Business Partner in an HOF Clinic: How to Structure It

Quick facts
- Core point
- Shares, work and profit are three different decisions
- Document
- Articles of incorporation and partners' agreement, drafted by a lawyer
- Common mistake
- A partnership built on friendship, with no paperwork
- Caution
- Partnership rules in healthcare vary, confirm with legal counsel and an accountant
Many partnerships in orofacial harmonization (HOF) clinics are born from a good conversation: two classmates, a room owner and a professional with a patient schedule, a couple who want to open their own business. The partnership works while everything goes well. When the schedule gets tight, a new partner joins or one side wants out, the questions nobody asked at the start appear.
This guide does not offer a contract template or replace a corporate lawyer. It helps you organize the right questions before signing, so the partnership is a considered decision and not a consequence of friendship. If you are still weighing the path, also see partnerships between HOF professionals and partner professional commission, which are alternatives without a partnership.
Is a partnership the best option?
Before opening a CNPJ (Brazil's company registration) together, compare it with lighter arrangements. Each has different consequences for liability, taxes and exit.
| Arrangement | How it works | When it usually makes sense |
|---|---|---|
| Partner professional on commission | Each one sees patients and passes a share to the clinic | One professional uses the other's facilities |
| Room rental | Fixed or per-shift fee for the facilities | Someone who wants autonomy and no joint investment |
| Partnership | Capital, decisions and profit are shared | When there is a common project and joint investment |
| Employee | Employment with set hours and salary | When the owner needs an integrated team |
See the consequences of renting in the text on rented room or your own clinic. A partnership is only worth it when the union creates something neither person could reach alone.
The three questions nobody should mix
The costliest mistake is treating "split it fifty-fifty" as the only answer. Separate three decisions:
- Capital: who puts in how much money, equipment and facilities, and how that turns into shares.
- Work: how much time, which roles and what goals each partner takes on.
- Outcome: how profit is distributed and how work is paid.
If one partner puts in the money and the other puts in the work, 50% each can seem fair on day one and unfair in year two. Naming each contribution prevents silent resentment.
Shares, pró-labore and profit: what each one rewards
One rule that prevents a lot of fights: work is paid as work, and profit rewards capital. The partner who sees patients every day should be paid for the patients they see, regardless of whether the clinic made a profit that month. Profit, after paying all costs and withdrawals, is divided according to shares.
Without that separation, whoever works more feels exploited, and whoever invested more thinks the other "lives off the clinic." The reasoning is the same as in the clinic owner's pró-labore and depends on the tax classification, so validate it with your accountant.
Hypothetical example: two partners, A sees patients and B invested in the renovation. A receives pay for the care they provide and a profit withdrawal for their share. B receives only the profit for their share, unless they also work in the clinic. The amounts and proportions are the partners' decision, guided by a lawyer and an accountant.
Roles: who decides what?
Two-partner companies with equal power can deadlock when they disagree. Define in advance who decides each topic:
- Clinical: each professional decides the approach for their own patients, within their professional council's rules.
- Financial: who signs, who pays, who approves spending above a certain amount.
- Commercial: pricing, discounts, campaigns and positioning. See discount policy.
- People: hiring, firing and team goals.
- Strategic: buying equipment, renovations, a new location, bringing in a new partner.
The split can be by area (one handles clinical, the other financial) with clear rules for big decisions, which require both.
Partners' agreement clauses you should discuss
The clause about patients and patient records is the most neglected. Do patients belong to the partners? To the professional who treated them? To the clinic? Patient records have custody and confidentiality rules, described in patient record retention period and in LGPD in patient records and photos, and a partner's exit cannot violate them.
How to value a partner coming in or going out
When a partner leaves (or joins), the question is: how much is their share worth? Several factors make up the value: equipment, inventory, patient base, brand and recent results. The criteria must be in writing before any conflict. The general logic appears in selling an HOF clinic.
Avoid vague clauses such as "fair market value" without saying who values it. Define the method (for example, a valuation by a third party chosen by mutual agreement) and the payment term, in installments, so you do not break the cash flow of the business that continues.
A routine that sustains the partnership
Good partnerships have ritual, not just a contract. A short monthly meeting, with a fixed agenda, keeps small irritations from turning into a break.
- Numbers: the month's revenue, costs and result, in the simple income statement.
- Schedule and capacity: occupancy rate and waiting list.
- People: team, performance, needs.
- Pending decisions: what requires both partners' agreement.
- Personal alignment: each partner says whether they are happy with how the workload is split.
If the clinic already holds a weekly team meeting, the partners' meeting is a separate one.
Standardizing care without erasing identity
In partnerships of professionals, the patient needs to perceive a coherent clinic. This applies to how the plan is presented, how risk is discussed and how the projection is shown. An app like Harmy helps unify the conversation: each professional marks the areas, sets the ml in the plan and presents the illustrative simulation in the same format, with the clinic's logo and contact set up in My clinic.
This does not standardize clinical conduct, which remains each qualified professional's decision, but it prevents the patient from receiving very different presentations within the same brand. For a shared message, the first consultation script is a good starting point.
Quiz: what would you do?
The first practical step
Before looking for a lawyer, do the three-question exercise (capital, work, outcome) on your own and bring the filled-in sheet to the first conversation with the future partner. If you cannot agree on the sheet, you will not agree on the contract. And if you do agree, the lawyer's work becomes faster, cheaper and more faithful to what you really want.
Frequently asked questions
Is it worth having a partner in an HOF clinic?
It depends. A partner can bring capital, a patient schedule or a complementary skill, but also shares decisions and profits. It only pays off when each person brings something the other lacks and the rules are in writing.
How should shares be divided between partners?
The split should reflect the capital contributed, the work promised and the risk taken. There is no standard percentage. It is worth recording how each contribution was valued.
Should a partner who sees patients be paid in addition to profit?
Generally, work is paid separately, through pró-labore or by production, and profit rewards capital. Mixing the two tends to cause disputes. Agree on it with your accountant.
What happens if a partner wants to leave?
The partners' agreement should provide for how to calculate the exit value, the payment term and continuity of care for patients. Without that, the exit becomes a dispute.
Do I need a partners' agreement in addition to the articles of incorporation?
It is recommended. The articles of incorporation are the basic public document; the agreement details internal rules such as exit, disagreements, withdrawals and time commitment.