I took a position at a community hospital IM-Crit Care. There were two options when I took the position. Option 1: Hospital employee. I get an hourly rate for being present in the ICU and a different rate for home call. Billing based on RVU's taken care of by hospital at contracted yearly rate with hospital (varies some year to year). Significant benefits including malpractice insurance with tail paid by employer (no idea what the cost is). Option 2: Non-hospital employee. I am paid same hourly rate for being in the ICU and different rate for being on call. I am responsible for billing/collection, malpractice insurance etc. I chose option 1 and my malpractice insurance is paid. Billing and collection are taken care of by the hospital. I have a separate umbrella liability (nominal cost) that I pay yearly.