Reported by 48 physicians · region cohort · total comp, not the employer's posted pay
Emergency Medicine·Full-time·~14 shifts/month; 10-hour shifts at hospital ED, 12-hour shifts at freestanding EDs; dedicated nocturnists take nights first, remaining nights/weekends/holidays shared equally · No traditional call described; night/weekend/holiday shifts shared equally after dedicated nocturnists take their shifts first·FPay transparency
Overview
The package
AI-structured
An independent, physician-owned democratic EM group in coastal Delaware (Lewes/Millville/Millsboro) seeks a full-time BC/BE Emergency Medicine physician across a Level III Trauma Center hospital ED and two freestanding EDs, with an 18-month partnership track leading to equal ownership and roughly doubled per-RVU compensation. Full salary figures are withheld pending a confidential call, but the structure includes a guaranteed hourly base, night/holiday differentials, longevity raises, quarterly productivity bonus, and full partnership economics.
$406,600 SalaryDr market context available for comparison
~14 shifts/month; 10-hour shifts at hospital ED, 12-hour shifts at freestanding EDs; dedicated nocturnists take nights first, remaining nights/weekends/holidays shared equally · No traditional call described; night/weekend/holiday shifts shared equally after dedicated nocturnists take their shifts first
Independent, physician-owned democratic group (non-CMG) · Level III Trauma Center hospital ED + freestanding EDs (two current, one under construction opening 2027) · Outpatient/ED only (hospital ED + freestanding EDs)
Teaching responsibilities or academic setting indicated
AI-structured from the official posting·View original
Posted pay vs real comps
$370k$407k$551k
Physician-reported range Reported median
Physician-reported range shown; the employer did not post pay for this role.
Compensation
Type
SalaryDr Market Context
Market context
$370,000 – $551,260
Structure
hybrid
Signing bonus
$0
$370k$407k$551k
Physician-reported range Reported median
This is SalaryDr Market Context computed from 48 verified physician submissions (region cohort). It is not the employer's posted pay. The employer did not disclose pay.
Independent, physician-owned democratic group (non-CMG)
Facility type
Level III Trauma Center hospital ED + freestanding EDs (two current, one under construction opening 2027)
Beds
37
Trauma level
Level III
Patient population
General emergency medicine; coastal Delaware community; lower-acuity mix at freestanding EDs; pediatric-specialized rooms (Nemours) at new campus
Community snapshot
Peer median
$410k
132 reports · national
Active supply
1
1 in Lewes
Transparent pay
0/1
state roles with reviewed pay
Work-life
3.3/5
12 physician reports
Cost of living
99
below U.S. avg (100) · BEA Regional Price Parities
Schools
-1.0
grade levels vs U.S. avg · NAEP 2024
132 SalaryDr Emergency Medicine reports in national show a $409,584 median.
1 active Emergency Medicine roles in Delaware, including 1 in Lewes; 0 include reviewed transparent pay.
Physicians in this comparison cohort report 3.7/5 average job satisfaction.
57% of physicians with recommendation data would choose their job again.
Questions to ask the employer
How many weeks of PTO and CME time are included, and is unused time paid out?
Generated from this posting's disclosed facts and the SalaryDr comparison — bring them to the first recruiter call.
Work Design
Schedule
~14 shifts/month; 10-hour shifts at hospital ED, 12-hour shifts at freestanding EDs; dedicated nocturnists take nights first, remaining nights/weekends/holidays shared equally
Call burden
No traditional call described; night/weekend/holiday shifts shared equally after dedicated nocturnists take their shifts first
Shift type
Mixed days/nights/weekends/holidays with dedicated nocturnists
Patient volume
Combined annual volume exceeds 65,000 visits (~50,000 at hospital ED; ~15,000 at Millville FSED); ~1.5 patients per hour on average
Inpatient / outpatient
Outpatient/ED only (hospital ED + freestanding EDs)
Coverage model
Physicians rotate all sites with even RVU distribution; co-staffed with long-tenured PA team; hospital ED: 5 physician 10-hr shifts + 3 PA 12-hr shifts daily; freestanding EDs: 12-hr physician shifts
Admin burden
Not explicitly stated; democratic group governance with equal voting rights at partnership; EHR Epic with Dragon dictation and AI clinical tools
Location: Coastal Delaware - the Delaware Beaches (Lewes / Sussex County), 83 miles from Philadelphia
Employment Type: Full-Time, Emergency Medicine (BC/BE)
Compensation: Top Compensation Package in the Mid-Atlantic / Full Details Shared in a Confidential Call
Practice Model: Independent, physician-owned, democratic / 18 months to equal partnership with full voting rights
Join one of the last true independent, democratic EM groups on the East Coast. This non-CMG, physician-owned group has held the same hospital contract since 1998 and practices across two sites today - the hospital ED (Level III Trauma Center, one mile from the beach) and a freestanding ED in Millville - with a brand-new freestanding ED is under construction in Delaware's fastest-growing zip code, targeted to open in 2027. Combined annual volume exceeds 65,000 visits.
