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Independent Contractor / Cost Share / Sublet

Definition:

  • A doctor who pays an agreed amount over a set time for space from another doctor and can operate this space as he/she sees fit within provincial practice guidelines. You run your practice out of another practice.
Pros:
  • You are the owner and will build your own practice immediately.
  • Income potential is great and virtually unlimited.
  • You determine practice operations/procedures.
  • You determine clinical / treatment style / beliefs.
  • You hire and fire as you choose.
  • You select own equipment to suit your needs.
  • Location is established and may get spin off from existing clinic.
  • Can keep overhead low by sharing large expenses.
  • Easy access to second opinion when required.
  • Access to clinics suppliers.
  • Set own hours to take opportunity when existing clinic closed.
  • Schedule is flexible, can work on set up opportunity.
  • Have flexibility to relocate the practice.
Cons:
  • Initial start up costs/capital required.
  • No immediate income and negative cash flow.
  • Patient flow is initially small and slow to build.
  • You are responsible for and determine practice operations/procedures.
  • You hire and fire as you choose.
  • Staff may be inexperienced.
  • You are responsible for employee training.
  • Responsible for all administrative duties.
  • Existing Doctor may provide fierce competition.
What should be included in a fair / equitable independent contractor / cost share / sublet agreement?
  • Always have a lawyer evaluate the agreement before signing.
  • Pay rent / overhead as a flat amount.
  • Pay rent/overhead as a % of revenue to a maximum amount.
  • Rent/overhead payment should include utilities, business taxes.
  • Own costs include phone, advertising, chiro supplies, office supplies, financing costs, licensing, malpractice expense, and insurance.
  • Opportunity to share large expenses such as receptionist and x-ray.
  • Use of space at the discretion of the independent contractor as long as chiropractic treatment follows provincial guidelines.
  • Unlimited access to the space.
  • Walk-ins should be split 50/50.
  • Can bring to the clinic any equipment, table, device, etc. as long as within provincial practice guidelines.
  • Ability to set as you see fit.
  • An idemnification and save harmless clause for both parties.
  • Not allowed to bring another Doctor to the location.
  • Contractor has option to extend the agreement.
 

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