What’s happening in Memphis

[BLADEMDA]

Compensation:  
-W2 Full Time / Call Taking - $650,000 Annually  
-W2 Full Time / Non-Call Taking - $560,000 Annually 
-1099 Full Time / Call Taking - $700,000 Annually 
-1099 Full Time/ Non-Call Taking - $610,000 Annually
-9 weeks PTO 
-Premium Pay for Additional Hours Worked Over Scheduled Time 
-Relocation Assistance Available 
-$5,000 Education Stipend 
-Part-Time and Per Diem Opportunities Available (W2 Only) 
-Health | Dental | Vision | Life | Disability | Malpractice (W2 only) 
-401(k) | Flexible Spending Accounts

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[BLADEMDA]

The pay in Memphis seems quite fair for 45 hours per week. In fact, I would say that's what most hospitals should be doing to avoid locums.

 

[Marcus_Ernesto]

Agreed. This idea that these multistate PEs are anything more than big box retail anesthesia is misguided.

Not sure, but I do not think the new group is PE or VC owned. They offered me a position and also asked me if I wanted to serve as Faculty for a residency program they are working on. Just my experience.

 

[aneftp]

Compensation:  
-W2 Full Time / Call Taking - $650,000 Annually  
-W2 Full Time / Non-Call Taking - $560,000 Annually 
-1099 Full Time / Call Taking - $700,000 Annually 
-1099 Full Time/ Non-Call Taking - $610,000 Annually
-9 weeks PTO 
-Premium Pay for Additional Hours Worked Over Scheduled Time 
-Relocation Assistance Available 
-$5,000 Education Stipend 
-Part-Time and Per Diem Opportunities Available (W2 Only) 
-Health | Dental | Vision | Life | Disability | Malpractice (W2 only) 
-401(k) | Flexible Spending Accounts

This is current reasonable market rate in case there are hospitals administration lurking on these forums.

It’s not the future. You are not “leading the pack in compensation “. Hospitals loathe to lead in compensation. They really hate when that applies to them.

650k/40-45 a week. 9-10 weeks off. W2.

It may be closer to 700k w2 next year the way things are going with being able to recruit and retain anesthesia staff

As for crna w2 models. I think 300k daytime no calls w2 with 9’weeks will bring them in and eliminate most locums. That’s no call. The call crnas can be incentivized to make another 100k. That eliminates the need for crna locums with this pay structure. Why pay 1099 crna 350-400k 1099 for 4 days a week plus another 120-150k agency fees.

 

[Marcus_Ernesto]

The pay in Memphis seems quite fair for 45 hours per week. In fact, I would say that's what most hospitals should be doing to avoid locums.

Locums companies usually charge 33% above what the LT docs get paid.

 

[aneftp]

Locums companies usually charge 33% above what the LT docs get paid.

Correct. If hospitals (because hospitals really are paying all these cost). AMC are in this to make money not take a lost in this environment.

Hospitals are forking over the money.

Pay the docs directly. Get rid of the locums fees

It’s just the laziness of hospitals admin.

 

[Marcus_Ernesto]

Compensation:  
-W2 Full Time / Call Taking - $650,000 Annually  
-W2 Full Time / Non-Call Taking - $560,000 Annually 
-1099 Full Time / Call Taking - $700,000 Annually 
-1099 Full Time/ Non-Call Taking - $610,000 Annually
-9 weeks PTO 
-Premium Pay for Additional Hours Worked Over Scheduled Time 
-Relocation Assistance Available 
-$5,000 Education Stipend 
-Part-Time and Per Diem Opportunities Available (W2 Only) 
-Health | Dental | Vision | Life | Disability | Malpractice (W2 only) 
-401(k) | Flexible Spending Accounts

My package was a little better than that, they gave me a stipend for serving as faculty for the residency program, and since I had a fellowship, I got an additional enhancement. Was super happy with my offer.

 

[Marcus_Ernesto]

Correct. If hospitals (because hospitals really are paying all these cost). AMC are in this to make money not take a lost in this environment.

Hospitals are forking over the money.

Pay the docs directly. Get rid of the locums fees

It’s just the laziness of hospitals admin.

This is current reasonable market rate in case there are hospitals administration lurking on these forums.

It’s not the future. You are not “leading the pack in compensation “. Hospitals loathe to lead in compensation. They really hate when that applies to them.

650k/40-45 a week. 9-10 weeks off. W2.

It may be closer to 700k w2 next year the way things are going with being able to recruit and retain anesthesia staff

As for crna w2 models. I think 300k daytime no calls w2 with 9’weeks will bring them in and eliminate most locums. That’s no call. The call crnas can be incentivized to make another 100k. That eliminates the need for crna locums with this pay structure. Why pay 1099 crna 350-400k 1099 for 4 days a week plus another 120-150k agency fees.

For me, they structured what I thought was a very nice base. Then they added on stipends for my serving as Faculty and my fellowship. Also, I only had to do 4 calls a month--and then I could pick up more call and earn more money. The recruiter I spoke with (Lori) was super easy to work with?

