2016 Nurse Practitioner & Physician Assistant by Specialty Compensation Survey. Effective Date of Data August 1, 2016 SAMPLE

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1 2016 Nurse Practitioner & Physician Assistant by Specialty Compensation Survey Effective Date of Data August 1, 2016

2 TABLE OF CONTENTS Page Introduction 2 Participants Alphabetical 3 By Organization Size (Total number of employees) 5 By Organization Size (Total number of NPs/PAs employed) 7 By Organization Location 9 Pay Practices Step or Pay Range 11 Pay Structures Based on Experience 11 Management Career Ladders 12 Bonus Eligibility 13 Preceptor Pay 14 Continuing Medical Education 15 Continuing Medical Education Dollars 16 Tuition Reimbursement 17 Tuition Forgiveness for New Graduates 18 Post Education Tuition Reimbursement 19 Licensure Reimbursement 20 Certification Reimbursement 21 Professional Fees Reimbursement 22 Sign On Bonus 24 Referral Bonuses 25 Pay for Work Beyond 40 Hours Per Week 27 Call Back Pay Practice 28 Personal Technology Device Stipends 29 Student Loan Payback Programs 30 Scholarships / Stipends 31 Moving Expenses 32 Casual Pay Rates 33 New Hire and New Graduate Pay Rates 35 Shift Differentials 37 On-Call Pay Practices 38 Benefits Practices 40 Compensation Reports by Position Explanation of Results 43 Incentive Bonus Practices 44 Terms & Definitions 44 Compensation Reports & Job List / Index 46 Compensation Reports 48 Page 1

3 INTRODUCTION This 5 th annual survey of pay practices for Nurse Practitioner (NP) and Physician Assistant (PA) positions, specifically by specialty, was conducted in the fall of The purpose of this survey is to provide comprehensive up-to-date information on compensation practices for these critical positions. Information is reported as of August 1, Participating Organization Information Healthcare organizations (hospitals, clinics, health systems, academic medical centers) from across the United States were invited to participate in the survey. 100 organizations located in 27 states responded to this survey and reported pay practices for at least one survey position. See Alphabetical List of Participants for a listing of participating organizations. Participants varied in size based on total number of employees and number of NPs and PAs employed with averages of 11,078 and 227 respectively (representing larger organizations this year compared to last year with 9,515 and 180 respectively). See table below for more details. Summary of # Employed 25 th Percentile Average Median 75 th Percentile Number of Number of NPs Number of PAs Number of Total Employees 1,974 11,078 7,542 14,629 Where sufficient data were reported, results are shown by All Organizations, Organizations by Size (number of NPs and PAs employed and number of full- and part-time employees) and Organizations by Location. Geographic data cuts include: Upper Midwest: Minnesota, North Dakota and South Dakota. Midwest: Illinois, Michigan, Ohio, and Wisconsin. Central States: Arkansas, Iowa, Kansas, Missouri, and Nebraska. Northeast: Connecticut, Massachusetts, New York, Pennsylvania, Virginia, and West Virginia. Southeast: Florida, North Carolina, South Carolina, and Tennessee. Southwest/West: Arizona, California, Utah, Texas, and Washington. Statement of Survey Data Confidentiality The objective of our firm's survey reports and all methods and procedures used to produce the reports, is to provide maximum information value without disclosing any information that could be specifically associated with an individual survey participant. All survey data submitted by participants for surveys conducted by our firm is provided on the basis that the data confidentiality of each participant will be fully protected at all times. Protection of confidentiality extends to compensation data reported and to any kind of observation or form of analysis that could serve to identify a participant s data to an experienced compensation professional. The remainder of this survey report contains the information reported by the survey participants in summarized fashion. Page 2

