They will exploit their favorable geographic area, their name and their contracts which are not talked about with new employees. They also love new grads who are wet behind the ears. They have good contracts of course and the salary is based on hidden overhead burden cost as bonus is not achieved until 3x base salary is met after expenses. This will also not be told upfront and that’s why they love new grads. Historically they also screwed docs who were capable of doing more advanced procedures by forcing them into facilities they owned without offering a piece of it. The real winners in that group are the docs that work in a few offices where they are all in office based procedurally. Those docs are rewarded for having sub par skill sets and favorable contractural payors for bread and butter interventions. I know for a fact one of my friends who works there who can basically only do lumbar injections (no rfa, no cervical procedures) was making 500k a few years ago. They also only see like 25 patients in an entire day because the contracts are that good. The trade off is..little to no growth (again based on culture of your microcosm within the practice), poor base salary, surgical dumping ground, you are letter boxed into spine solely, won’t get referrals for regen (if you have interest).
It just wasn’t for me..they screwed me royally but looking back, I have grown myself as a physical enormously over the last 8 years since I left that place. I can’t be told what to do, def not by a chief that has 1/4 my skill set (which it was at the time I was there). Now I am way more comfortable doing so much more and know that I can go anywhere and work because I had to survive in a real private practice environment.