Your financial package in Brenham is structured to provide security during your transition and significant upside as your practice grows. The compensation model begins with a two-year guaranteed salary, eliminates the risk of a slow start, and transitions into a production-based structure with a permanent base floor that protects your income regardless of volume fluctuations.
Combined with a quality incentive program, APP supervision stipends, optional teaching income, and a benefits package that covers malpractice tail for life, this opportunity delivers total compensation that consistently reaches $400,000 or more for productive family medicine physicians. The client has stated directly: $400,000-plus is "very safe and very doable" in this practice.
Your first two years provide income certainty while you establish your practice and build your patient relationships. The guaranteed base salary ranges from approximately $260,000 for new graduates and approximately $280,000 or higher for experienced physicians, with flexibility based on qualifications and negotiation.
During these two years, your guarantee is not a ceiling. If your production-based earnings exceed your guaranteed salary in Year 1 or Year 2, you still receive the production bonus on top of the guarantee. This is a significant differentiator specific to the Brenham and College Station market.
After your two-year guarantee, your compensation transitions to a production model with a permanent base floor of $230,000 per year. You will never earn less than this amount regardless of volume. Above this floor, you earn $53 per wRVU once you exceed the annual threshold of 5,200 wRVUs.
Production bonuses are paid quarterly, with the 5,200 threshold prorated by quarter (1,300 wRVUs per quarter). A 12-month rolling lookback methodology is also referenced for tracking purposes.
To illustrate the earning potential: the departing physician, Kelly McDonald, MD, generated between 7,000 and 8,000 wRVUs annually. At those production levels, total compensation from the production model alone would range from approximately $325,000 to $378,000.
Beginning in Year 2, you become eligible for a quality incentive worth 10% of your prior-year earnings, paid quarterly. If your Year 1 earnings total $300,000, your quality incentive in Year 2 would be $30,000, paid in quarterly installments of approximately $7,500.
The metrics are described as straightforward and achievable, focused on patient satisfaction minimums, timely chart closure, and professionalism and citizenship measures.
Several supplemental income opportunities add meaningful dollars to your total compensation without requiring additional clinic hours or increased patient volume.
Your transition to Brenham is supported by a sign-on bonus and relocation assistance that reduce the financial burden of moving.
Your benefits reflect the scale and resources of CommonSpirit Health, one of the largest nonprofit health systems in the country.
Your total compensation in Brenham combines a secure guarantee, a transparent production model with no earnings ceiling, a quality incentive that rewards consistent practice habits, and multiple supplemental income streams. When paired with Brenham's significantly lower cost of living compared to Houston, Austin, or Dallas, your purchasing power will exceed what physicians earning considerably more in metropolitan markets take home after housing, taxes, and daily expenses.