India Imports and Exports – Part II

India-America Trade relations

For the starters, United States is India’s largest trading partner.

India’s major exports to US – include Information Technology Services, textiles, machinery, ITeS, gems and diamonds, chemicals, iron and steel products, coffee, tea, and other edible food products.

India’s major imports from US – aircraft, fertilizers, computer hardware, scrap metal and medical equipments.

Additionally, America is also India’s largest investment partner. Americans have made significant investments in India’s power generation, telecommunications, ports, roads, petroleum exploration/processing, and mining industries.

India and US have signed a new Trade Policy Forum. The sub-divisions include: Agricultural Trade Group and Tariff and Non-Tariff Barriers group.

Agricultural Trade Group- The group specially focuses on three objectives: approving on terms that will facilitate India to export mangoes to the United States, thereby sanctioning Agricultural and Process Food Products Export Development Authority (APEDA) to vouch Indian products to the standards of the U.S. Department of Agriculture, and implementing procedures for approving edible wax on fruit.

Tariff and Non-Tariff Barriers group – Insecticides manufactured by United States could be sold across the length and breadth of the country. Also, India has also agreed to cut regulations on buy/sell of carbonated drinks. Many medicinal drugs and lowering regulations on products those are not agricultural produce.

Both countries expressed interest in promoting small business initiatives in both countries by enabling trade between them..

The percentage of traded items from India to US

1. Diamonds & precious stones (25%)

2. Textiles (29.01%)

3. Iron & Steel (5.81%)

4. Organic chemicals (4.3%)

5. Machinery (4.6%)

6. Electrical Machinery (4.28%)

The percentage of traded items from US to India

1. Engineering goods & machinery (including electrical) (31.2%)

2. Precious stones & metals (8.01%)

3. Organic chemicals (4.98%)

4. Optical instruments & equipment (7.33%)

5. Aviation & aircraft ( 16.8%)

Export of Indian Agro Exports to US

The export of Indian Agro products to US forms a significant component of Indian exports to US. The Indian government apparently plays an important role in the expansion and diversification of the agricultural products and food processing industrial sector of the country. It is reportedly one of the largest in terms of production, consumption, export and growth.

The main items of Indian Agro Exports to US are:

o Rice and rice products

o Fresh vegetables

o Fresh fruits like mangoes, mango pulp, and grapes

Activity Internet Marketing Report, Internet Marketing Information







One of the first things you should do is check the government regulations that effect Internet marketing. Two of the main regulation deals with e mails. You can only send out your offer to persons who have contacted you about your offer or (a one time only) persons who have contact you with their offer.

You are required to enclose in all your e mails, your e mail address, your business address and phone. If you will be using a autoresponder you are required to have a unsubscribe link, so persons who may have contacted to receive your offers, newsletter, etc. can click on and have their name removed from your list.

It is also very important to remember if you join a MLM as a affiliate the firm you are marketing for meet the regulations, as you too could be charged if they make outrages claims about their product, how much money can be made etc.

The FTC enters Internet, telemarketing, identity theft and other fraud-related complaints into Consumer Sentinel, a secure, online database available to hundreds of civil and criminal law enforcement agencies in the U.S.

and abroad.

Get your own website, avoid the free ones offered by MLM’s. Don’t be restricted to one firm’s product with a free website.

With a free web site you would have no chance of being listed on the search engines, as there would be hundreds of web sites with the same offers. All you are doing is working for free, paying for advertisements for someone else’s products. If there was some product you wanted to sell from a MLM firm, you can join as a reseller and place just the product you want to handle on your website.


You didn’t learn it at school, or at the office.

Would you believe your mother?

Networking is more then shaking hands, and giving out business cards. Forget about the endless networking skills you may have learned at the office. We just have to put the few lessons mother taught us into practice. As a kid we were always in a hurry to find something better. Our mothers taught us patience.

If your in a hurry you miss the value that can be built taking time with building relations in networking. Establishing a relationship by taking time, gives you a solid framework in networking building.

Your mother worked hard as an example. This is one of the better examples in networking she gave you. That’s why it is called networking, not sit work. For networking to be successful you have to work hard and put out the effort.

