Annual Base Salary as of 1/1/04. Most Recent Annual Bonus Low End High End. % 13 % Medical Director. % 19 % Chief Financial Officer

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1 2004 CPCA Compensation and Benefits Survey Please complete this survey and return it in the enclosed postage-paid envelope no later than October 22, 2004 to: Industry Insights, Inc., P.O. Box 630, Worthington, OH Or fax to Demographics 1. In what zip code is your main clinic located? 1 2. How many other clinic sites does your organization operate? 2 3. Do you consider your main clinic site to be primarily rural or urban? 3 Rural Urban Frontier 4. Do you consider your other clinic sites to be primarily rural or urban? 4 Rural Urban Frontier 5. Total Operating Budget of your organization: 5-1 Less than 100, ,000,001-3,000, ,000,001-15,000, , , ,000,001-6,000, ,000,001-20,000, ,001-1,000, ,000,001-10,000, ,000,001-30,000, More than 30,000, Number of full-time equivalent employees: More than Number of annual encounters for your organization as reported on your most recent OSHPD annual utilization report: 7 8. What type of pay increases does your organization provide? Cost of Living Adjustments only 3 Merit/COLA Increases 2 Merit Increases only 4 Other Pay Increases 9. Are your employees unionized? 541 Yes No Compensation 10. Please report base salary figures as of January 1, Bonus figures should be for the most recent annual amount. Report all figures in U.S. dollars. If there is more than one person in a particular job title, please average their compensation. Report only full-time employees. If position is hourly, multiply hourly rate by 2080 to convert to annual salary. Job Title Number of Employees Reported Annual Base Salary as of 1/1/04 Annual Salary Range for Job Title Most Recent Annual Bonus Low End High End Average % Compensation vs. Previous Year Projected % Compensation Next Year Administration: 1. Executive Director/Administrator % 13 % Medical Director % 19 % Chief Financial Officer % 25 % Chief Information Officer % 31 % Director of Operations/Assistant % 37 % Director of Nursing Services % 43 % Development Director % 49 % Human Resources Director/Manager % 55 % Clinic Manager % 61 % Dental Clinic Manager % 67 % Behavioral Health Manager % 73 % Performance Improvement Coordinator % 79 % Corporate Compliance Officer % 85 % Government Affairs % 547 % Department Manager % 91 % Office Manager % 97 % Administrative Assistant % 103 % Administrative Secretary % 109 % Medical Staff Secretary % 115 % Front Desk Combination % 121 % Receptionist % 127 % Materials Manager % 133 % General Stores Clerk % 139 % Switchboard Operator % 145 % 595

2 Number of Employees Reported Annual Base Salary as of 1/1/04 Annual Salary Range for Job Title Most Recent Annual Bonus Low End High End Average % Compensation vs. Previous Year Projected % Compensation Next Year 25. Environmental Services Supervisor % 151 % Environmental Services Staff % 157 % Patient Financial Services Manager % 163 % Manager of Patient Accounts % 169 % General Accounting Manager % 175 % Accounts Representative % 181 % Bookkeeper % 187 % Payroll/Accounting Clerk % 193 % Billing Assistant % 199 % Cashier % 205 % Medical Records Manager % 211 % Medical Records Transcriber % 217 % Medical Records Clerk % 223 % Programmer % 229 % Information Systems Technician % 235 % Human Resources Coordinator % 241 % Grants Manager % 247 % 612 Clinical: 42. Physician % 253 % Physician Assistant % 259 % Nurse Practitioner % 265 % Registered Nurse % 271 % Triage Nurse % 277 % Licensed Vocational Nurse, LVN % 283 % Certified Nursing Assistant, CNA % 289 % Medical Assistant % 295 % Pharmacy Director/Pharmacist % 301 % Pharmacy Technician % 307 % Dentist % 313 % Registered Dental Asst., Extended RDAE % 319 % Registered Dental Assistant, RDA % 325 % Dental Hygienist % 331 % Dental Assistant % 337 % Dental Receptionist % 343 % QA/Utilization Review Nurse % 349 % Nurse Case Manager, RN % 355 % Nurse Case Manager, LVN % 361 % Referral Case Manager % 367 % Case Manager % 373 % Health Education Coordinator % 379 % Health Educator % 385 % Psychiatric Social Worker % 391 % Masters Level Social Worker % 397 % Substance Abuse Counselor % 403 % Methadone Coordinator % 553 % Certified Mid Wife % 559 % Marriage, Family and Child Counselor % 565 % Clinical Psychologist (Ph.D.) % 571 % HIV Counselor % 409 % 643

