Take this amount and assuming a 50% practice overhead and then a 50% total tax rate for a business and personal income, that will be $6000 personal down to $3000 after taxes. Divide by how many hours it took - cumulative adding up the actual extra hours plus extra minutes with each patient and you will get how much you made on this. (Yes, I did it too and realized the government was taking back 50% off the top in taxes from the start! I figured the office overhead because the staff did a bunch of work for this and I gave them a bonus). Then consider how much more work it will be over a year long endeavor. Just doing this increases our chance of a third party audit from the henchmen they have hired as has been explained above.

Adam: would you mind explaining what is required for the withdrawal, at least what you have discovered? I too am planning a retreat in 2014 when penalties kick in. I understand I have to send them a letter at least a month in advance in 2013. I DO think you patients can afford 40 to 70 dollars: put a better value on yourself! They pay twice that for cable TV and cell phones. (But I don't know your patients. I just see the cars that mine drive). I may just let them pay what the gov't was paying me 68-50% off) or go to some kind of Senior concierge model where they pay a yearly fee. They are already paying $160 deductible and $26 co-pays, so a few hundred a year should buy a couple of visits and labs, along with continued care.

Chris
Living the Dream in Alaska