2016 CHAMPS Region VIII Health Center Salary, Benefits, Turnover, and Vacancy Survey Report

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2 2016 CHAMPS Region VIII Health Center,, Turnover, and Vacancy Survey Report October Grant Street, #800 Denver, CO Phone (303) Fax (303) CHAMPS Region VIII Health Center,, Turnover, and Vacancy Survey Report - 1

3 In this document, unless otherwise noted, the terms grantee(s) and health center(s) are used to refer to organizations that receive grants under the Bureau of Primary Health Care (BPHC) Health Center Program as authorized under section 330 of the Public Health Service Act, as amended, and to FQHC Look-Alikes. It does not refer to clinics that are sponsored by tribal or Urban Indian Health Organizations, except for those that receive Health Center Program grants. This project is supported by the Health Resources and Services Administration (HRSA) of the US Department of Health and Human Services (HHS) under cooperative agreement number U58CS06861, State and Regional Primary Care Associations, total award of $519,941, 27% of the total PCA project is financed with non-federal sources. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the US Government. This survey and corresponding report were created as part of CHAMPS Workforce Development program. Other CHAMPS Workforce Development activities include: Internet-based Job Opportunities Bank (JOB) listing clinical and non-clinical vacancies in Region VIII Health Centers Internet-based recruitment and retention, clinical, and Health Center board tools and resources Live and archived distance learning events (webcasts and teleconferences) for Health Center staff and board members Please contact Andrea Martin at about this report or any other CHAMPS Workforce Development activities or products. Please also visit CHAMPS Region VIII Health Center,, Turnover, and Vacancy Survey Report - 2

4 Table of Contents I. EXECUTIVE SUMMARY... 8 A. Report Overview... 8 B Advisory Committee Members C. Participating Organizations TABLE 1: Profile of All Participating Organizations by Budget, State, Number of Sites, Location, and FTEs TABLES 2-4: Profiles of Participating Organizations by Annual Budget Range II. SALARY AND BENEFITS INFORMATION A. and Data Overview B. Reading the and Tables C. Region VIII and Summaries TABLE 5: Alphabetical Listing of Administrative Positions TABLE 6: Alphabetical Listing of Clinical Positions D. and Breakdowns Administrative Leadership Team TABLE 7: Development Director TABLE 8: Executive Director/CEO TABLE 9: Fiscal Director/CFO TABLE 10: Human Resources Director TABLE 11: Information Technology Director/CIO TABLE 12: Operations Director/COO TABLE 13: Program Director TABLE 14: Other Directors (Administrative) E. and Breakdowns Clinical Leadership Team TABLE 15: Behavioral Health Director TABLE 16: Dental Director/CDO TABLE 17: Medical Director/CMO TABLE 18: Associate Medical Director CHAMPS Region VIII Health Center,, Turnover, and Vacancy Survey Report - 3

5 Table of Contents, continued E. and Breakdowns - Clinical Leadership Team, continued TABLE 19: Other Directors (Clinical) F. and Breakdowns Clinical Team TABLE 20: Certified Nurse Midwife TABLE 21: Dental Hygienist TABLE 22: Dentist TABLE 23: Licensed Clinical Social Worker (LCSW) TABLE 24: Licensed Professional Counselor (LPC/LCPC) TABLE 25: Nurse Practitioner TABLE 26: Pharmacist TABLE 27: Physician Family Practice (FP), with OB TABLE 28: Physician Family Practice (FP), without OB TABLE 29: Physician Internal Medicine (IM) TABLE 30: Physician OB/GYN TABLE 31: Physician Pediatrics TABLE 32: Physician Assistant TABLE 33: Psychiatrist TABLE 34: Psychologist, Clinical G. and Breakdowns Support Team TABLE 35: Administrative and Clinical Support Staff H. Data Comparisons TABLE 36: 2012, 2014, & 2016 CHAMPS Health Center Data Region VIII and Small Budget Breakdown TABLE 37: 2010, 2012, & 2014 CHAMPS Health Center Data Medium Budget Breakdown and Large Budget Breakdown.. 67 TABLE 38: Recently Published Data: Base Salaries (without Additional Pay) TABLE 39: Recently Published Data: Total Compensation (Base plus Additional Pay) CHAMPS Region VIII Health Center,, Turnover, and Vacancy Survey Report - 4

6 Table of Contents, continued I. Additional Pay GRAPH 1: Additional Pay Types TABLE 40: Additional Pay Details J. Packages GRAPH 2: Percentage of Region VIII Health Centers Offering Insurance GRAPHS 3-4: Types of Retirement Plans, Maximum Employer Contributions GRAPHS 5-6: Types of Employer Contributions, Vesting Schedules GRAPH 7: Combinations of Leave Time GRAPH 8: Annual Days of Leave by Type of Leave and Staff Type GRAPH 9: Number of Additional Incentives Offered GRAPH 10: Percentage of Health Centers Offering Additional Incentives by Staff Type GRAPH 11: Annual Dollar Amount of Additional Incentives by Staff Type III. RECRUITMENT METRICS, TRENDS, AND NEEDS A. Challenging Recruitment GRAPH 12: Number of Positions with Challenging Recruitment per Reporting Organization, 2012, 2014, & TABLE 41: Positions Having Challenging Recruitment TABLE 42/GRAPH 13: Positions with Challenging Recruitment by Position Group, as a Percentage of All Positions with Challenging Recruitment, 2012, 2014, & B. Point in Time Vacancy Survey TABLES 43-44/GRAPHS 14-15: 2014 & 2016 Vacancy Data for All Reported Positions TABLES 45-46: 2014 & 2016 Vacancy Data for All Non-Continuously Recruited Positions TABLES 47-48: Vacancy Data for 2014 & 2016 Executive-Level (Administrative and Clinical) Staff Positions TABLES 49-50: Vacancy Data for 2014 & 2016 Clinical Provider Staff Positions TABLES 51-52: Vacancy Data for 2014 & 2016 Clinical Mid-Level Staff Positions TABLE 53: Reported Vacant Positions Included in Each Staff Type CHAMPS Region VIII Health Center,, Turnover, and Vacancy Survey Report - 5