 

[Marcus_Ernesto]

Agreed. This idea that these multistate PEs are anything more than big box retail anesthesia is misguided.

Difference between an AMC and an AMC that is PE owned.

Those dudes stole my other buddy (yes I have a lot of contacts throughout the country). Contract out west on 2007. It’s a dirty business. They ran it into the ground

Now I understand the game has changed but they literally did a bait and switch with hospital admin promising lower cost when cost doubled in one year

It’s just usual business dealings. Who believes the lies one business entity tells another

I do have to congratulate the hospital management for doing damage control. It’s Better to lose 20 million now as oppose to 30 million in another year trying to shore up staffing. When they probably could have just paid the original group 15 million lol

That’s just how stupid hospital admin is these days. But at least they recognize the situation quickly.
Lost mitigation

IMHO, I think many hospitals are receptive to evolving market conditions with regard to compensation. They look at it as investing in the Department, their Perioperative Service Line and their Hospital. Like any investment, however, they want to know where the money is going. It's business 101.

 

[Marcus_Ernesto]

Those dudes stole my other buddy (yes I have a lot of contacts throughout the country). Contract out west on 2007. It’s a dirty business. They ran it into the ground

Now I understand the game has changed but they literally did a bait and switch with hospital admin promising lower cost when cost doubled in one year

It’s just usual business dealings. Who believes the lies one business entity tells another

I do have to congratulate the hospital management for doing damage control. It’s Better to lose 20 million now as oppose to 30 million in another year trying to shore up staffing. When they probably could have just paid the original group 15 million lol

That’s just how stupid hospital admin is these days. But at least they recognize the situation quickly.
Lost mitigation

IMHO it's business 101, the Hosital is making an investment in the department, they just want to see where the $$$ is going,

 

[Marcus_Ernesto]

This is current reasonable market rate in case there are hospitals administration lurking on these forums.

It’s not the future. You are not “leading the pack in compensation “. Hospitals loathe to lead in compensation. They really hate when that applies to them.

650k/40-45 a week. 9-10 weeks off. W2.

It may be closer to 700k w2 next year the way things are going with being able to recruit and retain anesthesia staff

As for crna w2 models. I think 300k daytime no calls w2 with 9’weeks will bring them in and eliminate most locums. That’s no call. The call crnas can be incentivized to make another 100k. That eliminates the need for crna locums with this pay structure. Why pay 1099 crna 350-400k 1099 for 4 days a week plus another 120-150k agency fees.

The shortages are not expected to get any better anytime soon. Likely no receive until 2030-2032. Your 700K in a year may or may not prove a little light.

 

[aneftp]

Difference between an AMC and an AMC that is PE owned.

IMHO, I think many hospitals are receptive to evolving market conditions with regard to compensation. They look at it as investing in the Department, their Perioperative Service Line and their Hospital. Like any investment, however, they want to know where the money is going. It's business 101.

It's corporation speak when I hear "investing in the department" "adding value" etc. It's all BS if you want to drink the kool-aid.

The "value" hospitals like to hear is what free services an AMC can sell them on. Believe it or not. Hospital administrator fall for it. Like having the call team people "save" on anesthesia techs by setting up rooms overnight. Or having anesthesia be able 24/7 to do regional blocks like ESP for trauma patients coming in at 2am with rib fractures. That's corporate talk. Doesn't hurt the AMC selling it to these administrators because they are sleeping in their own bed at night.

Unless an AMC "leader" actively practices what he/she speaks. You have very little respect for them these days.

Just grab the cash and do your work and leave is how I see it these days. There is no loyalty any more.

The salary/compensation/incentive is appropriate, thus they can sign up people quickly.

 

[Shimmy8]

IMHO it's business 101, the Hosital is making an investment in the department, they just want to see where the $$$ is going,

Are you a new grad? You sound either like an incredibly naive person or a fake account to make Memphis more palatable.

If you are real…tread lightly in Memphis and don’t buy a house. Guarantee everything.

 

[sevoflurane]

Were they not advertising for cardiac/liver transplant anesthesia not too long ago?

 

[sevoflurane]

Maybe that was another locums gig. !?

 

[RocAndRoll]

Maybe that was another locums gig. !?

Nope you are correct it was them. They recently acquired the cardiac group from baptist hospital (NAPA). The hospital wants a residency program so they are advertising for that now.

 

[RocAndRoll]

IMHO it's business 101, the Hosital is making an investment in the department, they just want to see where the $$$ is going,

This is incorrect. They are paying for a service. As long as the service is provided they aren't entitled to looking at another business's books.

 

[nimbus]

The organization that came in is not a PE firm, it is a large multi-state group of CRNAs and Docs that have been around for 28 years. Good people.

The organization has a presence in my state and they get mostly naive out of staters who don’t know the lay of the land. They staff very challenged facilities in terms of location and payer mix. They don’t get graduates of local programs or midcareer doctors changing jobs.

I would reserve judgement on the “good people” part for a couple of years. It is very hard to know if you haven’t started yet.