4 PARTICIPANTS Alphabetical List Participant City State Total Employees Advocate Health Care Downers Grove IL 36,402 Altru Health System Grand Forks ND 3,611 Amery Hospital & Clinic Amery WI 448 Aurora Health Care Milwaukee WI 34,491 Baptist Health South Florida Miami FL 14,662 Baylor Scott & White Temple TX 40,744 Baystate Health Springfield MA 9,415 BJC HealthCare St. Louis MO 26,681 Black Hills Orthopedic & Spine Center Rapid City SD 127 Brigham and Women's Hospital Boston MA 14,595 Broward Health Fort Lauderdale FL 8,361 Carilion Clinic Roanoke VA 12,000 Center for Diagnostic Imaging St. Louis Park MN 1,205 CentraCare Health - St. Cloud Hospital St. Cloud MN 9,113 Children's Hospital of Wisconsin Milwaukee WI 5,000 Children's Minnesota Minneapolis MN 5,059 Cincinnati Children's Hospital Medical Center Cincinnati OH 15,260 Cleveland Clinic Beachwood OH 53,297 Clinic Sofia OBGYN, P.A. Edina MN 27 Colon & Rectal Surgery Associates, Ltd. St. Paul MN 83 Cuyuna Regional Medical Center Crosby MN 1,031 Dana-Faber Cancer Institute Boston MA 4,925 Detroit Medical Center Detroit MI 11,241 Duke University Health System Durham NC 15,439 Ear, Nose & Throat SpecialtyCare of Minnesota, P.A. Minneapolis MN 98 Essentia Health - East Region Duluth MN 8,984 Fairview Health Services St. Paul MN 21,000 Geisinger Health System Danville PA 24,280 Gillette Children's Specialty Healthcare St. Paul MN 1,315 Greenville Health System Greenville SC 13,783 Hartford HealthCare New Britain CT 13,359 HealthPartners Bloomington MN 7,150 Hennepin County Minneapolis MN 8,304 Hennepin County Medical Center Minneapolis MN 7,567 Henry Ford Health System Detroit MI 20,000 Houston Methodist Hospital Houston TX 19,224 Hutchinson Health Hutchinson MN 660 Intermountain Healthcare Salt Lake City UT 38,699 Kelsey-Seybold Clinic Pearland TX 2,452 Lakeview Hospital Stillwater MN 900 Mankato Clinic Mankato MN 758 Marshfield Clinic Marshfield WI 7,542 Massachusetts General Hospital Boston MA 22,218 Mayo Clinic Rochester MN 54,981 Mayo Clinic Health System - Northwest Wisconsin Eau Claire WI 3,324 Mayo Clinic in Arizona Phoenix AZ 5,500 Mayo Clinic in Florida Jacksonville FL 4,500 Medical College of Wisconsin Milwaukee WI 5,172 Medstar Georgetown University Hospital Arlington VA 4,966 Memorial Sloan-Kettering Cancer Center New York NY 15,069 Page 3

5 Participant City State Total Employees Midwest Ear, Nose & Throat Specialists Woodbury MN 101 Minneapolis Clinic of Neurology, Ltd. Golden Valley MN 230 Minnesota Gastroenterology, P.A. St. Paul MN 626 Minnesota Oncology St. Paul MN 554 Nebraska Medicine Omaha NE 8,134 New Kingdom Healthcare Eden Prairie MN 17 New York Presbyterian Hospital New York NY 24,296 North Clinic Brooklyn Park MN 312 Northfield Hospital & Clinics Northfield MN 793 Northwell Health Lake Success NY 6,000 OhioHealth Corporation Columbus OH 24,278 Premier Health Dayton OH 9,698 Prevea Health Green Bay WI 1,674 Regional Health Rapid City SD 5,100 Regions Hospital St. Paul MN 5,286 Seattle Children's Hospital Seattle WA 6,619 Sentara Healthcare Norfolk VA 25,569 Shriners Hospital for Children Minneapolis MN 190 Sparrow Health System Lansing MI 8,754 Spectrum Health Grand Rapids MI 25,075 SSM Health St. Louis MO 30,334 SSM Health - Midwest States Multiple IL, WI St. Luke's Duluth MN 2,518 St. Paul Radiology, P.A. St. Paul MN 229 Stillwater Medical Group Stillwater MN 310 Stormont Vail Health Topeka KS 4,825 Summa Health System Akron OH 7,320 Summit Orthopedics Woodbury MN 780 Surgical Specialists of Minnesota Minneapolis MN 26 Texas Health Resources Arlington TX 22,237 The University of Kansas Health System Kansas City KS 8,408 ThedaCare Appleton WI 6,244 Thomas Jefferson University Hospital Philadelphia PA 14,535 Twin Cities Orthopedics Golden Valley MN 1,451 Twin Cities Spine Center Minneapolis MN 86 Uconn Health Farmington CT 5,631 UCSF Health San Francisco CA 10,475 UNC Healthcare Chapel Hill NC 10,788 University of Florida Health Gainesville FL 7,728 University of Arkansas for Medical Sciences Little Rock AR 11,364 University of Iowa Health Care Iowa City IA 11,500 University of Michigan Health System Ann Arbor MI 22,000 University of Pittsburgh Medical Center Pittsburgh PA 56,000 University of Texas Health Science Center at Houston Houston TX 5,167 UW Health Madison WI 12,134 Vanderbilt University Medical Center Nashville TN 21,459 Virginia Mason Seattle WA 5,297 WVU Hospitals Morgantown WV 7,456 Yale New Haven Hospital New Haven CT 11,266 Yale University New Haven CT 9,482 Yuma Regional Medical Center Yuma AZ 2,274 Total Participants: 100 organizations Page 4