7 Table of Contents, continued C. Recruitment Needs GRAPH 16: Needed Recruitment Tools IV. RETENTION METRICS, TRENDS, AND NEEDS A. Years of Service GRAPH 17: Years of Service (YOS) by Category, 2012, 2014, & TABLE 54: Leadership and Clinical Team Positions, TABLE 55: Years of Service (YOS) for Support Team Positions, TABLE 56: Years of Service (YOS) for All Administrative Positions, TABLE 57: Years of Service (YOS) for All Clinical Positions, B. Challenging Turnover GRAPH 18: Number of Positions with Challenging Turnover per Reporting Organization, 2012, 2014, & TABLE 58: Positions Having Challenging Turnover TABLE 59/GRAPH 19: Positions with Challenging Turnover by Position Group, as a Percentage of All Positions with Challenging Turnover, 2012, 2014, & C. Turnover Survey TABLE 60/GRAPH 20: Region VIII Health Center 2007, 2009, 2011, 2013, & 2015 Turnover Rates by Staff Type TABLE 61/GRAPHS 21-23: 2011, 2013, & 2015 Turnover Rates by Annual Budget TABLE 62/GRAPHS 24-26: 2011, 2013, & 2015 Turnover Rates by Number of Health Center Sites TABLE 63/GRAPHS 27-31: 2011, 2013, & 2015 Turnover Rates by Location TABLE 64/GRAPHS 32-34: 2011, 2013, & 2015 Turnover Rates by Number of Employees TABLE 65/GRAPHS 35-36: 2011, 2013 & 2015 Turnover Rates by Number of Full-Time Equivalents (FTEs) D. Retention Needs GRAPH 37: Needed Retention Tools CHAMPS Region VIII Health Center,, Turnover, and Vacancy Survey Report - 6

8 Table of Contents, continued V. ADDITIONAL RECRUITMENT AND RETENTION (R&R) QUESTIONS A. Possible Increases GRAPH 38: Percentage of Organizations Planning for Increases between May 1, 2016 & April 31, B. Health Center Workforce Demographics: Veterans, Racial/Ethnic Minorities, and Education Level GRAPH 39: Number of Veterans Employed, 2014 & GRAPH 40: Percentage of Organizations Currently Employing Veterans GRAPH 41: Percentage of Organizations Currently Employing Racial/Ethnic Minorities GRAPH 42: Percentage of Organizations with Employees Holding College or Advanced Degrees VI. APPENDICES Appendix A. Job Description Summaries and Index of Titles Administrative Titles Clinical Titles Appendix B. Map of Region VIII Health Centers Appendix C. Bibliography CHAMPS Region VIII Health Center,, Turnover, and Vacancy Survey Report - 7

9 I. EXECUTIVE SUMMARY A. Report Overview The 2016 CHAMPS Region VIII Health Center,, Turnover, and Vacancy Survey Report provides an analysis of data from Region VIII Health Center Program grantees and FQHC Look-Alikes ( Health Centers, primarily Community, Migrant, and Homeless Health Centers), enabling these organizations to determine whether their salary and benefits packages are competitive in comparison with similar organizations within the region. The report also illustrates regional workforce trends allowing Health Centers and their support organizations to monitor changing Health Center needs. Between January and March 2016 CHAMPS collaborated with an Advisory Committee of Health Center and Primary Care Association staff members to inform improvements to the survey tool, instructions, and final report (see page 10 for a list of Advisory Committee members). In Region VIII, Colorado Community Health Network (CCHN) utilized the updated tool and instructions to collect data from Colorado Health Centers. Association for Utah Community Health (AUCH), Community HealthCare Association of the Dakotas (CHAD), Montana Primary Care Association (MPCA), and Wyoming Primary Care Association (WYPCA) worked with CHAMPS to distribute the survey tool to, and collect data from, the rest of the region (see Appendix B). CHAMPS coordinated the compilation and analysis of data from all six states. Respondents Fifty-five (82%) of the 67 Health Centers in Region VIII during the spring and early summer of 2016 participated in this survey. Survey participants included: 100% of CO Health Centers 82% of MT Health Centers 100% of ND Health Centers 80% of SD Health Centers 62% of UT Health Centers 57% of WY Health Centers These 55 participating organizations will spend over $432 million on wages and almost $92 million on benefits for over 7,092 FTE employees in Contents 2016 survey participants were asked to refer to Job Description Summaries developed, reviewed, and updated by the Advisory Committee when reporting data (see page 105). All health centers utilizing the data compiled in this report are strongly encouraged to refer to these same summaries. The compiled salary data includes information for 120 total positions including over 3,060 employees in 59 administrative positions and over 4,750 employees in 61 clinical positions. The 17 survey respondents with annual budgets of less than $4 million employ 8.6% of the administrative employees and 6.3% of the clinical employees represented by this survey. The 19 survey respondents with annual budgets of $4-$10 million employ 17.3% of the administrative and 16.6% of the clinical staff. The remaining 19 survey respondents have annual budgets of more than $10 million and employ 74.3% of the administrative and 77.1% of the clinical workforce. Participants were asked to report information about additional pay separately from base pay for each employee. 16.5% of reported employees earned some sort of bonus/incentive in % earned some sort of duty-based differential pay. 2.9% were paid for overtime/extra shifts. Participants were also asked to provide details about the benefits packages offered to their employees. 98% of health centers offer some contribution to the cost of an employee health insurance plan. 98% provide some sort of retirement/pension plan. Reporting health centers provide an average of 34.4 total days off annually. Additional Data Highlights can be found in each section of this report CHAMPS Region VIII Health Center,, Turnover, and Vacancy Survey Report - 8

