Your compensation package begins with a highly competitive first-year income guarantee sponsored by Dignity Health – California Hospital Medical Center. The guarantee, ranging from $600,000 to $650,000 based on experience and qualifications, provides financial security during your practice-building phase while offering immediate earning potential aligned with MGMA median compensation for gastroenterologists. This arrangement allows you to focus on clinical excellence and integration into the practice without financial pressure during your initial months.
The income guarantee operates as an advance against collections, with the hospital providing monthly draws that decrease as your collections increase. This structure protects your cash flow while incentivizing productivity, creating a smooth transition to collection-based compensation. Based on the practice's established patient volume and referral patterns, most physicians begin exceeding their monthly guarantee amount within the first 6–8 months, demonstrating the robust revenue potential of this opportunity.
Following your initial employment period, you'll have the opportunity to become a partner in the practice through a transparent buy-in process. Partnership typically becomes available after 1–2 years based on mutual agreement between you and the current partners. The buy-in amount is structured to be attainable and fair, reflecting the true value of joining an established practice without imposing excessive financial burden. Dr. Solomon's successful transition provides a proven model for this process.
The partnership buy-in can be paid through various methods, including lump sum or payroll deduction over time, providing flexibility that accommodates your financial situation. As a partner, you'll participate equally in practice governance with a "one doctor, one vote" structure that ensures your voice is heard. This genuine partnership model contrasts sharply with practices that offer titular partnership without true equity or decision-making authority.
Your total compensation package includes comprehensive benefits designed to support both your immediate needs and long-term financial security. The practice provides full health insurance coverage, eliminating a significant personal expense while ensuring you have access to quality healthcare. Additional coverages include dental, vision, and disability insurance that protect your financial wellbeing in case of illness or injury.
Professional liability insurance with appropriate coverage limits is provided through a reputable carrier, with tail coverage included to protect you from future claims. The practice also offers retirement savings options through a qualified plan with employer contributions, helping you build long-term financial security while minimizing current tax liability.
The practice invests in your continuing professional development with a generous CME allowance and paid time off for educational conferences. Professional dues, licensing fees, and society memberships are covered, eliminating these out-of-pocket expenses. For physicians interested in developing advanced procedural skills, the practice supports additional training opportunities and mentorship.
Your startup period is supported through comprehensive orientation and mentorship from Dr. Malamud and Dr. Solomon, ensuring smooth integration into the practice. The hospital's financial support program includes relocation assistance to facilitate your move to Los Angeles, covering reasonable moving expenses and providing transition support.
Your compensation package includes intangible but valuable benefits related to schedule and quality of life. The rotation model provides predictable scheduling with clear boundaries between intensive hospital weeks and lighter outpatient periods. You'll maintain one consistent clinic day per week regardless of rotation, creating continuity for your outpatient practice and patient relationships.
The practice's shared call system ensures equitable distribution of call responsibilities with minimal after-hours disruption. Weekend coverage is shared among all physicians, providing regular, predictable time off for personal pursuits and family activities. Unlike many gastroenterology practices where uncompensated administrative time consumes evenings and weekends, this group’s efficient systems and PA support minimize documentation burden outside clinical hours.
Your financial trajectory within the practice follows a clear path from the initial guarantee period through partnership and equity development. After the first year, most physicians transition smoothly to collection-based compensation with earnings typically exceeding their guarantee amount. Dr. Solomon's experience demonstrates the financial potential, with current annual earnings exceeding $700,000 after six years with the practice.
The practice maintains contracts with major managed care organizations, IPAs, and healthcare plans throughout Los Angeles, ensuring strong reimbursement and consistent patient flow. While the patient population includes a high percentage of MediCal beneficiaries, these patients are covered under managed care arrangements with reimbursement rates significantly higher than traditional Medicaid. This diverse payer mix creates financial stability while allowing you to serve patients across the socioeconomic spectrum.