Dental and Medical Counsel Blog

When setting up or expanding an optometry practice, one of the crucial decisions you'll face is hiring personnel. There are two main routes you can take - hiring staff as employees or as independent contractors. Both options have their advantages and disadvantages, and the right choice often depends on your specific situation and business model.

The right decision for one practice is not necessarily going to be the right decision for yours. You need to think about the benefits and drawbacks of each choice before you make a decision and do not hesitate to reach out to a professional who can help you. At DM Counsel, it would be our pleasure to help you find the right Staffing option for your practice, so learn more below, and reach out to us to schedule a consultation. 

What Is the Definition of an Employee?

An employee is an individual who works part-time or full-time under a contract of employment. They are under the employer's control in terms of working hours, the type of work done, and how it's executed. Employees have an obligation to fulfill the responsibilities defined by their job role, and in return, they receive a wage or salary from their employer.

An employee's remuneration is subject to tax withholding, and they are entitled to employment benefits. These benefits can include sick leave, paid vacation time, health insurance, retirement contributions, and more. From a legal perspective, employers are typically liable for the actions of their employees during their working hours.

What Defines an Independent Contractor?

An independent contractor, on the other hand, is a self-employed individual who provides services to clients under terms specified in a contract or a verbal agreement. They typically have more control over how they perform their services, often using their own methods and tools. This provides them with a degree of flexibility that employees might not enjoy. 

Independent contractors are not entitled to employment benefits provided to employees. They are also responsible for their own tax payments. However, they often charge more for their services to offset these costs and risks. Unlike with employees, a company typically isn't liable for most of the actions of an independent contractor.

So, how do you decide which one is right for your needs? It is important to consider the benefits and drawbacks of each choice. 

Employee: Pros and Cons

There are several benefits to consider when hiring an employee. A few of the top benefits include: 

• Employees can provide consistent and reliable service to your practice's patients.
• As the employer, you maintain control over the work hours, job duties, and quality of service.
• Hiring an employee can contribute to team cohesion and a consistent practice culture.
• Employees can be trained to follow your specific procedures and protocols.
• Your practice's reputation and brand can benefit from long-term, dedicated staff.
• An employee could potentially grow with your practice, leading to long-term retention.

However, hiring an employee also comes with its share of challenges. A few drawbacks to note include:

• Employees require regular wages or salary, irrespective of your practice's cash flow situation.
• You're obligated to provide employment benefits, which can significantly add to costs.
• You'll have to manage payroll taxes and other employment-related regulatory obligations.
• Employees can require substantial training and supervision.
• Termination procedures can be complex, often involving legal considerations.
• Employees may not provide the same level of flexibility as independent contractors.

Hiring an optometrist as an employee might be the right choice for your business. 

Independent Contractor: Pros and Cons

There are several potential benefits to hiring an independent contractor. They include:

• Independent contractors can offer high flexibility, ideal for handling peak periods or temporary needs.
• You may save costs by not having to provide employment benefits or manage payroll taxes.
• Independent contractors often bring a wide range of experiences, potentially enhancing service quality.
• Contract termination can be simpler than employee termination.
• You can easily scale your practice up or down based on demand by hiring or releasing contractors.
• Contractors can provide specialized services that your regular staff may not be able to.

However, there are also disadvantages. They include:

• Independent contractors may not be as available or dedicated as full-time employees.
• They may work with multiple clients, potentially causing conflicts of interest.
• You may have less control over the quality and consistency of the service.
• Contractor rates may be higher than an employee's wage to offset their lack of benefits.
• Building a cohesive team can be more challenging with independent contractors.
• Legal and regulatory issues can arise if an independent contractor is incorrectly classified.

When To Hire an Employee

The decision to hire an optometrist as an employee might be right for your practice in several scenarios. If you're seeking to build a consistent and reliable team to manage everyday tasks and create a cohesive practice culture, hiring an employee might be the best option. Employees are typically more dedicated to your practice and can provide a stable workforce.

If you're looking for someone to work during specific hours, then an employee could be the ideal choice. Having control over your workforce can help in managing the patient load and ensuring quality service. Moreover, if you want to invest in the long-term growth and development of your team, then hiring an employee could be the most beneficial path.

When To Hire a Contractor

On the other hand, hiring an optometrist as an independent contractor could be the right decision if your practice needs specialized services that your current staff can't provide. This might include advanced diagnostic procedures or specific optometry-related tasks. Contractors can also be an excellent choice if you need additional help during peak times or to cover staff absences.

Independent contractor optometrists can offer the flexibility to scale your practice's workforce up or down based on demand. If you prefer to avoid the administrative burdens and costs related to employment, such as payroll taxes and employee benefits, then a contractor might be the most cost-effective choice.

Your Practice Might Have a Mix of Employees and Independent Contractors

It's worth noting that your optometry practice might benefit from a mix of employees and independent contractors. A blended workforce can offer the best of both worlds, providing the stability and consistency of employees, coupled with the flexibility and specialized skill sets of independent contractors.

Balancing the two categories can ensure your practice has the required staffing at all times while also being able to accommodate special needs or fluctuating demand. It's crucial to understand the legal implications and differences between these two types of workers to maintain a compliant practice.

