1. 2015 Survey of Membership Compensation, Career Satisfaction and Personal Perspectives Conducted by Merritt Hawkins

2. 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

3. THE 2015 AASA SURVEY Scope expanded to better understand concerns and perspectives of AASA members

4. 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. 20152014 Total Responses138105 Response Rate59%44%

5. RESPONDENT DEMOGRAPHICS

6. BY POSITION 20152014 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%

7. BY REGION

8. BY YEARS IN HEALTH CARE 20152014 One year or less0%1.0% 2 – 5 years11.9%7.6% 6 - 10 years22.4%17.1% 11 – 15 years20.9%20.0% 16 years or more44.8%54.3%

9. BY GENDER

10. BY DEGREE 20152014 High school1%3% Associate degree11%2% Bachelor’s degree22%19% Master’s degree75%74% Doctoral degree1%2%

11. BY AGE 20152014

12. BY SOURCE OF SALARY FUNDING

13. BY AREA OF PRIMARY RESPONSIBILITY

14. BY NUMBER OF FULL-TIME FACULTY LowAverageHigh 359.5250 25 th PercentileMean75 th Percentile 155482 2015 2014

15. BY NUMBER OF PHYSICIAN ASSISTANTS AND NURSE PRACTITIONERS LowAverageHigh 020.8130 25 th PercentileMean75 th Percentile 82641 2015 2014

16. NUMBER OF PHYSICIAN ASSISTANTS & NURSE PRACTITIONERS BY FACULTY SIZE Full Time Faculty % RepresentationAverageHighLow 201-3011%50 151-2005%608030 101-15010%551008 51-10026%381200 1-5058%13450

17. BY NUMBER OF RESIDENTS/FELLOWS LowAverageHigh 057.5200 25 th PercentileMean75 th Percentile 124778 2015 2014

18. NUMBER OF RESIDENTS BY FACULTY SIZE Full Time Faculty % RepresentationAverageHighLow 201-3010%--- 151-2005%11317320 101-15012%9215023 51-10027%7513212 1-5056%20940

19. BY NUMBER OF TOTAL SUPPORT STAFF LowAverageHigh 1114.3660 25 th PercentileMean75 th Percentile 1493125 2015 2014

20. NUMBER OF SUPPORT STAFF BY FACULTY SIZE Full Time Faculty % RepresentationAverageHighLow 201-3010%--- 151-2005%29070050 101-15011%20455085 51-10023%13833021 1-5060%393000

21. BY NUMBER OF SUPPORT STAFF SPECIFIC TO ACADEMICS LowAverageHigh 042.4560 25 th PercentileMean75 th Percentile 42625 2015 2014

22. NUMBER OF SUPPORT STAFF SPECIFIC TO ACADEMICS BY FACULTY SIZE Full Time Faculty % RepresentationAverageHighLow 201-3010%--- 151-2006%13631010 101-1509%772755 51-10022%26921 1-5063%8500

23. BY NUMBER OF SUPPORT STAFF SPECIFIC TO CLINICAL LowAverageHigh 057.1400 25 th PercentileMean75 th Percentile 55364 2015 2014

24. NUMBER OF SUPPORT STAFF SPECIFIC TO CLINICAL BY FACULTY SIZE Full Time Faculty % RepresentationAverageHighLow 201-3010%--- 151-2006%15440014 101-1509%1153001 51-10021%662300 1-5064%292600

25. BY ANNUAL BASE SALARY LowAverageHigh $51,000$132,711$300,000 25 th PercentileMean75 th Percentile $92,000$131,479$172,000 2015 2014

26. AVERAGE SALARY BY TITLE 20152014 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

27. RECEIVING A BONUS

28. BY AMOUNT OF BONUS LowAverageHigh $1,000$19,181$214,094 25 th PercentileMean75 th Percentile $5,000$16,525$22,000 2015 2014

29. BONUS BY TITLE 20152014 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

30. BY OPERATING BUDGET LowAverageHigh $160,000$43,024,133$180,000,000 25 th PercentileMean75 th Percentile $8,000,000$36,614,698$55,000,000 2015 2014

31. OPERATING BUDGET BY FACULTY SIZE Full Time Faculty % RepresentationAverageHighLow 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

32. BY GROSS BILLINGS LowAverageHigh $100,000$84,731,233$318,861,131 25 th PercentileMean75 th Percentile $18,000,000$79,685,563$140,872,743 2015 2014

33. GROSS BILLINGS BY FACULTY SIZE Full Time Faculty % RepresentationAverageHighLow 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

34. BY GROSS COLLECTIONS LowAverageHigh $2,100,000$29,640,732$104,725,941 25 th PercentileMean75 th Percentile $7,800,000$28,558,392$44,300,000 2015 2014

35. GROSS COLLECTIONS BY FACULTY SIZE Full Time Faculty % RepresentationAverageHighLow 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

36. BY ANNUAL RESTRICTED FUNDS LowAverageHigh $5,261$15,500,483$315,000,000 25 th PercentileMean75 th Percentile $1,000,000$15,921,594$20,000,000 2015 2014

37. RESTRICTED FUNDS BY FACULTY SIZE Full Time Faculty % RepresentationAverageHighLow 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-

38. SATISFACTION, PLANS AND PERSPECTIVES

39. 20152014 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

40. 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% 151-200 100%0% 101-150 62%38%0% 51-100 57%43%0% 1-50 63%32%4%2%0%

41. WOULD RECOMMEND SURGICAL ADMINISTRATOR AS A CAREER

42. 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%

43. 20152014 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

44. PERSONAL MORALE BY FACULTY SIZE Full Time Faculty Very positive Somewhat positive Neither positive nor negative Somewhat negative Very negative 201-301 0%100%0% 151-200 75%25%0% 101-150 38%62%0% 51-100 57%43%0% 1-50 52%45%0%4%0%

45. 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%

46. WOULD CHOOSE SURGICAL ADMINISTRATOR AS A CAREER AGAIN

47. 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%

48. 20152014 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?

49. 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 201-301 0%100%0% 151-200 0%75%0%25%0% 101-150 8%62%15% 0% 51-100 15%52%19%15%0% 1-50 0%70%21%9%0%

50. 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

51. 20152014 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

52. STRATEGIC PRIORITIES Very Important 20152014 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%

53. PRIORITIES FOR NEXT 12 MONTHS Very Important 20152014 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%

54. PREPARED FOR VOLUME TO VALUE 20152014 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%

55. DEPARTMENT’S RELATIONSHIP WITH PHYSICIANS 20152014 Open hostility0.0% Uneasy alliance4.8%4.1% General cooperation76.2%63.9% Complete integration/alignment19.0%30.9% Not applicable0.0%1.0%

56. PLANS FOR THE NEXT THREE YEARS 20152014 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%

57. 2015 Survey of Membership Compensation, Career Satisfaction and Personal Perspectives Conducted by Merritt Hawkins