Adjunct Psychotherapist Program
Adjunct Psychotherapist Program
A resource-sharing model of w2 employment for Private Practice Therapists to access workplace benefits!
The Adjunct Psychotherapist Program was built for the independent clinicians who carry it all: the breadwinners, the un-partnered, the solo parents, disabled therapists, and any other therapist without a traditional safety net.
This program helps fill the missing gaps for private practice therapists who need better healthcare options than marketplace, and who would benefit from more support and structure in managing their retirement savings and tax withholdings. Think of this not as your primary income, but as your primary source benefits, and an extra layer of security. While you focus on clinical care, BGT provides the infrastructure you need, and lessens your administrative burden by doing the heavy lifting for your healthcare, retirement, and complex tax-withholding needs. All while preserving your clinical autonomy and your private practice.
How? Adjunct therapists maintain a small caseload under BGT by facilitating the ethical transfer of a small portion of their private practice clients into BGT’s operating systems, policies and standards of care. The Adjunct therapists are paid 75% of their generated revenue as their gross wage amount, and are eligible for premium benefits after meeting revenue generation goals.
Benefits Package:
50% Employer paid national platinum Health plan, Dental & Vision (50% for partners, dependents, families too)
6% employer matched Safe Harbor 401(k) with immediate vesting & annual match increases
HSA/FSA
PTO / flexibility (salaried employees receive same pay & benefits even when they’ve taken time off)
Adjunct Position Requirements:
must be fully licensed to provide psychotherapy
therapist must have primary residence in NC or PA (can be licensed in different states)
must have ability to maintain, on your own accord, a small caseload under BGT’s operating systems, policies and standards of care.
Adjunct Psychotherapist Program- FAQ
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This is a W2, benefits-focused, part-time position.
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Healthcare: Access to a National Platinum United Healthcare Plan, with BGT subsidizing 50% of the cost. This plan is significantly better than marketplace plans.
Retirement: A Safe Harbor Roth or Traditional 401(k) with immediate vesting and a 6% employer match.
Insurance: Includes dental (up to $3,000/year) and vision ($200 for frames/contacts every 12 months).
Tax Management: Ability to take extra tax withholdings through your W-2 to reduce or eliminate quarterly estimated tax payments for your private practice. Disclaimer: While BGT offers the ability to adjust federal and state tax withholdings to help offset private practice tax liabilities, BGT is not a tax advisory firm. BGT provides administrative tax withholding services as an employer. We do not provide professional tax, legal, or accounting advice.
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You earn 75% of the revenue generated by your BGT caseload. From that gross amount, you decide how much to 'spend' on premium benefits, 401(k) contributions, and/or extra tax withholdings.
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Client referrals are not guaranteed. Adjunct therapists are expected to maintain their own caseloads under BGT.
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Adjunct therapists can estimate maintaining a caseload under BGT that is approximately 10% to 30% of their private practice client list. Specifics of this are vague in early stages of inquiry in order to protect programmatic design. Successful applicants will learn the specifics of the key performance conditions around caseload size and revenue generation metrics in the interview process.
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Clinical Autonomy: You maintain autonomy over diagnoses, treatment modalities, client schedule, and session frequency.
Contractual Separation: Your employment agreement includes a Separation of Professional Activities clause, ensuring a clear legal boundary between your independent practice and your BGT employment.
Personal Branding. This program is separate from the BGT Group Practice. Adjuncts’ are not integrated into BGT’s branding or website. You maintain your independent online presence and marketing.
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Therapists who have the following license types:
LCSW
LMFT
LCMHC / LPC
LP / LCP (PhD or PsyD)
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This program is designed to be non-extractive. BGT is a highly values-driven practice, and one way that shows up is by not centering practice-owner profit. Therapists receive the vast majority of their generated revenue back to them in the form of wages, benefits, and/or tax withholdings.
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Fill out the application on the BGT Job Board (“start here!” link)
If you meet all the requirements, you’ll be contacted to do an interview
The interview is automated, with one-way video recordings. You will receive more in-depth knowledge of the program specifics in the interview process and you will be prompted to answer questions via video responses.
Interview responses are reviewed, and successful candidates will be scheduled for a live-video chat to discuss more and answer any remaining questions.
Conditional Offer Letter, Employment Contract and Employee Handbook are sent to you for review while all professional information is verified and references are checked.
Contracts are signed, start date is identified, onboarding is scheduled.
Key performance conditions are met within no more than 90 days, and no less than 30 days, of start date.
Benefits begin.
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The main risk to joining the Adjunct Psychotherapist Program is the uncertainty of how successful this new program will be. If the program growth stalls out before reaching a sustainable threshold or if we fail to gain the trust of therapist communities, that comes with the inevitability that the program would need to shut down.
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BGT is currently only authorized to hire residents of NC and PA. Any future expansion will be contingent upon: program success and meeting strict regulatory, tax and insurance compliance milestones in new jurisdictions.

