Actually, this is not the norm for so-called 'outliers' (As they are usually in specialties -ER-Ortho-Derm-etc.), but I know of a few guys who negotiated w/ a Community Hospital for 250k/year x 5 years. The hospital later tried to get out of it, but the contract was iron clad😉 . As you may or may not know, this particular type of gig involves FP/IM Clinic, ER, Hospitalist, and mutiple minor procedures/often assisting on major procedures, NOT easy.........(Time and effort wise).