Guest guest Posted December 6, 2007 Report Share Posted December 6, 2007 Why would you want to offer a contract PT health insurance? We as managers should not offer medical benefits to contract therapists. If the contract PT wants benefits, they need to sign on as a full time PT. It never fails to surprise me with the demands of these contract PT's taking advantage of a tight market. They are paid more than most clinic managers, then want paid breaks, benefits, and they have no interest in the success of your clinic most of the time. My PRN wants a 30 minute paid break during her work day and averages 2.5 units per visit. Problem for me is although overpaid and not time efficient, I still make a better profit than with not having an extra PT. Most of these contract PT's are not members of the APTA. I would tell that contract PT to walk if they requested insurance. Just an opinion. Bisesi, MPT COMT Winter Haven, Florida --- seaniles wrote: > Do you know of any guidelines / laws, that would > keep me from offering > med insurance to a contract PT? Whether or not I or > they pay for it? > thanks > > Mark Niles PT, MS, CSCS > Integratd Rehab > mniles@... > > > ________________________________________________________________________________\ ____ Never miss a thing. Make Yahoo your home page. http://www.yahoo.com/r/hs Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 7, 2007 Report Share Posted December 7, 2007 Hello , Well , aren't you a little bit of the pot calling the kettle black. Perhaps, it's ego that allows you to argue both sides of the coin here. As you said, you are making more money by having them then you would by not having them. You know, as a rule, everyone wants to beat up on contractors. It's easy I guess. Contractors as a whole aren't represented. So, this invites such illogical arguments. The fact is that you have no knowledge of the specifics of that contract. In fact, it isn't even know if this PT is contracting directly or through a contract agency. Contractors are independent businesses just as you are. They are subject to no employee rights either. So, to provide their service they charge to cover their expenses just like you do. But, there is another choice. The contract PT could charge more to pay directly for those benefits themselves. This would probably be more than it would cost you to provide them benefits as part of the group. Also, the contract PT could " walk " as you suggest and thus you again would make less money. You might ask yourself, why you are paying your employed PT's so little or what other situations exist in your particular " employment environment " that a PT would choose contracting with you better than such employment with you. Again if when you look at the situation, you only find " outside " variables then maybe there continues to be to much ego to view the situation accurately. If this is the case, you can spend even more of your precious money on a consultant. I'm sure that would make you happy as well. As for the comment, " Most of these contract PT's are not members of the APTA " . Well, I didn't know that the ATPA held it information on membership so loosely. Since most PT's don't belong to the APTA, why would you think that statistic would reverse when you are referring to contract PT's? But, it is a good point. When somewhere around less than half of the people choose not to participate in the group, you might start to consider that the group is not effectively representing the that group as a whole. Whether it's the APTA or the group you hope to attract as an employer. Well, that is another whole topic. I'm sure everyone has thoughts on that one. Well, I do hope you find something constructive in this post, . I'm just trying to help you out. It's just my opinion. Don, PT Michigan ----Original Message---- keith bisesi wrote: Why would you want to offer a contract PT health insurance? We as managers should not offer medical benefits to contract therapists. If the contract PT wants benefits, they need to sign on as a full time PT. It never fails to surprise me with the demands of these contract PT's taking advantage of a tight market. They are paid more than most clinic managers, then want paid breaks, benefits, and they have no interest in the success of your clinic most of the time. My PRN wants a 30 minute paid break during her work day and averages 2.5 units per visit. Problem for me is although overpaid and not time efficient, I still make a better profit than with not having an extra PT. Most of these contract PT's are not members of the APTA. I would tell that contract PT to walk if they requested insurance. Just an opinion. Bisesi, MPT COMT Winter Haven, Florida ----Original Message---- --- seaniles wrote: Do you know of any guidelines / laws, that would keep me from offering med insurance to a contract PT? Whether or not I or they pay for it? thanks Mark Niles PT, MS, CSCS Integratd Rehab mniles@... --------------------------------- Looking for last minute shopping deals? Find them fast with Yahoo! Search. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 7, 2007 Report Share Posted December 7, 2007 I understand your point and my response was probably a little generalized. I have actually worked contract when I was a full time staff PT in the past. I respected my field, and charged what I was worth. And I'm not the pot calling the kettle black, because my PRN was declined on those requests and fortunately came to agree that she was already adequately compensated. Had she not, I would have discontinued utilizing her services and toughed it out. I certainly would entertain no PRN with a request for insurance benefits, unless they were willing to work at a lower rate. I'm just a little peeved with the take-take-take attitudes of contract PT's. I do agree with you that not all are " clock punchers. " Bisesi, MPT COMT. Winter Haven, Florida. --- Gobble Gobble wrote: > Hello , > > Well , aren't you a little bit of the pot > calling the kettle black. Perhaps, it's ego that > allows you to argue both sides of the coin here. As > you said, you are making more money by having them > then you would by not having them. > > You know, as a rule, everyone wants to beat up on > contractors. It's easy I guess. Contractors as a > whole aren't represented. So, this invites such > illogical arguments. The fact is that you have no > knowledge of the specifics of that contract. In > fact, it isn't even know if this PT is contracting > directly or through a contract agency. Contractors > are independent businesses just as you are. They > are subject to no employee rights either. So, to > provide their service they charge to cover their > expenses just like you do. > > But, there is another choice. The contract PT > could charge more to pay directly for those benefits > themselves. This would probably be more than it > would cost you to provide them benefits as part of > the group. Also, the contract PT could " walk " as > you suggest and thus you again would make less > money. > > You might ask yourself, why you are paying your > employed PT's so little or what other situations > exist in your particular " employment environment " > that a PT would choose contracting with you better > than such employment with you. > Again if when you look at the situation, you only > find " outside " variables then maybe there continues > to be to much ego to view the situation accurately. > If this is the case, you can spend even more of your > precious money on a consultant. I'm sure that would > make you happy as well. > > As for the comment, " Most of these contract PT's > are not members of the APTA " . Well, I didn't know > that the ATPA held it information on membership so > loosely. Since most PT's don't belong to the APTA, > why would you think that statistic would reverse > when you are referring to contract PT's? > > But, it is a good point. When somewhere around > less than half of the people choose not to > participate in the group, you might start to > consider that the group is not effectively > representing the that group as a whole. Whether > it's the APTA or the group you hope to attract as an > employer. Well, that is another whole topic. I'm > sure