10 A. Report Overview, Contents, continued The survey also collected a variety of metrics and needs relating to recruitment, retention, and additional workforce-related issues at participating health centers. Recruitment findings include: Fifty-four organizations provided information about positions that had seen challenging recruitment; all 54 participants felt one or more positions had been challenging to recruit, up from 79.6% of participants in o Health centers continue to report having more trouble recruiting clinical positions than administrative positions. Fifty-four participants provided information on vacant positions for executive-level, provider, and mid-level staff; the average length of recruitment for positions that had a finite recruitment time (those that were not continuously recruited) was 1.84 months for executive-level, 4.54 months for provider staff, and 1.67 months for mid-level staff. o For the first time in 2016, participants were asked to identify which vacancy was considered of highest priority; 70% of the highest priority vacancies were for medical providers, most often Physicians (54%) and Nurse Practitioners (20%). The most often cited group of recruitment tools that health centers would like to implement involved some sort of monetary increase for staff (bonuses, salary increases, funds for continuing education, etc.). Retention findings include: Fifty-four organizations participated in a Years of Service (YOS) survey by providing dates of hire for their 7,785 staff members (3,052 administrative and 4,733 clinical). o 5,388 (69.2%) of these have been employed for less than five years (68.6% of the administrative and 69.6% of the clinical staff). o 207 (2.7%) have been employed for 20+ years (2.8% of the administrative and 2.6% of the clinical staff). o The average YOS for all reported staff was 4.71 years, down from the average of 5.02 years in Retention findings, continued: Fifty-three participants provided information about positions that had exhibited challenging turnover; 87% felt one or more positions had seen challenging turnover, up from 70% in o Health centers continue to report more trouble retaining support positions than leadership and provider/mid-level positions. Fifty-two organizations participated in a region-wide Turnover Survey of 2015 data, providing average numbers of employees and separations for various staff types; the average turnover rate for all staff at Region VIII Health Centers in 2015 was 25.6%, up from 20.6% in The most often cited group of retention tools that health centers would like to implement was being able to offer improved salaries via raises, bonuses, incentive pay, etc. Additional workforce findings include: Fifty-four organizations responded to additional workforcerelated questions: o 81.1% are planning to offer some sort of salary increase between May 1, 2016 and April 31, 2017, down from 85.7% that reported planning to offer an increase in the 2014 survey. o 68.5% know that they currently employ one or more veterans within their organization, up from 53.1% in Just over 5% of participants were unable to provide this data. o Participants reported that between 2% and 90% of their employees were racial/ethnic minorities (39% on average). Just over 5% of participants were unable to provide this data. o Participants reported that between 7% and 90% of their employees held college or advanced degrees (49% on average). Just over 7% of participants were unable to provide this data. Additional Data Highlights can be found in each section of this report CHAMPS Region VIII Health Center,, Turnover, and Vacancy Survey Report - 9

11 B Advisory Committee Members CHAMPS recognizes the Region VIII Health Center and Primary Care Association representatives that gave generously of their time, providing vital input and resources for improving the 2016,, Turnover, and Vacancy project: Angela Rose, Colorado Community Health Network, CO* Candace Hassinger, Community Health Partners, MT* Christine Muller, Bullhook Community Health Center, MT* Colleen True, Summit Community Care Clinic, CO* Collette Smith, Community Health Center of the Black Hills, Inc., SD* Eileen Squires, Pueblo Community Health Center, CO* Gary Ham, Community Health Centers, Inc., UT* Jeff Hert, RiverStone Health, MT* Kathy Williams, Wyoming Primary Care Association, WY* Laurie Dimitt, High Plains Community Health Center, CO* Lucille Rivera, Clínica Tepeyac, CO* Margaret Davidson, Colorado Community Health Network, CO* Patsy Byers, Clinica Family Health, CO* Reed Barr, Community Health Center of Central Wyoming, WY* Ryan Kuehn, Central Montana Community Health Center, MT* Shelly Hegerle, Community HealthCare Association of the Dakotas, ND/SD* Shelly Rios, Sunrise Community Health, CO* Plus CHAMPS staff members Andrea Martin and Jennifer Anderson With special thanks to the Region VIII State Primary Care Associations that help make this survey possible: AUCH - Association for Utah Community Health*, CCHN - Colorado Community Health Network*, CHAD - Community HealthCare Association of the Dakotas*, MPCA - Montana Primary Care Association*, WYPCA - Wyoming Primary Care Association*, * CHAMPS Organizational Members as of 10/03/ CHAMPS Region VIII Health Center,, Turnover, and Vacancy Survey Report - 10

