OBGYN Focus on Care, PEO Alleviates HR Load

In the ever-evolving landscape of healthcare, the challenges faced by medical practices keep growing in number and complexity. From navigating a maze of regulatory requirements to managing the intricate web of human resources, payroll, and benefits administration, the burden can be overwhelming for even the most seasoned professionals. This case study explores the transformative impact of co-employment through a Professional Employer Organization (PEO) on a 25-person, 3-physician-owned OBGYN practice located in Richmond, Virginia.

The Practice’s Dilemma

Although it was thriving, the OBGYN practice found itself at a crossroads. While the unwavering commitment to patient care remained steadfast, the administrative burdens weighed heavily on the physicians and their dedicated staff. Compliance requirements were ever-changing, payroll processing was a constant source of stress, and managing employee benefits was a Herculean lift. The practice’s resources were stretched thin, and the physicians found themselves increasingly consumed by tasks that diverted their attention from their core mission to provide exceptional healthcare services to the community.

The Power of Co-Employment

It was in this climate of overwhelming complexities that the practice’s leadership team discovered the game-changing solution of PEO co-employment. The concept was both intriguing and promising — a partnership that would alleviate the administrative burdens while allowing the practice to maintain its autonomy and focus on delivering unparalleled patient care.

OBGYN doctor talking with a PEO SME

The decision to engage with a reputable PEO was not taken lightly. The practice’s leadership team conducted extensive research, carefully evaluating potential partners and their track records. Ultimately, they selected a PEO renowned for its expertise in the healthcare industry, a deep understanding of regulatory compliance, and a commitment to personalized service.

The Transformation

The transition to co-employment was seamless, a testament to the PEO’s expertise and the practice’s willingness to embrace change. From day one, the PEO assumed responsibility for a myriad of administrative tasks, freeing up the practice’s staff to concentrate on their core competencies.

Where waves of paperwork, regulatory requirements, and HR challenges had been overwhelming, the PEO calmed the choppy waters, allowing the physicians and staff to focus on charting their course toward exceptional patient care.

The Benefits Unfold

Regulatory Compliance, Simplified

Navigating the ever-changing landscape of healthcare regulations can be a daunting task, but with the PEO as their partner, the practice found solace in knowing that compliance was meticulously handled. The PEO’s team of experts stayed abreast of the latest developments, ensuring that the practice remained fully compliant without diverting valuable resources.

Human Resources, Reimagined

From recruitment and onboarding to performance management and employee relations, the PEO’s comprehensive human resources services helped the practice attract and retain top talent. With a dedicated HR professional assigned to their account, the practice had access to expert guidance and support at every turn.

Payroll and Benefits, Streamlined

The cumbersome task of payroll processing and benefit administration became a seamless operation under the PEO’s guidance. Employees could access their pay stubs, tax forms, and benefit information through user-friendly portals, while the practice enjoyed the peace of mind that comes with knowing these critical functions were handled with professionalism and accuracy.

Risk Mitigation, Assured

By transferring a significant portion of employer-related risks to the PEO, the practice effectively shielded itself from potential liabilities. The PEO’s extensive expertise in employment practices, workers’ compensation, and regulatory compliance provided an invaluable safety net, allowing the practice to focus on delivering exceptional healthcare services without the constant worry of potential legal pitfalls.

Scalability, Unleashed

As the practice’s patient base grew and their demand for resources fluctuated, the PEO’s scalable solutions ensured that they were never caught off guard. Whether it was adding new staff members, adjusting benefit offerings, or implementing new policies, the PEO’s agility allowed the practice to adapt seamlessly, ensuring continuity of operations and uninterrupted patient care.

The Return on Investment

While the decision to partner with a PEO initially required a financial commitment, the practice quickly realized that the return on investment was substantial. By offloading administrative burdens and mitigating risks, the practice’s physicians and staff could dedicate their full attention to delivering exceptional care, driving patient satisfaction, and ultimately increasing revenue streams.


The experience this Richmond, Virginia, OBGYN practice had with their PEO is a testament to the transformative power of co-employment. By embracing this partnership, the practice not only alleviated administrative burdens but also gained a strategic advantage in navigating the complexities of the healthcare industry.

As the practice continues to thrive and expand, the PEO remains a staunch ally, providing scalable solutions and unwavering support. The physicians and staff now focus their energy on what truly matters — delivering exceptional care to their patients, secure in the knowledge that the administrative foundation is solid, and their future is bright.

For healthcare practices seeking to unlock their full potential, co-employment through a PEO offers a compelling solution. By entrusting the administrative complexities to experts, practices can reclaim their time, mitigate risks, and ultimately elevate their standard of care, fostering a healthier, more prosperous future for themselves and the communities they serve.

  1. Were there any specific challenges or adjustments the OBGYN staff had to make during the PEO co-employment transition that weren’t mentioned?
    The transition likely affected the day-to-day operations of the OBGYN practice by relieving the staff and physicians from various administrative tasks, allowing them to focus more on patient care. As far as any challenges, issues such as temporary disruptions or learning curves could be expected as the staff adapted to the new system.
  2. While the article discusses the benefits of regulatory compliance and risk mitigation, are there any potential downsides or limitations to partnering with a PEO?
    Though specifics are unknown, the practice could have experienced a loss of decision-making autonomy or increase of constraints in implementing certain policies or procedures due to the involvement of the PEO. Understanding the balance between administrative support and maintaining practice independence would provide a more comprehensive view of the partnership.
  3. The article emphasizes the financial return on investment from partnering with a PEO, but are there any specific metrics or data points provided to quantify this return, such as percentage increase in revenue or cost savings realized over a certain period of time?
    Myriad factors affect the models that determine PEO fees, all of which can impact the financial balance, such as the percentage increase in revenue or the specific cost savings realized by the practice after engaging with the PEO. Having concrete figures would offer a clearer understanding of the financial benefits associated with the partnership.

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