2015 Survey of Membership Compensation, Career Satisfaction and Personal Perspectives Conducted by Merritt Hawkins

2015 Survey of Membership

Compensation, Career Satisfaction and

Personal Perspectives

Conducted by Merritt Hawkins

ABOUT MERRITT HAWKINS

The nation’s leading physician search and consulting firm and a company of AMN Healthcare (NYSE: AHS)

Third party research conducted for:

The Indian Health Service

Trinity University

The Physicians Foundation

North Texas Regional Extension Center

Texas Healthcare Trustees

Numerous hospitals and health systems

THE 2015 AASA SURVEY

Scope expanded to better understand

concerns and perspectives of AASA members

METHODOLOGY

Survey sent by email to all AASA members three times from July 30 to September 17, 2015. Merritt

Hawkins’ researchers called through the list to enhance participation.

2015 2014

Total Responses 138 105

Response Rate 59% 44%

RESPONDENT DEMOGRAPHICS

BY POSITION

2015 2014

Chief Department Administrator 41.8% 41.9%

Associate/Assistant Administrator

13.4% 10.5%

Division/Section Administrator 27.6% 31.4%

Business Office Manager 4.5% 5.7%

Other within surgery 12.7% 10.5%

BY REGION

2014

2015

28%

32%

25%

29%

16%

20%

31%

19%

East Midwest South West

BY YEARS IN HEALTH CARE

2015 2014

One year or less 0% 1.0%

2 – 5 years 11.9% 7.6%

6 - 10 years 22.4% 17.1%

11 – 15 years 20.9% 20.0%

16 years or more 44.8% 54.3%

BY GENDER

2014

2015

46%

40%

54%

60%

Male Female

BY DEGREE

2015 2014

High school 1% 3%

Associate degree 11% 2%

Bachelor’s degree 22% 19%

Master’s degree 75% 74%

Doctoral degree 1% 2%

BY AGE

3.4%

31%

35.6%

20.7%

9.2%

20-2930-3940-4950-5960-69

6.9%

32.7%

32.7%

21.8%

5.9%

20-2930-3940-4950-5960-69

2015 2014

BY SOURCE OF SALARY FUNDING

2014

2015

67%

55%

11%

16%

13%

12%

8%

12%

1%

5%

Department Department/ Hospital Department/ Practice Plan

Practice Plan Other Combination

BY AREA OF PRIMARY RESPONSIBILITY

2014

2015

87.5%

84.4%

14.3%

15.6%

Multiple Specialties Single Specialties

BY NUMBER OF FULL-TIME FACULTY

Low Average High

3 59.5 250

25th Percentile Mean 75th Percentile

15 54 82

2015

2014

BY NUMBER OF PHYSICIAN ASSISTANTS AND NURSE PRACTITIONERS

Low Average High

0 20.8 130


8 26 41

2015

2014

NUMBER OF PHYSICIAN ASSISTANTS & NURSE PRACTITIONERS BY FACULTY SIZE

Full Time Faculty % Representation Average High Low

201-301 1% 50 50 50151-200 5% 60 80 30101-150 10% 55 100 851-100 26% 38 120 01-50 58% 13 45 0

BY NUMBER OF RESIDENTS/FELLOWS

Low Average High

0 57.5 200


12 47 78

2015

2014

NUMBER OF RESIDENTS BY FACULTY SIZE


201-301 0% - - -151-200 5% 113 173 20101-150 12% 92 150 2351-100 27% 75 132 121-50 56% 20 94 0

BY NUMBER OF TOTAL SUPPORT STAFF

Low Average High

1 114.3 660


14 93 125

2015

2014

NUMBER OF SUPPORT STAFF BY FACULTY SIZE


201-301 0% - - -151-200 5% 290 700 50101-150 11% 204 550 8551-100 23% 138 330 211-50 60% 39 300 0

BY NUMBER OF SUPPORT STAFF SPECIFIC TO ACADEMICS

Low Average High

0 42.4 560


4 26 25

2015

2014

NUMBER OF SUPPORT STAFF SPECIFIC TO ACADEMICS BY FACULTY SIZE


201-301 0% - - -151-200 6% 136 310 10101-150 9% 77 275 551-100 22% 26 92 11-50 63% 8 50 0

BY NUMBER OF SUPPORT STAFF SPECIFIC TO CLINICAL

Low Average High

0 57.1 400


5 53 64

2015

2014

NUMBER OF SUPPORT STAFF SPECIFIC TO CLINICAL BY FACULTY SIZE


201-301 0% - - -151-200 6% 154 400 14101-150 9% 115 300 151-100 21% 66 230 01-50 64% 29 260 0