12 C. Participating Organizations CHAMPS would like to thank the Region VIII Health Centers that participated in the 2016 survey, including: allpoints Health Services, Elk Point, SD* Axis Health System, Durango, CO* Bighorn Valley Health Center, Hardin, MT* Bullhook Community Health Center, Havre, MT* Carbon Medical Service Association, Inc., East Carbon, UT* Central Montana Community Health Center, Lewistown, MT* Clinica Family Health Services, Lafayette, CO* Clínica Tepeyac, Denver, CO* Coal Country Community Health Center, Beulah, ND* Community Action s Health Care for the Homeless, Cheyenne, WY* Community Health Care Center, Inc., Great Falls, MT* Community Health Center of Central Wyoming, Casper, WY* Community Health Center of the Black Hills, Inc., Rapid City, SD* Community Health Centers, Inc., Salt Lake City, UT* Community Health Partners, Livingston, MT* Community Health Service Inc., Grafton, ND* Denver Health Community Health Services, Denver, CO* Dove Creek Community Health Clinic, Dove Creek, CO* Falls Community Health, Sioux Falls, SD* Family HealthCare, Fargo, ND* Family Healthcare, Saint George, UT Flathead Community Health Center, Kalispell, MT* Glacier Community Health Center, Cut Bank, MT* HealthWorks, Cheyenne, WY* Heritage Health Center, Powell, WY High Plains Community Health Center, Lamar, CO Horizon Health Care, Inc., Howard, SD* Marillac Clinic, Inc., Grand Junction, CO Metro Community Provider Network, Englewood, CO Midtown Community Health Center, Ogden, UT Montana Migrant and Seasonal Farmworkers Council, Inc., Billings, MT* Mountain Family Health Centers, Glenwood Springs, CO* Mountainlands Community Health Center, Provo, UT Northland Community Health Center, Turtle Lake, ND* Northwest Colorado Health, Craig, CO Northwest Community Health Center, Libby, MT* onehealth, Miles City, MT Paiute Indian Tribe of Utah, Cedar City, UT* Peak Vista Community Health Centers, Colorado Springs, CO* Pueblo Community Health Center, Inc., Pueblo, CO* PureView Health Center, Helena, MT* River Valley Family Health Center, Olathe, CO* RiverStone Health, Billings, MT* Salud Family Health Centers, Fort Lupton, CO* Sheridan Health Services, Denver, CO* Southwest Montana Community Health Center, Butte, MT* Stout Street Clinic Colorado Coalition for the Homeless, Denver, CO Summit Community Care Clinic, Frisco, CO* Sunrise Community Health, Inc., Evans, CO* Sweet Medical Center, Chinook, MT* Uncompahgre Medical Center, Norwood, CO* Utah Navajo Health System, Inc., Montezuma Creek, UT Utah Partners for Health, Magna, UT Valley Community Health Centers, Northwood, ND* Valley-Wide Health Systems, Inc., Alamosa, CO* * CHAMPS Organizational Members as of 10/03/ CHAMPS Region VIII Health Center,, Turnover, and Vacancy Survey Report - 11

13 TABLE 1: Profile of All Participating Organizations by Budget, State, Number of Sites, Location, and FTEs Total Respondents: 55 ANNUAL BUDGET LOCATION Less Than $4,000, % Urban 14 25% ANNUAL BUDGET $4,000,000 - $10,000, % LT 4M 2 $15,072,757 More Than $10,000, % 4M-10M 4 Median $6,285,000 MT 10M 8 NUMBER OF SITES Rural 25 45% STATE One to Two HC Sites 18 33% LT 4M 11 Colorado 20 36% LT 4M 13 4M-10M 10 LT 4M 4 4M-10M 5 MT 10M 4 4M-10M 5 MT 10M 0 Frontier 4 7% MT 10M 11 Three to Seven HC Sites 23 42% LT 4M 3 Montana 14 25% LT 4M 3 4M-10M 0 LT 4M 7 4M-10M 11 MT 10M 1 4M-10M 5 MT 10M 9 Urban/Rural 10 18% MT 10M 2 Eight or More HC Sites 14 25% LT 4M 0 North Dakota 5 9% LT 4M 1 4M-10M 4 LT 4M 0 4M-10M 3 MT 10M 6 4M-10M 4 MT 10M 10 Rural/Frontier 2 4% MT 10M 1 LT 4M 1 South Dakota 4 7% NUMBER OF EMPLOYEES 4M-10M 1 LT 4M 1 Less Than 50 Employees 19 35% MT 10M 0 4M-10M 2 LT 4M 14 MT 10M 1 4M-10M 5 FULL TIME EQUIVALENTS (FTEs) Utah 8 15% MT 10M 0 Less Than 140 FTEs 43 78% LT 4M Employees 17 31% LT 4M 17 4M-10M 2 LT 4M 3 4M-10M 19 MT 10M 4 4M-10M 12 MT 10M 7 Wyoming 4 7% MT 10M or More FTEs 12 22% LT 4M 3 More Than 100 Employees 19 35% LT 4M 0 4M-10M 1 LT 4M 0 4M-10M 0 MT 10M 0 4M-10M 2 MT 10M 12 MT 10M 17 Please see page 13 for additional definitions. Table Definitions LT 4M: Respondents with annual budgets of less than $4 million 4M-10M: Respondents with annual budgets of between $4 million and $10 million MT 10M: Respondents with annual budgets of more than $10 million HC Site: Health Center Site FTEs: Full Time Equivalents : The sum of the Annual Budget data set divided by the number of participating health centers. Median: The middle number in the Annual Budget data set sequence (also known as the 50 th percentile) CHAMPS Region VIII Health Center,, Turnover, and Vacancy Survey Report - 12

