USAP Colorado

[sevoflurane]

But there are some locums jobs that are harder than others

I’m all about the workload these days.

Making an extra $50/hr to me to go to $425/450/hr may not be worth it.

All these locums jobs are all over the place in terms of workload.

Is it worth it for me to make $450/hr and run around and do 6-12 blocks a day plus inducing a case on my own while the crna is dropping off the patient in the pacu just to save the surgeon 6-8 minutes?

Depends where you are in life. New grad? Yeah… def. worth it.
I had a few locums cardiac gigs lined up recently. 10 hr days @ $450/hr plus call stipend. Case load was going to be intense, but fun. In the end, I did not want to leave my wife, dogs, home and location.

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[aneftp]

Depends where you are in life. New grad? Yeah… def. worth it.
I had a few locums cardiac gigs lined up recently. 10 hr days @ $450/hr plus call stipend. Case load was going to be intense, but fun. In the end, I did not want to leave my wife, dogs, home and location.

New grads. Really depends on their training program. One of my buddies in Atlantic just terminated new grad locums contract less than 3 weeks into a lucrative 3 month contract.

Weak candidate. Weak program I never heard of the program. I met him a couple of times and said to myself. This dude is not only strange (like on the spectrum of highly functional altusim) but he couldn’t handle the case load here. He’s not gonna to handle the case load up north.

I tried to warn them. But the hospital was paying for locums and them (private entity) didn’t have much say who the hospital would get. And he came cheap at $350/hr while I negotiated $450 but backed out cause they couldn’t guarantee me at least 120 hours week. They were willing to guarantee me 80 hours. Just not worth it for me to fly there

That’s why I tell new grads. Get at least 1 maybe 2 years experience. Envoy generally doesn’t like to take new grads 1099 for this reason. They want 2 years. Obviously desperate times call for desperate measures so they will bend if needed.

 

[CopaceticOne]

they couldn’t guarantee me at least 120 hours week. They were willing to guarantee me 80 hours

Serious question - how are you getting 120hrs of work in a week? Does it include inhouse calls?

 

[aneftp]

Serious question - how are you getting 120hrs of work in a week? Does it include inhouse calls?

It takes 2 to tango. Depends who is paying the locums bill and how motivated the w2 docs are to work extra.

That’s how. It’s a symbiotic relationship. Like one poster said the w2 docs didn’t want to work extra because their overtime rate is so low. So the locums docs take all the calls

 

[CopaceticOne]

It takes 2 to tango. Depends who is paying the locums bill and how motivated the w2 docs are to work extra.

That’s how. It’s a symbiotic relationship. Like one poster said the w2 docs didn’t want to work extra because their overtime rate is so low. So the locums docs take all the calls

I get that. I meant with only 168 hrs in a week, what’s your average schedule that results in 120hrs?

 

[amyl]

Denver has always been that way. Goes as far back as the first USAP groups (SDA). Great city, vibe and access to the mountains. Kaiser is still decent for a long term plan.
BFE isn’t an end of career plan either. It’s something you muster early. Plenty of decent jobs in desirable locations in this market.

I spoke to a doctor leaving Kaiser in Denver. Seemed like Kaiser really tried some sh— and only backed down because they were going to lose docs so they backed off their pay cuts for more work plan… but some damage was already done and some jumped ship anyway with more likely to follow. I have a friend who works for Kaiser in Virginia - they’ve told them they aren’t paying more period. She’s happy enough but it would be the worst job in the world to me.
At sevo- I haven’t found great jobs in areas that my husband will move to (he vetoed Reno long ago)… the $ and work life balance sound good to me… plus no traffic and nice people. This weekend - regular cases all day Friday then in house trauma call - stat crani, emergency esophageal perf so unstable they went from ambulance to or for my thoracic surgeons forever case, a stabbing ir embolization, two code airways and elective cases until 11p….. bad night w no sleep.
then Sunday two kidney transplants solo. Nice surgeon, great circulating nurse, competent Anes tech… long but good day. Having a nice working environment and team is so key - makes a long day pleasant enough

 

[aneftp]

I get that. I meant with only 168 hrs in a week, what’s your average schedule that results in 120hrs?