 

[centdoc]

I hear they hired a bunch of people and now getting rid of the locums.

 

[aneftp]

I hear they hired a bunch of people and now getting rid of the locums.

Where have you been? I told people about this on this board on Saturday.

 

[Guillemot]

Where have you been? I told people about this on this board on Saturday.

 

[Arch Guillotti]

Where have you been? I told people about this on this board on Saturday.

Not doomscrolling SDN?

 

[deleted1183938]

Not my understanding or what I have seen or heard--first hand.

What had been your “first hand” experience others than interviewing with them? I mean people get fed a lot of hogwash during interviews so I wouldn’t exactly call that first hand experience.

 

[deleted1183938]

IMHO it's business 101, the Hosital is making an investment in the department, they just want to see where the $$$ is going,

Man you sound green. How long have you been out of residency?

 

[amyl]

Somnia was or still is difficult to deal with.

The original 2-3 founders were lazy as F during residency in the mid 1990s. Got help with their New York based daddies to start up the company and get surgery centers. All they talked was doing as little as possible while trying to make as much.

It’s a free world. But that’s their model.

Look. Money talks. They obviously convinced the Hospital and surgery centers to cough up enough money.

The overall work load is manageable for the pay.
That’s all that matters these days. Pay people. Don’t over work them.

I am sure the Hospital is paying much more to Somnia to run the practice than the old group.

It’s like my friends place. 8 million dollar subsidy with private practice. They left.

New amc comes in. Begs for help after 6 months. Demands 21 million dollar subsidy. Hospital management and amc congratulate themselves for getting staffing up. But they just spent 13 million extra!

Same stuff in Memphis

Wow. 21 million?!?! For what?

 

[Dr. Rude]

Wow. 21 million?!?! For what?

Recruit and retain and maintain the skim.

 

[ryanjmy]

This is incorrect. They are paying for a service. As long as the service is provided they aren't entitled to looking at another business's books.

Exactly. The AMC might be transparent with how the local docs are paid but they aren’t showing where that 20% management fee goes. No way an amc is opening their books to a community hospital.

 

[narcotics999]

Compensation:  
-W2 Full Time / Call Taking - $650,000 Annually  
-W2 Full Time / Non-Call Taking - $560,000 Annually 
-1099 Full Time / Call Taking - $700,000 Annually 
-1099 Full Time/ Non-Call Taking - $610,000 Annually
-9 weeks PTO 
-Premium Pay for Additional Hours Worked Over Scheduled Time 
-Relocation Assistance Available 
-$5,000 Education Stipend 
-Part-Time and Per Diem Opportunities Available (W2 Only) 
-Health | Dental | Vision | Life | Disability | Malpractice (W2 only) 
-401(k) | Flexible Spending Accounts

1099 full time no call taking 610k is best one

 

[Status Sciaticus]

1099 full time no call taking 610k is best one

depends on what full time is. 50 hours full time no call vs 50 hours full time including 1 call per week? Ill take the call and get the pre/post any day of the week. 40 hours full time? then 1099 full time no call it is.

 

[deleted1183938]

depends on what full time is. 50 hours full time no call vs 50 hours full time including 1 call per week? Ill take the call and get the pre/post any day of the week. 40 hours full time? then 1099 full time no call it is.

And that is why we are all different.

 

[gator2886]

MSN

This will forever be part of the problem. Memphis is the only US city on the list

 

[rowsdower88]

MSN

This will forever be part of the problem. Memphis is the only US city on the list

"A website that claims to be the largest cost of living database says Memphis is the tenth most dangerous city in the world."

Pretty weird sourcing.

"According to Numbeo, the crime data is derived from surveys conducted by visitors to their website. The questions in the surveys are designed to be similar to those in many scientific and government surveys.

Numbeo says the crime index is an estimation of the overall level of crime in a given city or country."

This is very suspect.

Edit: Memphis definitely has a huge crime problem. Don't get me wrong.

U.S. - most dangerous cities 2022 | Statista

In 2022, around 2,420.86 violent crimes per 100,000 residents were reported in Memphis, Tennessee.

www.statista.com

Here is violent crime data obtained from FBI sourcing.

 

[gator2886]

"A website that claims to be the largest cost of living database says Memphis is the tenth most dangerous city in the world."

Pretty weird sourcing.

"According to Numbeo, the crime data is derived from surveys conducted by visitors to their website. The questions in the surveys are designed to be similar to those in many scientific and government surveys.

Numbeo says the crime index is an estimation of the overall level of crime in a given city or country."

This is very suspect.

Edit: Memphis definitely has a huge crime problem. Don't get me wrong.

U.S. - most dangerous cities 2022 | Statista

In 2022, around 2,420.86 violent crimes per 100,000 residents were reported in Memphis, Tennessee.

www.statista.com

Here is violent crime data obtained from FBI sourcing.

Even if the data is suspect, Memphis is known to be extremely dangerous...and its gotten worse....and people just read headlines....so still another reason it is difficult to recruit