[NP-Clinical] contracts and negotiating for new clinic

Sun May 13 11:49:08 PDT 2007

Hi Priscilla,
  Got it. Didn't think about the effect of taxes on the hourly rate. This doc is really nice, and he will be the one on my legal docs.  The other doc is a primary care fellow and he will be there 2-3 days a week, they want the other days covered either by an MD or NP/PA (and cover sat AM with the doc-owner).  My understanding of independent contractor status is that I can make my own hrs and scope of practice.  He wants primary care offered, but i can integrate the complimentary modalities.  He is charging $50 per half hour, and we will see 2 pts an hour when the census builds up.  
  (I wish I had a wife to support me, lol).  
  paula

Priscilla Merrill <prispunnyfnp at metrocast.net> wrote:
        v\:* {behavior:url(#default#VML);}  o\:* {behavior:url(#default#VML);}  w\:* {behavior:url(#default#VML);}  .shape {behavior:url(#default#VML);}                Will he be paying your taxes?  Are you going to be a sub-contractor or employee?  This vastly affects your hourly. If you’ll be self-employed, get incorporated.
   If benefits and having him pay your taxes, $50 sounds fair BUT if you’re going to be doing your own social security and taxes, it should be much higher.  What are the expectations as far as overtime, weekends, call as things get busier? 
  Trust you gut.  Do you like the doc?  It’d be nice to know why the PA already quit.  IS there a way to contact him  or her for the inside story?
  There are SO MANY factors.  I think contacting Carolyn Buppert would be a great idea for a contract.  Her books are very helpful as is Carolyn Zaumeyer’s.  Give this lots of thought and make things crystal clear with him so there are no surprises.
  There is a private practice listserve that is more detailed with all of this stuff if it’s still up and running.
  Having “been there done that”, I wish you well and just be careful to get communication clear up front.
  Best wishes,

  Priscilla

---------------------------------

  From: np-clinical-bounces at nurse.net [mailto:np-clinical-bounces at nurse.net] On Behalf Of Paula Sumner
Sent: Saturday, May 12, 2007 5:03 PM
To: np-clinical at nurse.net
Subject: [NP-Clinical] contracts and negotiating for new clinic

    I know  this has been discussed ad nauseum, but i am need of some quick tips for a meeting on tuesday.

    I am being invited to join a brand new integrative med clinic. I am being given the opportunity to build my own primary care (adult) practice with some features like urgent care on saturday, and maybe sports and work physicals.  It has been opened 4 wks and the pts are just trickiling in. The PA quit already 'she wasn't ready to return to work'.

    I can start with no income or bennies--that is it would be my own practice to build or

    I can be offered some sort of base salary plus % still no bennies. overhead is $30/hr. There is a receptionist and RN. And a temp plebotomist (the doc was excited to know i could draw blood, etc).

    The doc does not know how much to pay an NP (I said $50/hr or 70-75k/yr)-he said once the clinic got busy i'd be making more than that.

    i need advice on those who have gone before me.  Do you have a sample contract to share? Haveyou beenin on the start-up of a new clinic where funds are low? What did you negotiate?

    Thank you, Paula

Paula J. Sumner RN, MSN, HTP, CHt
Healing Touch, Hypnotherapy, Emotional Freedom Technique, Reiki-2
3500 Westgate Dr., Suite 504-G
Durham, NC 27707 (now Carborro too.)
919-490-4656, 8#

http://paulajsumner.byregion.net Referral ID#10102918

http://www.justanswer.com/home.asp?r=HolisticNurse&bn=2

http://www.letstalkcounseling.com/sites/paulasumner

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Paula J. Sumner RN, MSN, HTP, CHt
Healing Touch, Hypnotherapy, Emotional Freedom Technique, Reiki-2
3500 Westgate Dr., Suite 504-G
Durham, NC 27707  (now Carborro too.)
919-490-4656, 8#

http://paulajsumner.byregion.net  Referral ID#10102918

http://www.justanswer.com/home.asp?r=HolisticNurse&bn=2

http://www.letstalkcounseling.com/sites/paulasumner

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