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Sample listing · Democratic group · Partnership track · Loan repayment
Emergency Physician, Equal Partner from Day One
Heartland Physician Partners · Prairie Regional Hospital, Des Moines, IA
$270–$330/hr
$270/hr during the partner track
About $270/hr. Base pay during the partner track; partnership upside isn't counted.
Market: Midwest suburban median $235/hr, ACEP 2025.
Detailed· Disclosed 19 of 20
- Equal partner from day one
- $50k sign-on + loan repayment
- High take-home, low cost of living
About the role
Rare day-one equal partnership. Low cost of living means top-of-market take-home. Stable group, low turnover, and full transparency on the books.
The department
Acuity
Mid-volume community
Annual volume
41,000 visits
Pediatrics
Some peds
Setting
Suburban
Schedule
Shifts / month
12
Shift length
9–10 hours
Nights
Rotating nights (fair share)
Compensation
Model
Partnership track
Pay
$270–$330/hr
Sign-on bonus
$50,000
Partnership track
Yes
Malpractice
Occurrence policy
Noncompete
No noncompete
Part-time
Offered, with benefits
Benefits: Retirement match · Generous CME · Occurrence malpractice · Real PTO · Health / dental / vision
The details, up front
APP supervision
No APP supervision
Teaching / admin time
Not required
Backup call
No backup call
Multiple sites
No
EMR
Epic
Documentation support
Ambient AI scribe
Weekends / month
2 worked · 2 guaranteed off
Parental leave
8 wks paid · 4 wks unpaid
Night differential
$20/hr
24-hour shifts
No
Boarding hours
2 hrs/day · reported by employer
Security staffed 24/7
No · reported by employer
What this listing doesn't say
- Partnership path: Not disclosed. Ask: Is there a partnership track? How many years, and what buy-in?
Pay vs. market
Above the regional medianEstimated Midwest EM hourly range, based on public compensation surveys. Directional only; actual pay varies by group, volume, and shift mix.
Requirements
Degree
MD or DO
Boards
ABEM or AOBEM (board certified)
Credentials desired: Bedside ultrasound
About Heartland Physician Partners
Independent democratic group in the Midwest. Low cost of living, high take-home, and a genuine partnership culture.