I hit way more than 120 Labor Day week including 1.5x for Labor Day.

It’s varies. Had one case Saturday. 3 cases Sunday. Up to 3am Monday. Done at 5pm Tuesday. 4pm Wednesday. Up all night Thursday. Friday was busy til 10pm.

It really depends on how busy ob gets. I don’t have to stay in house. I have a house to stay in on the golf course 15 minutes away. But the call area is super chill also. You can practically live there. (There is a call room next to Ob cs room as well) but the anesthesia area in main or is super nice. 3 flat screen tvs with ps5 and Xbox, fooseball table, refrigerator, and 2 bedrooms in that area (used to be a office area )

 

[aneftp]

I spoke to a doctor leaving Kaiser in Denver. Seemed like Kaiser really tried some sh— and only backed down because they were going to lose docs so they backed off their pay cuts for more work plan… but some damage was already done and some jumped ship anyway with more likely to follow. I have a friend who works for Kaiser in Virginia - they’ve told them they aren’t paying more period. She’s happy enough but it would be the worst job in the world to me.
At sevo- I haven’t found great jobs in areas that my husband will move to (he vetoed Reno long ago)… the $ and work life balance sound good to me… plus no traffic and nice people. This weekend - regular cases all day Friday then in house trauma call - stat crani, emergency esophageal perf so unstable they went from ambulance to or for my thoracic surgeons forever case, a stabbing ir embolization, two code airways and elective cases until 11p….. bad night w no sleep.
then Sunday two kidney transplants solo. Nice surgeon, great circulating nurse, competent Anes tech… long but good day. Having a nice working environment and team is so key - makes a long day pleasant enough

My advice is …get out.

My last call weekend like yours was over 1 year ago. I don’t miss that. The Friday Sunday split is brutal at a trauma center. And you are probably doing it once every month. Maybe can make it work if it was once every 3 months.

 

[sevoflurane]

I spoke to a doctor leaving Kaiser in Denver. Seemed like Kaiser really tried some sh— and only backed down because they were going to lose docs so they backed off their pay cuts for more work plan… but some damage was already done and some jumped ship anyway with more likely to follow. I have a friend who works for Kaiser in Virginia - they’ve told them they aren’t paying more period. She’s happy enough but it would be the worst job in the world to me.
At sevo- I haven’t found great jobs in areas that my husband will move to (he vetoed Reno long ago)… the $ and work life balance sound good to me… plus no traffic and nice people. This weekend - regular cases all day Friday then in house trauma call - stat crani, emergency esophageal perf so unstable they went from ambulance to or for my thoracic surgeons forever case, a stabbing ir embolization, two code airways and elective cases until 11p….. bad night w no sleep.
then Sunday two kidney transplants solo. Nice surgeon, great circulating nurse, competent Anes tech… long but good day. Having a nice working environment and team is so key - makes a long day pleasant enough

I have a friend who is a transplant from our group to Kaiser Boulder. Haven't talked to him in a bit, but he is putting in the final years before the pension kicks in. (like Reno... skiing, biking, camping, rockies... etc.) Financially, it's not amazing for a new grad, but once you put in your time you are on the gravy train in one of the coolest mountain towns in the USA. Like I said, it's decent for a long term plan. "Decent" in comparison to the Denver market (Boulder is just an extension of the city now).

There are so many jobs out there that are paying well and have lifestyle to go with it. This feels like anesthesia 2000's.
I am kinda like you. I like all the big cases... the hearts, the penetrating injuries, big cancer/transplant cases, deaths door cases, busy ortho, peds, etc. Hell, a few weeks ago we had an army helicopter that crashed with 12 on board come through our regional ER. We were ready for battle and engaged in some cool protocols. Luckily no serious injuries.

