Contracts and non compete

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inspire004

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Needed your advice, I am planning to join an established interventional pain doc. His non compete is in every county he works currently and a large county he is planning to expand - the population of the 4 counties he is working have a catchment of 150k and he wants to expand to a bigger 900k county which he has no office currently. His non compete is the whole county, which sounds ..........

Questions :

1. What is typical non compete range of radius and time for a decent 4 clinic practice

2. Is an independent productivity base model better then salary model with productivity

3. How do I articulate this in my negotiations, to make this to 20 mile around his current offices and 1 yr

Thanks

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Needed your advice, I am planning to join an established interventional pain doc. His non compete is in every county he works currently and a large county he is planning to expand - the population of the 4 counties he is working have a catchment of 150k and he wants to expand to a bigger 900k county which he has no office currently. His non compete is the whole county, which sounds ..........

Questions :

1. What is typical non compete range of radius and time for a decent 4 clinic practice

2. Is an independent productivity base model better then salary model with productivity

3. How do I articulate this in my negotiations, to make this to 20 mile around his current offices and 1 yr

Thanks

Inspire-

This sort of non-compete I have heard occur with hospital systems. To have this with a PP guy is concerning, especially since it seems he is expanding quickly.

My thoughts are such. See where he wants you to work. So let's say it's at just 2 of these clinics. Then your non-compete should ideally be from them. The other way to word it, is to say tht my non-compete should be from anywhere that I work equal to or greater than 50% of my time. This way if he starts multiple clinics all over the state, well then it doesnt effect you.

Reasonable non-competes are so variable. In a more rural area, 20 miles maybe reasonable. In a city, anything over 8-10miles is too much. Furthermore, contact an attorney in your state. Often times, despite the guy writing that you have a "25mile' radius, in certain states/counties it can only be enforced for 8miles, at which point it's a moot point, whatever he writes in your contract.
 
Ask yourself this-if you leave the group, will you pick up and leave the region? If yes than there's no problem with non-compete.

If you plan to settle down roots, buy a home, get kids in school etc you may not be so willing to move if you leave the group. Then you need a non-compete that keeps you out of your former partners hair but gives you enough room to set up your own shop. Some urban centers 1-2 miles, normal urban 5-10 miles from practice location, rural can be 20-50 miles. I don't think blocking you from multiple counties is reasonable. Agree with pinning him down to a ring around 1-2 clinic sites.
 
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I got my roots in this area and I think I will have to circle it around my practice location to about 20 mile for 1 year. I am little concerned by the counties proposition.

Although this is a 1099 productivity model with no health, malpractice or tax benefits or partnership.

Some info I found on AMA


States divided on noncompete clauses

Each state differs in its approach to noncompete contracts for physicians. Here is a broad look at state laws and state case law. Physicians should contact local attorneys well-versed in this issue for specifics.

STATES WITH STATUTES

Allow contracts to be enforced: Florida; Hawaii; Louisiana (may not exceed two years) ; Oklahoma; Oregon; Michigan; South Dakota (may not exceed two years); Texas (see stipulations below); West Virginia; Wisconsin

Do not allow contracts to be enforced: Alabama; California; Colorado; Delaware; Massachusetts; North Dakota

STATES WITH CASE LAW

Allow contracts to be enforced: Arkansas; Arizona; Connecticut; District of Columbia; Georgia; Idaho; Illinois; Indiana; Iowa; Kansas; Kentucky; Maine; Minnesota; Missouri; Nebraska (see stipulations below); New Hampshire; New Jersey; New Mexico; New York; Nevada; North Carolina; Ohio; Pennsylvania; Virginia; West Virginia: Wyoming

Does not allow contracts to be enforced, except when the employer is a hospital, a hospital affiliate or part of a faculty practice plan associated with a medical school: Tennessee

UNCERTAIN

Alaska; Maryland; Mississippi; Montana; Rhode Island; South Carolina; Utah; Vermont; Washington

NOTES

Louisiana, South Dakota: May not exceed two years.

Texas: Agreement must be reasonable; must allow a physician access to patient medical records and a list of patients seen within one year of the termination;must include a reasonable buyout; and cannot prohibit a physician from providing care during acute illness, even after the termination.

Nebraska: The former employee can be restricted from working for, or soliciting, only clients with whom he or she did business and had personal contact.

Tennessee: Contracts not allowed except when the employer is a hospital, a hospital affiliate or part of a faculty practice plan associated with a medical school.

