Contract & Benefits

Physician Recruitment Process and Compensation Overview

Highly Competitive Package Designed for Stability and Productivity

This position offers a transparent, highly competitive compensation model structured to reward both clinical excellence and long-term commitment. The base salary of $500,000 annually reflects the specialized nature of OBGYN practice, the critical community need you fulfill as the only specialist in the service area, and the sustainable practice model that allows you to maintain professional satisfaction across a career.

The compensation package combines strong base salary with meaningful signing incentives, choice-based retention or loan forgiveness benefits, and productivity bonuses that reward quality care without creating unsustainable volume pressures. The structure is built to provide income predictability while preserving productivity upside. The 4-day clinic schedule with protected administrative time allows you to focus on patient care while maintaining the work-life balance essential for long-term physician retention.

Base Compensation Structure

  • $500,000 annual base salary
  • 4-day clinic schedule with protected administrative time
  • 1:4 OB call rotation supported by locums coverage
  • RVU productivity bonus available at $73.65 per wRVU
  • Projected steady-state performance at approximately 7,688 wRVUs annually
  • Quality and performance-based bonus opportunities

Signing and Retention Incentives

  • $100,000 signing bonus paid upon start
  • Choice of $100,000 student loan forgiveness OR $100,000 retention bonus
  • $25,000 per year for four years for loan forgiveness or retention bonus
  • Structure designed to support both recent graduates with debt and experienced physicians seeking stability

Time Off and Professional Development

  • 20 days paid time off annually
  • 8 paid holidays
  • 5 days CME time with educational allowance
  • Nearly 7 weeks total paid time off when combining PTO, holidays, and CME
  • CME allowance for continuing medical education
  • License and dues reimbursement
  • Support for conference attendance and professional development

Comprehensive Benefits Package

  • Medical insurance (comprehensive coverage options)
  • Dental insurance
  • Vision insurance
  • Professional liability insurance with tail coverage
  • Retirement plan options including 401k, 403b, and 457 plans
  • Employer retirement contributions
  • Life insurance and disability coverage
  • Relocation assistance provided
  • Support for Iowa medical licensure and credentialing process
  • Benefits valued at approximately 22% of base salary

Productivity Expectations and Financial Modeling

The compensation model projects steady-state performance at approximately 7,688 wRVUs annually based on an OB-focused panel and moderate clinic volumes. This translates to projected annual wRVU-based revenue exceeding $530,000 before quality incentives or downstream hospital contribution. The financial model builds in realistic ramp expectations while protecting your income during practice development.

Volume and RVU Projections

  • 184 clinic days annually (4 days per week × 46 weeks)
  • Approximately 20 patients per clinic day
  • 3,680 annual clinic visits projected
  • Average 1.6 wRVUs per clinic visit
  • 5,888 clinic wRVUs annually
  • 100 deliveries annually at 18 wRVUs each
  • 1,800 OB wRVUs annually
  • Total projected: 7,688 wRVUs at steady state

Year 1 Ramp Expectations

  • Year 1 production modeled conservatively at 75% of steady state
  • Allows for panel building and community integration
  • Base salary provides income stability during ramp period
  • Productivity bonus creates upside as practice matures
  • Financial model protects physician income while building sustainable volume

Financial Sustainability

  • Break-even wRVU threshold: 8,624 wRVUs annually
  • Projected steady-state performance: 7,688 wRVUs
  • Margin between projection and break-even demonstrates sustainability
  • Model does not require unsustainable volume to succeed
  • Base salary protects income regardless of ramp timeline
  • Productivity bonus rewards quality care without volume pressure

Practice Support and Resources

The hospital's independent status provides flexibility in structuring compensation and benefits that larger health systems cannot match. When you negotiate your package, you work directly with leadership who understand your value and have authority to create arrangements that work for both parties. The 24-hour contract turnaround time eliminates the frustrating delays common when multiple approval layers slow decision-making.

St Anthony Regional Hospital demonstrated willingness to invest significantly in women's health through their Centers of Excellence grant application, state-of-the-art labor and delivery renovation, and ongoing participation in maternal quality initiatives. This organizational commitment extends to physician support, with resources allocated to maintaining sustainable call schedules, competitive compensation, and professional development opportunities.

Financial Context and Purchasing Power

Your $500,000 base salary, when combined with Carroll's cost of living approximately 15-20% below national averages, provides purchasing power that often exceeds substantially higher salaries in expensive metropolitan markets. Median home values around $175,000-$180,000 mean your housing costs represent a fraction of income rather than the 30-40% common in Des Moines, Chicago, or coastal cities.

The absence of OBGYN competition in your service area strengthens your value proposition. You are not one of multiple candidates competing for a single position. You are a specialized provider filling a critical community need that cannot be met through alternative staffing arrangements. The hospital needs you specifically, and the compensation reflects that reality.

Long-Term Partnership and Growth

Independent hospitals value physician retention and structure compensation with long-term partnership in mind. Physicians who thrive in rural communities often find that medical director opportunities, quality leadership roles, and increasing clinical autonomy over time provide professional satisfaction beyond financial compensation alone. The hospital's accessible leadership and nimble decision-making create opportunities for physicians who demonstrate commitment to the community and excellence in practice.

The locums-supported call structure, protected administrative time, and sustainable RVU expectations indicate an organization focused on physician longevity rather than short-term productivity maximization. You join a system that understands burnout prevention begins with reasonable expectations and appropriate support, not just competitive salary.

Contract Process

St Anthony Regional Hospital operates with a straightforward contract process. When you visit for an interview, leadership discusses preliminary compensation expectations during your visit. Within 24 hours of that conversation, you receive an initial contract draft. This rapid response eliminates the frustrating waiting periods common when multiple approval layers slow decision-making.

The organization's approach to negotiation emphasizes clarity and efficiency. Rather than endless back-and-forth over minor details, they work to understand your priorities and create packages that address genuine needs. The hospital's willingness to maintain locums coverage specifically to protect physician call schedules demonstrates their understanding that competitive compensation alone does not ensure physician satisfaction.

St Anthony Regional Hospital competes for specialty physicians by offering not just competitive compensation but genuine quality of life, practice autonomy, and the satisfaction of making measurable community impact. Your compensation package reflects your value to the organization while supporting the lifestyle that makes rural practice sustainable across a career.

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