6 By Organization Size Number of Employees (Full- and Part-Time) Note: Participants were classified into one of four Size Groups of approximately equal size according to their total number of employees. Amery Hospital & Clinic Black Hills Orthopedic & Spine Center Center for Diagnostic Imaging Clinic Sofia OBGYN, P.A. Colon & Rectal Surgery Associates, Ltd. Cuyuna Regional Medical Center Ear, Nose & Throat SpecialtyCare of Minnesota, P.A. Gillette Children's Specialty Healthcare Hutchinson Health Lakeview Hospital Mankato Clinic Midwest Ear, Nose & Throat Specialists Minneapolis Clinic of Neurology, Ltd. Altru Health System Children's Hospital of Wisconsin Children's Minnesota Dana-Faber Cancer Institute HealthPartners Hennepin County Medical Center Kelsey-Seybold Clinic Marshfield Clinic Mayo Clinic Health System - Northwest Wisconsin Medical College of Wisconsin Medstar Georgetown University Hospital Northwell Health Regional Health Baptist Health South Florida Baystate Health Brigham and Women's Hospital Broward Health Carilion Clinic CentraCare Health - St. Cloud Hospital Cincinnati Children's Hospital Medical Center Detroit Medical Center Duke University Health System Essentia Health - East Region Greenville Health System Hartford HealthCare Hennepin County Houston Methodist Hospital Up to 2,000 Employees 2,000 to 7,900 Employees 8,000 to 19,500 Employees Minnesota Gastroenterology, P.A. Minnesota Oncology New Kingdom Healthcare North Clinic Northfield Hospital & Clinics Prevea Health Shriners Hospital for Children St. Paul Radiology, P.A. Stillwater Medical Group Summit Orthopedics Surgical Specialists of Minnesota Twin Cities Orthopedics Twin Cities Spine Center Regions Hospital Seattle Children's Hospital St. Luke's Stormont Vail Health Summa Health System ThedaCare Uconn Health University of Florida Health University of Texas Health Science Center at Houston Virginia Mason WVU Hospitals Yuma Regional Medical Center Memorial Sloan-Kettering Cancer Center Nebraska Medicine Premier Health Sparrow Health System The University of Kansas Health System Thomas Jefferson University Hospital UCSF Health UNC Healthcare University of Arkansas for Medical Sciences University of Iowa Health Care UW Health Yale New Haven Hospital Yale University Page 5

7 Advocate Health Care Aurora Health Care Baylor Scott & White BJC HealthCare Cleveland Clinic Fairview Health Services Geisinger Health System Henry Ford Health System Intermountain Healthcare Massachusetts General Hospital Mayo Clinic Mayo Clinic in Arizona More Than 20,000 Employees Mayo Clinic in Florida New York Presbyterian Hospital OhioHealth Corporation Sentara Healthcare Spectrum Health SSM Health SSM Health - Midwest States Texas Health Resources University of Michigan Health System University of Pittsburgh Medical Center Vanderbilt University Medical Center Page 6

8 Continuing Medical Education 2016 NP & PA by Specialty Survey Do you offer continuing medical education (CME) beyond an employee s usual PTO or vacation allotment? The majority of participants offer CME and generally the amount offered is higher than for other clinical jobs. # DO NOT Offer # DO Offer Up to 75 NPs/PAs 7 23% 24 77% 76 to 250 NPs/PAs 18 56% 14 44% More than 250 NPs/PAs 8 29% 20 71% All Organizations 33 36% 59 64% If so, indicate number of CME days. # Number of CME Days Average Median Up to 75 NPs/PAs to 250 NPs/PAs More than 250 NPs/PAs All Organizations Other Comments on Number of CME Days Varies by department 1 participant. Determined by employee s manager 1 participant. Unlimited 1 participant. Is this a higher amount than for other clinical jobs? IS NOT Higher IS Higher # # Up to 75 NPs/PAs 7 35% 13 65% 76 to 250 NPs/PAs 4 33% 8 67% More than 250 NPs/PAs 6 43% 8 57% All Organizations 17 36% 30 64% Page 15

