Mike Chando, MBA
Mike Chando is the founder of Chando Global Group, a Charlotte-based capital architecture firm serving physicians, practice owners, and executives, and editor of The Capital Architect, a private briefing on how capital is structured and how it quietly comes apart.
Most physicians build their financial lives one competent decision at a time: a retirement plan chosen by an employer, a practice interest governed by a partnership agreement, a certified public accountant here, an attorney there, someone managing the portfolio. Each professional may be highly capable within a particular discipline. The problem is that no one necessarily owns the seams between them, and the seams are where structural failures tend to surface: tax exposure embedded inside retirement assets, a buy-sell agreement without sufficient liquidity behind it, or an estate plan that no longer reflects the family or balance sheet it was designed to protect.
His work is architectural rather than transactional. The central question is not simply what a physician owns, but how the pieces interact, how much control the family retains, and what happens to the structure when the person holding it together is no longer there.
Physicians can pressure-test their own structure with the three-minute Capital Architecture Diagnostic. Essays and prior issues of The Capital Architect are available in the journal archive.
He lives in Charlotte, North Carolina.
Finance
On a Tuesday evening, Dr. Anna Reyes is offered a partnership in an independent group across town. Accepting means leaving the nonprofit health system that employs her, and the buy-in requires capital within the year. Anna is hypothetical. That night,…
On a Tuesday evening, Dr. Anna Reyes is offered a partnership in an independent group across town. Accepting means leaving the nonprofit health system that employs her, and the buy-in requires capital within the year. Anna is hypothetical.
That night, she opens the statement for the 457(b) deferred compensation plan she has funded for eight years. The balance is about $500,000. She wants to know how much of it she can …
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The 457(b) plan risks physicians sign without knowing
Finance
Your net worth statement is the only financial document in America that routinely counts someone else's money as yours. It lists the retirement accounts, the brokerage, the house, the practice interest, and adds them with the quiet confidence of arithmetic.…
Your net worth statement is the only financial document in America that routinely counts someone else’s money as yours.
It lists the retirement accounts, the brokerage, the house, the practice interest, and adds them with the quiet confidence of arithmetic. The number is not wrong so much as incomplete. It books your assets at gross, and the largest have a co-owner who has not yet invoiced you. A $5 million pre-tax …
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Retirement account taxes distort physician net worth
Finance
In 2009, a New England Journal of Medicine analysis examined 84,730 patients undergoing inpatient general and vascular surgery and ranked the hospitals by risk-adjusted mortality. The expectation was that the best-performing hospitals would be the ones where less went wrong.…
In 2009, a New England Journal of Medicine analysis examined 84,730 patients undergoing inpatient general and vascular surgery and ranked the hospitals by risk-adjusted mortality. The expectation was that the best-performing hospitals would be the ones where less went wrong.
That is not what the data showed. Major complications occurred in 16.2 percent of patients at hospitals in the lowest-mortality quintile and 18.2 percent at hospitals in the highest. Overall complications …
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How to run a drill on your physician succession plan
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