General Surgery Physician Job | Full-Scope, High Volume, $400K+ Base | California Foothills

Pacific Companies is pleased to present a full-time General Surgery opportunity within a stable, physician-led hospital environment serving a rural California foothills community. This role is ideal for a true general surgeon who values breadth of practice, strong income potential, and meaningful partnership with an established, high-performing colleague. You will step into an active, turnkey practice with immediate volume, robust endoscopy demand, and a supportive hospital team that prioritizes quality and patient safety. The program is designed for surgeons who want autonomy, productivity, and long-term stability without corporate micromanagement. With a balanced salary-plus-productivity model and well-compensated call, this position rewards surgeons who enjoy being busy and practicing the full scope of general surgery. Both early-career surgeons seeking mentorship and experienced surgeons seeking a strong partner will be considered.



Position, Compensation & Organization Highlights

• Full-scope General Surgery including upper & lower endoscopy
• Busy, established practice with immediate case volume
• Approx. 100-120 procedures per month (surgical cases + endoscopy)
• Bread-and-butter general surgery plus GI bleeds, ports, gallbladders, breast cases
• One-week-on / one-week-off call rotation
• Light call burden with limited OR call-ins
• $400,000 base salary
• $25,000 annual quality incentive
• $74 per wRVU above 6,800 wRVUs
• $1,500 per 24-hour call day (including GI coverage)
• Fully employed with medical, dental, vision, malpractice, licensing, DEA covered
• Strong OR staff, reliable hospitalist support, and efficient workflows
• Opportunity to build a long-term surgical partnership in a high-need market

Community Overview

This California foothills community offers a rare blend of natural beauty, affordability, and authentic small-town living. Physicians enjoy a slower pace of life without sacrificing professional fulfillment or income potential. Outdoor recreation is a way of life, with easy access to hiking, fishing, boating, and scenic mountain landscapes. Commutes are short, neighborhoods are safe, and the community places a high value on its local physicians. The region attracts individuals and families seeking space, balance, and a genuine sense of belonging. It's an ideal setting for surgeons who want their work to matter both inside and outside the hospital.



Community Highlights

• Scenic foothills setting with abundant outdoor recreation
• Affordable housing compared to major California metros
• Short commute times and low daily stress
• Strong sense of community and appreciation for physicians
• Access to lakes, trails, and year-round outdoor activities
• Family-friendly environment with a slower pace of life
• Easy access to larger regional hubs when needed
• Ideal for surgeons seeking autonomy, impact, and balance