I take every other week off, don't do weekends, OB and some other stuff I don't care for. Still feel fulfilled at 50 and will ride this train for another 5 years, maybe more. Incredibly proud of our group. We've been through a lot of ups and downs. Best part is that most of my partners would bend over backwards for me and I would do the same for them.

The time is ripe to make a change and get exactly what you want. You have a ton of experience... I would finish out your career as a unicron cardiac anesthesiologist. 💕

 

[sevoflurane]

For some of the old timers on here... I shared some laughs with Noyac a few days ago. Dude is kicking ass in life like always. Literally lives at the Ski resort and commutes to work every day. Lifestyle is good as ever. He was prepping for a big Moto trip to Crested Butte. I don't know how that guy does it. Always been grounded in the important things in life yet an amazing anesthesiologist. In real life, he's the nicest person on earth. USAP is no longer there and he's back to Lifestyle>>>>>>>>work.

Great place to be if you want the real deal outdoor anesthesia experience.

 

[amyl]

I have a friend who is a transplant from our group to Kaiser Boulder. Haven't talked to him in a bit, but he is putting in the final years before the pension kicks in. (like Reno... skiing, biking, camping, rockies... etc.) Financially, it's not amazing for a new grad, but once you put in your time you are on the gravy train in one of the coolest mountain towns in the USA. Like I said, it's decent for a long term plan. "Decent" in comparison to the Denver market (Boulder is just an extension of the city now).

There are so many jobs out there that are paying well and have lifestyle to go with it. This feels like anesthesia 2000's.
I am kinda like you. I like all the big cases... the hearts, the penetrating injuries, big cancer/transplant cases, deaths door cases, busy ortho, peds, etc. Hell, a few weeks ago we had an army helicopter that crashed with 12 on board come through our regional ER. We were ready for battle and engaged in some cool protocols. Luckily no serious injuries.

I take every other week off, don't do weekends, OB and some other stuff I don't care for. Still feel fulfilled at 50 and will ride this train for another 5 years, maybe more. Incredibly proud of our group. We've been through a lot of ups and downs. Best part is that most of my partners would bend over backwards for me and I would do the same for them.

The time is ripe to make a change and get exactly what you want. You have a ton of experience... I would finish out your career as a unicron cardiac anesthesiologist. 💕

Thanks for the encouragement sevo- I’m 50 too (but I like to think I don’t look it;-).
It’s 615am - no post call day off for me. Crani this morning and then a plastic surgery center case that will go at least until 4. Easy but at least until 4….. all I can hear is aneftp’s words “get out.” (Stupid movie- but good advice.)
Thanks guys

 

[narcotics999]

Agree. But some people need to stick around Dallas or Orlando or Houston.

It’s a trade off. The big practices are depending on your inflexibility to sell their practice for you to work at. Some people have kids in school which makes it really hard to move especially with grand parents near by.

As much as we talk about money here. Family is the most important thing. I had to give up a massive weekend pay as locums cause my daughter wanted me take her to the Sabrina carpenter concert in Tampa. Thank god I didn’t get tickets for swift’s Miami concert the week before. That would have been two massive weekends I would have given up.

But that’s what staying in the area means to be in those cities.

What kind of family life does one have if he/she needs to work 60 hours regularly?

 

[GassYous]

Thanks for the encouragement sevo- I’m 50 too (but I like to think I don’t look it;-).
It’s 615am - no post call day off for me. Crani this morning and then a plastic surgery center case that will go at least until 4. Easy but at least until 4….. all I can hear is aneftp’s words “get out.” (Stupid movie- but good advice.)
Thanks guys

That 675 13 weeks off job sounded really nice

 

[PainInTheAnes]

Thanks for the encouragement sevo- I’m 50 too (but I like to think I don’t look it;-).
It’s 615am - no post call day off for me. Crani this morning and then a plastic surgery center case that will go at least until 4. Easy but at least until 4….. all I can hear is aneftp’s words “get out.” (Stupid movie- but good advice.)
Thanks guys

Hard to imagine that you’re so understaffed that literally no rooms will come down by 4 pm to get the first call person out from a 24 hour shift. What does this mean for the 2nd-7th person out? Just suffer until 8pm every day taking over for crnas who put their feet down on hours?