3 Number of Employees Reported Annual Base Salary as of 1/1/04 Annual Salary Range for Job Title Most Recent Annual Bonus Low End High End Average % Compensation vs. Previous Year Projected % Compensation Next Year 73. Outreach/Eligibility Worker % 415 % Sterilization/Auxiliary Clerk % 421 % Radiology Technician % 427 % Other % 433 % 647 Employee Benefits 11. Please check all benefits that are available in 2003 for both management and clinical employees. Benefit Management/Administration Employees Fully Paid by Partially Paid by Institution Institution Not Provided Fully Paid by Institution Clinical Employees Partially Paid by Institution Not Provided Basic healthcare plan Behavioral health plan Dental plan Education/tuition reimbursement Educational conference/trips Short-term disability Long-term disability Child daycare Adult daycare Company car (key personnel) Health club membership (key personnel) Parking Other significant benefits (please list): Health Coverage 12. What type of healthcare plan is provided? Traditional indemnity (basic hospitalization/major medical) 467 Point of Service (POS) 465 Health Maintenance Organization (HMO) 468 Medical Savings Account 466 Preferred Provider Organization (PPO) 469 Other 13. Does your organization offer a Section 125 cafeteria plan? 470 Yes No If Yes, check all the provisions of the plan that apply: 471 Pre-tax health insurance premiums 474 Multi-choice flexible plan 472 Pre-tax dependent care flexible spending accounts 475 Other 473 Pre-tax healthcare flexible spending accounts 14. What percentage increase in health insurance premiums did your organization experience in 2003 versus 2002? % In addition to medical, which of the following coverages do you offer? (Check all that apply) 477 Dental 479 Vision 481 Wellness 483 Short-Term Disability 484 Long-Term Disability 478 Prescription Drug 480 Mental Health 482 Employee Assistance Program (EAP) 485 Life Insurance 16. What percentage of the health insurance premiums are paid by: Individual Coverage Family Coverage Employer % 486 % 490 Employee % 487 % 491 Total % 488 % 492 What are the deductible amounts?

4 Retirement Plans 17. Does your organization offer a retirement plan for which all employees can be eligible? 494 Yes No If Yes, what type(s) of plans are offered? 495 Defined benefit pension plan 496 Defined contribution plan 497 Thrift/savings plan (k) plan (b) plan 500 SEP (Simplified Employee Pension) 401(k) and/or 403(b) Plans Only 401(k) 403(b) 18. Does your organization match employee contributions?... Yes No 501 Yes No 506 If Yes, what are the terms of matching? (Check all that apply) 100% match Maximum % of salary matched... % 503 % % match Maximum % of salary matched... % 505 % 510 Other terms Defined Benefit Plans Only 19. Does your organization use a percentage of salary as part of the calculation of the final benefit under its defined benefit plan(as an annual contribution amount)? 511 Yes No If Yes, what is this percentage? % How does your defined benefit plan integrate with Social Security? (Check ONE only.) 513 Benefits are offset by Social Security 514 Benefits supplement Social Security for salary in excess of Social Security wage base 515 Benefits are not integrated with Social Security 21. Does the plan provide a pre-retirement death benefit other than a qualified pre-retirement spouse benefit? 516 Yes No Paid Leave 22. Please indicate the years of service required for the following vacation periods: Upper Management All Other Staff 1 week weeks weeks weeks weeks Thank you! 23. What is the number of paid holidays offered per year? # What is the number of sick days offered per year? # Does your organization combine vacation and sick leave? 529 Yes No If Yes, how many days per year are offered? # 530 Clinic identification below will be removed by Industry Insights upon receipt of your survey form. Clinic Name Phone # Street Address City State ZIP Person to contact with questions Person to whom report should be sent