everyone has thoughts on that one. > > Well, I do hope you find something constructive in > this post, . I'm just trying to help you out. > > It's just my opinion. > > Don, PT > Michigan > > ----Original Message---- > keith bisesi wrote: > > Why would you want to offer a contract PT health > insurance? We as managers should not offer medical > benefits to contract therapists. If the contract PT > wants benefits, they need to sign on as a full time > PT. It never fails to surprise me with the demands > of these contract PT's taking advantage of a tight > market. They are paid more than most clinic > managers, then want paid breaks, benefits, and they > have no interest in the success of your clinic most > of the time. > > My PRN wants a 30 minute paid break during her > work day and averages 2.5 units per visit. Problem > for me is although overpaid and not time efficient, > I still make a better profit than with not having an > extra PT. Most of these contract PT's are not > members of the APTA. I would tell that contract PT > to walk if they requested insurance. Just an > opinion. > > Bisesi, MPT COMT > Winter Haven, Florida > > ----Original Message---- > --- seaniles wrote: > > Do you know of any guidelines / laws, that would > keep me from offering med insurance to a contract > PT? Whether or not I or they pay for it? > thanks > > Mark Niles PT, MS, CSCS > Integratd Rehab > mniles@... > > > > --------------------------------- > Looking for last minute shopping deals? Find them > fast with Yahoo! Search. > > [Non-text portions of this message have been > removed] > > ________________________________________________________________________________\ ____ Looking for last minute shopping deals? Find them fast with Yahoo! Search. http://tools.search.yahoo.com/newsearch/category.php?category=shopping Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 7, 2007 Report Share Posted December 7, 2007 Hi, Mark - Thanks so much for raising that question! Many employers do not know that there is a very significant legal difference between an iindependent contractor and a part-time employee. Unfortunately, most PTs who seek " contract " work don't know either, and we often find them moving toward " employee " relationships to the detriment of both. It's *not* simply a question of whether the purchaser of services withholds taxes or not, or whether the seller says they'd prefer to handle their own withholdings. Sometimes, they fail to do the right thing, and then the Feds come back on the employer. Suppose that you paid someone $37.00 per hour and did not withhold taxes, telling them that they were a " contractor " . Then, after a year or two (~$150,000 dollars later) the IRS and perhaps your State labor department declared that you had mis-classified them as " contractor " when they were indeed " employees " . And suppose they then asked you -- in retrospect -- for the appropriate tax withholdings such as tax, Social Security, and Medicare (both their half and yours, the employer's)! And then, suppose that they levied a penalty for your misbehavior, just to avoid acting like an employer, of about three times the amount of your mistakenly failed submissions for two years. My rule of thumb is that if the " purchaser of services " (you) has, or believes they have, the right to direct and control the activities of the " seller of services " , and if they advertise and provide the patients, and the premises, and the equipment, then the " seller " should be treated as an employee, and all withholdings submitted. Do you want to be able to tell the individual what to do? It's your clinic, after all... Try this website, then proceed with fear and trembling 8^) http://www.irs.gov/businesses/small/article/0,,id=99921,00.html Hope that helps. Dick Hillyer, PT Dr. W. Hillyer Lee Therapist Group, LLC Hillyer Consulting 700 El Dorado Pkwy W. Cape Coral, FL 33914 Home Office Mobile _____ From: PTManager [mailto:PTManager ] On Behalf Of seaniles Sent: Thursday, December 06, 2007 1:16 PM To: PTManager Subject: Insurance benefit? Do you know of any guidelines / laws, that would keep me from offering med insurance to a contract PT? Whether or not I or they pay for it? thanks Mark Niles PT, MS, CSCS Integratd Rehab mnilesothospecpa (DOT) <mailto:mniles%40othospecpa.net> net Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 8, 2007 Report Share Posted December 8, 2007 Very good points Don, and I agree with what you say. There is so much information missing from the original question for to make blatant remarks against contract therapists. And then to say he is still making money off of them is just rude and arrogant. It is amazing to me how private practice owners will complain and moan that they aren't making money when hiring contractors when in reality (as states) they still make profit off the contract therapists. This only shows to me (AND SHOULD SHOW TO OTHERS THAT READ HIS POST) that PT's who ARE employees of private practice owners should be asking for more money and more benefits. As a contract therapist, I take all aspects of my job very seriously - from providing the best patient care, to maximizing charges for the client ETHICALLY so they can make money, to providing the best personality to the patients so they return to the client in the future. And to assure I am hired in the future, it makes good business sense for me to assure the success of that practice and maintain a good reputation with the client. I can't say as much for many PT employees at the places where I have contracted who are over- worked, under-paid, and hate their job because they are not appreciated and paid competitively for what they bring monetarily to the company. And to those therapists, it is sad for them but good (sometimes - not all the time) for the owner that they are afraid to make a change to make their career stronger. So I disagree with 's statement that contract therapists " have no interest in the success of your clinic most of the time " . As for APTA membership, many PT's (contract or regular employees) are not members of the organization because the EMPLOYER does not provide membership in their professional organization as a BENEFIT for working at their company. Whether this is a valid reason for not being a member is a different discussion and not my point. What is my point is that it says something about the employer's/owner's INTEREST IN THE SUCCESS OF THE PT ORGANIZATION. Especially for those owners that are PT's and are MAKING MONEY/PROFIT off the work the PT employee does. One would believe that a PT clinic owner (ESPECIALLY IF HE IS A PT) would have a high vested interest in assuring the highest APTA membership as possible to protect their rights to make money off the PTs. Providing PT employees with those benefits would accomplish this feat. , do you provide your employees with APTA membership benefit? If you do, that is great. But MANY employers do not. So you shouldn't be making effortless remarks about APTA membership when you really don't know the true demographics and have taken a good look at why you don't provide it for your own employees if it is in the profit margins to do so. If every employer out there (who can afford it) provided their own PT's with APTA membership, the census for APTA membership would be much higher and PTs (and thereby clinic owners) would have a larger voice in the government regulations. However, not even clinic owners are ready to represent the group better by doing this. And many are making a high profit margin. Can you say greedy? If your business can't afford contractors, and you can't maintain PTs as employees by providing competitive salaries and benefits, then perhaps you are in the wrong business. However, if you have a good contract PT and are making profit off of them, perhaps providing some group health insurance is a good idea from a business standpoint (if the contract allows it legally. Of course, this benefit would be subject to taxation as salary on the contract therapist's part which may not be a smart move on their part instead of just asking for more money if they can't afford insurance and writing health insurance off as a business expense so they make a profit). And