Bananas. Dallas is…fine I guess? It’s more of a mid late 20s person’s city I think.

 

[aneftp]

What kind of family life does one have if he/she needs to work 60 hours regularly?

No one works w2 500k-600k/8-10 weeks off 60
Hours.

The only ones working 60 hours are making 750-800k

Or locums 60 hours a week.

 

[PainInTheAnes]

No one works w2 500k-600k/8-10 weeks off 60
Hours.

The only ones working 60 hours are making 750-800k

Or locums 60 hours a week.

This is actually quite common in USAP. Very few of them are hitting over 700k even with terrible hours. Only Houston really. Certainly not taking 8-10 weeks off to make that.

 

[aneftp]

This is actually quite common in USAP. Very few of them are hitting over 700k even with terrible hours. Only Houston really. Certainly not taking 8-10 weeks off to make that.

Most of the usap partners in Houston Dallas and Orlando make 750k but they are definitely working for it.

 

[PainInTheAnes]

Most of the usap partners in Houston Dallas and Orlando make 750k but they are definitely working for it.

That’s interesting, maybe their pay is getting a little bump along with locums market. I’ve always been quoted 550ish by the folks I know there.

 

[GassYous]

This is actually quite common in USAP. Very few of them are hitting over 700k even with terrible hours. Only Houston really. Certainly not taking 8-10 weeks off to make that.

I know at least 4 groups that make more than that but definitely not 8-10 weeks off

 

[amyl]

Post call after in house 24h trauma is off for those who want to be or refuse to work more than 24h straight (me and a few others). Sunday I was on 24h home call for our secondary hospitals doing kidney transplants - we don’t get the post call day off from home call.
I made 700 plus benefits last year with 8 weeks vacation - but I worked for it. The two years before I’ve made 770-790 with 8 weeks vacation but that was before all the crnas raises and I did pick up a little extra call when asked those years.

 

[Howard888]

while 700 is solid that’s so much call. You must be upper 10th percentile in call. So many jobs at 5-7 with half or less call than that

 

[amyl]

Like just down the road from you ;-)

 

[pgg]

This sentiment has always weirded me out too. I think it’s typically just a code or subtext for exploitative people at the top to make the underlings work more while they themselves (predatory partners and the like) work less and skim off the top.

As noted by others - anyone smart who actually wants to work hard would just do locums for the highest bidders in this environment, rather than mindlessly slogging away for free.

When I was looking a few years ago, a job I considered called itself a "work hard play hard" place. High pay, only 40 hrs per week - but those 40 hours were 4:1 high acuity. As a cardiac guy I'd be starting two (staggered) hearts and two more rooms, usually cath lab / EP plus something else.

The "play hard" bit was at least a credible claim, given the high pay and 40 hour week inclusive of call.

I ended up joining a group for about 1/3 less pay and actually more hours (roughly 48/wk on average) but with mostly solo work, better ratios when supervising, and none of that multiple simultaneous heart garbage.

Funny (sad) thing - that job has bled people since then, because their high pay became average as the market changed and the brutal working conditions stayed brutal while the hours crept up.


It seems a lot of these "work hard play hard" places now are really just "work hard then work harder" with long hours and otherwise poor conditions, after an extended partnership track. The implied promise of riches and leisure eventually enjoyed by partners is hidden in that dismissive "work hard" phrase, which new hires should just accept unless they're lazy layabout slacker bums, I guess.

At least the absurd partner tracks and buy-ins are becoming rare, except for the suckers and sad souls who won't leave "desirable" cities.

 

[nimbus]

😂

Good fit for…no one then?

I don’t understand this whole “we like to work hard” thing that’s going on in the partnership tracks.

If someone “likes to work hard”, then they should be doing travel work for a few years. “Work hard” and make 20k+ per week. Rinse and repeat until satisfied with having “worked hard”

There are zero usap practices that pay fairly on an hourly basis any more. And they force partners into picking up the slack from call and gaps.

