The search consulting firm Siter-Neubauer & Associates says physician recruiting fees can be as much as 35% of one year’s salary, but there are also hidden costs that can add up. For example, provider vacancies leave gaps in patient care, which in turn, leads to gaps in revenue. Obtaining background checks and other assessments can take up to 4-6 weeks, and adversely impact as much as 25%-50% of annual practice revenue.