Health systems are expanding and continue to acquire new facilities. This type of growth requires examination of all the legacy physician “deals” that are in place. Yet, at LudiTM, we often hear that examination of physician administrative contracts that include medical directorships, co-management, and shared or on call agreements are often put on the back burner for health system teams. We get it, management of physician contracts is messy, and teams do not get overly excited about having to deal with this process. Teams are short on time and people, so this is the bucket that gets pushed down the priority list or even completely ignored.