hik9258

Update What type NP are you? FNP Where (state)(rural/urban) do you practice? Idaho Hospital inpatient How many years experience? 3 What is your before tax paycheck amount? $145,000 base salary Additional $1000 per weekend of phone call (ave 20 calls per weekend) (1 weekend a month) Additional $120 for each H&P each weekend (ave 15 each weekend) $30,000 sign on bonus Monthly or bi-weekly? monthly Salary/hourly/other(explain)? salary Avg hours on check? Salary (usually 30) What are the perks of your contract? (ie. PTO/vacation/bonuses) 3 weeks PTO, $5000 CME with 1 week paid, Malpractice Insurance Paid, All licensing fees paid. $5,000 bonus mid year for quality improvement, $5,000 end of year to commit to another year

Looking for some insight into the salary of starting up my own practice. DNP-FNP here. There is an FNP I talked to who told me the amount of hassle involved with owning your own clinic isn't worth the increase in salary that comes with it. I understand the fact that you are running a business on top of clinic practice. Don't get me wrong, I'm happy at 95k in podunk idaho for a 4 day work week a little over a year out of school. But like anyone else, I would like to maximize my income potential at some point. I refused to sign a no-compete so I'd essentially be breaking off the practice with an already 25 patient/day population established. I know there are a ton of factors that go into how much I am going to make, but I'm asking what your salary did once you got things up and running. So for those of you who have done this, how did your salary change? I'd like to hear the timeline involved with it if you wouldn't mind.

As the creator of the thread, It's only fair I leave my data. Been employed 6 months now. What type NP are you? FNP Where (state)(rural/urban) do you practice? Idaho; Rural Are you independent or in a group? Employed by an MD in a private clinic How many years experience? New Grad What is your before tax paycheck amount? 6,667.00 (80,000/year) Monthly or bi-weekly? monthly Salary/hourly/other(explain)? salary Avg hours on check? 36 What are the perks of your contract? (ie. PTO/vacation/bonuses) 2 weeks PTO, $2,500 CME with 1 week paid, $750/mo health insurance allowance for family, Family dental paid, Malpractice Insurance Paid, All licensing fees paid.

Hi everyone, I will be graduating in December as an FNP and recently had a clinic inquire about an employment option. It is in rural Nevada where the current NP is seeing over 30 patients a day and turning down approximately 15 (So she has told me). She started the clinic on her own (not her first job), and had recently after 2 years in business had a group of clinics acquire her so that this group of clinic/providers could expand throughout the state. This group of clinics normally salaries their NP's around 70k as a new grads, but this provider, she had some leverage in that didn't necessarily need to join the group of clinics. Because of this she was put on the physician payscale. I don't know the details of why she chose to do this, but it was financially beneficial for her. I don't really know what the perk of joining the group of clinics was, because from the sounds of it, it seems that is group of clinics just provides support like billing and administrative services to the provider. I think all the physician providers have to buy all of their own clinic furniture, exam tables, etc., and I am unsure if this is the case with the salaried NP. Anyway, this group of clinics recently talked to me about being employed with them. I was not told any specifics about the contract rather than it is salaried around 70k/year, and they could most likely do the quarterly production bonuses. They didn't say how much, as it was an informal quick chat. My question is, what should I expect and demand? I have been going through posts, and this is what I am thinking. 1) A modified no compete clause, that states if I leave the clinic for any reason other than my own free will, than the no compete is null and void. Also, this no compete clause expires after 3 years of employment. 2) Salary with production bonuses. How much should I expect to get as a bonuses? I was told it was around 2 weeks paid vacation, money for education. My problem is, I'm young (29), and want to maximize my earning potentials. I know it isn't the best idea to go solo right out of school, but I don't want to lock myself out of my rural area i am from with a no compete. What should I be expecting from the clinic in this situation so that I don't get taken advantage of?