perhaps providing some other benefits within the profit margins is a good idea too - like APTA membership. I hope you take this as some constructive criticism to consider for the future of our organization, our practice, and your own business. Many contract therapists read this forum. I hope they do not take a poor view of your attitude and thereby not want to work for you in the future. In today's market, it would be beneficial to your business to maintain a good reputation with the contract companies/therapists especially if you are making a profit off them. In my opinion, it would have been more beneficial to this forum for you to ask more questions from the person posting the question rather than bashing a group of therapists and making spiteful remarks if you do not understand or know the details. I am sure there are many therapists (contract and employee) that can bash PT clinic owners, especially the unethical ones. I never see that going on in this forum. And I have seen and worked for many of those. Thanks for your consideration of my thoughts. I enjoy reading this forum and gaining insite and education from the many ideas and vast experiences from my colleagues. I do not want to see this forum turn into bashing and hateful remarks about other therapists. Terry Stegman, PT, MS, OMT, Eng-Phy, BS > > Do you know of any guidelines / laws, that would keep me from offering med insurance to a contract PT? Whether or not I or they pay for it? > thanks > > Mark Niles PT, MS, CSCS > Integratd Rehab > mniles@... > > > > --------------------------------- > Looking for last minute shopping deals? Find them fast with Yahoo! Search. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 9, 2007 Report Share Posted December 9, 2007 Terry, I certainly agree that I was " quick " to answer the initial question of this post. I don't know what you mean by responding that I'm rude and arrogant in stating I'm still making money off of my contract PT. I'm simply stating that overall, I am still making money with a contract PT compared to no extra help at all. However, my clinic's monthly revenue would be even better if my contract PT worked as hard as my full time therapists. The contract PT makes more per hour than me (I'm the director not the owner), yet myself and my full times average nearly $20 per visit more than my contract PT. I should have not generalized in my comments to all contract PT's but MOST contract PT's are money motivated. I have no problem with contract PT's who work PRN due to time or personal reasons such as family schedule's etc. But most who chose the high pay rate of contract work over full time work do not help our field. In central Florida, where I am, contract PT's are a plague. Clinic directors are dropping their jobs to work as contractors. There's no loyalty. Contractors (most) hunt for the highest bidder, and constantly leverage hourly wages. Often they will float from any setting type to another as long as the pay is right. I openly disclaim that my only reference is central Florida. You may be an exceptional contract PT that really produces well for practices you work for. Overall, you can argue all you want for contract PT's but the behavior speaks volumes. I can tell you I certainly advocate paying fellow PT's what they are worth. My two PTA's and my vacant staff PT position salaries are at the top 100th percentile for salary surveys in the southeast. I just cannot understand why you should offer benefits to contract PT. If you had any other staff it would alienate them. That's the whole reason contract/PRN PT's make more. To compensate them for not getting benefits. If the contract PT wants full time work, and wants benefits, you have to question the motivation to be a contract PT rather than sign on full time. What could the rationale be other than less accountability and responsibility, and higher hourly money? I'll pose a simple question to any contract/PRN excluding those who do so because of children or family responsibilities. Why are you a contract PT if it is not for higher pay and more freedom with setting your schedule or taking time off? Bisesi MPT, COMT Winter Haven, Florida --- Terry wrote: > Very good points Don, and I agree with what you say. > There is so > much information missing from the original question > for to make > blatant remarks against contract therapists. And > then to say he is > still making money off of them is just rude and > arrogant. It is > amazing to me how private practice owners will > complain and moan that > they aren't making money when hiring contractors > when in reality (as > states) they still make profit off the > contract therapists. > This only shows to me (AND SHOULD SHOW TO OTHERS > THAT READ HIS POST) > that PT's who ARE employees of private practice > owners should be > asking for more money and more benefits. > > As a contract therapist, I take all aspects of my > job very seriously - > from providing the best patient care, to maximizing > charges for the > client ETHICALLY so they can make money, to > providing the best > personality to the patients so they return to the > client in the > future. And to assure I am hired in the future, it > makes good > business sense for me to assure the success of that > practice and > maintain a good reputation with the client. I can't > say as much for > many PT employees at the places where I have > contracted who are over- > worked, under-paid, and hate their job because they > are not > appreciated and paid competitively for what they > bring monetarily to > the company. And to those therapists, it is sad for > them but good > (sometimes - not all the time) for the owner that > they are afraid to > make a change to make their career stronger. So I > disagree with > 's statement that contract therapists " have no > interest in the > success of your clinic most of the time " . > > As for APTA membership, many PT's (contract or > regular employees) are > not members of the organization because the EMPLOYER > does not provide > membership in their professional organization as a > BENEFIT for > working at their company. Whether this is a valid > reason for not > being a member is a different discussion and not my > point. What is > my point is that it says something about the > employer's/owner's > INTEREST IN THE SUCCESS OF THE PT ORGANIZATION. > Especially for those > owners that are PT's and are MAKING MONEY/PROFIT off > the work the PT > employee does. One would believe that a PT clinic > owner (ESPECIALLY > IF HE IS A PT) would have a high vested interest in > assuring the > highest APTA membership as possible to protect their > rights to make > money off the PTs. Providing PT employees with > those benefits would > accomplish this feat. , do you provide your > employees with APTA > membership benefit? If you do, that is great. But > MANY employers do > not. So you shouldn't be making effortless remarks > about APTA > membership when you really don't know the true > demographics and have > taken a good look at why you don't provide it for > your own employees > if it is in the profit margins to do so. If every > employer out there > (who can afford it) provided their own PT's with > APTA membership, the > census for APTA membership would be much higher and > PTs (and thereby > clinic owners) would have a larger voice in the > government > regulations. However, not even clinic owners are > ready to represent > the group better by doing this. And many are making > a high profit > margin. Can you say greedy? > > If your business can't afford contractors, and you > can't maintain PTs > as employees by providing competitive salaries and > benefits, then > perhaps you are in the wrong business. However, if > you have a good > contract PT and are making profit off of them, > perhaps providing some > group health insurance is a good idea from a > business standpoint (if > the contract allows it legally. Of course, this > benefit would be > subject to taxation as salary on the contract > therapist's part which > may not be a smart move on their part instead of > just asking for more > money if they can't afford insurance and writing > health insurance off > as a business expense so they make