Hope everyone managed to get at least a little bit of rest over Christmas after the chaos of the holiday shift schedules
With everything getting more expensive and the workload not letting up, seriously considering bringing up a raise early in 2026.
For those of you who’ve successfully asked for (or gotten) a raise in healthcare – when did you do it? Right after the holidays when everyone’s back in the office, waiting for the official annual review cycle, or some other time?
Thoughts?

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I asked for a raise this past January and got it but it took them like three months to actually give me the raise lol. I don't know that there is a good or bad time. If it is time to ask then I say rip the bandaid off.

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Haha, three months to process a raise? That’s so painfully classic—congrats on getting it eventually, but man, the wait is ridiculous. You’re probably right though, there’s never a “perfect” time in our field. Budgets are always tight, leadership is always distracted, and there’s always some excuse. Now I’m leaning toward your rip-the-band aid approach. If you’ve got solid accomplishments, market data showing you’re underpaid, and you’re ready to walk if they don’t value you—then yeah, just ask when it feels right for YOU. Worst case, they say “wait till reviews” and you’re no worse off than before.Did they at least backdate yours to when you asked, or did you lose out on those three months? That part always stings the most to me.

The only raise I've ever gotten are the ones after annual reviews. No promotions yet for me. I don't even know how to begin asking for one.

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Hey, that’s actually super common. Most people only get the automatic cost-of-living or review bump until they finally force the promotion conversation. Companies love that setup because it keeps payroll predictable and puts the onus on you to ask. So no, you’re not behind or clueless; you’ve just been playing by the default rules.
Asking for a promotion feels awkward as hell the first time (like you’re bragging or begging), but it’s literally expected in most places. Managers get asked this all the time; they’re not shocked.
Here’s a simple way to start without sounding entitled:
Book a 1:1 with your manager (or a dedicated meeting if your check-ins are too short). Frame it positively: “I’d like to talk about my career growth and how I can take on more here.”
Come prepared with a short “brag doc” (doesn’t have to be formal—just bullet points): Key things you’ve accomplished since your last review (projects delivered, money saved/made, problems solved).
Extra responsibilities you’ve quietly taken on.
Any positive feedback you’ve gotten (emails, review quotes, etc.). How your role has grown beyond the original job description.
If they say you need to wait for the next review cycle or “we don’t have budget right now,” you can gently push: “I understand—can we set specific goals and a check-in in 3 months so it’s lined up for the next possible window?” Worst case, you get clarity that promotions are slow/stingy there, and you can decide if you want to stick around or start looking. Best case, you get the bump you’ve already earned. You’ve been delivering the work so now you just have to connect the dots for them out loud. You got this.

My company does regular raises at set intervals, typically around spring. I have not found it to be useful to try to bring up raises outside of this structure because I'll pretty much exclusively be told no.

Yeah, that’s super relatable. Raises are basically locked into the annual cycle (ours hit around April/May with the new fiscal year budget), and if you try to bring it up any other time, you just get the polite “we’ll take it into consideration during the normal review process” brush-off. I’ve tried it twice—once after taking on extra committee leadership and once after getting my BCOP—and both times it went exactly nowhere.It’s frustrating because it feels like there’s zero flexibility for exceptional contributions or even just keeping up with the market. I’ve learned to save my energy and stack all my ammo for that one window: updated CV, list of projects/precepting/metrics improved, salary data from ASHP/Reddit/state surveys, the works. At least then there’s a fighting chance.Do you still push for the max possible during that spring cycle, or have you pretty much accepted whatever the standard percentage is? I’m curious if anyone’s figured out how to actually move the needle inside these rigid structures.

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