Remember her telling you to share your things with others? Some of our best resources are time, money, and information we are willing to give to the relationship. They appreciate us when we are willing to give to the relationship.

She always made you clean up after yourself. In networking, follow-up is required. Whether it’s a promise to meet someone, or just a thank you is one of the most important lessons of networking. These life lessons we learned from mother during childhood are a solid basis’s for strong networking skills.
Thank you mother for all your help.

The biggest time spend in selling, more so in mail order or on the Internet is developing a relationship with your customer and building trust. If you did a good job in the first two, closing a sale will take the smallest of your time spend with your customer.


Fake e cards.
You get a message with a link to an online greeting card but, when you click it, you end up with a virus on your PC. A couple of simple rules here. Delete any messages that come from someone you don’t know or that don’t address you by name. If they come from someone you know, email that person to check that they sent it before clicking on.


2009 has seen a surge in ads offering bogus vacation rentals. You pay a deposit or even in full to get a key and that’s the last you hear of them. Scammers are experts at creating phoney look-alike sites where you land after mistyping an address or by clicking on a link supplied in the e mail or ad. Always type in the URL and don’t just click on the link.

You can get products to sell via e bay or/and your website by using the services of a drop shipper. A reliable drop shipper will not ask you for a fee. They will allow you to copy pictures of the products they sell. Prices are about half you would pay for retail.

When writing articles to directories, we are not allowed to list URL’s for places to go for free information, such as drop shippers, ebay, and other places. If your interested you can go to our website and in our archives there is over 2 years of free Internet information listing with URL’s. My website is listed in the article source at the bottom of this article.

If you have a website they will allow you to move any listing on their site to yours. You set your price on the product/s you transfer. When an order comes in place the order they will ship it out for you under your shipping label and not include any of their material.

A good way to promote is join as an affiliate, transfer a couple specials onto your site, with a link back to your affiliate page. The cost of setting up a web site is minimum. Check out my website archive for drop ship firms. Transfer a couple specials onto your site, with a link back to your affiliate page. The cost of setting up a web site is minimum. Check out my website archive for drop ship firms.

The Author of this article is not responsible for accuracy or completeness nor shall he be held liable for any damage or loss arising out of or in any way related to the information or utilization of it.

Strong Pain Reliever Can Lead to Abuse and Addiction

Although OxyContin is a major weapon against chronic or severe pain, its use can lead to addiction and drug abuse. The synthetic opioid works in the body much like morphine. An unfortunate similarity is that OxyContin can prove highly addictive.

OxyContin, known as oxycodone when given as a generic drug, is a controlled substance. Doctors who prescribe it to relieve pain want their patients to keep a close eye on their intake. OxyContin abuse has increased dramatically in recent times in spite increased medical and legal scrutiny.

Two years ago the National Institute on Drug Abuse studied American high school students. The NIDA reported that greater than five percent of twelfth graders abused OxyContin, taking it without prescription. OxyContin abusers are not limited to the young; its use continues throughout all parts of the population.

Doctors have become more cautious about prescribing strong pain relievers. They must walk a fine line between appropriate prescribing and holding back from those caught in the web of abuse. Addiction can creep up on people, taking them by surprise.

Some people may be on the drug for months or years before they realize they have crossed the line into addiction. Others may not be able to admit that they have a problem. They may try to convince themselves and others that they are only occasional drug users who take OxyContin only when they need to relax.

It is easy to convince oneself that drug abuse is not in play when one is actually addicted. Some people are just as good at convincing themselves as they are at convincing others that they do not have a problem. For awhile at least they maintain the illusion that they choose when they take OxyContin, that the drug does not have control of them.

Signs of OxyContin addiction can be observed so that addicts themselves as well as loved ones can become aware of growing trouble. Having to take more OxyContin for the same results is one warning sign. If people get into legal trouble or come close to a legal problem because of drug use, then that should be taken as a signal.

Drug use will sometimes replace other activities in a person’s life. When taking drugs becomes more important than other people other events, then abuse should be suspected. Dependency on drugs for pleasure is not a good sign.

For an addict, withdrawal symptoms will arise when the drug dose gets reduced or eliminated. Getting over an addiction is often not a simple matter of quitting. Dependency makes leaving the drug behind a difficult matter.

