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1. Why would an employer prefer to classify a worker as an independent contractor versus an employee? 2. Alternatively, from the individual worker's standpoint, what

1. Why would an employer prefer to classify a worker as an independent contractor versus an employee?

2. Alternatively, from the individual worker's standpoint, what are the pros and cons of being an employee versus an independent contractor?

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1. Why would an employer prefer to classify a worker as an independent contractor versus an employee?

One of the duties of an HR department is the classification of workers (independent contractor, common-law employee, statutory employee, statutory non-employee). Worker classification determines benefit allotment (insurance, pension/retirement, paid leave, overtime, etc.) and the required taxes paid for by the organization (income, unemployment, Federal Insurance Contributions Act (FICA)-Social Security/Medicare). Independent contractors do not receive benefits from the healthcare organization and are therefore subject to self-employment tax on their earnings. Back taxes and incurred penalties could result from the misclassification of a worker.

2. Alternatively, from the individual worker's standpoint, what are the pros and cons of being an employee versus an independent contractor?

Employees and independent contractors have employment obligations to the healthcare organization- the difference, generally speaking, pertaining to independent contractors is that the employer has the right to control/direct only the result of the work and not the means and methods of accomplishing the result. I think some of the pros and cons are interchangeable, depending on your viewpoint.

EMPLOYEE-

Pros:

  • Benefits are stated up front with minimal effort required in choosing (some healthcare systems have limited options regarding insurances, retirement/401Ks, investment opportunities, etc.)
  • On-the-job training for most positions
  • Typical guaranteed regular wage or salary
  • Potential to foster stronger employee-employer relationship

Cons:

  • Less flexibility with wage/salary negotiations and work schedule
  • Less likely to directly experience a financial profit
  • Difference in tax deductions available to independent contractors for work expenses

INDEPENDENT CONTRACTOR-

Pros:

  • Ordinarily use their own training methods to provide the services
  • Often paid a flat fee, which could warrant a higher wage than an employee or profit
  • Flexibility for choosing contracts/work schedules

Cons:

  • More likely to have unreimbursed expenses than employees
  • More likely to have significant financial/time investment to provide the service than employees
  • Could experience a financial loss
  • More expensive self-provided benefits vs. employer-provided, which also inhibit areas such as worker's comp/unemployment
  • More likely to create impermanent relationships with contracted employers

Department of the Treasury-Internal Revenue Service. Employer's Supplemental Tax Guide (Supplement to Pub. 15, Employer's Tax Guide), Publication 15-A. Cat. No. 21453T. 13 Jan. 2022.

Showalter, Stuart.The Law of Healthcare Administration,Ninth Edition. Health Administration Press, 2020.

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