Paul,
I have spent the past four years starting a clinic at Paul Mueller's Stainless Steel fabricators. I was paid $135 per hour without benefits and took care of 1200 employees and their dependents. I worked with a company called Care ATC out of Tulsa. The practice was enjoyable, but I lacked control and this was stressful.
I was asked to put in a bid for the Ozarks Technical College earlier this year, I won the bid and entered the contract on my own. I am paid $40 per employee per month. The college provides me with a beautiful office in the Allied Health Building and I provide a turn key product that includes all furniture, equipment etc. I also provide all routine lab (lipid panels, chem panels, CBC, TSH, PSA and UA's); I contract with a lab in KC (LabCorp)and estimate $2,000 per month in lab costs. I pay the salaries for my receptionist/office manager (my wife) and my nurse (a Missouri State University grad student in public health who is a licensed physician in India)along with all insurance premiums for liability. The 455 full time employees and their dependents receive unlimited office visits, office minor surgeries, routine lab, and EKGs. We bill their insurance companies for other labs, PAP smears, path specimens etc. I provide tetanus, strep tests, and flu tests, but the college pays for flu shots. Routine childhood and adult pneumo immunizations are provided by the health department or paid for by the patient. We are open for patient care four hours per day three days per week. We arrive an hour early to do blood draws for physicals and to finish up EMR records (I have learned to dictate my charts with Dragon and forward them to proof read them later before I sign them). I anticipate that we will add the part time employees within the next 6 to 12 months. I do not anticipate becoming rich, but, so far, this has been a very enjoyable practice.
