Orthopedic surgeons contemplating turning over their practices to their local hospital may view such a deal as a way to lock in lifelong profits while saying goodbye to all of the administrative hassles of managing a practice. But seller beware: If money is the primary motivator, the strategy could well backfire, according to physicians who have entered into such deals. Some orthopedic surgeons interviewed say they are satisfied with deals they struck with their local hospitals and would do so again if given a chance. There are others who prefer to remain independent. But all agree that such deals are not get-rich-quick schemes, nor do they come without significant compromises and complications. That means surgeons should think long and hard about what they want to gain from aligning with a hospital before making the leap. They should also engage legal and financial experts to help make the most of the relationship, say those who have been through the process.
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