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 to all AASA members three times from July 30 to September 17, Merritt Hawkins’ researchers called through the list to enhance participation Total Responses Response Rate59%44%

RESPONDENT DEMOGRAPHICS

BY POSITION Chief Department Administrator41.8%41.9% Associate/Assistant Administrator 13.4%10.5% Division/Section Administrator27.6%31.4% Business Office Manager4.5%5.7% Other within surgery12.7%10.5%

BY REGION

BY YEARS IN HEALTH CARE One year or less0%1.0% 2 – 5 years11.9%7.6% years22.4%17.1% 11 – 15 years20.9%20.0% 16 years or more44.8%54.3%

BY GENDER

BY DEGREE High school1%3% Associate degree11%2% Bachelor’s degree22%19% Master’s degree75%74% Doctoral degree1%2%

BY AGE

BY SOURCE OF SALARY FUNDING

BY AREA OF PRIMARY RESPONSIBILITY

BY NUMBER OF FULL-TIME FACULTY LowAverageHigh th PercentileMean75 th Percentile

BY NUMBER OF PHYSICIAN ASSISTANTS AND NURSE PRACTITIONERS LowAverageHigh th PercentileMean75 th Percentile

NUMBER OF PHYSICIAN ASSISTANTS & NURSE PRACTITIONERS BY FACULTY SIZE Full Time Faculty % RepresentationAverageHighLow % % % % %13450

BY NUMBER OF RESIDENTS/FELLOWS LowAverageHigh th PercentileMean75 th Percentile

NUMBER OF RESIDENTS BY FACULTY SIZE Full Time Faculty % RepresentationAverageHighLow % % % % %20940

BY NUMBER OF TOTAL SUPPORT STAFF LowAverageHigh th PercentileMean75 th Percentile

NUMBER OF SUPPORT STAFF BY FACULTY SIZE Full Time Faculty % RepresentationAverageHighLow % % % % %393000

BY NUMBER OF SUPPORT STAFF SPECIFIC TO ACADEMICS LowAverageHigh th PercentileMean75 th Percentile

NUMBER OF SUPPORT STAFF SPECIFIC TO ACADEMICS BY FACULTY SIZE Full Time Faculty % RepresentationAverageHighLow % % % % %8500

BY NUMBER OF SUPPORT STAFF SPECIFIC TO CLINICAL LowAverageHigh th PercentileMean75 th Percentile

NUMBER OF SUPPORT STAFF SPECIFIC TO CLINICAL BY FACULTY SIZE Full Time Faculty % RepresentationAverageHighLow % % % % %292600

BY ANNUAL BASE SALARY LowAverageHigh $51,000$132,711$300, th PercentileMean75 th Percentile $92,000$131,479$172,

AVERAGE SALARY BY TITLE 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

BY AMOUNT OF BONUS LowAverageHigh $1,000$19,181$214, th PercentileMean75 th Percentile $5,000$16,525$22,

BONUS BY TITLE 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 LowAverageHigh $160,000$43,024,133$180,000, th PercentileMean75 th Percentile $8,000,000$36,614,698$55,000,

OPERATING BUDGET BY FACULTY SIZE Full Time Faculty % RepresentationAverageHighLow % %$76,769,500$100,000,000$65,153, %$87,381,818$130,000,000$1,200, %$46,813,949$85,144,000$84, %$17,872,183$87,000,000$700,000

BY GROSS BILLINGS LowAverageHigh $100,000$84,731,233$318,861, th PercentileMean75 th Percentile $18,000,000$79,685,563$140,872,

GROSS BILLINGS BY FACULTY SIZE Full Time Faculty % RepresentationAverageHighLow % %$212,130,574$214,195,861$208,000, %$159,914,234$270,000,000$70,000, %$94,207,586$254,132,298$1,000, %$44,099,131$166,120,000$1,700,000

BY GROSS COLLECTIONS LowAverageHigh $2,100,000$29,640,732$104,725, th PercentileMean75 th Percentile $7,800,000$28,558,392$44,300,

GROSS COLLECTIONS BY FACULTY SIZE Full Time Faculty % RepresentationAverageHighLow % %$76,998,367$77,497,500$76,000, %$67,210,224$105,000,000$34,400, %$34,626,218$75,000,000$16,981, %$13,200,257$40,000,000$1,500,000

