Partnership Resources for Pediatric Practices

A partnership agreement is the operating manual for how physicians share money, work, authority, and risk — and most partner disputes trace to a provision nobody discussed.


Available Resources

Pediatric Management Institute is a practice management consultancy, not a law firm. This material is educational and is not legal advice. Laws governing practice ownership, physician compensation, and restrictive covenants vary by state and change over time. Work with qualified healthcare counsel licensed in your state before you adopt, amend, or rely on any agreement.

50+ Article Series By Functional Area

Partner Foundations

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Why Every Medical Practice Needs a Partnership Agreement

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The Railroad Rule — Why Practice Partners Need 100 Percent Alignment

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The Buy-In Decision — What Mid-Career Pediatricians Actually Weigh

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The Veil of Ignorance — What a Harvard Philosopher Knew About Partnership Agreements

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The Buy-In: What New Partners Are Actually Paying For

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How to Value a Medical Practice — The Right Way

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Compensation 101 — Base Salary, RVUs, and Productivity Formulas

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Equal vs. Proportional Ownership — Which Is Right for a Practice?

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Voting Rights — Who Really Gets a Say in the Practice?

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The Managing Partner Role — Authority, Accountability & Removal

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Employment Agreements Inside a Partnership — Why Both Are Required

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Money & Distributions

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Financial Transparency — The Partner’s Right to See the Numbers

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Compensation & Distributions When Partners Work Different Amounts

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When & How Partners Get Paid — Distribution Rules Explained

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Salary vs. Distributions — Tax Implications Partners Miss

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Payout Periods, Promissory Notes & AR at Exit

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Overhead Allocation — The Hidden Source of Partner Conflict

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Debt Authority — Who Can Borrow Money on Behalf of the Practice?

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Capital Calls — What Happens When the Practice Needs More Cash?

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Governance & Decision Making

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Admitting New Partners — The Governance Process

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Payer Contracting — Who Can Negotiate on the Practice’s Behalf?

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Strategic Growth — Expanding Locations, Services & Affiliations

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Dispute Resolution — Mediation Before Litigation

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Deadlock — What Happens When Partners Can’t Agree?

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Hiring & Firing Staff — Who Has the Authority?

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Board Committees — Quality, Finance & Compliance Governance

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Selling to Private Equity or a Hospital — What the Agreement Must Say

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Protecting The Practice

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Confidentiality & Non-Disparagement Between Partners

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Compliance Guardrails — Stark Law, Anti-Kickback & Credentialing

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Non-Compete Clauses — Radius, Duration & Enforceability

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Cybersecurity & AI Liability — The New Frontier of Partnership Risk

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Impairment, Substance Issues & Physician Health Programs

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Malpractice Insurance — Claims-Made vs. Occurrence & Who Pays

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Non-Solicitation — Protecting the Patients and the Staff

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Intellectual Property — Who Owns What the Practice Creates?

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Partner Life Events

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Values Misalignment — Can a Partner Be Removed for Cultural Reasons?

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Death of a Partner — What the Agreement Must Prepare For

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Disability — Protecting the Partner and the Practice When One Cannot Work

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Divorce — Protecting the Practice When a Partner’s Marriage Ends

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Retirement — Planning the Transition Before Anyone Is Ready to Leave

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Leave Policies — Parental, Sabbatical & Burnout Leave for Partners

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PTO, Benefits & Retirement Plans — What Partners Often Forget to Negotiate

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Moonlighting & Outside Income — When Partners Work Elsewhere

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Exits & Dissolution

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Ownership Transfer Restrictions — Keeping the Wrong People Out

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Voluntary Exit — Notice Requirements, Transition Obligations & What Is Owed

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For-Cause Termination & Expulsion — How to Remove a Partner Lawfully

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Forced Buyouts — When the Majority Can Make a Partner Leave

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Clawbacks — When a Former Partner Has to Give Money Back

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Dissolving a Practice — The Governance Framework No One Hopes to Use

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Advanced & Specialty Topics

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Pediatric Practice Specifics — The 7 Provisions Other Agreements Miss

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The Partnership Agreement Audit — A 10-Point Annual Review Checklist

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MSO Structures — What Partners Need to Understand Before Signing

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Research, Clinical Trials & Teaching — The Overlooked Partnership Provisions

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