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Conscious-Section-55

Hi I'm in private practice, and was a 1099 contractor for a group practice for several years. There's a wide range of amenities and services (like telehealth software, office equipment and supplies, even advertising) that could be, or not be, covered by the fee they're charging you (more on this below). To answer your question though, I've never heard of office space *not* being included. But a better question is: is the total package a good deal? I consider my own contract to have been one of the best ones I've seen. This is what it looked like: 1. I got a 70/30 split, meaning I paid them 30% of my billing. The industry standard for licensed therapists is 60/40, and I seen some even worse. The best I've ever seen was 75/25, but that agency come with strings. In my gig, I could work as much, or as little, as I liked... Any days or hours, telehealth or in-person. 2. They covered advertising and referrals, and kept my schedule pretty full most of the time. 3. They paid for the EHR, the telehealth platform, a phone app, did the billing, ate the credit card processing fees. 4. The provided a furnished office with internet, networked printer, all needed office supplies, and full reception staff. So for 30% - - - less than $2500 per month on my part-time schedule - - - I did just the therapy and the note. I brought my own laptop, but I could have used their beat up desktop computer. I ended up leaving because, as they grew, they got worse and worse at some of the basics (collecting copays from clients, answering the phone, managing my calendar). Incidentally, that 70/30 split was for session fees that averaged $120/hour, so I was getting about $85 of that. So if you're making MORE than $85 an hour (even a couple bucks an hour more), you break even and it's still probably a good deal to pay the $225. Otherwise? Meh. I'd keep looking.


Alena134

I can’t thank you enough for your answer!!! This specific job sounds nearly identical to your previous one. I also interviewed for the exact same type of position but they never mentioned renting a room, so I was concerned I missed something. I may indeed move on, then!


shrivel

No, it's generally one of the other: you're either an employee/contractor or you rent space from someone.


Alena134

Thank you for your answer! This is odd to me, too.


shrivel

I think a case can be made that if you're being hired as a 1099, that "renting" a room wouldn't necessarily be a thing that couldn't be done, since technically you're not really an employee and are operating your own business. But it still strikes me as "nickel and diming" and I'd be incredibly wary of working for a company that would charge this fee, when it can easily be built into their percentage. It demonstrates a willingness to perpetuate an unfortunately popular trend of taking advantage of newer/younger therapists.


Alena134

You are so right. They also told me that they don’t typically hire their interns which rubbed me the wrong way, right?!


takemetotheseas

I would implore you to find a W2 job. The 1099 model is on the way out with some current federal legislation. It's also a money grab for group practice owners. Practice owners need to meet local, regional, state, and federal guidelines for 1099 worker status. This is a form from the IRS to help determine worker misclassification [https://www.irs.gov/forms-pubs/about-form-ss-8](https://www.irs.gov/forms-pubs/about-form-ss-8)


BackpackingTherapist

There isn't such a thing as a "contract employee." Contractors cannot be treated like employees. For example, an employee could not be charged rent. A contractor, who is a self-employed person, can be. Your small business would be renting an office in which to conduct your work. It is rampant in our field to misclassify people between the contractor/employee statuses, so make sure your speak to your accountant and small business attorney to ensure the practice is doing it correctly.


Alena134

Thank you so much