BY ANNUAL RESTRICTED FUNDS LowAverageHigh $5,261$15,500,483$315,000, th PercentileMean75 th Percentile $1,000,000$15,921,594$20,000,

RESTRICTED FUNDS BY FACULTY SIZE Full Time Faculty % RepresentationAverageHighLow % %$64,057,622$160,000,000$16,086, %$38,505,300$85,000,000$3,100, %$17,245,813$51,533,422$1,093, %$4,605,203$53,000,000-

SATISFACTION, PLANS AND PERSPECTIVES

Very positive/satisfying61.7%69.1% Somewhat positive/satisfying35.5%25.8% Neither positive/satisfying nor negative/unsatisfying 1.8%3.1% Somewhat negative/unsatisfying1.0%2.1% Very negative/unsatisfying0.0% 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 %100%0% %0% %38%0% %43%0% %32%4%2%0%

WOULD RECOMMEND SURGICAL ADMINISTRATOR AS A CAREER

COMPARISON TO PHYSICIANS 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%

Very positive50.5%51.5% Somewhat positive47.6%41.2% Neither positive nor negative 0.0%2.1% Somewhat negative1.9%4.1% Very negative0.0%1.0% RATE YOUR MORALE

PERSONAL MORALE BY FACULTY SIZE Full Time Faculty Very positive Somewhat positive Neither positive nor negative Somewhat negative Very negative %100%0% %25%0% %62%0% %43%0% %45%0%4%0%

COMPARISON TO PHYSICIANS Source: A Survey of America’s Physicians: Practice Patterns and Perspectives, The Physicians Foundation/Merritt Hawkins, 2014 Rate your morale Very positive8.8% Somewhat positive35.6% Somewhat negative37.1% Very negative18.5%

WOULD CHOOSE SURGICAL ADMINISTRATOR AS A CAREER AGAIN

COMPARISON TO PHYSICIANS Source: A Survey of America’s Physicians: Practice Patterns and Perspectives, The Physicians Foundation/Merritt Hawkins, 2014 Would choose medicine as a career again 71%29%

Very positive/optimistic5.7%5.2% Somewhat positive/optimistic63.2%51.0% Neither positive/optimistic nor negative/pessimistic 19.8%25.0% Somewhat negative/pessimistic11.3%16.7% Very negative/pessimistic0.0%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 Neither positive nor negative Somewhat negative Very negative %100%0% %75%0%25%0% %62%15% 0% %52%19%15%0% %70%21%9%0%

Very positive/optimistic10.2% Somewhat positive/optimistic38.7% Somewhat negative/pessimistic39.5% Very negative/pessimistic11.6% COMPARISON TO PHYSICIANS Source: A Survey of America’s Physicians: Practice Patterns and Perspectives, The Physicians Foundation/Merritt Hawkins, 2014

It has proven to be a success7.7%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 failure4.8%5.2% Should be repealed2.9%3.1% ATTITUDE TOWARD THE ACA

STRATEGIC PRIORITIES Very Important Reimbursement/revenue91.5%97.9% Quality initiatives73.3%76.6% Evolving payment models79.2%74.7% Patient attitudes64.2%74.5% Physician recruiting/retention73.6%74.2% Physician Alignment48.6%71.3% EMR implementation65.1%48.4% Nurse/allied professional staffing 31.7%44.1% ACO implementation23.3%31.5%

PRIORITIES FOR NEXT 12 MONTHS Very Important Increasing revenue87.5%86.6% Decreasing costs64.1%67.7% Physician relations63.8%56.7% Physician recruitment55.3%50.5% Regulatory compliance26.9%37.1% Impact of the ACA21.2%28.1% Implementing/upgrading EMR16.8%22.7%

PREPARED FOR VOLUME TO VALUE Very prepared8.7%4.1% Somewhat prepared48.5%64.9% Neither prepared nor unprepared 28.2%13.4% Somewhat unprepared13.6%15.5% Very unprepared1.0%2.1%

DEPARTMENT’S RELATIONSHIP WITH PHYSICIANS Open hostility0.0% Uneasy alliance4.8%4.1% General cooperation76.2%63.9% Complete integration/alignment19.0%30.9% Not applicable0.0%1.0%

PLANS FOR THE NEXT THREE YEARS Continue as I am46.2%60.2% Retire5%2.8% Work part-time3.4%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 healthcare3.4%2.8% Work from home5.0%2.8%

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