Outpatient Only, Physician Led, Shareholder Track, 3-Year Salary Guarantee

Esse Health is the largest independent physician owned and managed, multi-specialty group in the St. Louis Region. With over 100 physicians, in 40 locations, serving nearly 130,000 patients, we are leading the healthcare community by placing patients and their physicians at the center of health decisions.

Practice Details:

• Take over a retiring physician's panel in 2026 and join 2 Family Medicine Physician partners, 2 Family Nurse Practitioners, Medical Assistants, an Office Manager and additional supportive staff
• Outpatient only
• Clinic is open Monday - Friday: No weekends or nights
• Schedule: 4.5 days patient care with .5 days set aside for administrative work
• Call: low volume and phone only, 1:3 weeks
• See 16-20 patients per day on average
• Ability to incorporate sub-specialty care
• Provide evidence-based and value-based care
• Medicare Advantage panel management, providing high-quality, coordinated care to improve outcomes and reduce costs is large focus of practice
  • Fee for Service/Commercial patient care also provided
• NextGen EMR

What Sets Us Apart:

• Achieve a healthy work-life balance with control over your practice, schedule, staff and more
• Collegial and supportive partners offering support, mentorship, and collaboration
• Onboarding, business, and practice ramp up support provided
• Resources, training on best practices, and a strong infrastructure to support patient care beyond the clinic
• An environment free from hospital bureaucracy that allows faster decision-making and autonomy

What We Offer:

• 3-year guaranteed salary and unlimited earning potential
• 4 weeks paid time off, paid holidays, and 5 paid days for CME, with even more flexibility as a shareholder
• Shareholder track, sign-on, relocation, 401k with match, profit sharing, and CME allowance
• Available benefits: Medical, Dental, Vision, Life, Long/Short Term Disability, Health Savings Account/Flexible Spending Account, Fraud Protection, Legal, Pet and other miscellaneous

Requirements:

• MD or DO
• Must be Board Certified or Board Eligible with plans to certify (AB or AOA)
• Missouri licensed or eligible to obtain licensure in Missouri

Community Information:

Washington is a small city in Franklin County, Missouri, located about 50 miles west of St. Louis along the Missouri River. It serves as a regional industrial and retail hub with a historic downtown, cultural events, and growing residential appeal.

Population & Growth:

• Franklin County, MO population: 108,000+ (includes Washington, Union, and surrounding communities)
• Washington population: 15,500+ 
• Median age is around 40–41 years

Recreation & Green Space:

• City Parks & Trails
  • 16+ parks covering hundreds of acres, including athletic fields, playgrounds, and trails
  • Riverfront Park — River access, paved trails, picnic areas
  • Main Park & Agnes Nolting Aquatic Complex — Pool, playgrounds, sports fields
• Community Recreation
  • Dog park, skate park, baseball and soccer fields, bike trails, and seasonal activities
  • Local events and festivals throughout the year

Local Attractions:

• Historic Downtown Washington with shops, galleries, and dining
• Riverfront and Missouri River views — scenic river access and community events
• Bike and walking trails (including Katy Trail access nearby)
• Farmers' Market with local food, plants, crafts, specialty items, and live music
• Wineries and wine trails in the surrounding region (Hermann and Augusta area) — ideal for day trips
• St. Louis attractions (Zoo, Gateway Arch) within driving distance

Amenities & Community Services:

• Washington offers a mix of local shops, restaurants, and services, especially in its historic downtown area with preserved 19th-century buildings and community events.
• City services include:
  • Public library
  • Parks & Recreation programs (youth and adult classes, summer camps, seasonal events)
  • Utilities and maintenance provided by the city

Education:

Washington School District: PK–12. Rated above average compared to other Missouri districts, scoring about 8/10 at the district level and better than 78% of districts statewide for quality. Solid academics, teachers, and community reviews.

• Elementary Schools
  • Clearview Elementary School – A-minus/Niche strong score
  • Washington West Elementary School – B+ rating (strong local parent feedback)
  • South Point Elementary School – B+ local rating
• Middle & High School
  • Washington Middle School serves grades 7–8 and typically earns average to above-average ratings from parents and community sources
  • Washington High School has a Niche grade of B-, generally positive reviews, average test scores, and high graduation rates
• Student Support & Programs
  • The district offers diverse programs including career readiness (e.g., Four Rivers Career Center), AP and gifted programs, youth athletics, and arts

Neighborhoods:

Popular and distinctive areas in and around Washington include:

• City Center / Downtown — Historic core with walkable shops and restaurants
• Washington East — Residential area with a mix of housing styles
• Campbellton / Clover Bottom — Areas noted for higher-end homes
• Krakow & Fourmile Corner — Surrounding community zones with semi-rural character
• Nearby communities and small towns often considered by residents include Augusta, Defiance, Union, and Villa Ridge — each offering its own lifestyle and amenities

Summary:

Washington, MO combines small-town charm with growing community amenities. It’s family-friendly with an affordable cost of living, plentiful parks and recreation, and a walkable historic downtown. Housing is diverse and moderately priced relative to larger metros, and proximity to St. Louis expands jobs and entertainment options.

Washington Visitor Guide   

To learn more or to apply, contact: