Vituity anesthesia?

[aneftp]

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Would never join anything that has a 5yr partnership. That is a big red flag. I would put the chances of them still being at a specific location in 5yrs at less than 10%. The movement with PP and AMCs nowadays is constant, eventually leading to hospital employment.

Or just do locums and set your own schedule. That’s the real big movement. Towards hourly compensation.

The sooner the hospitals figure this out. The sooner they “save” money. Save being a fake word. Most like losing less money on anesthesia.

The partnership track is pretty much dead in 95% of the country.

AMCs and hospitals gotta think outside the box and move away from blockbuster style old style thinking q4/5 days calls pre and post call days. Blockbuster video management drove the company to the ground due to old style management

Microsoft almost drove themselves to the ground with Steve ballmer doing old style management as well before the new ceo took over in 2014 and saved the company from ruins. And ballmer had the richest company in the world to play with when he took over from bill gates 10 years earlier.

This means you don’t need deep pockets to succeed. You need proper management to staff anesthesia.

 

[sloh]

won't get partner pay until you put in 5 years and that this requires the newer docs to not get any bonuses until year 5 to support the docs who have been there longer. Some comments saying every doc is required to pay for their high deductible healthcare plans and cannot opt out even if your spouse has better/cheaper health insurance as participation in the high cost monthly health insurance is required to fund the bonuses of the doc who are partnership years 5 and beyond.

Lol oh boy

 

[lotsapain]

@DolphinVA I sent you a DM... @NPJR I am curious who you talked to in terms of their RMD... it is interesting as a buddy of mine works for them in the midwest he seems to be relatively happy as-they pay 1099 and rates are fair... in regards to their management I am well aware as I know where they came from..... its all a big circle people migrate between the 5 companies same people no innovation.... everyone is so inbred that zero thoughts are given as to how to actually manage.... but hey we as doctors fail to lead... go figure

 

[aneftp]

@DolphinVA I sent you a DM... @NPJR I am curious who you talked to in terms of their RMD... it is interesting as a buddy of mine works for them in the midwest he seems to be relatively happy as-they pay 1099 and rates are fair... in regards to their management I am well aware as I know where they came from..... its all a big circle people migrate between the 5 companies same people no innovation.... everyone is so inbred that zero thoughts are given as to how to actually manage.... but hey we as doctors fail to lead... go figure

I don’t think they pay 1099 every place? Correct me if you can

Most of us would rather get paid 800k 1099 over the equivalent of 800k w2

 

[NPJR]

I don’t think they pay 1099 every place? Correct me if you can

Most of us would rather get paid 800k 1099 over the equivalent of 800k w2

They pay 1099 rates not as a favor to you so they don't have to pay employment taxes on you. It is basically illegal to be basically employed and get paid as a 1099. And it really doesnt benefit the employee unless you are doing fancy corporate accounting tricks in which case you are a target for the IRS.

 

[NPJR]

@DolphinVA I sent you a DM... @NPJR I am curious who you talked to in terms of their RMD... it is interesting as a buddy of mine works for them in the midwest he seems to be relatively happy as-they pay 1099 and rates are fair... in regards to their management I am well aware as I know where they came from..... its all a big circle people migrate between the 5 companies same people no innovation.... everyone is so inbred that zero thoughts are given as to how to actually manage.... but hey we as doctors fail to lead... go figure

The dumbest person and most toxic person I know went to work for those guys in senior leadership capacity. I feel sorry for everyone around that person.

 

[aneftp]

They pay 1099 rates not as a favor to you so they don't have to pay employment taxes on you. It is basically illegal to be basically employed and get paid as a 1099. And it really doesnt benefit the employee unless you are doing fancy corporate accounting tricks in which case you are a target for the IRS.

It absolutely favors the 1099 “employee” the more 1099 income you make.

A 200k 1099 with no benefits vs a 200k with generous state benefits favors the w2

The more you move up the 1099 range say 700k w2 vs 700k 1099 for the same work and hours it absolutely favors the 1099 pay structure.

It doesn’t even have to be fancy account farm/land use tax tactics on the 1099 side.

You avoid the Medicare taxes and surtaxes. That alone is with 7-10k in extra Medicare taxes you can’t avoid as a 1099