Every additional hour one works is marginally worse return on investment, and they require it or your partnership will be taken away.

I’ve literally never seen a practice where they tout “we work hard” and there is adequate compensation for the hard work. It’s always just practices in desirable areas with the undertone of “we think you’re a replaceable fool, but we can trick you into thinking that Dallas, Chicago, Philadelphia, Irvine, Seattle are worth it to live in to sacrifice every waking hour of your life on call for not extra”

The arrogance of these places in interviews to pretend it isn’t just market forces that allow them to run terrible practices is staggering.

Only in anesthesia are current partners so willing to lie to prospective partners. I don’t know what it is about this field that attracts such toxic jerks everywhere in big cities.

It’s not just anesthesia. I’ve heard some very exploitative stories in ophtho too. I’m sure ass****s exist in other specialties too.

 

[aneftp]

It’s not just anesthesia. I’ve heard some very exploitative stories in ophtho too. I’m sure ass****s exist in other specialties too.

My friends young optho husband got f’d with PE buyout. 3 year partnership track. 2 months from partner and he was highest producing doc. Got nothing.

Suffice to say. They just moved out of the area to the Carolinas to another practice. Only saving grace was they made a 650k housing profit cause they purchased a home in May 2020 just as home prices were going up in Florida. The Carolinas homes didn’t go up as quickly as the Florida homes in that time.

 

[amyl]

Private equity ruins everything they touch eventually. Anyone looking for some reading on the subject check out the book “these are the plunderers.” Recommended initially by someone on the forum… sorry I can’t remember who it was or I’d give you credit. And then I saw first hand what private equity did with senior rehab centers/nursing homes as my dad was in an out of senior rehab centers and the hospital - the difference was obvious

 

[sloh]

Private equity ruins everything they touch eventually. Anyone looking for some reading on the subject check out the book “these are the plunderers.” Recommended initially by someone on the forum… sorry I can’t remember who it was or I’d give you credit. And then I saw first hand what private equity did with senior rehab centers/nursing homes as my dad was in an out of senior rehab centers and the hospital - the difference was obvious

You’ve really changed your tune regarding PE. Much respect

 

[nimbus]

Private equity ruins everything they touch eventually. Anyone looking for some reading on the subject check out the book “these are the plunderers.” Recommended initially by someone on the forum… sorry I can’t remember who it was or I’d give you credit. And then I saw first hand what private equity did with senior rehab centers/nursing homes as my dad was in an out of senior rehab centers and the hospital - the difference was obvious

Even Red Lobster 😢. It was my go to birthday restaurant when I was growing up.

How private equity rolled Red Lobster

When a private-equity firm bought the iconic seafood chain in 2014, it sold the real estate under the restaurants for $1.5 billion. Then the restaurants struggled to pay the rents.

www.nbcnews.com

 

[sevoflurane]

So what happens when someone from USAP leaves? How do they unload their "stock"?
If they were forced to pay 200K for the stock, do they have to sell internally at whatever rate? If so what is that rate?
The writing is on the wall I think... I wouldn't be a buyer of USAP stock at any price point. They already failed to go public, and likely never will.

 

[amyl]

So what happens when someone from USAP leaves? How do they unload their "stock"?

They don’t.

 

[nimbus]

They don’t.

Don’t leave or don’t redeem their stock?

 

[amyl]

I don’t think you can sell your stock until they open it up for sale. A few guys from my group who have retired are waiting for the next. I don’t know for sure because I’m not in that boat but that’s what they’ve told me

 

[nimbus]

I don’t think you can sell your stock until they open it up for sale. A few guys from my group who have retired are waiting for the next. I don’t know for sure because I’m not in that boat but that’s what they’ve told me

When they sell, who buys it? Hopefully they are able to sell before they die.

