Typical

48k is a typical offer, but still must be seen as an embarassment. Cell phone? Malpractice? Health? APMA dues? These don't add up to much especially when you can guess the head cheese is going to find the cheapest package around (cell phone means squat, malpractice runs about $2k/year, health can be as little as $100-$150/month...it doesn't add up to much incentive if you ask me). What in the heck does "retirement" mean?? Is he offering matching contributions to a 401k? That would be generous.

Aside from all of that, is your friend going to be an employee for this doctor? This makes a gigantic difference. If he is legally employed then he won't be responsible for self-employment tax, which runs roughly an additional 7.5% of gross income. If he is employed, he will also likely be using a corporate provider number vs. his own provider number. This takes some of the liability off of him. If he's required to be an independent contractor then he'll pay more in taxes and have a higher liability if something goes wrong.

What do you mean by "anything he makes over 180k for the practice"? Is that gross or net? If it's net, it's a ridiculous offer. If it's gross, it still means that your friend is going to have to make at least 220k over the 180k to make decent money (that would be about 130k gross, which translates into about 75k net...less if he's going to be independent and not an employee). If he needs to bring in 220k above and beyond the 180k he brings in, that'll mean he'll need to bill about 18k MORE per month. At 4 days a week that computes to about $4200/week or about $1000 a day. When you put the two together, he'll have to bill AT LEAST 32-33k per month. That's a lot of money for any doctor. That's about 2k per day, every day, 4 days a week with no factoring for sick time, slow days, holidays or vacation. And even if he could bill this high number on average, he's still not making a whole lot of money. How is he going to bring in this much money? Is he going to have to do his own marketing? How is the current doc getting new patients? Recruiting new patients is the key to increasing your income.

What about vacation or sick leave? How about CME? How about potential for a raise??

The sad, bottom line is that this is probably as good as he'll ever get.

That's only one of 37 reasons that I'm getting out.