Every path starts with a hospital income guarantee of up to $650,000 for General GI or up to $750,000 for Advanced GI, paid over 12 or 18 months depending on your experience. Your guarantee amount is set within fair market value and reflects your projected volume. Reaching the upper end of the range assumes a full production schedule, typically clinic until 5:00 PM followed by hospital cases into the evening.
After the guarantee, private practice physicians earn both professional and technical revenue from their procedures, and established GIs in Merced report earnings above $1 million with a strong work ethic. The employed medical group path moves to a wRVU-based production model.
This model includes assumed and/or estimated inputs where data was not provided. Assumptions are clearly marked. Final compensation details are to be confirmed by the employer.
| Variable | Value |
|---|---|
| Income Guarantee, General GI | Up to $650,000 |
| Income Guarantee, Advanced GI | Up to $750,000 |
| Guarantee Length | 12 or 18 months, based on experience |
| Sign-On Bonus | 10% of the guarantee, including relocation |
| Sign-On Bonus Example | $75,000* (10% of a $750,000 guarantee) |
| Community Commitment | 3 years after a 12-month guarantee (4 years total) |
| Post-Guarantee, Private Practice | Collections model with professional and technical revenue |
| Post-Guarantee, Medical Group | wRVU-based production model |
| Hospital Call Pay, Established Private GIs | $2,000 per day (begins after the guarantee) |
| Dr. Munnangi's Practice | Dr. Kris's Practice | Dignity Health Medical Group | |
|---|---|---|---|
| Earnings Model | Professional and technical revenue | Professional and technical revenue | wRVU-based production |
| Ownership | 50/50 partnership after 6 to 12 months | Partnership track | None |
| Buy-In | Fair market value appraisal; interest-free loan or sweat equity | Offered, with a possible reduced rate | None |
| Practice Overhead | About 30% to 40% | About 30% | Not applicable |
Both private practices own their endoscopy centers, so partners bill the technical fee for procedures in addition to the professional fee. Dr. Kris reports that a procedure performed in his endoscopy center earns about $600 to $700, compared with about $250 for the same procedure at the hospital site.
You can also join either private practice as your own S Corp or LLC. You share operational expenses with the host practice, keep your own collections, and gain the tax advantages of owning your business.
Benchmark: 2026 MGMA Gastroenterology, Total Compensation, Overall.
| Metric | Calculated Value | MGMA Percentile | Interpretation |
|---|---|---|---|
| Income Guarantee, General GI | $650,000 | 51st* | At the national median of $642,292* |
| Income Guarantee, Advanced GI | $750,000 | 69th* | Between the median and the 75th percentile of $783,895* |
The hospital provides the following benefits during the guarantee period:
| Detail | Information |
|---|---|
| Provider During Guarantee | Hospital |
| Policy Type | Claims made |