In spite of promises to themselves and loved ones, OxyContin addicts face a battle in getting over their drug dependency. Another sign of addiction is the arrival of withdrawal symptoms when the user skips taking the drug. Withdrawal itself can scare drug users back into the vicious cycle of abuse.

One symptom of OxyContin addiction is the experience of blackouts. Forgetting events that the drug taker has lived through or knowing that he or she has passed out can signal addiction. Loved ones calling attention to the drug users’ blackouts can help the user ultimately face the addiction.

Abuse of OxyContin destroys people’s emotional and physical well-being. Depression and social alienation can set in, ruining the drug abuser’s sense of self. Insomnia or a major increase in the need for sleep may haunt the lives of addicts.

Other signs of a drug abuse problem include changed eating habits that result in sudden weight loss or weight gain. Slurred speech and lack of coordination may set in when people step over the line into drug abuse. OxyContin is an important medicine for the treatment of pain, but users need to know that it can lead to drug abuse.

Could Electric Cigarettes (elektronisk cigaret) Be For You Personally?

Maybe you’ve heard with regards to electronic cigarette(cigarro electronico) smoking still? Electronic cigarette(cigarette electronique) smoking include many rewards within the standard smoking cigarette(cigarettes electronique). We ought to start by way of revealing just what a electronic cigarettes(cigarros electronicos) smoking really is — a digital camera typically fashioned much like a smoking cigarette(cigarro) which can help you inhale nicotine by utilizing water smoke. These products tend to be fumes cost-free and don’t demand lighting, meaning that you might relaxation almost everywhere you want. Nowadays it is possible to relax in the bar, at the office, on college and possibly with planes!

Seeing you will probably have discovered, you’ll uncover a number of forms additionally to brands of e-cigarette(elektronines Cigaretes) smoking offered. There is available this cigar, electronic(cigarrillo electronico), minuscule smoking cigarettes and perhaps some kind of conduit you can choose. What kind you at long last choose relies your own preferred manner of cigarettes. Nevertheless the designs will vary, most electronic cigarette(sigaretta elettronica) smoking work similarly. Lots of people incorporate a cartridge, atomizer additionally to energy supply that really help this ecigarette(elektronische zigarette) smoking work. This cartridge will most likely incorporate a juice nicotine concoction together with a atomizer. This atomizer will most likely warm-up this juice having a cartridge, creating some kind of vapor including smoke, that’s breathed in in the smoker. Numerous will most likely have the ability to consider other immediate advantages.

You do not have inappropriate reason to acquire electronic cigarette(sigarette elettroniche) smoking. Lots of people include no harmful toxins, you are able to really fumes everywhere and additionally they’re a lot more affordable compared to regular cigarettes(sigaretta elettronica). People also won’t have to assist take into account smelling including fumes additionally to trashing ones clothes, house or possibly vehicle inside. Let us face the product, customary cigarettes(elektroniskas cigaretes) can easily have numerous cost, specially when people consider each of the disguised . prices including such. At this time people can actually certainly take advantage of the pleasure associated with cigarette(sigarette elettroniche) free from a few of the extended unwanted effects. Just in case you’re sole additionally to looking for someone up to now, using the electronic cigarette(cigarrillo electronico) smoking people should not get judged to become a smoking afficionado. This collection associated with benefits goes so on and you’ll probably consider numerous yourself.

People may be considering trying electronic cigarette(elektroniskas cigaretes) smoking with the first time or you might have previously a few. In either case, it is possible to save money by way of finding this right ecigarette(elektronische zigarette) smoking website. I wound up saving nearly 40 dollars upon the main starter set by way of having to pay for that item around the internet additionally to After I will start to trading within the ecigarette(elektroniske cigaretter) smoking supplies at this time around there, much like refills additionally to eLiquid.

Three Reasons to Hire a Car on Your Holidays

If you are planning to arrange transportation in Portugal, then you will find many options for you. However, the best transportation medium is to have car hire in Portugal. Of course, you can get other public and private transport option, but in most of the situation you will find that you are doing the best deal by going for car hire in Portugal. So, let’s see the three most common reasons why you should go for car rental in Portugal.