Short answer: You are going to get varied answers. Do what is right for your situation. Does spending an extra 120,000 mean that much for a name? My answer: My thoughts about schools usually upset a lot of people on here, and I'm sure you'll see those comments hereafter. I think that as long as you stay away from the for profit diploma mills who admit anyone than can pay to play, you should be fine. As for cost, remember that if it is going on a loan, you won't just be paying back 150k. It will be MUCH more. Do you want to be paying loans off forever? With interest and all, that is almost the amount of an entire home mortgage you'd be paying just for the other school. Do those school names mean anything in the area you live in? I live nowhere near Boston, so if I was looking at your application as a potential employer (say you relocated), I wouldn't care much, because I haven't heard of either of them. Obviously you want a decent education, but is the one schools education worth 120k+? I would imagine they have the same accreditation. As long as they have high board pass rates, I bet either would do. I personally would take the 35k. Although I'm still in my program, I hear your education really starts once you get in practice.

From your experiences or relations, is it common for NP only practices to generate such a high patient demand for their services? As in to the point that it would be financially beneficial to bring on another provider? I know this depends on how good you are at your job, and the quality of person you hire. But in an urban environment, is demand that great?

I agree with you, but I am more aiming this after I have some years of experience and confidence in my decision making. I know that things can and will change by then, but if it were by todays regulations and standards, how feasible is this?

Is it still feasible to open your own practice (specifically family) and even grow into a multi-provider clinic where you are the sole proprietor? Or do you feel like the "big guys" such as major hospitals (be in for profit or non profit) and HMOs etc. have a monopoly against a new family clinic and its chances of developing into a multi-provider organization that turns large profits? In short, I live in a state that requires zero physician collaboration. I'm currently in the middle of a DNP program, and my aspirations of the future are to start my own family practice clinic, and continue to grow to where I bring in other NP's/MD's/DO's etc. I understand that something like this is dependent upon many different factors (money, the state you live in, etc.). I understand that when opening a new clinic you will be dirt poor for a while, barely scraping by. I also know threads pertaining to this exist, but I want responses to be current for today's challenges and variables. Are aspirations like this something that is still attainable? Personal traits aside (Drive, determination, etc.) What factors do you think could possibly interfere with a goal like this?

I understand that this is going to vary individually, but I am still interested to know. I understand that every single person is going to have a different take home amount, just as every person is going to have a different salary. I'm just curious to what a paycheck looks like after everything has been deducted. It is just as useful as someone telling you their salary. Even though they may be in the same state, it is going to vary widely based upon their benefits or if they own their practice etc. I just want to know a real life figure of what someone who is an NP has to pay their bills

Please answer the following questions: What was your first NP job? Where was your first job i.e. state (or however much you care to share)? What year was this? How did the job come about? Also, how many of you were contacted (without applying) while still in school for future employment? I hear of this happening to people, and I'm wondering how typical it is. Thanks!

Any new NP grads who are recently employed care to share? I want to know what an exact amount after your taxes, 401k etc are taken out. How much money goes directly to your bank account each paycheck?

Great post, people (not necessarily trauma) tend to take personal offense when this issue is discussed. You choose the level and quality of education you want, you don't always get what you are paying for. Just as in anything else, some things (schools) are better than others. For profit schools don't see you as a future provider carrying their namesake, they look at you with the mindset, "how can we help them pass a test, and capitalize financially?" For profits view students as a dollar sign. I also found it hard to believe that employers do not review prior education. Facilities are going to want the best trained candidates, to properly treat patients, maintain patient satisfaction and increase revenue. If an ill prepared practitioner comes in and cant accurately diagnose and treat, patient satisfaction drops, revenue drops, and you then become a liability. Bottom line, as was stated, unless you have a position lined up and just need the piece of paper, a traditional university will be employed over a for profit diploma mill.

In school, but it doesn't take a genius.

Obviously an employer would select the best trained candidate for a position. A 98% acceptance rate means if you can pay, you can play, no matter your critical thinking abilities may be. We all know, very few go to Walden as a first choice. That is a safety school where people say, "if I don't get in to XYZ, I'll apply to (insert diploma mill), the board is littered with threads proving this. Have you seen Walden or Maryville ranked for the best education? I'll answer that. No. So who is going to get hired first? Walden or a University of XYZ? Lets not play stupid, we all know the answer.

98% acceptance = diploma mill