Family Practice with OB in Iowa Earn $500K Plus Annually with a $200K Signing Bonus

Family Medicine with OB Opportunity near Sioux Falls, South Dakota

A full-scope Family Medicine with Obstetrics practice with an established patient panel, strong earning potential, and a true four-day workweek. You'll practice broad rural medicine with autonomy across clinic, OB, inpatient care, and a physician-staffed ER while joining a long-tenured, supportive team. This opportunity pairs a $355K two-year guarantee and $200K signing bonus with a demonstrated path to $500K+ annual earnings.

Practice Overview

• You'll join 10 family physicians and 10 family medicine APPs, with integrated behavioral health, a certified nurse midwife, and 24/7 general surgery and CRNA support.
• Step into an established patient panel and practice full scope: outpatient clinic, OB, inpatient/med-surg, nursing home care, and physician-staffed ER.
• Build an OB practice averaging about 60 deliveries per physician annually, with control over your monthly delivery volume.
• C-sections are optional; you'll follow your own newborns and perform circumcisions, with high-risk OB referred to MFM.

Schedule

• Enjoy a true four-day clinic week, typically 8:30-9:00am to 5:00pm after morning rounds, seeing approximately 14-16 patients/day.
• OB call is ~1:8, or about 4 days/month, within a nine-physician call schedule
• Cover approximately 2-3 weekday 24-hour ER shifts monthly, with the following day always off; 12-hour shifts are also being piloted.
• You'll have control over your clinic template, including visit length and acute add-ons.

Compensation & Benefits

• Receive $355K guaranteed annually for two years
• 3 physicians earned $500K+ last year, with the top non-surgeon earning approximately $620K; extra ER shifts pay $175/hour.
• Receive a $200K signing bonus forgiven over five years plus $12K relocation assistance; residents and fellows may access part of the signing bonus early.
• Benefits include 30 days PTO, $5K plus 5 days for CME, covered malpractice, 401(k) plus two 457(b) plans, health benefits, and PSLF eligibility.

Candidate Requirements

• Board certified or board eligible in Family Medicine; MDs and DOs welcome.
• OB training through residency or an FPOB fellowship.
• Comfortable with clinic, OB, inpatient care, and ER call; C-section skills are optional.
• Experienced physicians and upcoming graduates welcome; H-1B may be considered, but J-1 sponsorship is unavailable.

Community & Location Highlights

• Enjoy a growing northwest Iowa community with strong schools, youth sports, trails, golf, an ice rink, pools, and year-round recreation.
• Choose from public and private education options, including a new $42M public high school, with a university located in town.
• Housing options range from starter homes around $200K to newer construction under $400K.
• Sioux City is about 45 minutes away; Sioux Falls and its airport are approximately 1 hour 15 minutes away.

Reach out today to learn more about this opportunity and how it aligns with your career goals.