Contract & Benefits

Physician Recruitment Process and Compensation Overview

A Comprehensive Financial Package That Rewards Clinical Excellence

Your compensation reflects a hybrid model that combines the income security of employed medicine with the upside potential and autonomy of private practice. Southern Medical Group employs you directly while Tallahassee Memorial Healthcare provides a two-year salary guarantee to the practice, creating financial stability during your ramp-up period without sacrificing the physician governance and clinical control that define private practice culture. This structure has proven successful for decades, allowing physicians to build sustainable practices while benefiting from hospital infrastructure and capital investment.

The financial package extends well beyond base salary through multiple ancillary income streams that materialize immediately upon joining the practice. Unlike corporate models where physicians receive flat salaries regardless of productivity or engagement, you benefit directly from additional clinical activities including hospital-based imaging, teaching, quality improvement work, and committee participation. These income streams typically add $45,000 to $60,000 annually for associate physicians, with significantly higher earnings potential once you achieve partnership status after 12 months.

Base Salary and Productivity Compensation

Your two-year guaranteed base salary of $600,000 provides the financial foundation while you integrate into the regional cardiovascular network. This guarantee applies regardless of productivity during your first two years. The hospital provides this guarantee to Southern Medical Group, demonstrating institutional commitment to physician recruitment and program growth rather than leaving financial risk entirely on the practice.

Beginning with your first day of employment, you receive productivity compensation calculated monthly based on work relative value units (wRVUs) generated above your salary threshold. Associates earn $60 per wRVU with a monthly reconciliation that pays productivity bonuses throughout the year rather than deferring all incentive compensation to an annual settlement. Your wRVU threshold equals $600,000 divided by $60, creating a breakeven point of 10,000 wRVUs annually or approximately 833 wRVUs monthly.

  • Monthly wRVU reconciliation means you receive productivity bonuses within 30 to 45 days of generating the work rather than waiting until year-end to see incentive compensation. This cash flow advantage matters significantly for physicians managing student loans, building savings, or making major purchases during the transition to a new position and community.
  • The $60 per wRVU associate rate sits approximately $3 to $5 below MGMA median benchmarks for interventional cardiology, reflecting a temporary differential that disappears upon partnership. The practice structures this intentionally: your first 12 months allow you to learn practice patterns, build relationships, and demonstrate clinical capability while the group evaluates your fit within the culture. After partnership, your wRVU rate increases to $65, bringing you above MGMA median and providing meaningful income growth without requiring productivity increases.
  • Interventional cardiology wRVU generation typically ranges from 12,000 to 18,000 annually depending on procedural mix, call coverage, and individual work preferences. Simple diagnostic catheterizations generate fewer wRVUs than complex interventions, chronic total occlusions, or peripheral procedures that require extended lab time and sophisticated techniques. Your focus on critical limb ischemia work positions you for strong wRVU generation because these procedures carry higher relative values reflecting their technical complexity and time requirements.

Partnership Track and Long-Term Value Creation

Partnership eligibility begins after 12 consecutive months of full-time employment with a buy-in cost of $30,000. This relatively modest investment purchases equity in a practice with decades of operational history, established payer contracts, significant real estate holdings, and multiple ancillary income streams. The buy-in functions as true equity rather than simply purchasing your own future earnings, meaning you acquire ownership interest in hard assets and shared resources rather than making a deposit that gets returned upon departure.

Partnership status brings immediate financial benefits including the wRVU rate increase from $60 to $65 (an 8.3% raise on all productivity compensation) and vacation expansion from six weeks to ten weeks annually. More significantly, partnership unlocks access to income streams unavailable to associate physicians, creating meaningful wealth-building opportunities beyond clinical compensation.