a profit). And > perhaps providing > some other benefits within the profit margins is a > good idea too - > like APTA membership. > > I hope you take this as some constructive criticism > to consider for > the future of our organization, our practice, and > your own business. > Many contract therapists read this forum. I hope > they do not take a > poor view of your attitude and thereby not want to > work for you in > the future. In today's market, it would be > beneficial to your > business to maintain a good reputation with the > contract > companies/therapists especially if you are making a > profit off them. > > In my opinion, it would have been more beneficial to > this forum for > you to ask more questions from the person posting > the question rather > than bashing a group of therapists and making > spiteful remarks if you > do not understand or know the details. I am sure > there are many > therapists (contract and employee) that can bash PT > clinic owners, > especially the unethical ones. I never see that > going on in this > forum. And I have seen and worked for many of > those. > > Thanks for your consideration of my thoughts. I > enjoy reading this > forum and gaining insite and education from the many > ideas and vast > experiences from my colleagues. I do not want to > see this forum turn > into bashing and hateful remarks about other > therapists. > > Terry Stegman, PT, MS, OMT, Eng-Phy, BS > > > > > > Hello , > > > > Well , aren't you a little bit of the pot > calling the kettle > black. Perhaps, it's ego that allows you to argue > both sides of the > coin here. As you said, you are making more money > by having them > then you would by not having them. > > > > You know, as a rule, everyone wants to beat up > on contractors. > It's easy I guess. Contractors as a whole aren't > represented. So, > this invites such illogical arguments. The fact is > that you have no > knowledge of the specifics of that contract. In > fact, it isn't even > know if this PT is contracting directly or through a > contract > agency. Contractors are independent businesses just > as you are. > They are subject to no employee rights either. So, > to provide their > service they charge to cover their expenses just > like you do. > > > > But, there is another choice. The contract PT > could charge more > to pay directly for those benefits themselves. This > would probably > be more than it would cost you to provide them > benefits as part of > the group. Also, the contract PT could " walk " as > you === message truncated === ________________________________________________________________________________\ ____ Be a better friend, newshound, and know-it-all with Yahoo! Mobile. Try it now. http://mobile.yahoo.com/;_ylt=Ahu06i62sR8HDtDypao8Wcj9tAcJ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 10, 2007 Report Share Posted December 10, 2007 Mr. Bisei, We all ought to provide care to our patients in a manner we would desire for ourselves (i.e. effiective, efficient and affordable care provided in a caring manner). The reason I believe most people get into the healthcare profession is to help people. Yes, we all want to ensure we are reimbursed appropriately for our expertise, but what matters most is our ability to get our patients better as quickly as possible in a fiscally responsible manner. This is achieved by implementing evidence based interventions that have been proven to be effective and efficient. A disturbing but hopfully dying trend is the pressure imposed by some clinics to bill minimum numbers of units regardless of patients' conditions (e.g. three units per patient). This is simply unethical and unfair to patients (as illustrated in 's movie " Sicko " ). Those who push these policies have either forgoten why they chose to become physical therapists, or they simply don't care about what happens to their patients after they are discharged from physical thearpy. Most clinicians (i.e. rehabilitative and medical), at least the ones I personally know of, chose to become independent contractors because they wanted to free themselves from a setting that made them feel enslaved clinically and fiscally. As our profession evolves our view of each other also needs to evolve. Instead of constatly thinking of employer/employee relationships, we need begin considering partner/consultant relationships also. Dr. Sumesh , PT, DPT, OCS APTA Credentialed Clinical Instructor Physical Therapy Clinic Owner Re: Re: Insurance benefit? Terry, I certainly agree that I was " quick " to answer the initial question of this post. I don't know what you mean by responding that I'm rude and arrogant in stating I'm still making money off of my contract PT. I'm simply stating that overall, I am still making money with a contract PT compared to no extra help at all. However, my clinic's monthly revenue would be even better if my contract PT worked as hard as my full time therapists. The contract PT makes more per hour than me (I'm the director not the owner), yet myself and my full times average nearly $20 per visit more than my contract PT. I should have not generalized in my comments to all contract PT's but MOST contract PT's are money motivated. I have no problem with contract PT's who work PRN due to time or personal reasons such as family schedule's etc. But most who chose the high pay rate of contract work over full time work do not help our field. In central Florida, where I am, contract PT's are a plague. Clinic directors are dropping their jobs to work as contractors. There's no loyalty. Contractors (most) hunt for the highest bidder, and constantly leverage hourly wages. Often they will float from any setting type to another as long as the pay is right. I openly disclaim that my only reference is central Florida. You may be an exceptional contract PT that really produces well for practices you work for. Overall, you can argue all you want for contract PT's but the behavior speaks volumes. I can tell you I certainly advocate paying fellow PT's what they are worth. My two PTA's and my vacant staff PT position salaries are at the top 100th percentile for salary surveys in the southeast. I just cannot understand why you should offer benefits to contract PT. If you had any other staff it would alienate them. That's the whole reason contract/PRN PT's make more. To compensate them for not getting benefits. If the contract PT wants full time work, and wants benefits, you have to question the motivation to be a contract PT rather than sign on full time. What could the rationale be other than less accountability and responsibility, and higher hourly money? I'll pose a simple question to any contract/PRN excluding those who do so because of children or family responsibilities. Why are you a contract PT if it is not for higher pay and more freedom with setting your schedule or taking time off? Bisesi MPT, COMT Winter Haven, Florida --- Terry <tstegstergmail (DOT) com> wrote: > Very good points Don, and I agree with what you say. > There is so > much information missing from the original question > for to make > blatant remarks against contract therapists. And > then to say he is > still making money off of them is just rude and > arrogant. It is > amazing to me how private practice owners will > complain and moan that > they aren't making money when hiring contractors > when in reality (as > states) they still make profit off the > contract therapists. > This only shows to me (AND SHOULD SHOW TO OTHERS > THAT READ HIS POST) > that PT's who ARE employees of private practice > owners should be > asking for more money and more benefits. > > As a contract therapist, I take all aspects of my > job very seriously - > from providing the best patient care, to maximizing > charges for the > client ETHICALLY so they can make money, to > providing the best > personality to the patients so they return to the > client in the > future. And to assure I am hired in the future, it > makes good > business sense for me to assure the success of that > practice and > maintain a good reputation with the client. I can't > say as much for > many PT employees at the places where I have > contracted who are over- > worked, under-paid, and hate their job