3. Types of Practices
• Hospital employees
• Independent contractors
• Democratic groups
4. Hospital Employees
• Freedom from self-
employment taxes
• Enjoy benefits packages
• Freedom from
administrative duties
• Freedom from personal
investment and financial
risk
5. Hospital Employees
• Subject to the will of
the employer
regarding type and
manner of work done
• Surrender the right to
control their
professional fees and
terms of employment
• Insert photo
7. Independent Contractors
• Must meet and adhere to
numerous IRS guidelines
• May be contractually
obligated to surrender
due process and be
subject to restrictive
covenants
• May find portions of
their fees distributed to
laypeople including
corporate executives and
shareholders
8. When someone else owns your business…
• The 1996 Annual Report and the
Notice to the Shareholders of the
1997 Annual Meeting for a large
non-democratic EM group
detailed the following:
• A profit of $39.8 million on 140
ED contracts
• 90% of revenue was from
physician professional fees
• Seven of the nine directors and
top shareholders were laypeople
9. Democratic Groups
• The IDEAL practice for
emergency medicine
• Provides opportunity to be a
member of a group equally
owned by physicians
• Each physician has a voice and is
involved in developing business
strategy, negotiating contracts,
and enhancing performance
improvement
• Control over professional fees
• Pride in ownership and
opportunity for personal and
financial growth
• Insert 2 pictures: our
group and party
10. Democratic Groups
• Potential personal
liability for the fiscal
health of the
company
• Requires investment
• Business acumen
not typical among
physicians
12. Hourly & Salary
• Guaranteed rate
• Low variance
between paychecks
• No incentive to
work hard
• Strife between
unequal “producers”
• Picture
clock/assembly line
13. Incentive-Based
• Rewarded for hard
work
• Positively impacts
performance metrics
and throughput
• Variation in
paychecks
• Volume/Acuity
dependent
• Content doc Picture
18. Company Stability
• Stable, long-term contracts
• Continuous exploration of growth
opportunities
• Dedicated to world-class patient care
• Excellent support staff
• Innovative leadership
19. Compensation and Benefits
• Competitive pay structure
• Paid occurrence malpractice (No Tail Required!)
• Paid long-term disability insurance
• Paid ACEP dues
• Excellent 401K with ROTH option
• Health and Dental Insurance
– HSA option, Flexible Spending Accounts
• Partnership opportunity
20. Partner Track
• 2 year track
• Regular 6 month evaluations
• Low buy-in
• 10% raise after making partner PLUS
equal profit distribution
• One partner…One vote
• Eligible to run for Board
21. Non-Clinical Opportunities
• Leadership Opportunities
– Local ED Group
– Hospital-based
committees
– Leadership Track
• Questcare Committees
– Finance
– Risk
– Social/Teambuilding
– Legislative
• Questcare Foundation
• Insert team pics
22. Job Satisfaction
• Questcare DocAssist (scribe program)
• Midlevel support
• Wide variety of practice environments
• Strong relationships with
Administration and Nursing
• Optimized staffing models
• Cutting-edge Technology
23. Technology
• State of the art facilities
• Electronic documentation
• Electronic bedside registration
• Digital radiology
• Bedside labs
• Electronic medical records
27. Community Offerings
• Tort Reform
• Low cost of living
• Stable housing market
• No State Income Tax
• Pleasant climate
• Excellent schools
• Major airports
• All major sports
• Performing Arts Centers
and Museums
• Excellent restaurants and
shopping
• DFW pics