14 TABLES 2-4: Profiles of Participating Organizations by Annual Budget Range TABLE 2: Annual Budgets of TABLE 3: Annual Budgets of TABLE 4: Annual Budgets of Less Than $4,000,000 $4,000,000 - $10,000,000 More Than $10,000,000 Number of Surveys: 17 Number of Surveys: 19 Number of Surveys: 19 Budget: $2,533,629 Budget: $6,329,489 Budget: $35,035,243 Median Budget: $2,630,966 Median Budget: $5,944,493 Median Budget: $27,500,000 State Summary State Summary State Summary Colorado 4 24% Colorado 5 26% Colorado 11 58% Montana 7 41% Montana 5 26% Montana 2 11% North Dakota 0 0% North Dakota 4 21% North Dakota 1 5% South Dakota 1 6% South Dakota 2 11% South Dakota 1 5% Utah 2 12% Utah 2 11% Utah 4 21% Wyoming 3 18% Wyoming 1 5% Wyoming 0 0% Number of HC Sites Summary Number of HC Sites Summary Number of HC Sites Summary One to Two HC Sites 13 76% One to Two HC Sites 5 26% One to Two HC Sites 0 0% Three to Seven HC Sites 3 18% Three to Seven HC Sites 11 58% Three to Seven HC Sites 9 47% Eight or More HC Sites 1 6% Eight or More HC Sites 3 16% Eight or More HC Sites 10 53% Location Summary Location Summary Location Summary Urban 2 12% Urban 4 21% Urban 8 42% Rural 11 65% Rural 10 53% Rural 4 21% Frontier 3 18% Frontier 0 0% Frontier 1 5% Urban/Rural 0 0% Urban/Rural 4 21% Urban/Rural 6 32% Rural/Frontier 1 6% Rural/Frontier 1 5% Rural/Frontier 0 0% Number of Employees Summary Number of Employees Summary Number of Employees Summary LT 50 Employees 14 82% LT 50 Employees 5 26% LT 50 Employees 0 0% Employees 3 18% Employees 12 63% Employees 2 11% MT 100 Employees 0 0% MT 100 Employees 2 11% MT 100 Employees 17 89% Full Time Equivalents Summary Full Time Equivalents Summary Full Time Equivalents Summary LT 140 FTEs % LT 140 FTEs % LT 140 FTEs 7 37% 140+ FTEs 0 0% 140+ FTEs 0 0% 140+ FTEs 12 63% Table Definitions Urban: Respondents with sites in cities with 50,000 or more people within a county (US Census Bureau/USCB) Rural: Respondents with sites in areas with a ratio of population to FTE primary care physician of less than 3,500:1 but greater than 3,000:1 and unusually high needs for primary care services or insufficient capacity of existing primary care providers (USCB) Please see page 12 for additional definitions. Frontier: Respondents with sites in areas with a ratio of population to full-time equivalent primary care physician of less than 3,000:1 and geographical isolation from hospital services (USCB) or within a county with six (6) or fewer people per square mile (Colorado Rural Health Center) Urban/Rural: Respondents with sites in urban and rural areas Rural/Frontier: Respondents with sites in rural and frontier areas 2016 CHAMPS Region VIII Health Center,, Turnover, and Vacancy Survey Report - 13