because they > are not > appreciated and paid competitively for what they > bring monetarily to > the company. And to those therapists, it is sad for > them but good > (sometimes - not all the time) for the owner that > they are afraid to > make a change to make their career stronger. So I > disagree with > 's statement that contract therapists " have no > interest in the > success of your clinic most of the time " . > > As for APTA membership, many PT's (contract or > regular employees) are > not members of the organization because the EMPLOYER > does not provide > membership in their professional organization as a > BENEFIT for > working at their company. Whether this is a valid > reason for not > being a member is a different discussion and not my > point. What is > my point is that it says something about the > employer's/owner' s > INTEREST IN THE SUCCESS OF THE PT ORGANIZATION. > Especially for those > owners that are PT's and are MAKING MONEY/PROFIT off > the work the PT > employee does. One would believe that a PT clinic > owner (ESPECIALLY > IF HE IS A PT) would have a high vested interest in > assuring the > highest APTA membership as possible to protect their > rights to make > money off the PTs. Providing PT employees with > those benefits would > accomplish this feat. , do you provide your > employees with APTA > membership benefit? If you do, that is great. But > MANY employers do > not. So you shouldn't be making effortless remarks > about APTA > membership when you really don't know the true > demographics and have > taken a good look at why you don't provide it for > your own employees > if it is in the profit margins to do so. If every > employer out there > (who can afford it) provided their own PT's with > APTA membership, the > census for APTA membership would be much higher and > PTs (and thereby > clinic owners) would have a larger voice in the > government > regulations. However, not even clinic owners are > ready to represent > the group better by doing this. And many are making > a high profit > margin. Can you say greedy? > > If your business can't afford contractors, and you > can't maintain PTs > as employees by providing competitive salaries and > benefits, then > perhaps you are in the wrong business. However, if > you have a good > contract PT and are making profit off of them, > perhaps providing some > group health insurance is a good idea from a > business standpoint (if > the contract allows it legally. Of course, this > benefit would be > subject to taxation as salary on the contract > therapist's part which > may not be a smart move on their part instead of > just asking for more > money if they can't afford insurance and writing > health insurance off > as a business expense so they make a profit). And > perhaps providing > some other benefits within the profit margins is a > good idea too - > like APTA membership. > > I hope you take this as some constructive criticism > to consider for > the future of our organization, our practice, and > your own business. > Many contract therapists read this forum. I hope > they do not take a > poor view of your attitude and thereby not want to > work for you in > the future. In today's market, it would be > beneficial to your > business to maintain a good reputation with the > contract > companies/therapist s especially if you are making a > profit off them. > > In my opinion, it would have been more beneficial to > this forum for > you to ask more questions from the person posting > the question rather > than bashing a group of therapists and making > spiteful remarks if you > do not understand or know the details. I am sure > there are many > therapists (contract and employee) that can bash PT > clinic owners, > especially the unethical ones. I never see that > going on in this > forum. And I have seen and worked for many of > those. > > Thanks for your consideration of my thoughts. I > enjoy reading this > forum and gaining insite and education from the many > ideas and vast > experiences from my colleagues. I do not want to > see this forum turn > into bashing and hateful remarks about other > therapists. > > Terry Stegman, PT, MS, OMT, Eng-Phy, BS > > > > > > Hello , > > > > Well , aren't you a little bit of the pot > calling the kettle > black. Perhaps, it's ego that allows you to argue > both sides of the > coin here. As you said, you are making more money > by having them > then you would by not having them. > > > > You know, as a rule, everyone wants to beat up > on contractors. > It's easy I guess. Contractors as a whole aren't > represented. So, > this invites such illogical arguments. The fact is > that you have no > knowledge of the specifics of that contract. In > fact, it isn't even > know if this PT is contracting directly or through a > contract > agency. Contractors are independent businesses just > as you are. > They are subject to no employee rights either. So, > to provide their > service they charge to cover their expenses just > like you do. > > > > But, there is another choice. The contract PT > could charge more > to pay directly for those benefits themselves. This > would probably > be more than it would cost you to provide them > benefits as part of > the group. Also, the contract PT could " walk " as > you === message truncated === ____________ _________ _________ _________ _________ _________ _ Be a better friend, newshound, and know-it-all with Yahoo! Mobile. Try it now. http://mobile. yahoo.com/ ;_ylt=Ahu06i62sR 8HDtDypao8Wcj9tA cJ ________________________________________________________________________________\ ____ Never miss a thing. Make Yahoo your home page. http://www.yahoo.com/r/hs Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 10, 2007 Report Share Posted December 10, 2007 Well covered Dick. I recall working with APTA about 15 years ago trying to settle the independent contractor issue with the IRS, with no final resolution. The IRS kept referring to the " 20 Common Law Factors " that they used to determine if a person is really an IC or an employee. Control is the main factor. Unless you can show that the individual is totally free to act on their own, and you exercise no control over them, then the IC classification is hard to sustain. There is a difference between an Independent Contractor and a " Contract Employee " . And only the IRS lawyers know exactly what it is, and they don't like to tell. Dick Hillyer wrote: Hi, Mark - Thanks so much for raising that question! Many employers do not know that there is a very significant legal difference between an iindependent contractor and a part-time employee. Unfortunately, most PTs who seek " contract " work don't know either, and we often find them moving toward " employee " relationships to the detriment of both. It's *not* simply a question of whether the purchaser of services withholds taxes or not, or whether the seller says they'd prefer to handle their own withholdings. Sometimes, they fail to do the right thing, and then the Feds come back on the employer. Suppose that you paid someone $37.00 per hour and did not withhold taxes, telling them that they were a " contractor " . Then, after a year or two (~$150,000 dollars later) the IRS and perhaps your State labor department declared that you had mis-classified them as " contractor " when they were indeed " employees " . And suppose they then asked you -- in retrospect -- for the appropriate tax withholdings such as tax, Social Security, and Medicare (both their half and yours, the employer's)! And then, suppose that they levied a penalty for your misbehavior, just to avoid acting like an employer, of about three times the amount of your mistakenly failed submissions for two years. My rule of thumb is that if the " purchaser of services " (you) has, or believes they have, the right to direct and control the activities of the " seller of services " , and if they advertise and provide the patients, and the premises, and the equipment, then the " seller " should be treated as an employee, and all withholdings submitted. Do you want to be able to tell the individual what to do? It's your clinic, after all... Try this website, then proceed with fear and trembling 