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I have a dilemma. I was offered a NP job that is about 25 minutes from home with a salary of about 60000/ yr for first year. Second year, salary would be based on # of patients I saw and the amount billed, I would get 40% of that. No money for CME. MD would give money for me to find and pay for my own health insurance. 2 weeks of paid vacation. The thing is I have another offer that is paying almost double this amount with 3 weeks paid vacation, CME, health/dental/vision, and 401k, but not close to home, involves traveling, but mileage, lodging and meals reimbursed. I have to make a decision soon. Any advice is appreciated.

Specializes in NICU.

Absolutely not. $60k is a JOKE!!!

Don't feel bad about backing out. He dangled this tiny salary hoping you would take it as a desperate new grad NP. He's taking advantage of you in an enormous way and I would completely insulted if a doctor offered me this.

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Specializes in Reproductive & Public Health.
No the 60k is for the first year, but starting the second year I would be getting 40% of amount billed only.

So what would your salary look like in the second year? Did they give you a ballpark of how much you would be expected to bill? And would all the bills be under your name, because if they are billing under the MD you would need to know if that affects your percentage.

When I graduated, I took the lowest paying of my three job offers (because I am a bleeding heart liberal who lives and breathes public health), and my starting base salary was 80K. 60K seems INSANE. How many hours would you be working?

I also agree that the insurance thing would need to be written in stone, because that sounds like it could get messy fast. I would want a much more concrete plan than "they will give me money." No CME? Not even PTO for education?

I am the first one to say that quality of life should be top priority when considering job offers. But 60K is *really* low, like crazy low.

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Specializes in Med-Surg, NICU.

Wow...many new grads in medium COLAs make more than that!

Nope. Take the job that is going to compensate and appreciate you the most...and it isn't the 60k job!

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Hi,I ended up turning the 60,000/year offer down.

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Specializes in Adult Internal Medicine.

Many physician salaries are structured like this with a base drawn in the first 1-2 years then a portion of the money brought in (not the amount billed), normally 40-50%. It actually might not have been a bad gig, as it is a relatively fair offer (though the first year or two draw should be more like 90-110k I'd think).

I would have liked to know if your first year was included (i.e. if you brought in more than $150k your first year would you have received your 40% on any additional revenue).

I am sure most seasoned NPs here can tell you what they bring into their practices as revenue and you might be surprised what 40% would net you as a salary. Most healthcare system models figure between 350-450k in revenue from each NP, and I bet in a large survey it's even more than that.

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hi . take the second one:nurse:

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