BY ANNUAL BASE SALARY

Low Average High

$51,000 $132,711 $300,000


$92,000 $131,479 $172,000

2015

2014

AVERAGE SALARY BY TITLE

2015 2014

Chief Department Administrator $173,873 $180,701

Associate/Assistant Administrator $104,117 $116,877

Division/Section Administrator $102,804 $95,369

Business Office Manager $89,400 $89,184

Other within surgery $112,385 $79,089

RECEIVING A BONUS

2014

2015

51.5%

58.6%

48.5%

41.4%

Yes No

BY AMOUNT OF BONUS

Low Average High

$1,000 $19,181 $214,094


$5,000 $16,525 $22,000

2015

2014

BONUS BY TITLE

2015 2014

Chief Department Administrator $25,695 $30,901

Associate/Assistant Administrator

$6,333 $1,000

Division/Section Administrator $5,244 $6,438

Business Office Manager $3,050 $1,000

Other within surgery $18,742 $5,833

BY OPERATING BUDGET

Low Average High

$160,000 $43,024,133 $180,000,000


$8,000,000 $36,614,698 $55,000,000

2015

2014

OPERATING BUDGET BY FACULTY SIZE


201-301 0% - - -

151-200 4% $76,769,500 $100,000,000 $65,153,585

101-150 15% $87,381,818 $130,000,000 $1,200,000

51-100 28% $46,813,949 $85,144,000 $84,000

1-50 54% $17,872,183 $87,000,000 $700,000

BY GROSS BILLINGS

Low Average High

$100,000 $84,731,233 $318,861,131


$18,000,000 $79,685,563 $140,872,743

2015

2014

GROSS BILLINGS BY FACULTY SIZE


201-301 0% - - -

151-200 4% $212,130,574 $214,195,861 $208,000,000

101-150 13% $159,914,234 $270,000,000 $70,000,000

51-100 29% $94,207,586 $254,132,298 $1,000,000

1-50 54% $44,099,131 $166,120,000 $1,700,000

BY GROSS COLLECTIONS

Low Average High

$2,100,000 $29,640,732 $104,725,941


$7,800,000 $28,558,392 $44,300,000

2015

2014

GROSS COLLECTIONS BY FACULTY SIZE


201-301 0% - - -

151-200 4% $76,998,367 $77,497,500 $76,000,000

101-150 14% $67,210,224 $105,000,000 $34,400,000

51-100 27% $34,626,218 $75,000,000 $16,981,391

1-50 55% $13,200,257 $40,000,000 $1,500,000

BY ANNUAL RESTRICTED FUNDS

Low Average High

$5,261 $15,500,483 $315,000,000


$1,000,000 $15,921,594 $20,000,000

2015

2014

RESTRICTED FUNDS BY FACULTY SIZE


201-301 0% - - -

151-200 5% $64,057,622 $160,000,000 $16,086,433

101-150 16% $38,505,300 $85,000,000 $3,100,000

51-100 27% $17,245,813 $51,533,422 $1,093,237

1-50 62% $4,605,203 $53,000,000 -

SATISFACTION, PLANS AND PERSPECTIVES

2015 2014

Very positive/satisfying 61.7% 69.1%

Somewhat positive/satisfying 35.5% 25.8%

Neither positive/satisfying nor negative/unsatisfying

1.8% 3.1%

Somewhat negative/unsatisfying 1.0% 2.1%

Very negative/unsatisfying 0.0% 0.0%

ATTITUDE TOWARD BEING A SURGICAL ADMINISTRATOR

ATTITUDE TOWARD BEING A SURGICAL ADMINISTRATOR BY FACULTY SIZE

Full Time Faculty

Very positive

Somewhat positive

Neither positive nor

negative

Somewhat negative

Very negative

201-301 0% 100% 0% 0% 0%

151-200 100% 0% 0% 0% 0%

101-150 62% 38% 0% 0% 0%

51-100 57% 43% 0% 0% 0%

1-50 63% 32% 4% 2% 0%

WOULD RECOMMEND SURGICAL ADMINISTRATOR AS A CAREER

2014

2015

88.5%

90.7%

11.5%

9.3%

Yes No

COMPARISON TO PHYSICIANS

Yes No

Source: A Survey of America’s Physicians: Practice Patterns and Perspectives, The Physicians Foundation/Merritt Hawkins, 2014