5 2004 CPCA Compensation and Benefits Survey Job s Job Title 1. Executive Director/Administrator 2. Medical Director 3. Controller/CFO 4. Chief Information Officer/Information Systems Director 5. Director of Operations/Assistant Administrator 6. Director of Nursing Services 7. Development Director 8. Human Resources Director/Manager 9. Clinic Manager This is the top non-physician professional administrative position. Maintains broad responsibilities for all administrative functions, including operations, marketing, finance, managed care/third-party contracting, physician compensation and reimbursement, human resources, medical and business information systems, public relations, and planning and development. Oversees management personnel with direct responsibilities for these functional areas. Usually reports to the governing body of the organization. Primary responsibility is for the provision of productive and quality clinical practices. Assists/Directs in the development of policies and procedures used to ensure quality patient care and the orientation of new providers. Directs the establishment and maintenance of accounting principles, practices, and procedures according to generally accepted accounting principles. Maintains all accounting records and is responsible for the development, analysis, and interpretation of statistical and accounting information to appraise operating results in terms of costs, budgets, policies, trends, billing, collections, and increased revenue possibilities. Completes the essential functions of Network Support by providing Hardware Support, Software Support, Programming Support and Administrative Support / Customer Service and delivers excellent customer service to all internal and external customers. Includes detailed documentation, confidentiality, accuracy, safe work practices, and timely completion of a variety of simultaneous tasks. Provides assistance to a top administrator (e.g., Executive Director) with the management of one or more functional areas of the clinic, e.g., administration, human resources, finance, and/or operations. Responsible for the overall management of patient care services including quality of nursing care, utilization/supervision of personnel, compliance with clinic policies, and development and implementation of patient care goals and objectives. Generally reports to the Executive Director or Medical Director. Coordinates the acquisition of Materiel, Environmental and Grant resources throughout clinic. This position is responsible for the writing and administration of the clinic s grant program as well as the timely, cost effective, and organized flow of materials, supplies, and environmental conditions through all sites. Typically found in larger clinics, the Human Resources Director/Manager is responsible for all human resources related functions including employee benefits administration, labor/employee relations, risk management, employment/discipline activities, etc. Reports directly to Executive Director/Administrator. The Clinic Manager provides leadership and support for all the staff to ensure that the daily operations meet clinic standards. The Clinic Manager interfaces with all management, staff and patients to ensure effective communication and positive work and business relationships. The Clinic Manager will coordinate outreach and serve as contact point for the surrounding community and its leaders. 10. Dental Clinic Manager Primary responsibility is for the daily operations of the dental clinic. 11. Behavior Health Manager 12. Performance Improvement Coordinator/Manager 13. Corporate Compliance Officer The Behavior Health Manager has the overall responsibilities for the daily operations and activities of the Behavioral Health program. The manager implements and monitors department procedures and protocol. The manager supervises all Behavioral Health provider staff. The Performance Improvement Coordinator/Manager ensures that performance improvement activities are on-going and meet MCHC and JCAHO standards. Develops, institutes and administers a Corporate Compliance Program designed to establish a culture within the organization that promotes prevention, detection and resolution of instances of conduct that do not conform to Federal and State laws and Federal, State, and private payer health program requirements, as well as the organizations ethical and business policies and procedures.