  • Co-management agreement participation allows partners to earn $40,000 to $65,000 annually through quality improvement initiatives focused on heart failure, readmissions reduction, and process improvements. This program has operated successfully for approximately 13 years with an average partner earning around $60,000 annually. You receive separate hourly compensation for time spent on quality work plus year-end distributions based on achievement of predetermined metrics, creating both guaranteed payment for effort and performance-based bonuses.
  • Heart Station imaging rotation generates approximately $40,000 annually per partner through dedicated weeks when you read all echocardiograms and electrocardiograms for the practice. Each partner rotates through this responsibility three to four weeks per year depending on total partner count, working seven consecutive days during each rotation week. This income arrives as 1099 compensation from a separate entity, providing tax advantages through establishment of a SEP-IRA or other retirement vehicle for additional pre-tax savings beyond the group's 401(k) plan.
  • Meeting participation compensation averages $10,000 to $30,000 annually for partners through attendance at committee meetings, quality reviews, and administrative sessions. The practice pays $250 per hour for this work, recognizing that physician governance and clinical leadership require time investment beyond direct patient care. Physicians who engage actively in practice management and quality oversight naturally earn more from this stream than those who prefer to focus exclusively on clinical work.
  • ASC equity opportunity represents potentially the most significant long-term wealth creation vehicle available through this practice. The cardiovascular-only ambulatory surgery center opening in spring 2026 will offer partnership investment in both real estate and operations. Partners can participate in facility ownership (the physical building and equipment) and operational profit sharing from cases performed in the ASC. Historically, physician-owned ASCs in high-volume specialties like cardiology generate annual returns of 15% to 30% on invested capital through both facility profits and appreciated real estate value.

Comprehensive Benefits Package

Your benefits package includes employer-paid health insurance, short-term and long-term disability coverage, and life insurance. Dental and vision insurance options extend to your dependents, creating comprehensive family coverage rather than forcing you to purchase individual policies at higher rates. The practice covers malpractice insurance with no tail expense upon separation, eliminating the concern about six-figure tail payments that burden physicians in claims-made policies when they change employers or retire.

Time off includes six weeks annually that combines vacation, sick time, and continuing medical education, giving you flexibility to use this time however best supports your needs rather than segregating days into rigid categories. The practice provides $2,000 for CME expenses and separately pays medical license renewal fees and DEA registration, treating these as practice costs rather than deductions from your CME allowance. Upon partnership, vacation expands to ten weeks annually, creating exceptional time off that supports genuine work-life integration and prevents the burnout plaguing many high-intensity procedural practices.

  • Retirement benefits include 401(k) with 3% safe harbor contribution plus 4% company match totaling 7% of compensation paid into your retirement account annually. Eligibility begins after one year of employment. The structure differs from typical corporate models in one important aspect: both contributions come from your individual cost center rather than being absorbed by the group overhead. This means the 7% effectively reduces your take-home compensation but creates forced savings that build wealth systematically rather than depending on voluntary contributions that often get deferred when life expenses arise.
  • Additional retirement opportunities through Heart Station 1099 income allow partners to establish SEP-IRAs or other tax-advantaged vehicles that can shelter significantly more income than standard 401(k) contribution limits. For high-earning physicians, this additional retirement vehicle provides meaningful tax savings and wealth accumulation beyond what employed physicians can typically achieve through single-employer retirement plans.

Arrival Incentives and Relocation Support

You receive a $50,000 signing bonus paid either as a lump sum upon contract execution or distributed monthly beginning with your signing. This provides immediate capital for relocation expenses, housing deposits, furniture purchases, or simply financial cushion during the transition to a new community and practice. Separately, the practice reimburses up to $10,000 in documented relocation expenses including moving company charges, temporary housing, and travel costs associated with your move to Tallahassee.

Hospital-Based Imaging and Teaching Income

Beginning immediately upon employment, you earn approximately $30,000 to $35,000 annually through hospital-based imaging work performed as 1099 income separate from the Heart Station rotation reserved for partners. This represents readings and interpretations performed for the hospital rather than private practice patients, creating an additional income stream available to all physicians regardless of partnership status. Teaching compensation through the TMH and FSU internal medicine residency program generates another $5,000 to $10,000 annually for physicians who participate in resident education and precepting, recognizing the time investment required for quality teaching while supporting the academic mission.

Total Compensation Perspective

Your comprehensive first-year compensation including base salary, productivity potential, signing bonus, and ancillary income streams can reasonably reach $725,000 to $800,000. Upon partnership, total compensation including all income streams often exceeds a million dollars for interventional cardiologists with strong procedural volumes, comparing favorably to employed interventionalists in major metropolitan markets while maintaining significantly lower cost of living and superior lifestyle benefits.

This financial package rewards clinical excellence, procedural skill, and long-term commitment rather than simply paying you to show up and work assigned shifts. The multiple income streams create diversification that employed models cannot match, while partnership equity and ASC investment build wealth beyond what's possible in pure salary arrangements. You benefit financially from the practice's success rather than watching hospital administrators and corporate executives capture all growth value while paying physicians flat salaries regardless of contribution.

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