AMC Comparison (Envision, TeamHealth, NAPA, USAP, etc)

[N0PAINN0GAIN]

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I am considering an area where AMCs are the only potential employers outside of academics or the VA. Does anyone have any input regarding which one is the most palatable and reasonable to work for? Thanks in advance.

 

[aneftp]

I am considering an area where AMCs are the only potential employers outside of academics or the VA. Does anyone have any input regarding which one is the most palatable and reasonable to work for? Thanks in advance.

Every amc is different with all these little side entities.

So Envison at site A is run differently than Envison site B. Even in the same city.

Same with team health site A vs site B

Your question is too broad to answer.

You need to ask us specific locations

It’s really depends on local leadership as well and how they run the practice. A shady leader may favor his own schedule and dump more work to others

 

[amyl]

Pm me if you’d like to connect. I can be more straightforward offline.

 

[UscGhost]

I am considering an area where AMCs are the only potential employers outside of academics or the VA. Does anyone have any input regarding which one is the most palatable and reasonable to work for? Thanks in advance.

The organization doesn't matter. It's just a name on the paycheck.

What matters is the local hospital anesthesia structure. Schedule, call, pay rate, case type, fairness

 

[N0PAINN0GAIN]

If nearly every local job in the area from these AMCs is posted on gaswork for years, it comes off like every single one is a red flag. Would it be better to just set up your own LLC/SCorp and do locums at all of them for better pay since the chance of them filling any of these positions is unlikely.

 

[aneftp]

If nearly every local job in the area from these AMCs is posted on gaswork for years, it comes off like every single one is a red flag. Would it be better to just set up your own LLC/SCorp and do locums at all of them for better pay since the chance of them filling any of these positions is unlikely.

Do locums if you are single and or no kids.

I keep a w2 job with lots of vacation plus do locums. But once my kids are out of the house (won’t be another 3-5 years). I’m not gonna to keep a w2 job.

But remember even if the amc has openings. It doesn’t necessarily mean you can stroll in and get a 1099 hours.

Many of them can fill the shortage with internal w2 extra shift work for their existing staff. Most of w2 docs who work these 500-550k w2 jobs /9-10 weeks off. Usually end up making 650k ish due to extra shifts they pickup internally.

But if u are flexible and willing to travel and be flexible. Definitely do 1099 locums.

 

[amyl]

If you can do 1099 locums with your social situation you should. The market is so good and the flexibility and write offs are priceless depending on your situation. I would LOVE to be 1099…..

 

[BLADEMDA]

 

[amyl]

Seems low

 

[aneftp]

Seems low

I think 500-550k is standard w2 pay (at least in Florida).

My last (3) w2 in the state of Florida have ranged from 450-510k w2

But the devil is in the details
Workload
Time off
Benefits

1. One job had 11 weeks off and free health care and great benefits (80-90% supervision) no nights or weekends (35 min from my house)

2. Other job had 30 weeks off (with ob solo call) (45 min from my house)

3. Current job has 20 weeks off (no ob/ crna on call with me) 15 min from my house

All working an average of 40 hrs

 

[sevoflurane]

I think 500-550k is standard w2 pay (at least in Florida).

My last (3) w2 in the state of Florida have ranged from 450-510k w2

But the devil is in the details
Workload
Time off
Benefits

1. One job had 11 weeks off and free health care and great benefits (80-90% supervision) no nights or weekends (35 min from my house)

2. Other job had 30 weeks off (with ob solo call) (45 min from my house)

3. Current job has 20 weeks off (no ob/ crna on call with me) 15 min from my house

All working an average of 40 hrs

30 weeks off is full time? 🤔🤔

 

[ProwlerturnGas]

San Antonio? Who’s least evil?

 

[aneftp]

AMC can be evil and controlling

I know if u work for Envison they won’t let u be 1099 with envoy even out of state assignments. Same with team health and dy staffing. Stupid made up rules

Yet those entities have different tax ID for envision and team health.

 

[TheLoneWolf]

One week on, one week off. Local job has 26 weeks off, 750 annual. Small community hospital. 7 days of straight call is probably very annoying.

 

[ucladoc2b]

One week on, one week off. Local job has 26 weeks off, 750 annual. Small community hospital. 7 days of straight call is probably very annoying.

Especially if it’s all nights…

Rads did something similar during their poor job market. 1 on/1 off. But most are now 1 on/2 off.

 

[aneftp]

30 weeks off is full time? 🤔🤔

Well technically 0.8 but with bull benefits because no one wants 620k w2 with 13 weeks off with 4 docs traditional model. 5 docs is the key for 30 weeks off and 500k. The 120k gets taxed at 35%. Vs doing ur own locums work and paying around 15-18% effective tax rate.

One week on, one week off. Local job has 26 weeks off, 750 annual. Small community hospital. 7 days of straight call is probably very annoying.

600k each for 4 doc (2 docs each 2 weeks alternating days ) is the more reliable model. ). That’s what Georgia pays. 1099 (u gotta carry ur own malpractice). Slow ob service. Not about of call backs.

So 750k 14 calls is not good. Should be around 1.2 million if one doc is doing 14 days of calls