15 A. and Data Overview II. SALARY AND BENEFITS INFORMATION Introduction The portions of the 2016 survey relating to salary and benefits were organized in four key ways: 1. Job Description Summaries: The survey instructions included Job Description Summaries for all titles to ensure health centers reported employee data appropriately. These summaries are included in Appendix A. Job Description Summaries and Index of Titles (page 105) to ensure health centers are referring to the most appropriate titles when utilizing the final salary and benefits information contained in this report. 2. Annual Data: Health centers were asked to report separate figures for current annual base salary and current annual additional pay for each employee in 2016 (before 2014, health centers reported one combined salary figure including both base and additional pay). The salary figures included in this report s main salary/benefits tables (pages 17-70) are an analysis of base salary data only; please refer to the Comparison of Recently Published Data: Total Compensation table (page 71) and Additional Pay section (page 72) for a separate analysis of additional pay data. 3. Annual Data: Health centers were asked to report annual employer contributions to health, dental, vision, life, and disability insurance, and retirement/pension plans only in 2016 (before 2014, health centers reported employer contributions to these items as well as employer FICA payments). The benefits figures provided in this report s main salary/benefits tables (pages 17-63) are an analysis of employer contributions to insurance/retirement programs only. 4. Packages: Health centers provided additional details about their benefits programs relating to insurance, retirement, time off, and additional incentives. Please refer to the Packages section (page 74) for an analysis of this additional benefits information. Highlights for All and Data* The largest groups of employees were: Medical Assistant, with Credentials (770), Receptionist/Front Desk/Appt. Clerk (629), Registered Nurse (437), Dental Assistant (306), and Physician Assistant (303) The five highest paid positions were, on average: Physician Other ($284,742), Physician OB/GYN ($231,040), Psychiatrist ($198,434), Medical Director/CMO ($189,516), and Physician Family Practice, without OB ($183,405) The five lowest paid positions were, on average: Janitor/Custodian/Housekeeping ($23,676), Nursing Aide/CNA ($27,132), Lab Assistant ($27,892), Receptionist/Front Desk/Appt. Clerk ($28,169), and Call Center Representative ($28,443) *All salaries and benefits have been equalized to 1.0 FTE (Full-Time Equivalent). At least five positions must be reported in order to report average salary and benefits levels for any given title. Positions with fewer than five reported figures were not included in this overview. See page 14 for information about Other titles CHAMPS Region VIII Health Center,, Turnover, and Vacancy Survey Report - 14 The positions receiving benefits as highest percentage of salary were, on average: Nursing Aide/CNA (38.39%), Physician Resident (35.86%), Physician Other (35.85%), Ultrasound Technician (34.86%), and Phlebotomist (34.73%) The positions receiving benefits as lowest percentage of salary were, on average: Lab Assistant (7.67%), Other Director (Clinical) (9.89%), Physician OB/GYN (10.41%), Other Clinical (11.57%), and Nursing Supervisor (13.26%) The highest and lowest paid Leadership Team positions were, on average: Medical Director/CMO ($189,516) and Human Resources Director ($75,232) Salaries in Region VIII are slightly lower than the Region X and national medians for health centers, and lower than the medians paid in hospitals and private practices.

16 A. and Data Overview, continued Highlights by Annual Budget Ranges* Each survey year, the annual revenue information submitted by participating organizations is reviewed to determine the most useful small, medium, and large budget ranges. Previous to 2016, these breakdown levels were less than $1.5 million, $1.5-$7 million, and more than $7 million annually. In 2016, these budget ranges were updated to ensure a relatively equal distribution of participating health centers within each level. The 17 health centers with annual budgets of less than $4 million employ 7.2% of the staff in 85 of the 120 total positions presented in this report. Largest groups of employees: Receptionist/Front Desk/Appt. Clerk (59), Registered Nurse (44), Outreach/Enrollment Staff (43), Nurse Practitioner (35), and Medical Assistant, without Credentials (31) Highest paid positions, on average: Medical Director/CMO ($195,344), Physician Family Practice, without OB ($190,886), Dentist ($150,928), Pharmacist ($116,809), and Physician Assistant ($97,393) The 19 health centers with annual budgets of $4-$10 million employ 16.9% of the staff in 109 of the 120 total positions presented in this report. Largest groups of employees: Receptionist/Front Desk/Appt. Clerk (130), Registered Nurse (100), Medical Assistant, with Credentials (69), Nurse Practitioner (68), and Medical Assistant, without Credentials (67) Highest paid positions, on average: Physician Family Practice, without OB ($182,579), Medical Director/CMO ($165,394), Dentist ($137,654), Dental Director/CDO ($131,412), and Executive Director/CEO ($117,656) The 19 health centers with annual budgets of more than $10 million employ 75.9% of the staff in all of the 120 total positions presented in this report. Largest groups of employees: Medical Assistant, with Credentials (680), Receptionist/Front Desk/Appt. Clerk (440), Registered Nurse (283), Physician Assistant (248), and Dental Assistant (236) Highest paid positions, on average: Physician Other ($292,193), Physician OB/GYN ($231,040), Medical Director/CMO ($198,756), Psychiatrist ($197,604), and Associate Medical Director ($186,328) *All salaries and benefits have been equalized to 1.0 FTE (Full-Time Equivalent). At least five positions must be reported in order to report average salary and benefits levels for any given title. Positions with fewer than five reported figures were not included in this overview. Some positions were combined into Other categories. Please refer to the Job Description Summaries beginning on page 105 for positions included in Other categories. For the purposes of this report, all positions combined into any Other category are considered one total position CHAMPS Region VIII Health Center,, Turnover, and Vacancy Survey Report - 15