  • You will get best deals in terms of cost: Car rental is better if you have a travel plan spanning over different spots of city. For example, you are a tourist or have come for visiting places like coast lines at Algarve or different spots in Lisbon or Faro; then a car hire in Portugal make sense. Instead of taking different vehicles from one spot to another, a car rental for the required stretch of distance or time will give you economical advantage. Some times car hire companies will have different discounts or package for different tourist spots, too. This may depend on the seasons, when the passengers going for car rental in Portugal may be less. So, watch out for these discounts and it will prove to be a best deal for you. In case, you are a local there also, a car hire in Portugal will offer a relatively economic option for you, especially in case you are looking out for convenience too.
  • It provides a real comfort: Car rental is always very comfortable as compared to other public and private transport. The same way car hire in Portugal will take care about your comfort, while traveling. It is spacious and you need not worry about luggage too. It sees about your own comfort, all because of the reason that it has been hired personally for you. This makes a very economical comfortable option for you.
  • Takes care about your urgency, time schedule, etc: One of the reasons why people prefer for car hire in Portugal and elsewhere also is because of convenience with regard to your time schedule and plan. For example, while traveling you needs to stop over somewhere for shopping for a bit more time, you are free to do that without worrying for you being getting delayed. In case, you are planning to go for airport quickly, you can easily do so by taking an alternative way, if the main road has some traffic jam. In case of Portugal, you will always like to do that seeing all the scenic spots you will find at Algarve beach or stunning places at Faro.

Bad Credit Fast Payday Loan – Small Duration Cash Loans For Bad Credit Holders

We are frequently exposed to situation when we need urgent cash for medical purposes, paying bills or some other unplanned expenditure. It may not support the pocket at present but if you are lent money you are sure that you can pay off the debt later. However, people having bad credit consider them to be unlucky and think there is nothing for them in loan market. However, present market which is highly competitive provides them with option of bad credit fast payday loan. As the very name suggests these loans are approved and deposited within no time in your account and to add to it, bad credit fast payday loan can be obtained even if you have poor credit rating.

Bad credit fast payday loan: procedure

Process of applying for bad credit fast payday loan is simple. You can fill up the online form giving details regarding your income, address, credit score and other details. Lenders will process your application and once approved money is deposited into your checking account within 24 hours. To be eligible for bad credit fast payday loan you must be 18 years or above, having a full time job and an income not below £1000, you need to be a citizen of UK residing at your present address for at least a year. Also you will be required to have an active checking account.

Bad credit fast payday loan: amount and interest

Amount that you can obtain will depend on your income and your ability to pay back. You can be lent an amount up to £15000. Your credit score is not a denial factor but will certainly be a deciding factor on what amount you can be lent. Once, you pay back in time you will be improving your credit score and will be eligible for amount when you apply for bad credit fast payday loan next time. Lenders charge a fixed fee instead of interest. You should make sure that you are not overcharged on the name of payday loan.

Bad credit fast payday loan is a short term loan which needs to be paid back within a week or two. You can defer payment day by paying some fine and interest for that duration. In general repayment day is coincided with your payday.

Bad credit fast payday loan gives you the money when you need them most and above all you get money even if you have poor credit score.

Do You Fear a Bathroom Remodel?

So You Want to Remodel Your Bathroom

An increasing number of people find that they can remodel their bathrooms to create the perfect place in which they can relax, refresh, rejuvenate and/or have a romantic time. A bathroom redo can be an inexpensive and fun way to spruce up your entire house. So, what you need are some tips for remodeling your bathroom.

When you decide to begin a bathroom remodeling project, it is quickest to organize your goals before shopping for materials. Choose what items you want to replace, add, or take away from the bath area. Consider refinishing existing items such as bathtub, shower, sinks and toilet, or renewing the tiles or tub and shower enclosure to give a new look to your bathroom even with just a little investment. The bathroom is one of the most used areas of the house, so you want to be sure that you have it remodeled in such a way that it will last for a long time. Remodeling is extremely exciting because it means you are getting to create the ambiance you have always wanted in one of your favorite places: the bathroom.

Why Remodel If You Can Decorate?

Perhaps you would like to redo the bathroom, but at the same time you would like to keep things uncomplicated. If it is time for a bathroom makeover, count yourself lucky when you see the number of wonderful current decorating ideas for the bathroom today. There is a huge amount you can do with simple decorative treatments that avoid a full remodel.

