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Declining reimbursement, higher overhead expenses and increasing taxes make the 2011 hand surgeon's financial well-being more challenging than ever. This presentation identifies the pros and cons of each type of legal entity for a surgical practice and helps physicians understand why multiple entities may be desirable, to differentiate among various types of retirement plans, to comprehend the benefits of captive insurance arrangements and to review the alternatives to self-funded exit strategies. Attendees will learn the following: * The pros and cons of corporations, limited liability companies, and professional associations for surgical practices * The pros and cons of tax treatment as a proprietorship, disregarded entity, "S" corporation, "C" corporation, and partnership * The strengths and weaknesses of qualified retirement plans (including profit-sharing plans, 401(k)s, and defined benefit pension plans) and IRAs in comparison to non-qualified and "hybrid" fringe benefit plans for surgeons * Why the use of management entities can provide asset protection, tax and retirement planning benefits for most hand surgery practices * How captive insurance companies can be used conservatively and effectively in hand surgery practices * How to protect surgeons and the practice from partner break-ups, death and disability * Exit strategies for hand surgery practices... and more