David,
Just thinking out loud here, but does Kansas require listing of owners when doing annual business filing with Secretary of State? Can't think of any other potential option to verify. If unable, possibly you could draft an acknowledgement that the physician would have to sign that there are no others owners of the LLC he/she is asking you to pay? May not be perfect but I would think shield your group somewhat?
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Joshua Dorsey
Chief Executive Officer
Radiology Associates of Northern Kentucky
Crestview Hills KY
614-284-1597
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Original Message:
Sent: 03-23-2023 15:45
From: David Smith
Subject: Practice Ownership by Individual Physician Entities
Thanks, Paul and Keith
The risk we are trying to figure out how to mitigate is the risk of a transfer contrary to the provisions of the relevant agreements. What happens if a shareholder ignores their contractual obligation or the operating agreement and allows a non-physician to own a share of their entity, and the group is operating illegally as a result? It's hard to see how the practice would have visibility on who owns the entity that owns the share of the practice.
Dave
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David Smith FACMPE
Executive Director
United Imaging Consultants
Mission KS
(785) 393-8387
Original Message:
Sent: 03-23-2023 15:32
From: Paul Coogan
Subject: Practice Ownership by Individual Physician Entities
Dave
Keith couldn't have said it better. Our Operating Agreement controls the transfer and price of member interests. It also states that if a partner leaves the group they are forced to sell their shares back to the entity per the formula in Operating Agreement.
Paul
Original Message:
Sent: 3/23/2023 2:57:00 PM
From: Keith Chew
Subject: RE: Practice Ownership by Individual Physician Entities
David – That can be controlled in the Operating Agreement. What I have seen and set up is that the Member cannot transfer their Membership to any non-physician and that in the event of death the trust or estate must effect the dissolution of the Membership within some set time period. There are other terms and conditions that most attorneys can delineate. There is always the possibility of an "illegal" transfer of the Membership, but if that happens the Operating Agreement also usually contains language to address it such that the Membership must be relinquished within X time from realization of the illegal transfer or the value drops to $0. Again most attorneys know how to set that up..... Let me know if you want a scrubbed piece of language. I can probably get one together for you.
Keith E. Chew, MHA, CMPE, FRBMA
Principal
Consulting with Integrity
18 Hawks Nest
Chatham, IL 62629
217-971-5293
Original Message:
Sent: 3/23/2023 2:24:00 PM
From: David Smith
Subject: Practice Ownership by Individual Physician Entities
Like many states that prohibit corporate practice of medicine, Kansas generally prohibits ownership of a physician practice by a non-physician. I have some docs who are interested in owning their share of the practice in an entity such as an LLC for tax reasons. That's fine in Kansas as long as the ownership doesn't pass to a non-physician. The concern of the group is that we wouldn't have any way to prevent or necessarily even know about a change of ownership of a separate entity that owns the share of the practice, which could jeopardize the legal standing of the practice.
Does anyone have a structure that allows ownership of the practice share by an entity in a state that prohibits non-physician ownership? If so, what safeguards are in place to prevent ownership of the shareholding entity by a non-physician?
Thanks
Dave
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David Smith FACMPE
Executive Director
United Imaging Consultants
Mission KS
(785) 393-8387
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