Would recommend medicine as a career

49.8% 50.2%

2015 2014

Very positive 50.5% 51.5%

Somewhat positive 47.6% 41.2%

Neither positive nor negative

0.0% 2.1%

Somewhat negative 1.9% 4.1%

Very negative 0.0% 1.0%

RATE YOUR MORALE

PERSONAL MORALE BY FACULTY SIZE

Full Time Faculty

Very positive

Somewhat positive


negative

Somewhat negative

Very negative

201-301 0% 100% 0% 0% 0%

151-200 75% 25% 0% 0% 0%

101-150 38% 62% 0% 0% 0%

51-100 57% 43% 0% 0% 0%

1-50 52% 45% 0% 4% 0%



Rate your morale

Very positive 8.8%

Somewhat positive 35.6%

Somewhat negative 37.1%

Very negative 18.5%

WOULD CHOOSE SURGICAL ADMINISTRATOR AS A CAREER AGAIN

2014

2015

67.4%

73.8%

32.6%

26.2%

Yes No


Yes No


Would choose medicine as a career again

71% 29%

2015 2014

Very positive/optimistic 5.7% 5.2%

Somewhat positive/optimistic 63.2% 51.0%

Neither positive/optimistic nor negative/pessimistic

19.8% 25.0%

Somewhat negative/pessimistic 11.3% 16.7%

Very negative/pessimistic 0.0% 2.1%

HOW DO YOU FEEL ABOUT THE FUTURE OF THE HEALTHCARE SYSTEM?

ATTITUDE ABOUT THE FUTURE OF THE HEALTHCARE SYSTEM BY FACULTY SIZE

Full Time Faculty

Very positive

Somewhat positive


negative

Somewhat negative

Very negative

201-301 0% 100% 0% 0% 0%

151-200 0% 75% 0% 25% 0%

101-150 8% 62% 15% 15% 0%

51-100 15% 52% 19% 15% 0%

1-50 0% 70% 21% 9% 0%

Very positive/optimistic 10.2%

Somewhat positive/optimistic 38.7%

Somewhat negative/pessimistic 39.5%

Very negative/pessimistic 11.6%



2015 2014

It has proven to be a success 7.7% 2.1%

A work in progress but likely to be a success

38.5% 32.3%

Needs improvement but should be modified not repealed

46.2% 57.3%

Has been a failure 4.8% 5.2%

Should be repealed 2.9% 3.1%

ATTITUDE TOWARD THE ACA

STRATEGIC PRIORITIES

Very Important

2015 2014

Reimbursement/revenue 91.5% 97.9%

Quality initiatives 73.3% 76.6%

Evolving payment models 79.2% 74.7%

Patient attitudes 64.2% 74.5%

Physician recruiting/retention 73.6% 74.2%

Physician Alignment 48.6% 71.3%

EMR implementation 65.1% 48.4%

Nurse/allied professional staffing 31.7% 44.1%

ACO implementation 23.3% 31.5%

PRIORITIES FOR NEXT 12 MONTHS

Very Important

2015 2014

Increasing revenue 87.5% 86.6%

Decreasing costs 64.1% 67.7%

Physician relations 63.8% 56.7%

Physician recruitment 55.3% 50.5%

Regulatory compliance 26.9% 37.1%

Impact of the ACA 21.2% 28.1%

Implementing/upgrading EMR 16.8% 22.7%

PREPARED FOR VOLUME TO VALUE

2015 2014

Very prepared 8.7% 4.1%

Somewhat prepared 48.5% 64.9%

Neither prepared nor unprepared

28.2% 13.4%

Somewhat unprepared 13.6% 15.5%

Very unprepared 1.0% 2.1%

DEPARTMENT’S RELATIONSHIP WITH PHYSICIANS

2015 2014

Open hostility 0.0% 0.0%

Uneasy alliance 4.8% 4.1%

General cooperation 76.2% 63.9%

Complete integration/alignment 19.0% 30.9%

Not applicable 0.0% 1.0%

PLANS FOR THE NEXT THREE YEARS

2015 2014

Continue as I am 46.2% 60.2%

Retire 5% 2.8%

Work part-time 3.4% 3.7%

Find another surgical administrator position

22.7% 25.0%

Seek a non-surgical administrator position

14.3% 14.8%

Seek a job outside of healthcare 3.4% 2.8%

Work from home 5.0% 2.8%

2015 Survey of Membership

Compensation, Career Satisfaction and

Personal Perspectives

Conducted by Merritt Hawkins

Documents

2015 Survey of Membership Compensation, Career Satisfaction and Personal Perspectives Conducted by Merritt Hawkins