Another 1099 vs W-2

1099 job

Census of 18-20

Mid-levels do admissions plus dedicated MD admitter

Malpractice/tail covered

Can leave at 4 as long as you're not on call

$370k/yr

No PTO

Can ask for days off as long as they're 3 months in advance (Have an army of PRNs apparently)

W-2

$290k with $35/RVU after 4.6k RVUS in Year 1

$320k with $35/RVU after 5k RVUS in Year 3

3% employee match for 401k and all the other standard bennies

My issue: Census of ~25 patients to start with plus 2-3 admissions that you'd be signing off as the hospital uses a combo of residents plus NPs.

7am-7pm, no real exceptions

Days off? Better ask for the others to cover your shift(s)

W-2 is very tempting to me to do for a few years just to make an ass ton of money. Or am I completely overblowing the potential money that could be made working a job like that?

Posted Feb 26, 2026, 3:23 AM UTC

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