If you have a small bathroom, remodeling ideas should mostly revolve around freeing the space of clutter and making better use of the available space. Using shelves, taller cabinets, and other organizational items will help the room seem larger because everything has a place and there is nothing left to crowd the space. There are any number of cabinets available to fit over the toilet or along empty walls to maximize the available area, or cabinets can be hung on the wall to free up floor space.

Regardless of the size of your bathroom, it is important that you sort out the existing items in the bathroom and choose which items you want to keep and which items can now retire. Clearing out unimportant clutter from the bathroom can help you decorate the room easily and match items for your fresh theme. Don’t be afraid to be bold and exciting – make your bathroom a fun place to visit!

Another decorating idea for a bathroom is to redo the porcelain sink and the tub. These tend to take a lot of abuse through the years, and with a fresh treatment, they will look brand-new. It’s a lot cheaper than putting in all new fixtures, and it really does make your bathroom look good.

A common bathroom decorating idea for people on a budget is adding or replacing light fixtures. While choosing a light may seem like a daunting task, be aware that once you have chosen the perfect lighting to enhance your bathroom’s theme, it can make a dramatic change to the overall feel of the room. Of course, also consider new paint, tile or wall paper to freshen up the space.

Following the new bathroom decorating trends while maintaining individual taste and style can be achieved with a little research and great imagination. Building on these ideas is sure to help anyone create the bathroom of their dreams. Home decorating magazines can be quite helpful, because if you see decorating materials that you like, there is often a section that shows how you can get them. They are also good at allowing you to see how the materials you’re interested in fit with other colors in the room.

But I Need to Remodel

If you find that redecorating just won’t do, and you really need to remodel, as part of your planning process create a bathroom remodeling check list to help you determine how much of an upgrade you can afford. Make sure you know exactly where your fixtures will go when designing your remodeling project, since you need the plumbing there to accommodate them. Unless you can somehow move the location of your fixtures, your sink, tub, and toilet are going to be exactly where you have them right now. In most cases, the location of your fixtures is going to be a hard limit, so plan accordingly.

Depending on the size of your bathroom and your budget, there are a few bathroom remodeling tips that can the project go smoother, as well as make life after the project easier. For large-budgeted bathroom remodeling projects, you can go beyond your dream bathroom by expanding the area and separating the toilet from the bath area. You can even add spa treatments, bathtubs, water jets and other more expensive bathroom add-ons.

If you have a more modest budget, one of the most important things is to make sure that the shower area is easily accessible. For example, some showers require a person to step up in order to enter the shower, while others are just walk-in showers. Whichever kind of shower you choose, it is important to note that it will have to be well installed in order to prevent leaks. Another method of controlling bathroom remodeling costs could be instead of replacing your tub and all the wall tiles, you could look into a tub and wall unit that fits right over an existing tub and wall. By using this technique and for a few hundred dollars the area can look as if it is brand-new. The alternative is replacing everything, which could run into the thousands.

When you choose where smaller fixtures go in the bathroom remodeling design, think function over form. For items such as the towel rack or even the toilet paper roll, keep in mind that they should go in places that are sensible, The towel rack might look nice by the door, but if it’s out of arm’s reach of the bathtub, then you won’t be happy whenever you get out of the shower, for example. With all things in bathroom remodeling design, if you design with an eye for common sense and space, you will be successful in your attempt to create a room that’s both stylish and functional.

There is no greater joy to a homeowner then to remodel a favorite room such as the bathroom. So, enjoy every minute of it, and, more importantly, enjoy the outcome of your work and labor. Once you are satisfied with the project, you can take your first relaxing shower and enjoy the long-term benefit from the investment you made.

Quick Finance – Caveat Loans And Bridging Finance

Short term loans help people lessen their immediate money troubles, because of increasing everyday expenses and no sufficient income to meet the requirements. These loans by and large come in a shape of payday loans, in that you can obtain immediate cash with the settlement time between two and three weeks. Lots of lenders in Australia offer their service online that let you submit an application for the finance, 24 hours a day and 7 days a week.

If you need fast money, then a caveat loan, short term loan or bridging finance from any Australian finance Centre can help.