6 14. Government Affairs 15. Department Manager 16. Office Manager 17. Administrative Assistant 18. Administrative Secretary 19. Medical Staff Secretary 20. Front Desk Combination 21. Receptionist 22. Materials Manager 23. General Stores Clerk The position assumes responsibility for the development of government relations infrastructure, design and implementation of program activities, strategy development and implementation and the maintenance of relationships with elected officials. The position develops public policy plan and mobilize grass roots education efforts. The incumbent represents issues facing clinic s; writes and gives public testimony; gathers information; reports to staff and membership; provides analysis of issues and information; leads the policy debates of the organization; liaisons with multiple agencies and elected officials; directs support staff; completes special projects. Manages the operations of one or more medical departments, and/or ancillary service departments. Assists with budget planning and approves department expenditures. May supervise multidepartment staff. Typically found in a clinic that does not have a Director of Operations/Assistant Administrator. Manages the non-medical activities of a clinic. The focus of this position usually rests on the daily operations of the organization. May oversee some financial activities, such as billing and collections. Usually reports to the Executive Director. Carries out work projects assigned by the Executive Director/Administrator relative to the total clinic operation or to specific patient services. Investigates procedures and operations and gathers data for preparation of statistical and operational reports and makes recommendations for revision. Performs related duties as directed. Assists member of the administrative staff by performing secretarial/clerical and minor executive duties. Answers telephone, screens office callers, makes appointments, and composes correspondence and memoranda. Performs secretarial duties utilizing knowledge of medical terminology and hospital, clinic, or laboratory procedures. Takes dictation in shorthand or uses transcribing machine. Compiles and records medical charts, records, and correspondence. Typically found in small operations. This position performs all patient contact services including: clerk typist, medical records, receptionist, appointment secretary, and answers phone for the clinic. Typically found in larger operations. Registers patients, may make/cancel appointments, answers phones. Typically found in larger operations. Ensures the timely, organized flow of materials and supplies into the operation. Can have ancillary departments such as central supply, sterilization, etc., report functionally. Compiles and maintains records of the quantity, cost and type of material received, stocked and issued. Performs mail distribution, instrument sterilization, equipment and supply pick-up, etc. 24. Switchboard Operator Typically found in larger clinics. Primary duties include answering/routing phone calls. 25. Environmental Services Supervisor 26. Environmental Services Staff 27. Patient Financial Services Manager 28. Manager of Patient Accounts 29. General Accounting Manager 30. Accounts Representative 31. Bookkeeper Supervises and coordinates activities of workers engaged in maintaining and repairing physical structures of buildings and maintains grounds. Responsible for security and loss prevention. Clean facility per policies and procedures. Support initiatives for security, energy conservation, minor maintenance, facilities management, infection control and overall employee / patient safety. Responsible for all credit/collections, patient financial counseling, special account creation, etc. Oversees staff such as Patient Accounts Representatives. Directs and coordinates business office activities. Responsible for the areas of insurance processing and claim filing, patient billing, accounts receivable. May have a supervisor or several employees under this position. In many clinics, this position would be similar to Business Office Manager. Responsible for the general accounting functions of the clinic and the preparation of reports and statistics reflecting earnings, profits, cash balances, and other financial results. Formulates and administers approved accounting practices throughout the clinic to assure that financial and operating reports accurately reflect the condition of the business and provide reliable information necessary to control operations. Interviews and assists patients. Works with patient and patient s insurance carrier to determine benefits available and assist families in getting financial aid. Responsible for billing, servicing, and collecting delinquent accounts receivable. Monitors accounts that are past due, and works to bring account payment up-to-date. Maintains accounts receivable and payable. Maintains a general ledger. May send out or prepare bills for distribution. May prepare financial statements, income statements, and cost reports. 32. Payroll/Accounting Clerk Performs all payroll related functions. May also perform accounts payable/receivable functions.