 

[GassYous]

I don’t think you can sell your stock until they open it up for sale. A few guys from my group who have retired are waiting for the next. I don’t know for sure because I’m not in that boat but that’s what they’ve told me

They should sell it to that guy on here who was like "OMG I wish I could buy more usap stock1!!"

 

[pgg]

I don’t think you can sell your stock until they open it up for sale.

It is absolutely wild to me that the the whole USAP stock thing ... is/was a thing.

The closest analogy to anything I can think of in my life is the people who bought into a surgicenter under construction near me about 15 years ago, but they built it so mind-bendingly incompetently wrong that it wasn't fit to do any actual surgery (small rooms, hallway corners a gurney couldn't navigate, that sort of thing). They eventually converted it to office space and everyone lost their ass on it.

 

[NumTacos]

You’ve really changed your tune regarding PE. Much respect

Second this. It’s not often that adults change their minds on anything, I’m impressed.

 

[amyl]

Started to see a few concerning things on my own but my dads experience with rehab care while he was in and out of the hospital before he passed gave me first hand experience that was very hard to ignore.
I hope Congress sticks it to de la torre on the Stewart hospital deal. They should call staff there to talk about how patient care was compromised while they sucked money out and then declared bankruptcy. I don’t know that it happened but I’m sure it did. Capitalism, and crony capitalism, has really run amok. These white collar criminals deserve some orange jumpsuits

 

[Maverikk]

I don’t think you can sell your stock until they open it up for sale. A few guys from my group who have retired are waiting for the next. I don’t know for sure because I’m not in that boat but that’s what they’ve told me

What boat are you in? How often do they open it for sale and who names the price and where does the price come from? I interviewed with USAP in CO 6 years ago. Interview just all seemed wrong when they were talking about their stock and what a great investment it is. What happens if you leave USAP or they lose a contract.

 

[amyl]

I mean I’m not retired - all I know I know second hand from retirees

 

[Howard888]

So it’s institutional investors who buy the stock. Last time this happened was 2018 I believe when Berkshire and Singapore.

Will institutional investors buy in again? Maybe it’s all on USAPs profits. Which now is all dependent upon USAP getting stipends as they can’t get any higher rates. But now they’re having to pay locums in some markets and losing folks all over.

Bottom line is work for USAP but if you do don’t do a stupid partnership track with a mandatory stock purchase. Go straight salary and ask for what you are worth. 5-600. 600+ for any call

 

[Arch Guillotti]

The whole "stock" thing sounds ridiculous. I have 1 share of stock in my corporation. I think I paid a few bucks for it.

 

[sevoflurane]

The whole "stock" thing sounds ridiculous. I have 1 share of stock in my corporation. I think I paid a few bucks for it.

We’ve been saying it on this forum for years… it’s a ponzi scheme.

200k post tax is a ton of money.

Who else in the PE universe does that? Nobody. How is it valued and who is doing the buying and selling? What is the end point?

If you think that Welsh Carson is going to back that “stock”…. think again.

 

[aneftp]

So it’s institutional investors who buy the stock. Last time this happened was 2018 I believe when Berkshire and Singapore.

Will institutional investors buy in again? Maybe it’s all on USAPs profits. Which now is all dependent upon USAP getting stipends as they can’t get any higher rates. But now they’re having to pay locums in some markets and losing folks all over.

Bottom line is work for USAP but if you do don’t do a stupid partnership track with a mandatory stock purchase. Go straight salary and ask for what you are worth. 5-600. 600+ for any call

Yeah. Guy just broker his own deal with usap to be w2

600k /32 hrs worked on average weekly. He works one weekend a month. And they paid it. With 10 weeks off. So even with the weekends add up (beeper) no ob, no trauma no peds. He’s not gonna to average more than 40 hours for the month even if he gets hammered on beeper weekend calls.

It’s the wild Wild West what you can negotiate these days

But 600k w2 is far cheaper than 1099 locums to these companies. Just depends how desperate places get.