8^) http://www.irs.gov/businesses/small/article/0,,id=99921,00.html Hope that helps. Dick Hillyer, PT Dr. W. Hillyer Lee Therapist Group, LLC Hillyer Consulting 700 El Dorado Pkwy W. Cape Coral, FL 33914 Home Office Mobile _____ From: PTManager [mailto:PTManager ] On Behalf Of seaniles Sent: Thursday, December 06, 2007 1:16 PM To: PTManager Subject: Insurance benefit? Do you know of any guidelines / laws, that would keep me from offering med insurance to a contract PT? Whether or not I or they pay for it? thanks Mark Niles PT, MS, CSCS Integratd Rehab mnilesothospecpa (DOT) <mailto:mniles%40othospecpa.net> net Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 10, 2007 Report Share Posted December 10, 2007 Dr. Sumesh, I think I am not explaining my viewpoint well because I seem to be getting a lot of flack from a few and it's baffling me. What you have just illustrated is part of my point. We should be in this field to help people, not just to make money. In central Florida, contract PT's are exploiting the tight market and are simply too demanding in compensation. Therapists should be patient care driven. They should want to contribute to a facility and help it grow as well as grow professionally themselves. I see so many applications by contract PT's that have a few months or years in one setting, then another, acute to outpatient orthopedic. I would prefer to become a master of one domain, than be mediocre at everything. I see skills diluted by contract PT's dabbling in whatever is paying the best. I agree there are plenty of contractors who choose to do so for independence but most are money driven. Look at what settings have the highest ratio of contractors. Skilled nursing and home health setting have the most, because they pay the highest. In central Florida, these settings are paying PTA's more than I make as a clinic director. The problem is this fosters bad practice habits. For example, many private practices, corporate owned practices, and POPTS in my area won't hire a full time PT. Many pay contract PT's to do evals and only employ PTA's full time. I have seen PT contractors do evals for chiropractors, then chiro's bill for PT when a chiropractic assistant is implementing the treatment plan. I have also seen PT's evaluate a patient for a massage therapy clinic, then the massage therapist bills manual therapy as PT codes for subsequent massage therapy sessions. I think your feedback was very constructive. I don't understand the other two gentlemen at all. I don't understand being accused of being arrogant and an egotist. I re-read my posts and just have no earthly idea what they are referring to. My STAFF PT's are paid in the highest percentile, all continuing ed is paid for, I require APTA membership and it is part of their benefits, and they treat 10-12 patients per day on average. Bisesi MPT, COMT Winter Haven, Florida --- Sumesh wrote: > Mr. Bisei, > > We all ought to provide care to our patients in a > manner we would desire for ourselves (i.e. > effiective, efficient and affordable care provided > in a caring manner). The reason I believe most > people get into the healthcare profession is to help > people. Yes, we all want to ensure we are > reimbursed appropriately for our expertise, but what > matters most is our ability to get our patients > better as quickly as possible in a fiscally > responsible manner. This is achieved by > implementing evidence based interventions that have > been proven to be effective and efficient. A > disturbing but hopfully dying trend is the pressure > imposed by some clinics to bill minimum numbers of > units regardless of patients' conditions (e.g. three > units per patient). This is simply unethical and > unfair to patients (as illustrated in > 's movie " Sicko " ). Those who push these > policies have either forgoten why they chose to > become physical therapists, or they simply don't > care about what happens to their patients after > they are discharged from physical thearpy. Most > clinicians (i.e. rehabilitative and medical), at > least the ones I personally know of, chose to become > independent contractors because they wanted to free > themselves from a setting that made them feel > enslaved clinically and fiscally. As our profession > evolves our view of each other also needs to evolve. > Instead of constatly thinking of employer/employee > relationships, we need begin considering > partner/consultant relationships also. > > Dr. Sumesh , PT, DPT, OCS > APTA Credentialed Clinical Instructor > Physical Therapy Clinic Owner > > > Re: Re: Insurance benefit? > > Terry, > > I certainly agree that I was " quick " to answer the > initial question of this post. I don't know what you > mean by responding that I'm rude and arrogant in > stating I'm still making money off of my contract > PT. > I'm simply stating that overall, I am still making > money with a contract PT compared to no extra help > at > all. However, my clinic's monthly revenue would be > even better if my contract PT worked as hard as my > full time therapists. The contract PT makes more per > hour than me (I'm the director not the owner), yet > myself and my full times average nearly $20 per > visit > more than my contract PT. I should have not > generalized in my comments to all contract PT's but > MOST contract PT's are money motivated. I have no > problem with contract PT's who work PRN due to time > or > personal reasons such as family schedule's etc. But > most who chose the high pay rate of contract work > over > full time work do not help our field. In central > Florida, where I am, contract PT's are a plague. > Clinic directors are dropping their jobs to work as > contractors. There's no loyalty. Contractors (most) > hunt for the highest bidder, and constantly leverage > hourly wages. Often they will float from any setting > type to another as long as the pay is right. I > openly > disclaim that my only reference is central Florida. > You may be an exceptional contract PT that really > produces well for practices you work for. Overall, > you > can argue all you want for contract PT's but the > behavior speaks volumes. I can tell you I certainly > advocate paying fellow PT's what they are worth. My > two PTA's and my vacant staff PT position salaries > are > at the top 100th percentile for salary surveys in > the > southeast. I just cannot understand why you should > offer benefits to contract PT. If you had any other > staff it would alienate them. That's the whole > reason > contract/PRN PT's make more. To compensate them for > not getting benefits. If the contract PT wants full > time work, and wants benefits, you have to question > the motivation to be a contract PT rather than sign > on > full time. What could the rationale be other than > less > accountability and responsibility, and higher hourly > money? I'll pose a simple question to any > contract/PRN > excluding those who do so because of children or > family responsibilities. Why are you a contract PT > if > it is not for higher pay and more freedom with > setting > your schedule or taking time off? > > Bisesi MPT, COMT > Winter Haven, Florida > > --- Terry <tstegstergmail (DOT) com> wrote: > > > Very good points Don, and I agree with what you > say. > > There is so > > much information missing from the original > question > > for to make > > blatant remarks against contract therapists. And > > then to say he is > > still making money off of them is just rude and > > arrogant. It is > > amazing to me how private practice owners will > > complain and moan that > > they aren't making money when hiring contractors > > when in reality (as > > states) they still make profit off the > > contract therapists. > > This only shows to me (AND SHOULD SHOW TO OTHERS > > THAT READ HIS POST) > > that PT's who ARE employees of private practice > > owners should be > > asking for more money and more benefits. > > > > As a contract therapist, I take all aspects of my > > job very seriously - > > from providing the best patient care, to > maximizing > > charges for the > > client ETHICALLY so they can make money, to > > providing the best > > personality to the patients so they return to the > > client in the > > future. And to assure I am hired