For people with IBD, the gastroenterologist is going to be the doctor that gives the most care, prescribes the most medications, and offers the most assistance. There will be other important members of a healthcare team involved too, and a gastroenterologist can help in putting together the right team.
1 Hourly rates for an outside bookkeeping service run $20-$50 an hour, depending on complexity and location. 2  Usually you can hire a trained, experienced bookkeeper on a contract basis for $30-$40 an hour, but there can be a minimum monthly charge of $100-$150 for small businesses that don't require a lot of work hours. An established Northern California retail store with 12 employees generates about 4-6 hours a week of bookkeeping work, or $480-$960 a month, plus $80 in monthly fees for a payroll service to issue paychecks and file payroll tax forms.
Add the product of the hourly rates for each job and the number of hours worked. For example, if an employee works 15 hours as an executive assistant at $20 an hour and the remaining 25 hours in a week as a bookkeeper at $22 an hour, the total weekly salary is $850 [($20 x 15) + ($22 x 25) = $300 + $550 = $850]. Divide the total weekly salary by the number of hours worked to calculate the weighted average hourly rate. Continuing with the example, the weighted average hourly rate is $21.25 ($850 / 40). Determine the overtime rate, which is usually 1.5 times the regular hourly rate. Note that the overtime rate is not based on the hourly rates of either of the two jobs. To conclude the example, if the employee works five extra hours as a bookkeeper, his overtime rate for those extra hours is about $31.88 ($21.25 x 1.5) and not $33 ($22 x 1.5).