the Practice have any imaging equipment? If so how many, what type, and how was it financed?
Does the Practice accept Medicare and Medicaid? If so, approximately what percentage?

Due Diligence Items (Schedule B): Partner(s) Questions
What are the current age(s) of the surgeon(s) and their tenure(s) with the Practice?
If there are multiple partners, how is doctor compensation accounted for each partner?
How long do they plan on continuing to Practice? What is the retirement/departure process?
What is the structure of their benefits, health, and retirements?
What personal fees do they pass through the company?
Due Diligence Items (Schedule B): Associate(s) Questions
Are there any associates in the Practice?
Are they full-time or part-time?
How is compensation structured?
How do they become partner(s)?
What benefits, health, retirements do they have?
Due Diligence Items (Schedule B): Billing Questions
What type of billing and management software is utilized by the Practice?
How are patient refunds handled?

General Practice Questions