I'm looking for some help to guide an upcoming meeting where I will be discussing salary for HPM position. Some background: I'm a 3 yr full-time emergency physician at a growing community regional hospital in the midwest (not exactly a desirable local, but not horrible). Recently accepted to awesome-nationally recognized as a leader in the field- fellowship for HPM. The hospital is trying to grow and expand palliative care service here- currently with only 1 doc. When the "suits" heard about my next step they approached me about returning to my current hospital-President called me to his office. They have already offered to "help" me financially during the year I am in fellowship with my guarantee I will return and bring my new skills back to this hospital system. I am wanting to know how much "help" they will give me this next year, and if I agree to come back I want to know what they will pay me for working with the Palliative care service and growing this program regionally, if not beyond (i expect some admin duties). I am not expecting too much financially during my yr of fellowship, but enough to continue to keep my house and somewhat of a lifestyle (perhaps $150,000ish). I can see the 2010 income info for HPM docs, but I am wondering, given the situation, what kind of salary is reasonable to ask for from my admin without being insulting? Some advice I have heard was to start absurdly high (I would guess $300,000ish) and then compromise (my goal would be $250,000). I am currently making around 400,000 in my EM position (so I expect a pay cut). I do not want to include any shift work in the emergency department with my new contract (if i want to pick up shifts, i should be able to as we are short all the time, but i do not want to be "bound" to working X shifts/month). So what is a reasonable final number to expect/agree to from my hospital given that they want me back and expect me to help grow a young community palliative care service and bring a unique skill set suited to match their goals? I can't imagine many people would beat down the doors to move to this neck of the woods. Am I crazy for expecting $250-300,000 for HPM in this situation?