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INDEPENDENT CONTRACTOR OR EMPLOYEE?  REVISED GUIDELINES EFFECTIVE MARCH 2024

By Adrienne Hersh, JD, ICS Legal Counsel · March 20, 20248 min read
Business people shaking hands
Independent Contractor or Employee
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You’ve been in practice for a while, and, happily for you, your business has grown. You are thinking about adding an associate, but you are concerned about the added expense. You know that you will pay less in taxes for a contractual associate than for a salaried employee; you don’t want to provide employee benefits; and you would like to insulate yourself from the associate’s malpractice liability. At the same time, you want full control over your associate’s hours and other conditions of employment. To solve your dilemma, you label the new hire an “independent contractor,” and sit back to admire your business acumen. That is, until the Internal Revenue Service comes calling.

The distinction between a true employee and an independent contractor has significant legal and financial consequences. The Internal Revenue Service (IRS) can hold you liable for hefty back employment taxes, penalties, and interest if you misclassify a worker, and it makes no difference that you have labeled the associate a “contractor” if your business arrangement has the earmarks of true employment. In addition, many state agencies and courts use the same factors outlined by the federal government to determine employee status for other purposes.

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About the Author

Adrienne serves as Illinois Chiropractic Society general counsel and provides legal advice and support on a wide range of legal issues affecting chiropractic physicians, including licensing and other health care regulations, scope of practice, insurance and reimbursement, business structuring, labor and employment, contracts, and litigation. Adrienne previously served for 8 years as general counsel to the Illinois Department of Professional Regulation (now the Division of Professional Regulation, Department of Financial and Professional Regulation), where she was chief legal counsel responsible for overseeing all legal issues and advising the 50+ licensing and disciplinary boards, including the Medical Disciplinary Board and the Medical Licensing Board. She is a member of the Illinois State Bar Association Health Care Section, the Illinois Association of Healthcare Attorneys, and the National Association of Chiropractic Attorneys.

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