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when to hire staff

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While on the one hand I don't really feel I can afford staff right now I also don't feel I can take on more patients without hiring staff. What kinds of questions should I be asking myself to make this decision? Is there an archived thread? How do I determine what to pay since the person I would like to hire is LPN but will be doing mostly office/clerical work? She's also a good friend and I want to be sure about boundaries to not destroy our friendship. I was thinking of having her be an independent contractor but apparently the IRS frowns on this. I'm really not thrilled with the idea of having to pay WC and figure out taxes for checks. Thanks in advance for any and all advice.

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