No competition allowed here! Non-competes are back, baby!

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.
Arch Guillotti said:
How do you know this info?
Click to expand...
It was provided to me by the practice manager. but because Im not a partner I get nothing from collections on UDS's or supervisory billing for the 2 midlevels I oversee, in addition to all the crap I do myself. They are bold-faced hosing me and expect me to take it laying down. Im doing 90 procedures per week. They want 125. Im on a fixed salary, no production anything. And its true, Im trapped. I have a teenager who is rooted here. We have family here. They have me on a 2 year non-compete 20 mile radius and my hands are tied.
 
TeslaCoil said:
It was provided to me by the practice manager. but because Im not a partner I get nothing from collections on UDS's or supervisory billing for the 2 midlevels I oversee, in addition to all the crap I do myself. They are bold-faced hosing me and expect me to take it laying down. Im doing 90 procedures per week. They want 125. Im on a fixed salary, no production anything. And its true, Im trapped. I have a teenager who is rooted here. We have family here. They have me on a 2 year non-compete 20 mile radius and my hands are tied.
Click to expand...
I see. I was picturing an anesthesia practice. This is very different. Sounds like you need to bounce and find a gig outside your non-compete radius for a couple years and come back and start your own practice when the time is up. No one to take money off the top.
 
TeslaCoil said:
It was provided to me by the practice manager. but because Im not a partner I get nothing from collections on UDS's or supervisory billing for the 2 midlevels I oversee, in addition to all the crap I do myself. They are bold-faced hosing me and expect me to take it laying down. Im doing 90 procedures per week. They want 125. Im on a fixed salary, no production anything. And its true, Im trapped. I have a teenager who is rooted here. We have family here. They have me on a 2 year non-compete 20 mile radius and my hands are tied.
Click to expand...

Are you doing pain or anesthesia? If you are doing pain and on a fixed salary, why not just throttle your production? Are you contracted to do 125 procedures per week?

20 mile radius seems far. That’s worth talking to a lawyer about.
 
GravelRider said:
Are you doing pain or anesthesia? If you are doing pain and on a fixed salary, why not just throttle your production? Are you contracted to do 125 procedures per week?

20 mile radius seems far. That’s worth talking to a lawyer about.
Click to expand...
Pain. Sorry I just realized this thread is in the anesthesia forum. The number of procedures is not stipulated. In fact nothing as far as productivity is stipulated. Just that I need to see patients and close charts in a timely manner and aid any issues that come up in a timely manner.
 
TeslaCoil said:
Pain. Sorry I just realized this thread is in the anesthesia forum. The number of procedures is not stipulated. In fact nothing as far as productivity is stipulated. Just that I need to see patients and close charts in a timely manner and aid any issues that come up in a timely manner.
Click to expand...

The solution seems obvious then. Start recommending a lot of home exercises and physical therapy for patients instead of procedures. It sounds to me you are incentivized to do as little as possible.
 
TeslaCoil said:
Sorry, I meant collections. Thats what they collected on my work overall in 2023. Including UDS's, supervisory billing, patient visits and procedures.
Click to expand...

2.6M is a busy practice. When I was doing pain it was expected that 50% was to overhead. So if you were a true and equal partner here you would be getting 1.3M and so you are upset. Those days in Pain are over.

It sounds like you are being fed these patients are opposed to you building this practice. For example if you work in an ortho group and you are seeing all of their patients who are automatically referred to you, is there not some money rightfully taken off the top for the group? If you had to build this practice how long would it take you to get to 2.6M in revenue? Couldnt they pay someone else to come in and do the exact same job for 500k since they are just feeding this person patients? And thats exactly why they have the non compete. These patients are not seen as your patients they are seen as the practices patients..

Not saying its right, but just saying that the people who get the 50% of revenue in a true partnership setting did something to earn that like buy in , build the practice, or sweat equity..

Noncompetes are common in pain and I know many people, myself included, who had to move as a result of the non compete.

In your situation I would tell the new practice about the non compete and maybe their lawyers know a way around it if they really want you
 
Last edited:
Hoya11 said:
2.6M is a busy practice. When I was doing pain it was expected that 50% was to overhead. So if you were a true and equal partner here you would be getting 1.3M and so you are upset. Those days in Pain are over.

It sounds like you are being fed these patients are opposed to you building this practice. For example if you work in an ortho group and you are seeing all of their patients who are automatically referred to you, is there not some money rightfully taken off the top for the group? If you had to build this practice how long would it take you to get to 2.6M in revenue? Couldnt they pay someone else to come in and do the exact same job for 500k since they are just feeding this person patients? And thats exactly why they have the non compete. These patients are not seen as your patients they are seen as the practices patients..

Not saying its right, but just saying that the people who get the 50% of revenue in a true partnership setting did something to earn that like buy in , build the practice, or sweat equity..

