Physician and Medical Practice Services

Leffingwell and Associates, P.C. recognizes that physicians and medical practices have distinct business and personal legal and tax issues. We provide counsel to physicians and group practices regarding a wide range of business matters and also provide counsel to physicians with regard to personal income tax planning and estate planning matters. Ideally, our solutions for physicians and group practices are comprehensive so that they utilize strategies designed to reduce tax costs and inefficiencies, establish and maintain asset and creditor protection, and take into account business as well as personal objectives. We take pride in our ability to work as a team with a client’s investment, insurance, accounting, credentialing, and other professional advisors in order to identify and accomplish the best overall solution available for a particular physician or practice.

We provide counsel to physicians and medical practice groups in a variety of business matters, including:

• Choice and formation of practice entities, including professional associations (“PAs”) and professional limited liability companies (“PLLCs”)
• Professional employer organizations (“PEOs”)
• Equipment purchase and leasing
• Multi-entity planning and strategies
• Medical practice buy-sell agreements, including insurance-funded agreements
• Medical practice buy-outs and buy-ins
• General business succession planning
• Recapitalizations and reorganizations
• Individual, corporate, and partnership federal income tax and planning
• Employment agreements, handbooks, policies, and general employment law matters
• Qualified retirement plans, including defined benefit and “carve out” planning
• Medical practice mergers, sales, and acquisitions of medical practices
• Deduction planning
• Asset protection planning, including accounts receivable protection

We provide counsel to physicians with regard to their personal and estate planning needs, including:

• Simple and complex or “tax planned” wills
• Revocable or “living” trusts and “pour-over” wills
• Ancillary instruments including statutory powers of attorney, medical powers of attorney, HIPAA authorizations, declarations of guardian, and directives to physicians or “living” wills
• Irrevocable trusts, including life insurance trusts, grantor trusts, dynasty trusts and trusts funded with closely held business interests
• Grantor retained annuity trusts (“GRATs”)
• Qualified personal residence trusts (“QPRTs”)
• Premarital, prenuptial, or post-marital agreements
• Qualified and deferred compensation plans, IRA distributions, and beneficiary designation planning
• Asset and creditor protection
• Tax planning to minimize estate, gift, and generation-skipping taxes
• Charitable planning to maximize the benefit and impact of charitable donations
• Acquisition and management of vacation residences, airplanes, and investment properties, including fractional options
• Life insurance planning, including irrevocable life insurance trusts (“ILITs”)
• Federal income, estate, and gift tax audits and controversies
• Charitable remainder trusts and charitable lead trusts
• Choice and creation of appropriate charitable entity (e.g., private foundation, public charity, donor advised fund, or charitable trust)
• Applications for tax-exempt status
• Administration of private foundations, public charities, and charitable trusts

AV® Preeminent™ and BV® Distinguished™ are certification marks of Reed Elsevier Properties Inc., used in accordance with the Martindale-Hubbell certification procedures, standards and policies.