Caveat loans

Fundamentally, caveat loans are all about when lenders offer the borrower fast money, in return for their property as defense for the finance.

The submission of applications for these loans is extremely quick, and it is likely to be short term from approximately one month to four months. Usually the borrower can get the money inside 24 hours after the request has been launched, and in the majority of cases, having a bad credit documentation does not have an effect on your possibility of successfully achieving it. In other words, these loans are finance for property.

The reason caveat loans are provided for assets is since the borrower have to secure an asset against it, and the majority of the time, the assets consists of realty properties or vehicles, as other kinds of assets are usually not acknowledged to be a defense for such loans.

Bridging Finance

By explanation, Bridging Finance is a short-term loan used to buy business property.

This is something that can come in very helpful, conditional on your particular circumstances. There are two major points that you need to think about before you choose a Bridging Finance package, your wants and the condition of the property market.

One of the main benefits of Bridging Finance is that it will let you close on a property and buy a new property before you get rid of your existing one. You will need to assess your present situation to decide if your wants give good reason for taking on this sort of finance.

Paying off your Bridging Loan at the ending of the term usually depends on your capacity to sell your existing property. If it is not sold in the obligatory time, then you will have to pay the existing loan on your present property, your new property and the newly transformed Bridge Finance, too. If you think that this might be the likelihood then be sure to take a package that can be changed to business Loans if the need comes up. Or else, you might have to come up with the complete finance amount at the conclusion of the funding time.

A Career As a Travel Nurse

Travel nurses are healthcare professionals such as registered nurses or therapists who travel to various locations to work for certain portions of the year. They usually work up to four travel jobs per year. A travel nurse can work in any region in the United States and many International regions. Most nurses secure a career through a reputable travel staffing agency.

A career as a travel nurse can be personally and financially rewarding. Most people who have this experienced in life say it is an exciting profession and a great way to earn a living. This professional will enjoy living in new and exciting locations, reside in wonderful accommodations, and work in excellent hospitals. Other benefits include:

Travel Assistance: Most reputable agencies will arrange such travel details as directions and maps. They should also have a 24-hour emergency hotline.

Great Pay: While on assignment, these nurses are offered comprehensive packages consisting of excellent pay with many benefits and bonuses. Annual earnings for an RN travel nursing jobs can be as high as $110,000.

Your Facility Choice: Most agencies have available jobs in all 50 states and at the highest ranking hospitals.

Free Private Housing: Housing accommodations are selected by agencies for their excellent services and amenities that may include spas, swimming pools, and fitness centers.

Flexible Work Schedule: Many nurses choose this career because the stress of a traditional hospital can be the result of long hours and increased physical demands. They have more flexible work schedules. It is often much easier to plan for special engagements and vacations

Free Health and Dental Insurance: Travel nursing agencies offer many free comprehensive health plans to meet all their client’s needs. Dependents can also be covered at a nominal cost. They can also receive supplemental insurance that provides income if they are unable to work as a result of a non-work-related illness. As well, professional liability insurance should be offered at no extra cost.

Work Protection Plan: A work protection program should be offered by a reputable agency because it ensures that if a shift is cancelled, you will still be paid.

Travel Expenses Reimbursement: Most agencies will provide travel allowance to nurses. Travel allowance may be given before you depart or as a reimbursement after you arrive.

Tax Advantage Plans: Tax laws allow full-time travel nurses to receive non-taxable credit for meals.

Licensure Reimbursement: Agencies will reimburse nurses for their State Nursing Licensure fees for every travel assignment. They will also help them acquire a State Nursing License.

Auto Club Membership: Agencies offer a discount or free membership to an auto club. They will have access to roadside assistance, hotel discounts, rental cars, free trip routing with detailed directions and maps, emergency check cashing, and no fee travelers checks.

401(k) Plan: Enrollment in a retirement 401(k) plan where a portion of their earnings will go into a retirement savings plan.

Free Course Upgrades: Many agencies will provide free education courses so nurses can keep up with new technology and education.

Referral Bonuses:Agencies will give bonuses to travel nurses who recruit other health professionals into their program.