Contact DM Counsel for Help With Your Practice

Whether you decide to hire employees, independent contractors, or a mix of both, DM Counsel is here to help guide your decisions. We specialize in legal support for medical, dental, and optometry practices, ensuring you can focus on providing excellent patient care while we take care of the legal complexities.

Hiring an optometrist as an employee or independent contractor can both offer unique benefits. The best choice will largely depend on your practice's specific needs, resources, and long-term plans. Don't navigate these complex decisions alone; reach out to DM Counsel for expert advice and guidance. Your practice's success is our priority.

Frequently Asked Questions

Q: What is the definition of an employee?

A: An employee is an individual who works part-time or full-time under a contract of employment. They are under the employer's control in terms of working hours, the type of work done, and how it's executed. Employees have an obligation to fulfill the responsibilities defined by their job role, and in return, they receive a wage or salary from their employer. An employee's remuneration is subject to tax withholding, and they are entitled to employment benefits, including sick leave, paid vacation time, health insurance, retirement contributions, and more. Employers are typically liable for the actions of their employees during their working hours.

Q: What defines an independent contractor?

A: An independent contractor is a self-employed individual who provides services to clients under terms specified in a contract or a verbal agreement. They typically have more control over how they perform their services, often using their own methods and tools, providing a degree of flexibility that employees might not enjoy. Independent contractors are not entitled to employment benefits and are responsible for their own tax payments. Unlike with employees, a company typically isn't liable for most of the actions of an independent contractor.

Q: How do I decide whether to hire an employee or an independent contractor?

A: The decision between hiring an employee or an independent contractor depends on various factors. Consider the benefits and drawbacks of each choice. Employees offer consistent service, team cohesion, and long-term growth potential but come with obligations such as regular wages, benefits, and payroll taxes. Independent contractors provide flexibility, cost savings, and specialized skills but may lack the same dedication and consistency as employees. Seek professional advice to make an informed decision for your optometry practice.

Q: What are the pros and cons of hiring an employee?

A: Pros:

• Employees provide consistent and reliable service.
• Employers maintain control over work hours, duties, and service quality.
• Contributes to team cohesion and a consistent practice culture.
• Employees can be trained to follow specific procedures.
• Practice reputation benefits from long-term, dedicated staff.

Cons:

• Regular wages regardless of cash flow.
• Obligation to provide employment benefits.
• Management of payroll taxes and regulatory obligations.
• Training and supervision requirements.
• Termination procedures can be complex.

Q: What are the pros and cons of hiring an independent contractor?

A: Pros:

• High flexibility, ideal for peak periods or temporary needs.
• Cost savings on benefits and payroll taxes.
• A wide range of experiences can enhance service quality.
• Simplified contract termination compared to employees.
• Easily scale practice based on demand.

Cons:

• Less availability and dedication than full-time employees.
• Potential conflicts of interest as contractors work with multiple clients.
• Less control over service quality and consistency.
• Contractor rates may be higher than an employee's wage.
• Building a cohesive team can be challenging.

Q: When should I hire an optometrist as an employee?

A: Hiring an optometrist as an employee might be suitable if you seek consistent and reliable team management, a cohesive practice culture, specific work hours, and long-term retention. This choice is beneficial for practices aiming for stable, dedicated staff contributing to the practice's growth and reputation.

Q: When should I hire an optometrist as a contractor?

A: Hiring an optometrist as an independent contractor is ideal for specialized services, peak periods, or covering staff absences. Contractors provide flexibility, and cost-effectiveness by avoiding administrative burdens, and can fulfill specific optometry-related tasks or advanced diagnostic procedures.

Q: Can my practice benefit from a mix of employees and contractors?

A: Yes, a blended workforce—comprising both employees and independent contractors—can offer the advantages of stability and consistency from employees, along with the flexibility and specialized skills of contractors. Balancing both categories allows your practice to meet staffing needs while accommodating special requirements or fluctuating demand.

Q: What legal considerations should I be aware of when managing a mix of employees and contractors?

A: It's crucial to understand the legal implications and differences between employees and independent contractors to maintain a compliant practice. Seek professional advice to ensure you adhere to relevant laws and regulations, avoiding potential legal issues associated with worker classification and employment practices.

Q: How can DM Counsel assist in finding the right staffing option for my optometry practice?

A: DM Counsel is pleased to help you navigate the complexities of staffing decisions for your optometry practice. Schedule a consultation with us to receive personalized guidance on choosing between hiring employees or independent contractors. Our expertise can support you in making informed decisions aligned with your practice's unique needs and goals.

At Dental & Medical Counsel, PC, we understand navigating the legal process can be tricky. We believe every doctor deserves the best advice and service so doctors can do what they do best, treat their patients. We make their lives easier by providing expert guidance, so they can focus on their personal and professional aspirations.

About Ali Oromchian, Esq.

Ali Oromchian, JD, LL.M. is the founding attorney of the Dental & Medical Counsel, PC law firm and is renowned for his expertise in legal matters

In addition to practicing law for almost 20 years, Ali is also a renowned speaker, throughout North America, on topics such as practice transitions, employment law, negotiation strategies, estate planning, and more! Ali has helped hundreds of optometrists realize their professional goals and looks forward to aiding you in navigating the legal landscape.