17 B. Reading the and Tables Note: All salaries and benefits have been equalized to 1.0 FTE (Full Time Equivalent) B C D E F G H I J K L A ADMINISTRATIVE POSITIONS Count Actual FTEs 10th PCTL 25th PCTL 50th PCTL 75th PCTL 90th PCTL as % of CODER ALL $27,069 $31,137 $36,754 $36,374 $41,600 $43,518 $7, % Coder - LT 4M * * * * * * * * Coder - 4M - 10M $33,609 $35,360 $40,600 $40,083 $43,680 $47,332 $7, % Coder - MT 10M $26,156 $27,583 $36,515 $34,843 $39,853 $42,474 $6, % A: Data Ranges by Position Title First line (bolded): Data for all respondents combined. Next three lines: Data broken down by annual budget range. LT 4M = Data for responding organizations with annual budgets of less than $4 million. 4M - 10M = Data for responding organizations with annual budgets of between $4 million and $10 million. MT 10M = Data for responding organizations with annual budgets of more than $10 million. B: Position Titles Positions are listed by title, grouped as Administrative or Clinical Please refer to page 105 for Job Description Summaries relating to each title in the report. C: Count The number of responses for each position. PLEASE NOTE: The count must be at least five in order to provide salary and benefits data. All others are marked with an asterisk (*). D: Actual FTEs The sum of the non-equalized Full Time Equivalents (FTEs) for each position (the example above shows actual FTEs for a count of 37; this indicates that some of the 37 responses were for part-time positions). E, F, G, I, & J: Percentiles (PCTLs) A point within the set of individual annual salaries^ for the data range, equalized to 1.0 FTE and sorted from smallest to largest. The n th percentile is a number that splits the data into two pieces: the lower piece contains n percent of the data, and the upper piece contains the remainder of the data. For example, the 10 th percentile is the point in the data set where 10% of the data falls below that point, and 90% falls above it. The 50 th percentile is also known as the median. H: The total annual salaries^ for the data range, each equalized to 1.0 FTE, divided by the total count for the range. The average is also known as the mean. K: The total dollar amount of annual benefits^^ for the data range, each equalized to 1.0 FTE, divided by the total count for the range; benefits dollar amounts must be greater than zero to be included in this calculation. L: as Percentage of The average benefits (K) divided by the average salary (H) for each data range. ^Annual = annual base pay, not including bonuses, incentive payments, differentials, overtime, etc. ^^Annual = annual employer contributions to health, dental, vision, life, and disability insurance and retirement/pension plans; benefits packages vary from health center to health center; variations may lead to skewing of results CHAMPS Region VIII Health Center,, Turnover, and Vacancy Survey Report - 16

18 C. Region VIII and Summaries TABLE 5: Alphabetical Listing of Administrative Positions with and Summaries ADMINISTRATIVE POSITIONS Count Actual FTEs 10th PCTL 25th PCTL 50th PCTL 75th PCTL 90th PCTL ACCOUNTANT - ALL $40,184 $42,120 $51,875 $52,118 $60,007 $67,969 $10, % Accountant - LT 4M * * * * * * * * Accountant - 4M - 10M $41,648 $41,870 $45,000 $48,674 $55,000 $58,000 $6, % Accountant - MT 10M $38,627 $42,224 $51,376 $52,016 $60,084 $67,099 $11, % ACCOUNTING CLERK/BOOKEEPER - ALL $28,821 $31,720 $35,880 $37,072 $40,976 $47,295 $8, % Accounting Clerk/Bookkeeper - LT 4M $26,416 $28,600 $29,120 $33,592 $39,520 $43,264 $11, % Accounting Clerk/Bookkeeper - 4M - 10M $30,784 $31,803 $34,632 $36,688 $40,560 $44,599 $6, % Accounting Clerk/Bookkeeper - MT 10M $29,095 $31,990 $36,421 $37,425 $41,072 $47,906 $9, % ADMINISTRATOR, IT - ALL $39,464 $55,017 $63,491 $64,890 $79,282 $85,076 $12, % Administrator, Information Technology - LT 4M * * * * * * * * Administrator, Information Technology - 4M - 10M * * * * * * * * Administrator, Information Technology - MT 10M $47,775 $57,000 $65,000 $66,613 $79,282 $84,556 $13, % ASSISTANT, ADMINISTRATIVE - ALL $29,120 $31,668 $35,350 $35,460 $38,189 $42,665 $11, % Assistant, Administrative - LT 4M $27,268 $27,518 $31,075 $32,127 $35,360 $37,893 $10, % Assistant, Administrative - 4M - 10M $27,810 $29,120 $31,094 $32,302 $35,665 $37,230 $10, % Assistant, Administrative - MT 10M $29,906 $32,459 $35,651 $36,101 $38,402 $43,380 $11, % ASSISTANT, EXECUTIVE - ALL $30,329 $32,240 $37,440 $38,348 $43,680 $45,824 $8, % Assistant, Executive - LT 4M * * * * * * * * Assistant, Executive - 4M - 10M $25,555 $31,751 $33,134 $33,876 $38,849 $42,321 $7, % Assistant, Executive - MT 10M $30,300 $33,626 $39,530 $40,396 $45,248 $48,643 $7, % ASSISTANT, HUMAN RESOURCES - ALL $28,617 $30,743 $33,134 $35,814 $38,564 $47,956 $7, % Assistant, Human Resources - LT 4M * * * * * * * * Assistant, Human Resources - 4M - 10M * * * * * * * * Assistant, Human Resources - MT 10M $28,026 $29,973 $32,843 $35,210 $38,272 $45,636 $8, % ASSISTANT, OTHER** (ADMINISTRATIVE) - ALL $26,295 $30,202 $33,572 $36,455 $40,950 $50,609 $11, % Assistant, Other (Administrative) - LT 4M * * * * * * * * Assistant, Other (Administrative) - 4M - 10M $24,793 $29,411 $33,862 $32,298 $34,902 $38,921 $7, % Assistant, Other (Administrative) - MT 10M $28,396 $30,867 $36,141 $39,489 $48,522 $53,872 $12, % BILLING STAFF/PATIENT ACCOUNTS - ALL $26,187 $29,089 $32,240 $32,903 $35,651 $40,038 $7, % Billing Staff/Patient Accounts - LT 4M $32,240 $33,670 $35,400 $36,368 $37,355 $43,035 $11, % Billing Staff/Patient Accounts - 4M - 10M $27,643 $29,557 $32,349 $33,276 $36,420 $39,591 $7, % Billing Staff/Patient Accounts - MT 10M $25,663 $28,091 $31,678 $32,357 $35,651 $39,785 $7, % *Count must be five+ to provide salary and benefits data. **Refer to the Job Description Summaries beginning on page 105 for positions included in Other categories. as % of 2016 CHAMPS Region VIII Health Center,, Turnover, and Vacancy Survey Report - 17