Source: Attorney Arnold H. Pedowitz, associate editor of "Covenants Not To Compete: A State-by-State Survey"
 
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Validity of Noncompete Clauses in Physicians' Contracts
Validity of Noncompete Clauses in Physicians' Contracts
Many physicians' employment agreements contain covenants not to compete. In general, noncompete covenants in physicians' contracts require the physician to agree not to compete with his or her employer for a certain period of time within a certain geographical area. Ordinarily, noncompete covenants in employment contracts will be upheld if they are not too broad in time or in area. Courts often apply different analyses to noncompete agreements in physicians' contracts in consideration of public policy concerns.
In order for a noncompete agreement to be valid, it, like all contracts, must be supported by adequate consideration. There is no clear answer as to what constitutes adequate consideration. Whether an offer of employment alone is sufficient consideration for the noncompete agreement often depends on the circumstances of the case. Courts, therefore, in construing noncompete agreements look to the facts surrounding each contract to determine whether adequate consideration was given.
What constitutes a reasonable period of time for a noncompete covenant varies depending on the circumstances of the particular contract as well as on state law. For instance, under Florida law, a six-month period in a noncompete agreement is presumed reasonable and a period longer than two years is presumed unreasonable. In some other states, any noncompete agreement longer than two years is presumed unreasonable. Still other states have found noncompete agreements as long as five years reasonable. Geographic limitations in noncompete agreements also must be reasonable to be enforceable. Often, the reasonability of the geographic scope of a noncompete agreement will depend on the physician's specialty. For example, if the physician's patients come from a wide geographic area, a broader geographic restriction would be more likely to be upheld.
Under Delaware law, any covenant not to compete provision of an employment, partnership or corporate agreement among physicians that restricts the right of a physician to practice medicine in a particular locale and/or for a defined period of time, upon the termination of the agreement, is void. However, the Delaware law does provide that physicians who breach noncompete provisions of their contracts may still be liable for damages. Likewise, Colorado will not enforce a noncompete agreement banning a physician from practicing medicine in a particular area. On the contrary, Florida courts have determined that agreements restricting physicians from competition are not automatically unenforceable.
Courts that refuse to uphold a noncompete agreement in a physician's contract often do so on the grounds that enforcement would violate public policy because it is contrary to public health and safety to limit the availability of physicians in an area. For example, North Carolina courts apply a two-part test to physicians' noncompete agreements to determine whether the agreement violates public policy. Under the test, covenants not to compete are unenforceable where the physician is one of only two or three specialists in the community or where enforcement of the physician's covenant would allow another physician to have a monopoly and charge higher fees for medical services. Courts that strike down physicians' noncompete agreements also rest their decisions on the importance of the doctor/patient relationship and patients' right to choose their medical care providers.
 
ask an attorney.

im probably mistaken, but i would ask/find out if the non-compete clause can be enforced if you are terminated.

if that is the case, make sure the attorney puts it in your contract. that way, if you get fired, you can still set up a practice. it would give the PP an extra incentive to keep you around...
 
Also I think if you live in the border. I wonder if the non-compete is applicable across state lines. I dont think so, but not sure.
 
So you want to join a practice where you essentially have to do everything on your own, eat what you kill, get no fringe benefits, may get a bonus if you work really hard and he chooses not to screw you, and if he decides to be a dick after a year or two and let you go, you cannot work anywhere around there?

There's no way on earth I'd sign that contract.
 
So you want to join a practice where you essentially have to do everything on your own, eat what you kill, get no fringe benefits, may get a bonus if you work really hard and he chooses not to screw you, and if he decides to be a dick after a year or two and let you go, you cannot work anywhere around there?

There's no way on earth I'd sign that contract.

My thoughts exactly. On first glance this has all the red flags. He wants to abuse you and then give you no option but to move away afterwards. If you really like the area, work for someone else or on your own.
 
Thanks guys, pmr- I work in the clinic which has been working well. All the infrastructure is functional and optimized. It needs doc for injections and evaluations. It doesn't sound longterm, by his 1099 deal, I feel he wants to try and see if i produce. He had some one who left him in the past and opened another clinic. He never had a partner though. I am looking into experience and business aspects more than the monitory gains at this point to consider this option. That is the reason I am thinking of a good exit strategy if it doesn't work out and I don't see any flexibility down the line after 1 yr.
 
1099=do not sign a no compete if you don't want to move. just my two cents. if the guy needs you, he will negotiate with you. if the guy needs you and you are thinking of going out on your own eventually, why not just go out on your own now if there is local volume, stay friends with this guy and cover each other as needed while maintaining autonomy?
 
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