Contract & Benefits

Physician Recruitment Process and Compensation Overview

Competitive Compensation Built for Sustainable FPOB Practice

St. Anthony Regional Hospital offers a transparent and highly competitive compensation model structured to support long-term success in full-spectrum Family Medicine with Obstetrics. The model balances income stability with productivity upside while maintaining realistic expectations for clinic, inpatient, and obstetrical responsibilities.

This structure is intentionally designed to reward OB-focused physicians without requiring unsustainable delivery or clinic volumes.

Base Compensation Structure

  • $380,000 annual base salary
  • Four-day clinic schedule with protected administrative time
  • 1:4 OB call rotation supported by locums coverage
  • RVU productivity bonus available at $73.18 per wRVU
  • Estimated RVU threshold of approximately 5,192 wRVUs annually (aligned with base salary)
  • Quality and performance-based bonus opportunities

The productivity model allows for upside beyond the base while maintaining manageable expectations consistent with 40–50 deliveries annually and an average of 20 clinic patients per day.

Signing & Retention Incentives

  • $100,000 signing bonus
  • 30% paid at contract signing
  • Remaining balance paid on first paycheck
  • Option for a split-dollar life insurance compensation model
  • A wealth-building benefit structured for long-term financial planning
  • Choice of $100,000 student loan forgiveness OR retention bonus
  • Paid as $25,000 per year for four years
  • Designed to support both early-career physicians with debt and experienced physicians seeking stability
  • No non-compete clause
  • Initial 5-year agreement
  • 90-day notice with automatic renewal every two years

Time Off & Professional Development

  • 25 days paid time off annually
  • 8 paid holidays
  • 5 days CME time with educational allowance
  • Nearly 8 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

The schedule structure (4-day clinic week) further enhances work-life balance and long-term sustainability.

Comprehensive Benefits Package

  • Medical insurance (per occurrence coverage)
  • Dental insurance
  • Vision insurance
  • Professional liability insurance with tail coverage
  • Retirement plan options including 403(b) and 457 plans
  • Employer retirement contributions
  • Life insurance and disability coverage
  • Relocation assistance
  • Full support for Iowa medical licensure and credentialing

Compensation Philosophy

This compensation model is structured to:

  • Provide predictable income stability
  • Reward productivity without excessive volume pressure
  • Support long-term financial planning
  • Eliminate restrictive non-compete limitations
  • Encourage physician retention through meaningful incentives

For a rural OB-focused Family Medicine opportunity, this represents a rare combination of:

  • Strong guaranteed base
  • Competitive RVU conversion
  • Significant signing and retention incentives
  • No non-compete
  • Sustainable call structure
  • Nearly 8 weeks total paid time off

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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