We are trying to figure out how to add a PMHNP-BC (Psychiatric Mental Health Nurse Practitioner-Board Certified) to our network of independent mental health clinicians here in the state of Utah. A barrier seems to be on call coverage, particularly for out of town vacations. Some people will offer to do this service but will charge $100/hour, 24 hours per day. This translates into a 2 week vacation cost $33,600 just to cover on call coverage, thus creating a financial barrier for someone seeking to do private practice. I have thought that perhaps a couple of APRNs could collaborate and exchange these services for one another. Does anyone have any experience or any ideas about how this barrier can/could be overcome? Is anyone experiencing the same need/desire and seeking to collaborate to solve this problem? We have one PMHNP-BC who would like to transition from their status as an employee at a local hospital to private practice, but this particular barrier is something that for obvious reasons makes a difference for this clinician.