9 Continuing Medical Education Dollars Do you offer CME dollars? 2016 NP & PA by Specialty Survey The majority of participants offer CME dollars and typically the amount is higher than for other clinical jobs. # DO NOT Offer # DO Offer Up to 75 NPs/PAs 6 19% 26 81% 76 to 250 NPs/PAs 10 33% 20 67% More than 250 NPs/PAs 6 24% 19 76% All Organizations 22 25% 65 75% If so, what amount? # CME Dollar Amount Average Median Up to 75 NPs/PAs 21 $2,426 $2, to 250 NPs/PAs 18 $2,287 $2,125 More than 250 NPs/PAs 17 $2,113 $2,000 All Organizations 56 $2,286 $2,250 Other Comments on Amount of CME Dollars Case-by-case. Department specific. Amount varies based on FTE status. The amount for full-time employees is included in the above analysis. When more than one dollar amount was reported, the average dollar amount paid was included in the analysis. Is this a higher amount than for other clinical jobs? IS NOT Higher IS Higher # # Up to 75 NPs/PAs 8 36% 14 64% 76 to 250 NPs/PAs 5 31% 11 69% More than 250 NPs/PAs 7 54% 6 46% All Organizations 20 39% 31 61% Page 16

10 Tuition Reimbursement Do you offer tuition reimbursement? 2016 NP & PA by Specialty Survey In general, the larger the organization the more likely they are to offer tuition reimbursement. The tuition reimbursement amount is not higher than for other clinical jobs. # DO NOT Offer # DO Offer Up to 75 NPs/PAs 11 34% 21 66% 76 to 250 NPs/PAs 2 6% 30 94% More than 250 NPs/PAs 2 7% 28 93% All Organizations 15 16% 80 84% If so, what amount? # Reimbursement Amount Average Median Up to 75 NPs/PAs 18 $3,556 $3, to 250 NPs/PAs 19 $3,776 $3,000 More than 250 NPs/PAs 22 $4,523 $4,000 All Organizations 60 $3,959 $3,000 Other Comments / Notes Participants reported annual tuition reimbursement amounts. If a participant reported a range based on FTE status, the higher amount for full-time employees was included in the above analysis. For participants reporting that they pay an amount per semester, the reported tuition reimbursement amount was doubled (assumed two semesters per year) for analysis. If participant indicated amount varies depending on undergraduate or graduate degrees, the undergraduate degree amount was included in the above analysis. Three university affiliated organizations reported the tuition reimbursement as a percent of tuition or specific number of courses per year. This was not included in the above analysis. Is this a higher amount than for other clinical jobs? # IS NOT Higher # IS Higher Up to 75 NPs/PAs % 0 0% 76 to 250 NPs/PAs 19 86% 3 14% More than 250 NPs/PAs 22 88% 3 12% All Organizations 61 91% 6 9% Page 17

11 Compensation Reports List / Index 2016 NP & PA by Specialty Survey Reports by position are listed in order of survey job code. Bold text indicates new position in survey. Job Code Job Title Page # 100 General Inpatient - Nurse Practitioner General Inpatient - Physician Assistant General Inpatient - Nurse Practitioner / Physician Assistant (Alternate 50 job title: General Inpatient - Advanced Practice Provider (APP)) 103 Outpatient - Nurse Practitioner Outpatient - Physician Assistant Outpatient - Nurse Practitioner / Physician Assistant (Alternate job title: 53 Outpatient - Advanced Practice Provider (APP)) 106 Behavioral Care - Nurse Practitioner Cardiology - Nurse Practitioner Cardiology - Physician Assistant Cardiovascular - Nurse Practitioner Cardiovascular - Physician Assistant Emergency Dept - Nurse Practitioner Emergency Dept - Physician Assistant Geriatrics - Nurse Practitioner Geriatrics - Physician Assistant Hospitalist - Nurse Practitioner Hospitalist - Physician Assistant Inpatient Psychiatry - Nurse Practitioner Inpatient Psychiatry - Physician Assistant Mental Health - Nurse Practitioner Neonatal - Nurse Practitioner Neurosurgery - Nurse Practitioner Neurosurgery - Physician Assistant Retail - Nurse Practitioner Retail - Physician Assistant Insufficient Data 127 Surgical - Nurse Practitioner Surgical - Physician Assistant Transplant, Nurse Practitioner Transplant, Physician Assistant Urgent Care - Nurse Practitioner Urgent Care - Physician Assistant Endocrinology - Nurse Practitioner Endocrinology - Physician Assistant ENT (Ears, Nose, Throat) - Nurse Practitioner ENT (Ears, Nose, Throat) - Physician Assistant Gastroenterology - Nurse Practitioner Gastroenterology - Physician Assistant Hematology/Oncology - Nurse Practitioner Hematology/Oncology - Physician Assistant Neurology - Nurse Practitioner Neurology - Physician Assistant Ob/Gyn - Nurse Practitioner Ob/Gyn - Physician Assistant 89 Page 46