While the pay and bonuses of a career in travel nursing are very rewarding, these positions are highly sought after. It is important that you keep up with modern education and experience. There are hundreds of agencies that specialize in placing travel nurses. Registering with several agencies will increase your assignment choices. With the right planning and knowledge, you will discover great joy with a career.

What To Consider When Buying a Practice

The Price

It depends on what you’re buying. If all of the practice income is from personal services performed by the selling physician, the answer is generally “not a lot.” The price typically consists of (1) the value of the fixed assets (e.g. equipment, furniture), and (2) maybe a little more in order to avoid the cost of starting up a new practice from scratch. In the event, however, the practice also generates income from services that are not personally provided by the selling doctor, the price is increased to account for this “passive revenue.” How much? Maybe the amount of one year’s profit from that ancillary service.


Practice purchase take one of two forms: (1) stock purchase, or (2) asset purchase. Buyers that buy the stock of a medical practice are rare because the buyers get all the liabilities associated with the stock of the selling practice. Most practice purchases are asset purchases, which makes it easier to say what you’re buying, what you’re not buying, which liabilities you want to assume (e.g. leases) and which ones you don’t want to assume. Sellers often prefer stock purchases because the seller gets better tax treatment on the purchase price (capital gains instead of ordinary income) than sellers who sell just their assets.


There are two ways to pay for a practice: (1) on a pre-tax basis, or (2) on a post-tax basis. Employed physicians who become owners of a medical practice employer are often familiar with pre tax purchases because they have a portion of their salaries or bonuses applied to the purchase price, instead of getting the income, paying tax on it, then writing the seller a check. Sellers usually favor getting paid with the buyer’s after tax dollars, but often compromise and agree to accept at least a portion of the purchase price on a pre-tax basis via some sort of compensation offset.

Now that you know the big issues, you need to know how it’s done. The process generally involves the following:

1. Letter of intent;
2. Legal documents; and
3. Negotiating the documents.

Letter of Intent

Before people jump into a complex transaction (and pay lawyers lots of money), they usually like to “rough out” the deal points in a non binding document a few pages long which describes the guts of the transaction. In a medical practice LOI, those points are usually:

1. What is being sold (assets or stock);
2. Whether the accounts receivable are included or not-usually not;
3. The purchase price;
4. How it’s paid;
5. Whether the seller will stay on in the practice and if so, how he/she will be paid for working for the practice;
6. The restrictive covenants (e.g. noncompete) that will apply to the seller.

The Legal Documents

In an asset sale, the parties can expect: an asset purchase agreement; a promissory note (if payments will be made over a period of time); a security agreement (if there is a promissory note); a noncompetition agreement; and an employment agreement for the seller (if the seller will stay on). In a stock purchase, you will have a stock purchase agreement instead of an asset purchase agreement, plus a few other more minor documents.

The guts of the key transaction document are (1) the reps and warranties, and (2) the indemnification provisions. Reps and warranties are basically promises made by the seller about the practice. A buyer will wants loads and loads of them. indemnifications are essentially obligations of a seller to pay a buyer for harm that comes to the buyer which relate to the practice before the buyer bought it.

Noncompetes are often essential terms of a practice purchase. A buyer doesn’t want the seller hanging around soliciting patients or practicing across the street. Generally, the term runs two to five years and the geographic scope depends on the specialty and the market where the practice is located.

Negotiating the Documents

Very simple: everything is negotiable. Everything. That said, there are certain things the are usually set in stone. For instance, the buyer is gonna pay something over some period of time. The noncompete will apply for a period of time over a certain geographic area. Though a buyer will want a millions reps and warranties, they will probably be negotiated down. The indemnification provision may contain a “basket” and a “cap” so that the first dollar of damage may not be passed to the seller and the total amount may be limited. Though physicians may consider a practice sale or purchase to be a minor thing, they can be shocked at the complexity and intricacy of such issue as Medicare liability and recoupment issues. Moreover, even once the documents are negotiated, preparing all the disclosures and attachments to the documents is extremely time-consuming, whether the practice costs $1 or $10 Million. All the “i”s have to be dotted and the details attended to.


Practice purchases are a fact of life and will likely increase as the healthcare marketplace evolves. Agreeing on the core issues is important and just starts the ball rolling. Be prepared to engage a lawyer and accountant that have lots of experience doing these sorts of transactions.