7 33. Billing Assistant 34. Cashier 35. Medical Records Manager 36. Medical Records Transcriber 37. Medical Records Clerk 38. Programmer Assists in all functions of the billing office, including filing and retrieving patient billing records, processing billing documents, assisting patients with billing inquiries. Collects payment and posts payment for services rendered. Works with billing of patients. Verifies accounts balances. Provides customer service. Supervises medical records clerks and transcriptionists. Ensures policies and procedures established for the record keeping practices of the clinic is followed by medical records staff. Transcribes recorded dictation for physicians and residents. This includes dictation relating to medical, surgical, and radiological reports, physicals, progress notes, surgical procedures, consultation, patient histories, and discharge summaries. Requires knowledge of medical terminology and medical records methods. Files charts returned to records room and sends charts out upon request. Keeps medical records in correct filing order. Write program in Visual Basic. Provide Information Systems (IS) support and maintenance for all departments. Deliver customer service to all End Users. Confidentiality, accuracy and timely completion of tasks necessary. 39. Information Systems Technician Information Systems (IS) support and maintenance for all departments. 40. Human Resources Coordinator 41. Grants Manager 42. Physician 43. Physician Assistant 44. Nurse Practitioner 45. Registered Nurse 46. Triage Nurse 47. Licensed Vocational Nurse, LVN 48. Certified Nursing Assistant, CNA 49. Medical Assistant 50. Pharmacy Director/Pharmacist 51. Pharmacy Technician Provides assistance to the human Resources Manager/Director. Duties include administration of the employee benefits program, performing new hire orientation, maintaining personnel files, OSHA records, professional staff credentialing, etc. Develops and manage grant proposals. Attend grantee meetings. Develops and maintains relationship with funders. Provides preventative-oriented ambulatory primary care to clinic patients. Participates in the clinic quality assurance program, supervises mid-level providers, provides after-hour call and conducts hospital rounds as assigned. A person who is trained, certified, and licensed to perform history taking, physical examination, diagnosis, and treatment of commonly encountered medical problems. This person works under the supervision of a licensed physician to provide primary care to clinic patients. The physician assistant extends the physician s capacity to provide medical care. A registered nurse with at least a mater s degree in nursing and advanced education in primary care. Capable of independent practice in a variety of settings. A nurse practitioner is able to carryout 60-90% of tasks required of a primary health care provider, including taking medical histories, performing physical exams and laboratory tests, and treating common illnesses and injuries. Renders professional nursing care for the comfort and well-being of the patients. Prepares equipment and assists physician during examinations and treatments. Administers prescribed medication, changes dressings, cleans wounds, and monitors patient s vital signs. Observes and maintains records on patient s care, conditions reaction, and progress. Must be state licensed and graduate of a Registered Nurse program. Primarily responsible for screening and placement of walk-in patients. Assesses needs of walk-in patients. Orders medical record and takes medical history. Administers first aid as appropriate. Sets up appointment with appropriate department as necessary. Screens phone calls from patients seeking walk-in services. Requires a Registered Nurse degree and a state license. Performs assigned nursing procedures for the comfort and well being of patients. Takes and records patient s vital signs and collect specimens for analysis. Dresses wounds and administers prescribed medications and procedures utilizing a variety of medical equipment when necessary. Must be state licensed. Performs routine nursing duties in the care and treatment of patients, assists medical providers. Must have California CNA certificate. Prepares treatment rooms; assists physician with materials, instruments, and equipment during exam; sterilizes and cleans instruments; maintains inventory of supplies; takes vitals; blood pressure, pulse, and temperature; completes the paperwork for lab tests, x-rays, and referrals. Must be a graduate of a technical school medical assistant program or have related job experience. Provides administrative and professional direction for the pharmaceutical services of the clinic. Functions as the Pharmacist, report to the Medical Director. Performs packaging, repetitive, non-discretionary tasks while assisting and under the direct supervision of a registered Pharmacist.