in the future, it > > makes good > > business sense for me to assure the success of > that > > practice and > > maintain a good reputation with the client. I > can't > > say as much for > > many PT employees at the places where I have > > contracted who are over- > > worked, under-paid, and hate their job because > they > > are not > > appreciated and paid competitively for what they > > bring monetarily to > > the company. And to those therapists, it is sad > for > > them but good > > (sometimes - not all the time) for the owner that > > they are afraid to > > make a change to make their career stronger. So I > > disagree with > > 's statement that contract therapists " have > no > > interest in the > > success of your clinic most of the time " . > > > > As for APTA membership, many PT's (contract or > > regular employees) are > > not members of the organization because the > EMPLOYER > > does not provide > > membership in their professional organization as a > > BENEFIT for > > working at their company. Whether this is a valid > > reason for not > > being a member is a different discussion and not > my > > point. What is > > my point is that it says something about the > > employer's/owner' s > > INTEREST IN THE SUCCESS OF THE PT ORGANIZATION. > > Especially for those > > owners that are PT's and are MAKING MONEY/PROFIT > off > > the work the PT > > employee does. One would believe that a PT clinic > > owner (ESPECIALLY > > IF HE IS A PT) would have a high vested interest > in > > assuring the > > highest APTA membership as possible to protect > their > > rights to make > > money off the PTs. Providing PT employees with > > those benefits would > === message truncated === ________________________________________________________________________________\ ____ Be a better friend, newshound, and know-it-all with Yahoo! Mobile. Try it now. http://mobile.yahoo.com/;_ylt=Ahu06i62sR8HDtDypao8Wcj9tAcJ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 11, 2007 Report Share Posted December 11, 2007 Good posts, that will all be irrevelant if the medicare cap and exceptions process isn't reformed.?? We won't be able to keep employees, b/c our pt load will diminish.?.. for everyone, SNF's,home health, POPTs and PTPP's...?but there will be lots of hospital based jobs.? Amy McBreen, PT FL Re: Re: Insurance benefit? Dr. Sumesh, I think I am not explaining my viewpoint well because I seem to be getting a lot of flack from a few and it's baffling me. What you have just illustrated is part of my point. We should be in this field to help people, not just to make money. In central Florida, contract PT's are exploiting the tight market and are simply too demanding in compensation. Therapists should be patient care driven. They should want to contribute to a facility and help it grow as well as grow professionally themselves. I see so many applications by contract PT's that have a few months or years in one setting, then another, acute to outpatient orthopedic. I would prefer to become a master of one domain, than be mediocre at everything. I see skills diluted by contract PT's dabbling in whatever is paying the best. I agree there are plenty of contractors who choose to do so for independence but most are money driven. Look at what settings have the highest ratio of contractors. Skilled nursing and home health setting have the most, because they pay the highest. In central Florida, these settings are paying PTA's more than I make as a clinic director. The problem is this fosters bad practice habits. For example, many private practices, corporate owned practices, and POPTS in my area won't hire a full time PT. Many pay contract PT's to do evals and only employ PTA's full time. I have seen PT contractors do evals for chiropractors, then chiro's bill for PT when a chiropractic assistant is implementing the treatment plan. I have also seen PT's evaluate a patient for a massage therapy clinic, then the massage therapist bills manual therapy as PT codes for subsequent massage therapy sessions. I think your feedback was very constructive. I don't understand the other two gentlemen at all. I don't understand being accused of being arrogant and an egotist. I re-read my posts and just have no earthly idea what they are referring to. My STAFF PT's are paid in the highest percentile, all continuing ed is paid for, I require APTA membership and it is part of their benefits, and they treat 10-12 patients per day on average. Bisesi MPT, COMT Winter Haven, Florida --- Sumesh wrote: > Mr. Bisei, > > We all ought to provide care to our patients in a > manner we would desire for ourselves (i.e. > effiective, efficient and affordable care provided > in a caring manner). The reason I believe most > people get into the healthcare profession is to help > people. Yes, we all want to ensure we are > reimbursed appropriately for our expertise, but what > matters most is our ability to get our patients > better as quickly as possible in a fiscally > responsible manner. This is achieved by > implementing evidence based interventions that have > been proven to be effective and efficient. A > disturbing but hopfully dying trend is the pressure > imposed by some clinics to bill minimum numbers of > units regardless of patients' conditions (e.g. three > units per patient). This is simply unethical and > unfair to patients (as illustrated in > 's movie " Sicko " ). Those who push these > policies have either forgoten why they chose to > become physical therapists, or they simply don't > care about what happens to their patients after > they are discharged from physical thearpy. Most > clinicians (i.e. rehabilitative and medical), at > least the ones I personally know of, chose to become > independent contractors because they wanted to free > themselves from a setting that made them feel > enslaved clinically and fiscally. As our profession > evolves our view of each other also needs to evolve. > Instead of constatly thinking of employer/employee > relationships, we need begin considering > partner/consultant relationships also. > > Dr. Sumesh , PT, DPT, OCS > APTA Credentialed Clinical Instructor > Physical Therapy Clinic Owner > > > Re: Re: Insurance benefit? > > Terry, > > I certainly agree that I was " quick " to answer the > initial question of this post. I don't know what you > mean by responding that I'm rude and arrogant in > stating I'm still making money off of my contract > PT. > I'm simply stating that overall, I am still making > money with a contract PT compared to no extra help > at > all. However, my clinic's monthly revenue would be > even better if my contract PT worked as hard as my > full time therapists. The contract PT makes more per > hour than me (I'm the director not the owner), yet > myself and my full times average nearly $20 per > visit > more than my contract PT. I should have not > generalized in my comments to all contract PT's but > MOST contract PT's are money motivated. I have no > problem with contract PT's who work PRN due to time > or > personal reasons such as family schedule's etc. But > most who chose the high pay rate of contract work > over > full time work do not help our field. In central > Florida, where I am, contract PT's are a plague. > Clinic directors are dropping their jobs to work as > contractors. There's no loyalty. Contractors (most) > hunt for the highest bidder, and constantly leverage > hourly wages. Often they will float from any setting > type to another as long as the pay is right. I > openly > disclaim that my only reference is central Florida. > You may be an exceptional contract PT that really > produces well for practices you work for. Overall, > you > can argue all you want for contract PT's but the > behavior speaks volumes. I can tell you I certainly > advocate paying fellow PT's what they are worth. My > two PTA's and my vacant staff PT position salaries > are > at the top 100th percentile for salary surveys in > the > southeast. I just cannot understand why you should > offer benefits to contract PT. If you had any other > staff it would alienate them. That's the whole > reason > contract/PRN PT's make more. To compensate them for > not getting benefits. If the contract PT wants