 

[amyl]

Yeah. Guy just broker his own deal with usap to be w2

600k /32 hrs worked on average weekly. He works one weekend a month. And they paid it. With 10 weeks off. So even with the weekends add up (beeper) no ob, no trauma no peds. He’s not gonna to average more than 40 hours for the month even if he gets hammered on beeper weekend calls.

It’s the wild Wild West what you can negotiate these days

But 600k w2 is far cheaper than 1099 locums to these companies. Just depends how desperate places get.

That is pretty awesome… good negotiating on his part. There are issues and I have some ethics differences but I don’t think USAP is close to falling apart - there just isn’t a system in place anywhere to replace it. Envision and Napa have stepped out of a few smaller places as has USAP… but they all still hold the big contracts by default. Hospital admins most places just aren’t ready to step in and run the show. There is definitely a market for a consultants service to come in and explain it to them - anyone up for a start up?

 

[rowsdower88]

Yeah. Guy just broker his own deal with usap to be w2

600k /32 hrs worked on average weekly. He works one weekend a month. And they paid it. With 10 weeks off. So even with the weekends add up (beeper) no ob, no trauma no peds. He’s not gonna to average more than 40 hours for the month even if he gets hammered on beeper weekend calls.

It’s the wild Wild West what you can negotiate these days

But 600k w2 is far cheaper than 1099 locums to these companies. Just depends how desperate places get.

This is for a Denver job? Their posting W2 $425-550 with 8wks off. That is an impressive deal. Is he cardiac?

https://www.gaswork.com/post/309574

Are you sure he didn't sign for the USAP Pueblo job?

https://www.gaswork.com/post/430508

Wouldn't surprise me if the gaswork ads are slow to update, but that's a huge discrepancy.

 

[aneftp]

This is for a Denver job? Their posting W2 $425-550 with 8wks off. That is an impressive deal. Is he cardiac?

https://www.gaswork.com/post/309574

Are you sure he didn't sign for the USAP Pueblo job?

https://www.gaswork.com/post/430508

Wouldn't surprise me if the gaswork ads are slow to update, but that's a huge discrepancy.

Not Colorado. Although he worked for one of those Usap places in that state.

 

[arsene19]

I’d wait. USAP having real trouble staffing up FTE W2 for 500k. Heard they will be going from RVU to an hourly rate starting Jan like everyone else in the market, around 300 for 46 hr week and 8 wk vac. W2. That’s mid 600s if you include healthcare and match. And I’m sure plenty of overtime lol.

Funds ain’t coming from increased billings or hospital subsidy. How much have PE firms been siphoning off?

 

[aneftp]

I’d wait. USAP having real trouble staffing up FTE W2 for 500k. Heard they will be going from RVU to an hourly rate starting Jan like everyone else in the market, around 300 for 46 hr week and 8 wk vac. W2. That’s mid 600s if you include healthcare and match. And I’m sure plenty of overtime lol.

Funds ain’t coming from increased billings or hospital subsidy. How much have PE firms been siphoning off?

That’s not a bad deal for 46 hr week. You get gurantee schedule and not have to keep hustling like me for locums jobs.

Probably better deal for married people on one income since singles get hammered on w2 taxes after 230k AGI meaning a 600k w2 income is 20k more in federal taxes for single vs married

What’s the difference between PE siphoning 20% than partners siphoning off 20% new hires on a 3-5 year partnership track with no guarantees? None. Don’t blame PE. Private partners in the past have been just as horrible. My sister got screwed 1.5 million in a 5 year partnership track. So did others in the predatory private practice group.

 

[nimbus]

What’s the difference between PE siphoning 20% than partners siphoning off 20% new hires on a 3-5 year partnership track with no guarantees?

Correct me if I’m wrong. Didn’t new hires at USAP have to pay both?

 

[aneftp]

Correct me if I’m wrong. Didn’t new hires at USAP have to pay both?

The young docs who came out around 2012/2013/2014/2015/2016/2017 all over paid into the usap system with huge forced stock purchases

It was around 2018 when no ipo was taking place that usap corporation started lessening the forced usap stocks

So yes. The newer partners paid a lot into the system.