Locums for AMCs

[BLADEMDA]

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Anyone know the locums rate for the big AMC players like Envision/Sheridan, Team Health, Mednax/American Anesthesiology, USAP, NAPA, Northstar, etc?

Please post approximate rate and if W-2 or 1099. I assume they all provide malpractice and a housing allowance.

 

[Consigliere]

Looking for a job?

 

[BLADEMDA]

Looking for a job?

Sort of. Locums only so I'm curious about their rates.

 

[aneftp]

Sort of. Locums only so I'm curious about their rates.

It really depends on the needs of the locums assignment. (How desperate they are)

One of my friends got napa to pay him
$200/hr 8 hour guarantee up north while another one got $175/hr/8hour guarantee in similar region.

Down south. I've seen Sheridan go as low as $150/hr/8 hours. It's negotiable

Team health (D and Y is their subsidy) is around $175/hr

All 1099 income which is good and bad depending on how much 1099 income u can generate due to self employment taxes getting killed on the first $118-119k 15.6% employee and employee taxes.

The real issue with locums pay these days isn't the hourly rate per se. It's the overtime restrictions. Making overtime HAD always been the money maker. These days many locums assignments restrict you to 8 hours with limited overtime. Which makes doing professional locums full time especially in urban areas harder.

Just do the math. $175 x 8 hours no overtime x 5 days equals $7000 x 46 weeks. That's $322k. No benefits no guarantee work. Vs a stable paying job.

But for a side job here and there for extra income. It's ok to make $1400-1600. It depends on the assignment as well. If you are running ur butts off even $1600 may not be worth it as some super busy surgery centers.

Locums full time is getting less and less desirable with markets saturated in many urban areas and lack of overtime though. I miss my old locums days where I could generate $50-60k a month easily as locums with lots of overtime working 60-70 hours a week. Than taking 2 weeks. But I got a family these day. They want me home so it's full time work for me the past 8 years.

 

[pjl]

It really depends on the needs of the locums assignment. (How desperate they are)

One of my friends got napa to pay him
$200/hr 8 hour guarantee up north while another one got $175/hr/8hour guarantee in similar region.

Down south. I've seen Sheridan go as low as $150/hr/8 hours. It's negotiable

Team health (D and Y is their subsidy) is around $175/hr

All 1099 income which is good and bad depending on how much 1099 income u can generate due to self employment taxes getting killed on the first $118-119k 15.6% employee and employee taxes.

The real issue with locums pay these days isn't the hourly rate per se. It's the overtime restrictions. Making overtime HAD always been the money maker. These days many locums assignments restrict you to 8 hours with limited overtime. Which makes doing professional locums full time especially in urban areas harder.

Just do the math. $175 x 8 hours no overtime x 5 days equals $7000 x 46 weeks. That's $322k. No benefits no guarantee work. Vs a stable paying job.

But for a side job here and there for extra income. It's ok to make $1400-1600. It depends on the assignment as well. If you are running ur butts off even $1600 may not be worth it as some super busy surgery centers.

Locums full time is getting less and less desirable with markets saturated in many urban areas and lack of overtime though. I miss my old locums days where I could generate $50-60k a month easily as locums with lots of overtime working 60-70 hours a week. Than taking 2 weeks. But I got a family these day. They want me home so it's full time work for me the past 8 years.

Locums CRNAs at a private hospital cost us $165/hr plus travel and living expenses...May want to look into arrangements outside of the AMC game.




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[aneftp]

Locums CRNAs at a private hospital cost us $165/hr plus travel and living expenses...May want to look into arrangements outside of the AMC game.




Sent from my iPad using SDN mobile app

U pay locums Crna's $165/hour? Plus travel and hotel?

Or is someone else eating the cost and just paying the Crna's $100-125/hr and profiting the rest?

 

[periopdoc]

I prefer locums jobs that pay an hourly rate for a 24-48 hour weekend shift, rather than weekdays where you will be limited on hours. I can make as much in a 48 hour weekend as the above jobs are offering for a full week, and very little of that time is spent actually in the hospital.

 

[Consigliere]

Sort of. Locums only so I'm curious about their rates.

The only reason I ask is because I am considering the same and I know each of us have been at our current positions for > 10 years.

 

[Consigliere]

I got a family these day. They want me home so it's full time work for me the past 8 years.

I suffer from a similar affliction and that's the reason I'm not making money like a pig anymore either.

 

[pjl]

U pay locums Crna's $165/hour? Plus travel and hotel?

Or is someone else eating the cost and just paying the Crna's $100-125/hr and profiting the rest?

That is the rate that the locums companies quote us. We find cheaper ones that are not through the companies and pay less, and they make more than they would through a company. Better quality too. I would imagine an MD should not be below those rates though.


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[aneftp]

That is the rate that the locums companies quote us. We find cheaper ones that are not through the companies and pay less, and they make more than they would through a company. Better quality too. I would imagine an MD should not be below those rates though.


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What the locums companies charge you and what they actually pay the anesthesia people are completely different. So u can be paying them $165/hr crna plus travel/lodging. They will fish out who is crna with no red flags and pay them anywhere between $100-125/hr and anything leftover is pure profit. Usually it's an easy 20% plus profit margin. Little to no overhead. Most of their workers used to be able to work from home as well

These big management companies (Sheridan with their TIVA subsidy and Team Health with their D and Y subsidiary eventually going to cut the smaller locums companies out and reign in the profits for themselves.

So a locums company MD rate may cost $250/hr to the local anesthesia group. And locums company decides to pay locums MD $175/he. That's $75/hr locums fee/profit.

 

[pjl]

What the locums companies charge you and what they actually pay the anesthesia people are completely different. So u can be paying them $165/hr crna plus travel/lodging. They will fish out who is crna with no red flags and pay them anywhere between $100-125/hr and anything leftover is pure profit. Usually it's an easy 20% plus profit margin. Little to no overhead. Most of their workers used to be able to work from home as well

These big management companies (Sheridan with their TIVA subsidy and Team Health with their D and Y subsidiary eventually going to cut the smaller locums companies out and reign in the profits for themselves.

So a locums company MD rate may cost $250/hr to the local anesthesia group. And locums company decides to pay locums MD $175/he. That's $75/hr locums fee/profit.

I understand, depending on the locums company the actual CRNAs seemed to be making 100-125, with some of them providing malpractice and licensing.


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