Your compensation begins with a $700,000 annual floor guarantee for the first two years, providing income stability as you establish your practice and build patient volume. This guarantee reflects the earning potential demonstrated by current and former ENT physicians in this practice. The current full-time ENT, now in his ninth year, and the previous full-time physician who spent 12 years with the group have both earned approximately $700,000 annually. You are not chasing an aspirational figure; you are stepping into a compensation structure with a proven track record.
After the two-year guarantee period, you transition to a wRVU-based production model. Specific thresholds and conversion factors are determined during contract negotiation. Monthly reports track your actual RVU production against benchmarks, giving you clear visibility into your earnings trajectory. Prior ENTs in this practice have exceeded the guarantee on production, and the high regional demand for ENT services positions you well to do the same.
A $150,000 forgivable loan provides immediate financial benefit, forgiven over three years of service. The typical structure pays 50% at contract signing and 50% at start date, though this is negotiable based on your circumstances. Relocation assistance of up to $10,000 covers moving expenses to Bismarck.
The position qualifies for both state and federal loan repayment programs, a significant advantage for physicians carrying educational debt. North Dakota's physician loan repayment programs, combined with federal options, can substantially reduce your debt burden while you build your practice.
New graduates receive 20 vacation days plus 6 paid holidays annually. Experienced physicians can negotiate additional PTO based on prior years in practice. Once you transition to the production model, schedule flexibility increases further, including the option for a 4-day work week that allows you to balance high productivity with personal priorities.
Continuing medical education receives strong support: $5,000 annually for CME expenses plus 10 dedicated CME days off. This allows you to maintain board certification, attend national meetings, and pursue subspecialty interests without sacrificing income or vacation time.
Sanford Health provides comprehensive benefits that protect you and your family. Medical, dental, and vision insurance cover your healthcare needs. Malpractice insurance is paid in full by the organization, including tail coverage, eliminating a significant expense that can burden physicians in private practice or when changing employers.
The retirement program includes both 401(k) and 403(b) options with employer matching: 100% match on the first 4% of your contribution and 50% match on the next 2%. This structure rewards consistent retirement savings and accelerates your wealth accumulation over the course of your career.
This compensation package combines a strong guaranteed base, proven production upside, comprehensive benefits, and meaningful loan repayment eligibility. The financial structure rewards your clinical effort while providing the security and support that allow you to focus on patient care rather than administrative burdens.