Hanford Surgery CenterAdvanced Digestive Medical CenterStart a conversation
Gastroenterologist · Hanford, California

Own your practice. Keep your weekends. Start with a full schedule.

We are a physician-owned GI practice and AAAHC-accredited surgery center, and we are growing. We are adding board-certified or board-eligible gastroenterologists who want a long-term role in the community and a real stake in what they build.

Walk into a full schedule, a surgery center and a path to owning both.
$0K–0K
Total compensation range, with starting bonus and income guarantee
0%
Commercial payer mix, mostly Blue Cross and Blue Shield PPO
0
Procedure rooms, pre-op and recovery bays, equipment owned outright
0+
Years of referral relationships you inherit on day one
See compensation and the path to ownership
The opportunity

Everything is already built. We are looking for the physicians to grow it.

01

An established referral base

Thirty-six years of relationships with primary care practices across Kings and Tulare counties. Your schedule fills from referrals that already exist.

02

Your own surgery center

Two procedure rooms, pre-op and recovery bays, on-site sterile processing and equipment owned outright. Steps from the clinic, not across town.

03

A team that knows GI

Experienced endoscopy nurses, clinical staff, administrator and in-house billing who understand GI practice operations and payer mix.

04

Outpatient only

Consultations, endoscopy and FibroScan in one building. Flexible scheduling, limited call, and evenings that are yours.

05

A strong payer mix

About 60% commercial, mostly Blue Cross and Blue Shield PPO, 30% Medicare and 10% HMO and other. Unusual for the Valley, and it shows in the economics.

06

A mentor, not a manager

Work alongside Dr. Alvin Au, FACG, through a planned transition, with future leadership and ownership on the table from the first conversation.

The need

A region that needs more gastroenterologists than it has.

The San Joaquin Valley has roughly half the specialist density of the Bay Area, and its population is aging. Every colonoscopy guideline change since 2021 has widened the gap. A new physician here is not competing for patients; they are relieving a backlog.

226K
Medicare-eligible residents across Kings, Tulare and Fresno counties
81
Specialists per 100,000 people in the Valley, versus more than twice that in the Bay Area
45
Screening age now begins at 45, adding a decade of eligible patients
60%
Commercially insured patients in our practice
Compensation and partnership

Competitive from day one. Equity from year two.

Total compensation
$500K – $750K
Including a starting bonus and an income guarantee period, before transitioning into the equity and profit-sharing structure as a partner. Exact terms depend on schedule, call coverage, administrative work and productivity after the guarantee period.
1

Ramp up with a guarantee

A guaranteed income while you build your panel, with a starting bonus and relocation support. The referral base is already there; the guarantee removes the risk while it becomes yours.

2

Practice alongside Dr. Au

Share the endoscopy schedule and the office, learn the community and the payers, and take on leadership of the surgery center as the transition progresses.

3

Equity and ownership

Shareholder status in the practice and the surgery center, with a potential future purchase of both discussed separately and on mutually agreed terms.

Benefits
Starting bonus and income guarantee
Medical, dental and vision coverage, FSA
CME allowance; state, DEA and society dues
Life, short- and long-term disability insurance
Retirement plan with matching
Malpractice coverage
Paid time off for vacation and CME
A genuine path to equity and shareholder status
Who should inquire

Experienced gastroenterologists and fellows completing GI training. Candidates should be board-certified or board-eligible in gastroenterology and able to obtain a California medical license and credentials before starting. J-1 physicians: California participates in the Conrad 30 waiver program; ask us about timing.

Life in Hanford

A physician's income goes a very long way here.

Hanford is the county seat of Kings County, 18 miles west of Visalia and under an hour from Sequoia National Park. The historic downtown has China Alley, the 1929 Fox Theatre and Superior Dairy; the calendar has the Kings County Fair, the oldest in California, the Thursday Night Market and the Renaissance of Kings faire. Around 60,000 people, a slower pace than the coast, and Fresno close by for anything you can't find locally.

$349K
Median home value, Hanford
California: $735K
$1,309
Median monthly rent
California: $2,036
1 hr
To Sequoia National Park
Yosemite 2 hr · Central Coast 2 hr
45 min
To Fresno Yosemite International Airport
Amtrak stop in town · high-speed rail station planned
Advanced Digestive Medical Center entrancePractice lobby
[Sequoia or downtown Hanford photo]
Start a conversation

A confidential 15-minute call is all it takes.

Tell us a little about yourself and we will set up a time with Jenny Au, our Administrator, and Dr. Au. No recruiter, no pressure, and nothing is shared without your permission.

Jenny Au, Administrator
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[RECRUITING PHONE]
Your inquiry goes directly to Jenny Au and is not shared with recruiters or third parties.