12 Job Code Job Title Page # 212 Orthopedics - Nurse Practitioner Orthopedics - Physician Assistant Pediatrics (General) - Nurse Practitioner A Pediatrics Specialty - Nurse Practitioner C Pediatrics Hematology/Oncology - Nurse Practitioner D Pediatrics Hospitalist - Nurse Practitioner E Pediatrics Orthopedics - Nurse Practitioner Pediatrics (General) - Physician Assistant A Pediatrics Specialty - Physician Assistant B Pediatrics Emergency Medicine - Physician Assistant Insufficient Data 215C Pediatrics Hematology/Oncology - Physician Assistant Insufficient Data 215D Pediatrics Hospitalist - Physician Assistant Insufficient Data 215E Pediatrics Orthopedics - Physician Assistant Urology - Nurse Practitioner Urology - Physician Assistant C/V Thoracic Surgery - Nurse Practitioner C/V Thoracic Surgery - Physician Assistant Critical Care - Nurse Practitioner Critical Care - Physician Assistant Critical Access Hospital - Nurse Practitioner Insufficient Data 223 Critical Access Hospital - Physician Assistant Insufficient Data 224 Trauma - Nurse Practitioner Trauma - Physician Assistant Radiology (Interventional) - Nurse Practitioner Radiology (Interventional) - Physician Assistant Cardiovascular Thoracic Surgery - Lead/Chief Physician Assistant Combined Inpatient & Outpatient - Nurse Practitioner / Physician 111 Assistant 230 Nurse Midwife (Certified) Director, Advanced Practice Providers Director, Pediatrics Advanced Practice Providers Insufficient Data 233 Manager, Advanced Practice Providers (Inpatient) Manager, Pediatrics Advanced Practice Providers Insufficient Data 235 Combined Director of APP and Pediatrics APP Combined Manager of APP and Pediatrics APP Manager, Advanced Practice Providers (Outpatient) Insufficient Data 241 Lead, Advanced Practice Provider (APP) Emergency Dept - Advanced Practice Provider (APP) Family Medicine (Clinic) - Advanced Practice Provider (APP) Hospitalist - Advanced Practice Provider (APP) Internal Medicine (Clinic) - Advanced Practice Provider (APP) Pediatrics (General) - Advanced Practice Provider (APP) Insufficient Data 247 Pediatrics Emergency Medicine - Nurse Practitioner Surgical - Advanced Practice Provider 123 Page 47

13 General Inpatient - Nurse Practitioner 2016 NP & PA by Specialty Survey Job Code: 100 Responsible for primary health care of patients and promotion of wellness in an INPATIENT / HOSPITAL setting. Partners with physicians in overall patient care management to: develop protocols and guidelines to be used in patient care management; collect and document data; conduct diagnostic and therapeutic procedures; orders and schedules laboratory studies and professional consultations; and provides direct patient care services. Develops and implements a patient education program for specified diagnostic areas and incorporate clinic hours for management and education. Graduate of an accredited registered nursing program and completion of a formal nurse practitioner program. RN license and Nurse Practitioner certification. FLSA Status (% of incumbents reported) Number of Firms Exempt: 89.3% Non-Exempt: 10.7% FLSA Not Reported: 0.0% Number of EEs * * * * * * * * * * * * Hourly Base Rate * * * * * * * * * * * * * 25th Percentile Firm Average EE Wtd Average Median 75th Percentile * * * * * * * * Pay Range * * * * * * * * Average Minimum Average Midpoint All Organizations , Organizations by Location (State) Midwest (IL, MI, OH, WI) Northeast (CT, MA, NY, PA, VA, WV) Southwest/West (AZ, CA, TX, UT, WA) Central States (AR, IA, KS, MO, NE) Organizations by Employees 2,000 to 7,900 Employees 8,000 to 19,500 Employees 20,000+ Employees No results shown for this section if fewer than five organizations reported data. No results shown for this section if fewer than five organizations reported data , Organizations by Number of NP/PAs Employed 76 to 250 NP / PA's 250 or More NP / PA's Average Maximum , * * * * * No results shown for this section if fewer than five organizations reported data , Results not shown if fewer than 5 firms reported data for any data segment. 25th and 75th Percentile data not shown if fewer than 6 firms reported data. Pay range information shown for positions with 5 or more firms reporting a pay range. EE Wtd Average: Employee Weighted Average. See definition on page 44. "All Organizations" includes all reported data for a position. Survey data as of 8/1/2016 Page 48

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