I was hoping to post this on the...forum that doesn't exist...but still awaiting access. If you don't feel comfortable posting a reply on the general forum I'd really appreciate a DM. Thanks in advance...
So I have an offer to work with an ortho group and wonder if I can get some insight from all you wise folks on how to fairly counter what I think is a pretty poor offer...
The good: Practice is in a part of town with an excellent payor mix. It's 3 orthos who have broken off from a larger group and are still figuring out the logistics of that separation. They will likely be adding more orthos and more space later next year. They own their own PT, one-room ASC on site (where all my procedures would be done), and a few other small ancillaries. They're nice docs and practice conservatively which I like. They don't expect me to take over med prescribing for their patients and told me I can practice however I'd like. They say that I could gain ownership/become a partner in 1-2 years.
The bad: they estimate they refer ~15 pain referrals/month to pain and I'd have to go out and knock on other docs doors for referrals and bring in much of my own business. They told me it could take +2 years to be running full steam (appreciate their honesty on this). They've never had a pain doctor so I'd have to assist with working out all the quirks of this in the practice and in terms of setting up the ASC for pain procedures, billing, etc. One of their MAs does their fluoro now and needs more training to become proficient/efficient.
The offer: W2 spot with benefits+40% of collections. No base salary but they say I can work in my primary specialty to have steady income when starting out (ha, lucky me). I'm still unclear why they won't offer a base but I assume it's because they don't want to shoulder the risk. They also say they won't go above 40% of initial collections as they were burned once by a primary care sports doc who only saw 5 pts/day and they lost money. To try to make up for this, they want to give me 50% of the ASC fees I generate (not sure how to legally do this). Once I hit my "overhead" (still not sure what this is) I can renegotiate for higher % collection.
From interviewing at other jobs and learning about how other ortho groups pay pain docs when starting this seems like a super low ball offer....am I right? Or am I wrong and this is actually decent? On a scale of 1 (worst) - 10 (best) what rating would you give their offer?
***What do you think is a reasonable counter offer? I'm in a position where other than medmal insurance I don't need any other benefits and they're open to bringing me on as a 1099 -- and they asked for me to make them an IC offer. What would you pitch them?
Lastly, anybody know of legal ways to benefit fairly from ASC work without having direct ownership? I've heard one way and am interested in learning if there are more.
I do have alternative options that pay solidly out of the gait but this practice seems like an ideal long-term fit given my interests and hoping to find some way to come to a fair agreement. Thanks again
So I have an offer to work with an ortho group and wonder if I can get some insight from all you wise folks on how to fairly counter what I think is a pretty poor offer...
The good: Practice is in a part of town with an excellent payor mix. It's 3 orthos who have broken off from a larger group and are still figuring out the logistics of that separation. They will likely be adding more orthos and more space later next year. They own their own PT, one-room ASC on site (where all my procedures would be done), and a few other small ancillaries. They're nice docs and practice conservatively which I like. They don't expect me to take over med prescribing for their patients and told me I can practice however I'd like. They say that I could gain ownership/become a partner in 1-2 years.
The bad: they estimate they refer ~15 pain referrals/month to pain and I'd have to go out and knock on other docs doors for referrals and bring in much of my own business. They told me it could take +2 years to be running full steam (appreciate their honesty on this). They've never had a pain doctor so I'd have to assist with working out all the quirks of this in the practice and in terms of setting up the ASC for pain procedures, billing, etc. One of their MAs does their fluoro now and needs more training to become proficient/efficient.
The offer: W2 spot with benefits+40% of collections. No base salary but they say I can work in my primary specialty to have steady income when starting out (ha, lucky me). I'm still unclear why they won't offer a base but I assume it's because they don't want to shoulder the risk. They also say they won't go above 40% of initial collections as they were burned once by a primary care sports doc who only saw 5 pts/day and they lost money. To try to make up for this, they want to give me 50% of the ASC fees I generate (not sure how to legally do this). Once I hit my "overhead" (still not sure what this is) I can renegotiate for higher % collection.
From interviewing at other jobs and learning about how other ortho groups pay pain docs when starting this seems like a super low ball offer....am I right? Or am I wrong and this is actually decent? On a scale of 1 (worst) - 10 (best) what rating would you give their offer?
***What do you think is a reasonable counter offer? I'm in a position where other than medmal insurance I don't need any other benefits and they're open to bringing me on as a 1099 -- and they asked for me to make them an IC offer. What would you pitch them?
Lastly, anybody know of legal ways to benefit fairly from ASC work without having direct ownership? I've heard one way and am interested in learning if there are more.
I do have alternative options that pay solidly out of the gait but this practice seems like an ideal long-term fit given my interests and hoping to find some way to come to a fair agreement. Thanks again
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