Median Earnings (1yr)
$67,248
43rd percentile
40th percentile in North Carolina
Est. Median Debt
$14,096
Est. from NC median (34 programs)

Analysis

In North Carolina, nursing associate's degree programs cluster tightly around $67,000 in first-year earnings, and Isothermal lands right in that pack—though peer programs in the state suggest debt around $14,000 could be typical. What makes this program worth scrutiny is an unusual earnings trajectory: instead of the steady income growth most nurses experience, first-year earnings of $67,248 drop to $58,880 by year four, a 12% decline that runs counter to typical nursing career patterns.

This earnings reversal matters more than the starting salary, which sits at the national median for nursing associate's degrees. Something appears different about how Isothermal graduates progress compared to peers. Nursing typically offers reliable income stability and growth as nurses gain experience and certifications, but this pattern suggests graduates may be facing local market constraints, part-time shifts, or other factors limiting their advancement. Meanwhile, top nursing programs in North Carolina—like Robeson Community College at $77,475—demonstrate that significantly higher first-year outcomes are achievable at similar community colleges across the state.

The estimated debt-to-earnings ratio of 0.21 appears manageable on paper, but it assumes first-year earnings hold steady. For parents, the key question is whether this program provides the clinical partnerships, specialty training options, and job placement support that lead to the career progression nursing should deliver—or whether graduates might be better served at one of the state's stronger-performing community college nursing programs.

Where Isothermal Community College Stands

Earnings vs. debt across all registered nursing, nursing administration, nursing research and clinical nursing associates's programs nationally

Earnings Distribution

How Isothermal Community College graduates compare to all programs nationally

Earnings Over Time

How earnings evolve from 1 year to 4 years after graduation

School1 Year4 YearsGrowth
Isothermal Community College$67,248$58,880-12%
McDowell Technical Community College$62,167$70,204+13%
Durham Technical Community College$66,430$67,959+2%
Nash Community College$64,013$67,822+6%
Vance-Granville Community College$72,520$67,593-7%

Compare to Similar Programs in North Carolina

Registered Nursing, Nursing Administration, Nursing Research and Clinical Nursing associates's programs at peer institutions in North Carolina (59 total in state)

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SchoolIn-State TuitionEarnings (1yr)Earnings (4yr)Median Debt*Debt/Earnings
Isothermal Community CollegeSpindale$2,030$67,248$58,880$14,096*
Robeson Community CollegeLumberton$2,571$77,475$53,517$9,949*0.13
Stanly Community CollegeAlbemarle$2,672$76,008$62,543*
Carolinas College of Health SciencesCharlotte$19,095$75,471$60,940$24,499*0.32
Johnston Community CollegeSmithfield$2,657$74,366$59,248$13,167*0.18
Central Piedmont Community CollegeCharlotte$2,792$73,310$61,843$16,125*0.22
National Median$68,409$20,751*0.30
* Estimated from similar programs

Career Paths

Occupations commonly associated with registered nursing, nursing administration, nursing research and clinical nursing graduates

Nurse Anesthetists

Administer anesthesia, monitor patient's vital signs, and oversee patient recovery from anesthesia. May assist anesthesiologists, surgeons, other physicians, or dentists. Must be registered nurses who have specialized graduate education.

$132,050/yrJobs growth:Master's degree

Nurse Midwives

Diagnose and coordinate all aspects of the birthing process, either independently or as part of a healthcare team. May provide well-woman gynecological care. Must have specialized, graduate nursing education.

$132,050/yrJobs growth:Master's degree

Nurse Practitioners

Diagnose and treat acute, episodic, or chronic illness, independently or as part of a healthcare team. May focus on health promotion and disease prevention. May order, perform, or interpret diagnostic tests such as lab work and x rays. May prescribe medication. Must be registered nurses who have specialized graduate education.

$132,050/yrJobs growth:Master's degree

Medical and Health Services Managers

Plan, direct, or coordinate medical and health services in hospitals, clinics, managed care organizations, public health agencies, or similar organizations.

$117,960/yrJobs growth:Bachelor's degree

Registered Nurses

Assess patient health problems and needs, develop and implement nursing care plans, and maintain medical records. Administer nursing care to ill, injured, convalescent, or disabled patients. May advise patients on health maintenance and disease prevention or provide case management. Licensing or registration required.

$93,600/yrJobs growth:Bachelor's degree

Acute Care Nurses

Provide advanced nursing care for patients with acute conditions such as heart attacks, respiratory distress syndrome, or shock. May care for pre- and post-operative patients or perform advanced, invasive diagnostic or therapeutic procedures.

$93,600/yrJobs growth:Bachelor's degree

Advanced Practice Psychiatric Nurses

Assess, diagnose, and treat individuals and families with mental health or substance use disorders or the potential for such disorders. Apply therapeutic activities, including the prescription of medication, per state regulations, and the administration of psychotherapy.

$93,600/yrJobs growth:Bachelor's degree

Critical Care Nurses

Provide specialized nursing care for patients in critical or coronary care units.

$93,600/yrJobs growth:Bachelor's degree

Clinical Nurse Specialists

Direct nursing staff in the provision of patient care in a clinical practice setting, such as a hospital, hospice, clinic, or home. Ensure adherence to established clinical policies, protocols, regulations, and standards.

$93,600/yrJobs growth:Bachelor's degree

Nursing Instructors and Teachers, Postsecondary

Demonstrate and teach patient care in classroom and clinical units to nursing students. Includes both teachers primarily engaged in teaching and those who do a combination of teaching and research.

$83,980/yrJobs growth:
About This Data

Source: U.S. Department of Education College Scorecard (October 2025 release)

Population: Graduates who received federal financial aid (Title IV grants or loans). At Isothermal Community College, approximately 34% of students receive Pell grants. Students who did not receive federal aid are not included in these figures.

Earnings: Median earnings from IRS W-2 data for graduates who are employed and not enrolled in further education, measured 1 year after completion. Earnings are pre-tax and include wages, salaries, and self-employment income.

Debt: Median cumulative federal loan debt at graduation. Does not include private loans or Parent PLUS loans borrowed on behalf of students.

Sample Size: Based on 18 graduates with reported earnings and 14 graduates with debt data. Small samples may not be representative.