Why This Emergency Medicine Physician Job Stands Out
Partners never leave this group - we typically hire just one physician a year, and this expansion is the rare exception. The partnership track is 18 months, among the shortest in independent emergency medicine, and it ends in equal ownership with a full vote. When you make partner, your productivity compensation roughly doubles per RVU and the least productive owner out-earns the highest-producing non-partner.
If you want ownership, a sane clinical pace, and a beach town to come home to, this practice is built for you.
• Physicians rotate across all sites with even RVU distribution - no cherry-picking of busier locations
• Dedicated nocturnists take their shifts first; remaining nights, weekends, and holidays are shared equally
• Shift length: 10 hours at the hospital, 12 hours at the freestanding EDs; ~14 shifts/month
• Patient volume: ~1.5 patients per hour on average
• Co-staffed with an experienced, long-tenured PA team
• Structured onboarding: 6-9 months of double coverage before independent freestanding-ED shifts
• EHR: Epic across every site (live November 2025), with Dragon dictation and AI clinical tools in daily use
Emergency Medicine Physician Salary & Benefits
Compensation follows a transparent, physician-aligned formula: a guaranteed hourly base with night and holiday differentials and built-in longevity raises, a quarterly productivity bonus, and full partnership economics at 18 months - the point where your dollars-per-RVU roughly doubles. Sign-on and relocation assistance are provided. The benefits package includes fully funded medical coverage and HSA contributions, an annual profit-sharing plan contribution, and a self-funded 401(k), and Delaware adds its own advantages: no sales tax and some of the lowest property taxes in the region. The full numbers - current hourly rates, typical annual earnings, and what partners actually take home - are shared in a confidential call, and they hold up against anything in the region. Request the call and we'll walk you through the math.
Practice Locations: Lewes, Millville & Millsboro, Delaware
The hospital emergency department - a designated Level III Trauma Center and Joint Commission-accredited Advanced Primary Stroke Center - has 37 beds and sees roughly 50,000 annual visits. Daily staffing runs five 10-hour physician shifts alongside three 12-hour PA shifts.
Our FSED is a 23-bed freestanding ED opened in 2020, seeing about 15,000 annual visits in a lower-acuity, high-efficiency environment with 12-hour physician shifts, roughly 30-35 minutes southwest of the main campus.
Our New Campus Freestanding ED (opening 2027) is under construction in the fastest-growing zip code in Delaware: 16 emergency exam rooms plus two dedicated pediatric rooms staffed by Nemours Children's Health specialists, advanced imaging (CT, MRI, ultrasound), on-site lab and pharmacy, and a helipad.
Trained in Philadelphia, Baltimore, or Washington DC? Come Back to the Coast.
Most of the physicians in this group trained in the Mid-Atlantic - Philadelphia medical schools and residencies especially - and chose the Delaware coast on purpose. If you trained at a program in Philadelphia, Baltimore, Washington, or New York, this is where you keep your people close and trade the city commute for a beach town. The beach becomes home.
Why Live and Work at the Delaware Beaches?
In Lewes, the beach is the backdrop, not the vacation. Live in a premier coastal destination renowned as "The First Town in the First State", offering pristine beaches, rich maritime history, and vibrant local dining. This charming seaside community seamlessly blends relaxed bayfront recreation with historic architecture, boutique shopping, and natural adventures. The main ED sits about a mile from Lewes Beach on the calm Delaware Bay, and Cape Henlopen State Park - six miles of guarded Atlantic beach, a fishing pier, and roughly 15 miles of connected bike trails - is minutes away. Rehoboth's boardwalk is 20 minutes down the coast, and the Cape May-Lewes Ferry puts Victorian Cape May 85 minutes across the bay. Physicians and their families here live year-round where most of the Mid-Atlantic spends one week each summer.
How to Apply
Apply now with your CV, or request a confidential call - 30 minutes is enough to walk through the compensation math, the partnership track, and whether the coast is calling.
Contact: Christina Plain - Phone: 469-432-3033 | Email: christina@emrecruits.com
Frequently Asked Questions
How much does this emergency medicine job in Delaware pay? Top of market for the region: a guaranteed hourly base plus a quarterly productivity bonus, plus a comprehensive benefits package. Full details are shared in a confidential call; request one and we'll walk you through the real math, including what changes at partnership.
Is this a CMG or hospital-employed position? Neither. This is an independent, physician-owned, democratic emergency medicine group that has held the same hospital contract since 1998.
How long is the partnership track? 18 months to equal partnership with full voting rights - among the shortest defined tracks in independent emergency medicine. The buy-in is reduced and spread across the track, and productivity compensation roughly doubles per RVU at partnership.
What is the schedule? About 14 shifts per month - 10-hour shifts at the hospital and 12-hour shifts at the freestanding EDs. Dedicated nocturnists …
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