The last time the hospitals purchased practices in my area (late 80's-90's), the details were roughly the same. As the business models began to fail for the administration, they did the same as they usually do, cut staff and services. Fewer phone personnel & nursing staff, docs filling out forms etc., messages languishing for days, slow transcription. Most docs got the hint and terminated the relationship, and rebuilt from the bottom again.

I suggest you get contract language specifying minimums for admin & clinical staff exclusive for you, approval of personnel, equipment etc. Standards & substantial changes in the relationship should be subject to approval by a board with doctors heavily represented. Pay attention to how they treat you during negotiations. How the hospital responds to your proposals for fairly structuring the relationship will speak volumes about whether it will make a good partner.


John
Internal Medicine