Noncompetes are common in pain and I know many people, myself included, who had to move as a result of the non compete.

In your situation I would tell the new practice about the non compete and maybe their lawyers know a way around it if they really want you
Click to expand...
Yea except I built the two clinic locations up from scratch. This is not an ortho group. This is essentially a 2 physician pain management practice. Each of us cover separate territories within our state. I go out and solicit referrals from outside myself.

Also, in this state its illegal for a business to aid a competitors employee in challenging a non-compete. That business can be sued for damages successfully.
 
TeslaCoil said:
Yea except I built the two clinic locations up from scratch. This is not an ortho group. This is essentially a 2 physician pain management practice. Each of us cover separate territories within our state. I go out and solicit referrals from outside myself.

Also, in this state its illegal for a business to aid a competitors employee in challenging a non-compete. That business can be sued for damages successfully.
Click to expand...
Oh I see. That was the model for my old group as well.

They did guarantee my salary while I was "building the practice".

I bet your noncompete has you 20 miles from "any of our sites" which span a large area which makes it especially tough.

I had to get out of the state, but the group was so scary and terrible that I was happy to leave.

All I can say is the pain guys I know now make about 450k employed. Lots of guys taking those jobs, lots of guys I know upset and angry they can no longer make 700k+ in pain due to many factors. I know you see what you are generating and are salivating, but compared to the market out there as long as you are making 400-500k you are not far off...
 
TeslaCoil said:
Yea except I built the two clinic locations up from scratch. This is not an ortho group. This is essentially a 2 physician pain management practice. Each of us cover separate territories within our state. I go out and solicit referrals from outside myself.

Also, in this state its illegal for a business to aid a competitors employee in challenging a non-compete. That business can be sued for damages successfully.
Click to expand...

Depending on your state, courts may be sympathetic to the concern of patient access to physicians and patients losing that access because of a non-compete. It’s definitely worth talking to a lawyer to find out your options.
 
TeslaCoil said:
Yea except I built the two clinic locations up from scratch. This is not an ortho group. This is essentially a 2 physician pain management practice. Each of us cover separate territories within our state. I go out and solicit referrals from outside myself.

Also, in this state its illegal for a business to aid a competitors employee in challenging a non-compete. That business can be sued for damages successfully.
Click to expand...
Who owns this practice? The other pain physician?
 
GravelRider said:
Do you think the hospitals, corporations, or private equity folks employing us and all the other “providers” care at all about that? Between that and the non-competes, healthcare labor (you) is nothing more than a commodity.
Click to expand...
Agree with you. I was just stating where I stand (and where my colleagues likely do as well)
 
There was a recent ruling by a PA District Judge backing the FTC's ban of non-competes.

Pennsylvania Federal Court Declines to Block FTC’s Non-Compete Rule

www.jacksonlewis.com

Pennsylvania Bans Most Non-Compete Agreements for Healthcare Practitioners - Jackson Lewis

Pennsylvania Governor Josh Shapiro has signed the “Fair Contracting for Health Care Practitioners Act” (House Bill 1633), which restricts the ability of employers and healthcare practitioners to enter into non-compete agreements. The Act goes into effect on Jan. 1, 2025.The Act represents a...
www.jacksonlewis.com www.jacksonlewis.com
 
The eye only sees what’s the brains knows.
The problem with mid levels is they don’t know what they don’t know. They often don’t know where they are making mistakes resulting them calling you when **** has already hit the fan.
 
TeslaCoil said:
Doing that this week.
Click to expand...

TeslaCoil said:
Oh yes. Much better now. I still would have stayed at that job over doing cardiac. That situation had nothing to do with pain management and everything to do with a bad contract and work environment. Look, cudos to those who wish to take call and thread swans. I wish to not take call, work 4-5 day weeks, no holidays and make more money than cardiac. 👍🏼

You must have a lot of time on your hands to dig up old posts like that. Good for you. Troll level masterful.
Click to expand...


Not sure which thread to reply in but there’s not much overlap in people who like both pain and cardiac. I’m more interested in how you dealt with the noncompete. What happened? Did you end up joining the local group that was recruiting you?
 
Last edited:
You must log in or register to reply here.

Similar threads

A
  • Locked
FTC bans non competes
2
Replies
97
Views
7K
Arch Guillotti
Arch Guillotti
G
Non Compete by Academia?
Replies
32
Views
3K
narcotics999
N
C
How are you all so competent in the SICU?
Replies
14
Views
2K
Radetzky
R
lobelsteve
Another Tiktok influencer back tattoo general anesthesia death
Replies
16
Views
4K
Twiggidy
Twiggidy
N
I'm Going to Just Leave This Right Here....
Replies
9
Views
1K
NicholasPavona
N
Top