50% split 1099, no benefits, hybrid (2 days/week office space) is bad, right?
Group practice in HCOL city hires postdocs as salaried W2s with health insurance & PTO. Offers them to stay in the practice as staff as 1099s with a 50% fee split, no benefits (insurance, PTO, retirement), part-time office space (roughly 2 days/week total, split in chunks across the week). Another factor is that referrals coming through the practice are pretty much all funneled to new fellows building their caseloads (new cohort each year), so staff are more or less expected to generate their own referrals. Staff are also paid to supervise fellows. I'm not crazy for thinking this is an awful setup, right? Since fellows can take their patients with them if they go to solo PP, besides supervising fellows it's hard to see the incentive to stay in the practice. I'd think 60/40 (or higher) on W2 basis with benefits or 70/30 (or higher) on 1099 basis w/o benefits would be more in line with field standards for HCOL areas. But I want to see what others think.