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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: Residents receive 6–9 months of double coverage before independent freestanding-ED shifts

• EHR: Epic across every site, 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