full > time work, and wants benefits, you have to question > the motivation to be a contract PT rather than sign > on > full time. What could the rationale be other than > less > accountability and responsibility, and higher hourly > money? I'll pose a simple question to any > contract/PRN > excluding those who do so because of children or > family responsibilities. Why are you a contract PT > if > it is not for higher pay and more freedom with > setting > your schedule or taking time off? > > Bisesi MPT, COMT > Winter Haven, Florida > > --- Terry <tstegstergmail (DOT) com> wrote: > > > Very good points Don, and I agree with what you > say. > > There is so > > much information missing from the original > question > > for to make > > blatant remarks against contract therapists. And > > then to say he is > > still making money off of them is just rude and > > arrogant. It is > > amazing to me how private practice owners will > > complain and moan that > > they aren't making money when hiring contractors > > when in reality (as > > states) they still make profit off the > > contract therapists. > > This only shows to me (AND SHOULD SHOW TO OTHERS > > THAT READ HIS POST) > > that PT's who ARE employees of private practice > > owners should be > > asking for more money and more benefits. > > > > As a contract therapist, I take all aspects of my > > job very seriously - > > from providing the best patient care, to > maximizing > > charges for the > > client ETHICALLY so they can make money, to > > providing the best > > personality to the patients so they return to the > > client in the > > future. And to assure I am hired in the future, it > > makes good > > business sense for me to assure the success of > that > > practice and > > maintain a good reputation with the client. I > can't > > say as much for > > many PT employees at the places where I have > > contracted who are over- > > worked, under-paid, and hate their job because > they > > are not > > appreciated and paid competitively for what they > > bring monetarily to > > the company. And to those therapists, it is sad > for > > them but good > > (sometimes - not all the time) for the owner that > > they are afraid to > > make a change to make their career stronger. So I > > disagree with > > 's statement that contract therapists " have > no > > interest in the > > success of your clinic most of the time " . > > > > As for APTA membership, many PT's (contract or > > regular employees) are > > not members of the organization because the > EMPLOYER > > does not provide > > membership in their professional organization as a > > BENEFIT for > > working at their company. Whether this is a valid > > reason for not > > being a member is a different discussion and not > my > > point. What is > > my point is that it says something about the > > employer's/owner' s > > INTEREST IN THE SUCCESS OF THE PT ORGANIZATION. > > Especially for those > > owners that are PT's and are MAKING MONEY/PROFIT > off > > the work the PT > > employee does. One would believe that a PT clinic > > owner (ESPECIALLY > > IF HE IS A PT) would have a high vested interest > in > > assuring the > > highest APTA membership as possible to protect > their > > rights to make > > money off the PTs. Providing PT employees with > > those benefits would > === message truncated === __________________________________________________________ Be a better friend, newshound, and know-it-all with Yahoo! Mobile. Try it now. http://mobile.yahoo.com/;_ylt=Ahu06i62sR8HDtDypao8Wcj9tAcJ ________________________________________________________________________ More new features than ever. Check out the new AOL Mail ! - http://webmail.aol.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 11, 2007 Report Share Posted December 11, 2007 , Do yourself a favor and simply dont hire anyone that you dont feel comfortable working with and/or having work with your patients, if your feelings about contract PT's in your area are correct then why would you want to subject your patients to this type of treatment. Without the contract PT, yes, you will have difficulty accomodating the needs of your patients, yes you may have to refer them to another PT in your area that you are comfortable with and that you know will serve the needs of both the patient and the profession but if you leave only the POPTS and the nursing homes/home health agencies to pay the demands of the contract PT then it is their patients who will be getting the subpar care and not yours. Keep and reward the staff that is loyal to you and your patients, make due during this time of PT shortage and drop all contracts that dont at least meet your cost of providing service, you have too many patients, why accept anything less than cost? Good luck and know that you are not alone. I will address those that have complained to you about " Greedy owners " when I have more time. E. s, PT, DPT, OCS, FAAOMPT www.douglasspt.com > > > > > Very good points Don, and I agree with what you > > say. > > > There is so > > > much information missing from the original > > question > > > for to make > > > blatant remarks against contract therapists. And > > > then to say he is > > > still making money off of them is just rude and > > > arrogant. It is > > > amazing to me how private practice owners will > > > complain and moan that > > > they aren't making money when hiring contractors > > > when in reality (as > > > states) they still make profit off the > > > contract therapists. > > > This only shows to me (AND SHOULD SHOW TO OTHERS > > > THAT READ HIS POST) > > > that PT's who ARE employees of private practice > > > owners should be > > > asking for more money and more benefits. > > > > > > As a contract therapist, I take all aspects of my > > > job very seriously - > > > from providing the best patient care, to > > maximizing > > > charges for the > > > client ETHICALLY so they can make money, to > > > providing the best > > > personality to the patients so they return to the > > > client in the > > > future. And to assure I am hired in the future, it > > > makes good > > > business sense for me to assure the success of > > that > > > practice and > > > maintain a good reputation with the client. I > > can't > > > say as much for > > > many PT employees at the places where I have > > > contracted who are over- > > > worked, under-paid, and hate their job because > > they > > > are not > > > appreciated and paid competitively for what they > > > bring monetarily to > > > the company. And to those therapists, it is sad > > for > > > them but good > > > (sometimes - not all the time) for the owner that > > > they are afraid to > > > make a change to make their career stronger. So I > > > disagree with > > > 's statement that contract therapists " have > > no > > > interest in the > > > success of your clinic most of the time " . > > > > > > As for APTA membership, many PT's (contract or > > > regular employees) are > > > not members of the organization because the > > EMPLOYER > > > does not provide > > > membership in their professional organization as a > > > BENEFIT for > > > working at their company. Whether this is a valid > > > reason for not > > > being a member is a different discussion and not > > my > > > point. What is > > > my point is that it says something about the > > > employer's/owner' s > > > INTEREST IN THE SUCCESS OF THE PT ORGANIZATION. > > > Especially for those > > > owners that are PT's and are MAKING MONEY/PROFIT > > off > > > the work the PT > > > employee does. One would believe that a PT clinic > > > owner (ESPECIALLY > > > IF HE IS A PT) would have a high vested interest > > in > > > assuring the > > > highest APTA membership as possible to protect > > their > > > rights to make > > > money off the PTs. Providing PT employees with > > > those benefits would > > > === message truncated === > > > > _____________________________________________________________________ _______________ > Be a better friend, newshound, and > know-it-all with Yahoo! Mobile. Try it now. http://mobile.yahoo.com/;_ylt=Ahu06i62sR8HDtDypao8Wcj9tAcJ > Quote Link to comment Share on other sites More sharing options...
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