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INSIDE YOUR PRACTICE: H.R. and How To Hire Your First Membership Med. Employee.

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By Michael Tetreault, Editor-in-Chief; Other contributions from U.S. Small Business Administration; Also, visit the Equal Employment Opportunity Commission and Fair Labor Standards Act.

JUNE 2, 2015 – Most Direct Primary Care (DPC) offices require more than a single set of hands to keep up with patient demands. Because of this it’s almost a necessity for most starting a DPC practice to hire employees before you open your doors.

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These steps will help you start the hiring process and ensure you are compliant with key federal and state regulations.

How To Employ Your First Obtain an Employer Identification Number (EIN)

Before hiring your first first employees, you need to get an employment identification number (EIN) from the U.S. Internal Revenue Service. The EIN is often referred to as an Employer Tax ID or as Form SS-4. The EIN is necessary for reporting taxes and other documents to the IRS. In addition, the EIN is necessary when reporting information about your employees to state agencies. You can apply for an EIN online or contact the IRS directly.

Set up Records for Withholding Taxes

dpc selft test 2015According to the IRS, you must keep records of employment taxes for at least four years. Keeping good records can also help you monitor the progress of your DPC practice, prepare financial statements, identify sources of receipts, keep track of deductible expenses, prepare your tax returns, and support items reported on tax returns.

Below are three types of withholding taxes you need for your DPC practice:

Federal Income Tax Withholding
Every employee must provide an employer with a signed withholding exemption certificate (Form W-4) on or before the date of employment. The employer must then submit Form W-4 to the IRS.

Federal Wage and Tax Statement
Every year, employers must report to the federal government wages paid and taxes withheld for each employee. This report is filed using Form W-2, wage and tax statement. You will need to complete a W-2 form for each employee who you pay a salary, wage or other compensation.

Employers must send Copy A of W-2 forms to the Social Security Administration by the last day of February to report wages and taxes of your employees for the previous calendar year. In addition, you should send copies of W-2 forms to your employees by Jan. 31 of the year following the reporting period.

State Taxes
Depending on the state where your employees are located, you may be required to withhold state income taxes.

Employee Eligibility Verification

encore career9Federal law requires employers to verify an employee’s eligibility to work in the United States. Within three days of hire, employers must complete Form I-9, employment eligibility verification, which requires employers to examine documents to confirm the employee’s citizenship or eligibility to work in the U.S. Employers can only request documentation specified on the I-9 form.

Employers do not need to submit the I-9 form with the federal government but are required to keep them on file for three years after the date of hire or one year after the date of the employee’s termination, whichever is later.

Employers can use information taken from the Form I-9 to electronically verify the employment eligibility of newly hired employees by registering with E-Verify.

Register with Your State’s New Hire Reporting Program

All employers are required to report newly hired and re-hired employees to a state directory within 20 days of their hire or rehire date. Visit the New Hires Reporting Requirements page to learn more and find links to your state’s New Hire Reporting System.

Obtain Workers’ Compensation Insurance

All businesses with employees are required to carry workers’ compensation insurance coverage through a commercial carrier, on a self-insured basis or through their state’s Workers’ Compensation Insurance program.

Sited Sources: U.S. Small Business Administration; https://www.sba.gov/content/hire-your-first-employee

Post Required Notices

Employers are required to display certain posters in the workplace that inform employees of their rights and employer responsibilities under labor laws.

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File Your Taxes

Generally, employers who pay wages subject to income tax withholding, Social Security and Medicare taxes must file IRS Form 941, Employer’s Quarterly Federal Tax Return.

If you do not have an accounting background or do not feel confident in filing your business taxes, be sure to reach out to an accountant for some assistance when hiring your first employee(s).

DocPreneur Press & The DocPreneur Institute, together, provide fact-based, common-sense, non-fiction education and resources that give HOPE to physicians, their staff and the consumer audience at-large interested in learning more about the modern-day free market healthcare delivery marketplace, which includes: Concierge Medicine; Retail Clinics; Nurse-in-a-Box Kiosks; Cash-Only Clinics; Urgent Care Centers and Direct Primary Care (DPC).

DocPreneur Press & The DocPreneur Institute, together, provide fact-based, common-sense, non-fiction education and resources that give HOPE to physicians, their staff and the consumer audience at-large interested in learning more about the modern-day free market healthcare delivery marketplace, which includes: Concierge Medicine; Retail Clinics; Nurse-in-a-Box Kiosks; Cash-Only Clinics; Urgent Care Centers and Direct Primary Care (DPC).

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