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Physician employment agreements are not only legal documents, but they also set the stage for a physician financially and outline benefits like health insurance coverage

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Get a full financial and legal review.

Physicians Thrive is the only contract review provider who gives physicians access to both a licensed attorney and certified financial planner with every review.

Specialized in physician employment contracts
Our team has worked with over 5,000 physicians throughout all 50 states.

Committed to your success
Whether it’s your first job or you’re an experienced physician, we want to ensure you receive the compensation you deserve and are not legally confined by an unfair contract.

One of the most damaging financial threats to your career as a physician is the possibility of inadequate compensation through complex payment formulas or a contract containing legal pitfalls that undermine future income. Low compensation and contract loopholes are two of the main reasons almost 50% of physicians leave their employers, according to the 2013 Physician Retention Survey by Cejka Search and AMGA

If you are interested in engaging our team, you will receive an electronic link where you pay and upload the employment documents and other information related to the opportunity(ies). Once this is done, you are provided a link where you schedule calls with the financial advisor (first) and the lawyer (second). These calls often can be done as soon as 24 hours later.

During your call with the financial advisor, s/he will provide a detailed, written comparison of your offer to industry standards as well as the MGMA database and our own database, and then use that to discuss what changes could be requested. During your call with the attorney, s/he will incorporate the issues discussed with the financial advisor, discuss issues posed by the legal documents, and then coach you in negotiation strategy.

After these calls, if you would like to continue communications with the employer, we will wait in the wings, ready to answer any questions, step in if needed, and prepared to review and discuss the employer’s response. If you would like the attorney to negotiate for you, s/he is willing to do so for no additional charge. Of course, there may be additional phone calls and/or email correspondence during the negotiation process and as things are finalized. The average client will have thorough phone calls with the advisor and attorney at the initial review stage, and then a briefer phone call or email correspondence after negotiation, in order to review the employer’s response, to help decide whether to sign the new (normally final) contract version.

We offer different turnaround times for each of our different packages and expedited options for physicians in a time crunch. Typically, we complete the full process within 3-5 business days.


Access to lawyer and a financial advisor team with CFP expertise

Negotiation from the lawyer included

Average turn around time

Number of physicians served

Physician Agency 

Only at upgraded price of $999

Not Provided

Not Provided

On Call

Only at upgraded price of at least $800

Not Provided

Not Provided


Contract Review

Only at upgraded price of at least $875

3 days - faster with upgrade



Yes, with all packages, which start at $549

2-3 days


What Makes Our Package Better

Our review package is the only one that involves both a lawyer and a financial adviser team with Certified Financial Planner(s). Our lawyers have experience in all 50 states, specializing in employment and health law, and have been in practice for at least 15 years. Our financial team does a deep dive into the compensation and benefits of your employment contract so that you know where your offer stands in relation to other contracts in your specialty and region. The financial team also assists with benefits enrollment when your job begins, is available for income tax reduction consultations, and runs analyses of lifetime compensation expectation.

When it comes to negotiation, many physicians decide to negotiate for themselves, in which case our attorneys coach them on negotiation strategy. Whatever you decide, we are there to help you all the way to the finish line, whether it means communicating directly with the employer for you, or “ghost” negotiating in the background.

Additionally, if required, we can often offer faster turn around times, without upgrade fees. We aim not to “nickel and dime” our clients.

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How Physician Contract Negotiating Works

The first step of negotiating is the receipt of the contract. Before you make any change requests consult with your attorney.

It is better to send over change requests at one time as opposed to a series of calls and emails. If you ask for changes one at a time, you are not only limiting your bargaining potential. You could also come off as overly needy to your new employer.

When you review the contract with your attorney and compensation advisor, the goal is to determine which items are worth negotiating with your potential employer.

The answer is: all of them!

At this stage, virtually all employers are open to hearing questions and requests for changes. Employers are expecting you to come back with a counter offer, so use this opportunity to negotiate every part of the contract.

The only exception is if the physician already had extensive back-and-forth negotiation with the future employer. If that happens, the attorney is limited in how much more to negotiate. In this situation, pushing too much more could come across as too aggressive. This is why it’s vital for the physician to team up with an attorney as soon as possible. If your employer is expecting a quick turn around, delay signing until negotiation has taken place.

There is no need to rush the contract review process. There is a lot at stake and your options must be reviewed carefully.

Just because employers are open to hearing your terms doesn’t mean they will accept all (or any) of your requests. It simply means that virtually all employers are open to discussing anything at the start.

What’s the Worst that Could Happen?

When you present your ideal terms, the most significant risk is that the employer says “no.”

Since a simple “no” is the worst that can happen, don’t hold back. You’ll never get the salary range you’re dreaming of unless you ask for it.

Don’t be hesitant, shy, or afraid to ask questions or make requests for contract modification at this stage.

In our process, after the legal review and physician compensation/benefits analysis, when the employer is approached about making certain modifications, the employer will respond in one of three ways:

  1. The employer will accommodate all requests.
  2. The employer will not accommodate any requests.
  3. The employer will accommodate some requests but reject others.

Response #3 is the most common. This is a negotiation, after all. You should be expected to meet somewhere in the middle.

What about rejected terms? Should you push back after an initial rejection?

Certainly, pushing too hard at this later stage has the potential to damage the relationship with the employer. However, a skillful attorney can “read” the employer to see if there is any willingness to negotiate further, and if so, determine what leverage can be created on the physician’s behalf to do so.

What Happens if They Revoke The Employment Offer?

Some physicians are overly cautious during the negotiation stage because they are afraid the potential employer will rescind an offer.

Less than 1 percent of the time (according to the attorneys we work with), employers may react negatively to negotiation and revoke the offer.

This is highly unprofessional.

In our experience, when an offer is revoked, it is usually a sign that the employer may not be a good fit anyway. Who wants to work for an employer who’s not open to discussing contract details? This is usually the sign of an employer that is unbending, has poor communication in the workplace, and has unfriendly employment conditions.

If a potential employer is not open to hearing your terms, it’s probably time to move on. It’s better to discover negatives about the employer before signing the contract!

Why You Should Hire Professionals

Contract review is only part of the process in “closing” an employment offer. After inspection, the hard part starts: negotiation. As communication continues, it can become more delicate and more awkward.

Fortunately, skillful attorneys and compensation advisors can help navigate these waters with confidence.

Physician employment agreements are not only legal documents, but they also set the stage for a physician financially and outline benefits like health insurance coverage. Since so much is at stake, the contract review process should include both an attorney and a financial advisor, each of whom specializes in guiding doctors through the physician contract negotiation process.

When you work with Physicians Thrive, you receive a comprehensive evaluation of your employment opportunity, from both legal and financial perspectives, from a team that has reviewed contracts worth over $1 billion in the aggregate, in every state and in every specialty.

We uniquely tailor each physician partnership agreement to the particular business situation. In every partnership opportunity, there are several elements to be mindful of. We can walk you through the crucial steps to ensure your partnership opportunity is in your best interest.

Make sure you’re aware of what to look for in a partnership opportunity by contacting us at 877-744-9474 or by filling out the form below.

We want to talk about income protection, too. See our Disability Insurance for Physicians page for more info.