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Assault and aggravated assault daily and attempted murder 3 times against my brothers and sisters in healthcare. This is basically what I personally was witness to in my hospital career. Where is security and where is administration when you need them.

09/14/2026
The Contract You Sign Today Can End Your Career in Two YearsNot a bad outcome. Not a board complaint. A signature.Most A...
09/14/2026

The Contract You Sign Today Can End Your Career in Two Years

Not a bad outcome. Not a board complaint. A signature.

Most APRNs spend years earning the credential and about ten minutes reading the document that controls it. Here are five mistakes that come up again and again, and the last one usually costs the most.

This post offers general information based on common health care contracting principles. It is written for APRNs in multi-state practice, in private practice, providing services to or for federal agencies, and participating in Medicare or Medicaid. It is not legal advice, no attorney-client relationship is created, and no specific contract is being analyzed. Readers are encouraged to consult the attorney of their choice.

**1. Signing before you know who really controls your practice.**
Supervision, delegation, and prescriptive authority language can quietly shift control of your license away from you. Most APRNs never read this section twice. They should.

**2. Assuming "termination without cause" cuts both ways.**
It rarely does. The notice period, the payout, and what happens to your patient panel are usually written for one side.

**3. Missing the billing and compliance exposure.**
If your NPI is attached to claims, you carry risk you did not negotiate for. One clause decides whether that risk follows you out the door.

**4. Treating restrictive covenants as unenforceable.**
They are enforced more often than clinicians expect, and the terms that matter are rarely the ones people argue about.

**5. Ignoring what is not in the contract.**
Silence is not protection. The terms that are missing are often the ones that cost the most later.

Every situation is different and results are not guaranteed. Before you sign, have your contract reviewed by an attorney of your choosing.

**Joe Flores, FNP, Attorney**
Flores Law Firm, Corpus Christi, Texas
Joe Flores is a trial lawyer based in Texas with a federal and national practice, working with local counsel throughout the United States.

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