waky02 Posted December 7, 2014 Share Posted December 7, 2014 Hi everyone. I am currently in a situation, I started my very recent career at a large group practice that has multiple surgery centers and urgent cares. as thing turned out, I am stuck doing only urgent care, with little to no oversight, low acuity, no MA, far-flung locations, and more importantly a non-responsive HR and management. I have been offered a full time ER position with fast track and main as a 1099 at 60 per hour, 12 hour shifts, 12-15 shifts a month (or more), no significant benefits other then DEA, and some needed certs. VS Staying at current job (~7 months so far) W2 90k per year 40hours per week, declined Health (wife works for school board) 1k cme, My reasons to stay at current job 1. it's easy work (low acuity) 2. low work load 3. things may get better (i.e. acuity, MA gets hired, I get to do more on the surgery side) 4. W2 5. loyalty? it hasn't been even a year. What are your thoughts regarding if I should stay What are your thoughts regarding the ER position Link to comment Share on other sites More sharing options...
primadonna22274 Posted December 8, 2014 Share Posted December 8, 2014 You are going to be way behind salary wise at the ER job on 1099 status. Even with smart financial planning the taxes will be higher than at your $90k salary job. IMO that 1099 job should pay no less than $75/hr to break even with your current salaried job (forgive my rough math...I'm a rather intuitive person lol...but probably not that far off). Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted December 8, 2014 Moderator Share Posted December 8, 2014 You are going to be way behind salary wise at the ER job on 1099 status. Even with smart financial planning the taxes will be higher than at your $90k salary job. IMO that 1099 job should pay no less than $75/hr to break even with your current salaried job (forgive my rough math...I'm a rather intuitive person lol...but probably not that far off). agree. there are plenty of em jobs out there for folks with experience at 60+ dollars/hr + a full benefits package. Link to comment Share on other sites More sharing options...
waky02 Posted December 8, 2014 Author Share Posted December 8, 2014 That maybe the issue, as I am still a wet behind the ears newbie The question remains for me is 1. Should I stay in current job 2. How much can I legitimately ask for per hour (even perhaps a staggered rate) Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted December 8, 2014 Moderator Share Posted December 8, 2014 figure out how much you need/hr for medical/dental/vision/cme/retirement/life insurance/licenses/etc. add this #/hr to what you think a fair salary is. that is the # you should ask for/hr as a 1099 employee. I think Primmas 75/hr is probably right to within 5/hr. only you can decide about your current job. do you feel like you can grow there and be appropriately mentored into an expert clinician? Low acuity/no supervision isn't a good thing if you want to get good at EM. That requires graduated levels of responsibility, seeing sicker and sicker pts as you are ready and having folks to run cases by. Link to comment Share on other sites More sharing options...
waky02 Posted December 8, 2014 Author Share Posted December 8, 2014 figure out how much you need/hr for medical/dental/vision/cme/retirement/life insurance/licenses/etc. add this #/hr to what you think a fair salary is. that is the # you should ask for/hr as a 1099 employee. I think Primmas 75/hr is probably right to within 5/hr. only you can decide about your current job. do you feel like you can grow there and be appropriately mentored into an expert clinician? Low acuity/no supervision isn't a good thing if you want to get good at EM. That requires graduated levels of responsibility, seeing sicker and sicker pts as you are ready and having folks to run cases by. do you think 75 is attainable for a almost new grad? (north jersey) There is no growth (in becoming the rock star PA I want to be) if I get stuck doing what I have been for the past 6 months. Perhaps that in itself is cause for leaving Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted December 8, 2014 Moderator Share Posted December 8, 2014 1.do you think 75 is attainable for a almost new grad? (north jersey) 2.There is no growth (in becoming the rock star PA I want to be) if I get stuck doing what I have been for the past 6 months. Perhaps that in itself is cause for leaving 1. unlikely 2. agree. you just need to decide if the time is right to leave now or if you should stick it out until you have a full yr under your belt. is doing both an option(keep job 1 and cut down to min shifts/mo to keep benefits while doing er job at 60/hr part time? Link to comment Share on other sites More sharing options...
waky02 Posted December 8, 2014 Author Share Posted December 8, 2014 1. unlikely 2. agree. you just need to decide if the time is right to leave now or if you should stick it out until you have a full yr under your belt. is doing both an option(keep job 1 and cut down to min shifts/mo to keep benefits while doing er job at 60/hr part time? 1. What do think would be an # they would agree to or perhaps a staggered # e.g. 70 for 6 months, 75 for a year with a $5 increase per year 2. not really, they over extended themselves, and there is not enough providers to even cover the hours they need now. I have been doing some per diem urgent care at 65 and 85 sundays and holidays Link to comment Share on other sites More sharing options...
SoCalPA Posted December 8, 2014 Share Posted December 8, 2014 When doing 1099 work you should estimate you will have to put aside about 30%. Also just because you don't need benefits doesn't mean you shouldn't be paid for them. Why not try them at $75 cuz my experience when working any kind of 1099 job is that you will not get a raise for a LONG LONG time. Link to comment Share on other sites More sharing options...
Moderator ventana Posted December 8, 2014 Moderator Share Posted December 8, 2014 BTW any company that is audited for this type of arrangement (1099) will loose Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted December 8, 2014 Moderator Share Posted December 8, 2014 I have been doing some per diem urgent care at 65 and 85 sundays and holidays MAYBE USE THIS AS LEVERAGE FOR A BETTER 1099 RATE? Link to comment Share on other sites More sharing options...
waky02 Posted December 8, 2014 Author Share Posted December 8, 2014 Thanks everyone for their advice BTW any company that is audited for this type of arrangement (1099) will loose what would that mean for me other then (they would convert into a w-2). would they have to pay overtime and such? Link to comment Share on other sites More sharing options...
Moderator ventana Posted December 8, 2014 Moderator Share Posted December 8, 2014 Thanks everyone for their advice what would that mean for me other then (they would convert into a w-2). would they have to pay overtime and such? little effect on you - really it fines the heck out of the company they really should not be doing this type of agreement at all - it is just to save $$$ and cheats you out of bennies Link to comment Share on other sites More sharing options...
waky02 Posted December 11, 2014 Author Share Posted December 11, 2014 UPDATE The job offer is not budging from 60 per, nor willing to put a automatic increase in place over time. I see that there was a similar topic here http://www.physicianassistantforum.com/index.php?/topic/14792-valuation-of-benefits/ After discussing it with my Accountant he told me that I would be facing approx 30% tax burden + the loss of approx 25 PTO days which would see me make less then my current position I think I will wait them out, nice aspect of ny/nj is that most PA programs end at the end of the school year Question remains if staying in current UC position hurts me long term Link to comment Share on other sites More sharing options...
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