8 52. Dentist Job Title 53. Registered Dental Assistant, Extended RDAE 54. Registered Dental Assistant, RDA To provide quality dental care with responsibility for various procedures. Provides functional direction to support staff where necessary. Must be DDS licensed. All duties performed within the licensing practices of R.D.A.E.F. Provides chair-side support to the dental provider by monitoring patient comfort, providing patient education, taking impressions, etc. Must have valid California RDA registration. 55. Dental Hygienist All duties performed within the licensing practices of a Dental Hygienist. 56. Dental Assistant 57. Dental Receptionist 58. QA/Utilization Review Nurse 59. Nurse Case Manager, RN 60. Nurse Case Manager, LVN 61. Referral Case Manager 62. Case Manager 63. Health Education Coordinator 64. Health Educator 65. Psychiatric Social Worker 66. Masters Level Social Worker 67. Substance Abuse Counselor 68. Methadone Coordinator Provides chair-side assistance to the dental provider. Functionally similar to a RDA, without the registration certificate. Duties include answering phones, scheduling appointments, greeting and directing patients, filing patient charts, etc. Implements programs designed to improve the quality of healthcare delivery. Measures the quantitative and qualitative aspects of health care delivery. This position is more likely to be found in larger organizations with some degree of integration with other healthcare organizations. Monitors in-patient and out-patient care activities to ensure that accepted utilization management procedures are maintained. The Nurse Case Manager provides optimal patient care through communication, advocacy, education, identification of resources within the community, etc. This position may coordinate off-site patient visits, and function both as an extender of provider time and a specialized resource. Provides assistance to the RN Case Manager in particular with responsibilities for patients in an SNF/Board and Care at off-site setting. Reduces the financial risk to the clinic by coordinating case management activities that ensure appropriate treatment planning and potential patient referral. Operates under the direction of the Behavioral Health Manager and is responsible for the supervision and direction of the behavioral health clinical staff. Coordinates and supervises community health care needs of patients in an ambulatory setting. Responsible for determining the patient and staff education needs of the clinic, developing these identified needs into programs, and implementing and evaluating these programs. Provides individual patient counseling or education following Health Center protocols and coordinates patient s needs with the medical care provider. Assist in developing and maintain community interest, input and support. Provides health care programs, classes and screenings. Either in a supervisory capacity or directly in a complex situation, performs a variety of services including advising on social problems, arranging for discharge, postoperative care, and financial assistance to patients and their families, and alleviation of anxieties or fears concerning disabilities, illnesses, or an uncertain future. Performs marital and family counseling and group psychotherapy. May prepare a complete case history to provide information on a patient s personality and behavior as required for diagnosis and treatment. Master s degree in social work is required. The Licensed Clinical Social Worker has overall responsibilities for providing psychotherapy services including assessment and treatment plan. Help people who have problems with alcohol, drugs, and gambling disorders. Counsel individuals who are addicted to drugs to help them identify behaviors and problems related to their addiction. Hold counseling sessions for one person, for families, or for groups of people to assist them in dealing with problems. This position directs and supervises the administrative staff, including program assistants, security guards, and is responsible for supervising the administrative duties of the dosing nurses. 69. Certified Nurse Midwife Certified Nurse Midwife is responsible for perinatal care for patients in an office setting for scheduled office visits and in the hospital setting as indicated by the patient s condition. Practice will encompass all aspects of perinatal and gynecology care, co-ordination and communication with other providers such as dietitian, CPSP- LCSW and nursing staff.

9 70. Marriage Family, and Child Counselor 71. Clinical Psychologist (Ph.D.) Marriage and family therapists apply principles, methods, and therapeutic techniques to individuals, family groups, couples, or organizations for the purpose of resolving emotional conflicts. In doing so, they modify people s perceptions and behaviors, enhance communication and understanding among all family members, and help to prevent family and individual crises. Marriage and family therapists also may engage in psychotherapy of a nonmedical nature, with appropriate referrals to psychiatric resources, and in research and teaching in the overall field of human development and interpersonal relationships. Clinical psychologists interview patients and give diagnostic tests. They may provide individual, family, or group psychotherapy, and design and implement behavior modification programs. The clinical psychologists collaborate with physicians and other specialists to develop and implement treatment and intervention programs that patients can understand and comply with. 72. HIV Counselor 73. Outreach/Eligibility Worker 74. Sterilization/Auxiliary Clerk 75. Radiology Technician Help HIV patients and their families cope with the illness and handle problems that may stand in the way maximum function. Organize support groups for families of patients suffering from AIDS. Advise family caregivers, counsel patients, and help plan for patients' needs after discharge by arranging for at-home services. Screen patients for Medi-cal eligibility and assists in filling out Medi-cal applications and follow-up to ensure confirmation of case Make appointment for patient with DSS eligibility worker to fill all available slots. This utility position is typically found in large clinics. Duties include instrument sterilization, tray setups, inventory control, waste/linen control and disposal, dental operatory preparation, etc. Typically found in urgent care settings, this position is responsible for the set-up and performing of all diagnostic medical imaging procedures. Position can also assist with patient registration, filing, etc. for X-Ray/Radiology Department.