19 TABLE 5: Alphabetical Listing of Administrative Positions with and Summaries, continued ADMINISTRATIVE POSITIONS Count Actual FTEs 10th PCTL 25th PCTL 50th PCTL 75th PCTL 90th PCTL CALL CENTER REPRESENTATIVE - ALL $23,903 $25,168 $26,811 $28,443 $30,243 $35,464 $5, % Call Center Representative - LT 4M * * * * * * * * Call Center Representative - 4M - 10M $25,168 $25,875 $26,687 $28,156 $30,118 $31,678 $7, % Call Center Representative - MT 10M $23,837 $25,116 $26,999 $28,535 $30,493 $36,608 $5, % CLERK, MEDICAL RECORDS - ALL $24,044 $26,827 $29,755 $29,649 $32,148 $35,408 $6, % Clerk, Medical Records - LT 4M $22,880 $24,212 $27,290 $26,656 $28,473 $29,956 $5, % Clerk, Medical Records - 4M - 10M $23,303 $24,819 $28,969 $29,245 $31,200 $34,801 $5, % Clerk, Medical Records - MT 10M $25,189 $27,049 $30,160 $30,129 $32,651 $35,416 $6, % CLERK, PURCHASING - ALL $26,312 $27,932 $33,207 $36,304 $42,281 $48,957 $5, % Clerk, Purchasing - LT 4M * * * * * * * * Clerk, Purchasing - 4M - 10M * * * * * * * * Clerk, Purchasing - MT 10M $26,312 $27,932 $33,207 $36,304 $42,281 $48,957 $5, % CODER - ALL $27,069 $31,137 $36,754 $36,374 $41,600 $43,518 $7, % Coder - LT 4M * * * * * * * * Coder - 4M - 10M $33,609 $35,360 $40,600 $40,083 $43,680 $47,332 $7, % Coder - MT 10M $26,156 $27,583 $36,515 $34,843 $39,853 $42,474 $6, % COMMUNITY HEALTH WORKER - ALL $27,664 $29,380 $31,814 $34,383 $37,981 $42,878 $6, % Community Health Worker - LT 4M * * * * * * * * Community Health Worker - 4M - 10M $28,496 $29,120 $30,503 $31,841 $33,285 $37,429 $6, % Community Health Worker - MT 10M $28,729 $31,387 $38,501 $38,672 $44,205 $49,069 $5, % CONTROLLER - ALL $64,784 $75,770 $84,382 $82,095 $88,751 $95,356 $15, % Controller - LT 4M * * * * * * * * Controller - 4M - 10M * * * * * * * * Controller - MT 10M $71,552 $80,054 $86,981 $84,764 $90,713 $96,067 $16, % COORDINATOR, HR/HR SPECIALIST - ALL $34,112 $37,898 $45,000 $44,917 $51,906 $57,035 $9, % Coordinator, Human Resources/HR Specialist - LT 4M * * * * * * * * Coordinator, Human Resources/HR Specialist - 4M - 10M * * * * * * * * Coordinator, Human Resources/HR Specialist - MT 10M $33,696 $38,574 $45,000 $45,157 $51,953 $57,692 $8, % COORDINATOR, PROGRAM - ALL $29,561 $32,323 $36,753 $37,931 $40,581 $44,516 $7, % Coordinator, Program - LT 4M * * * * * * * * Coordinator, Program - 4M - 10M $32,290 $32,323 $33,280 $36,756 $39,538 $43,218 $7, % Coordinator, Program - MT 10M $29,617 $34,523 $37,140 $38,726 $40,591 $46,291 $7, % *Count must be five+ to provide salary and benefits data. as % of 2016 CHAMPS Region VIII Health Center,, Turnover, and Vacancy Survey Report - 18

20 TABLE 5: Alphabetical Listing of Administrative Positions with and Summaries, continued ADMINISTRATIVE POSITIONS Count Actual FTEs 10th PCTL 25th PCTL 50th PCTL 75th PCTL 90th PCTL COORDINATOR, QI/QUALITY SPECIALIST - ALL $29,461 $30,805 $44,387 $46,122 $58,115 $66,229 $10, % Coordinator, QI/Quality Specialist - LT 4M * * * * * * * * Coordinator, QI/Quality Specialist - 4M - 10M $26,712 $32,883 $52,764 $48,434 $66,151 $67,233 $9, % Coordinator, QI/Quality Specialist - MT 10M $29,603 $30,701 $40,404 $45,423 $56,305 $64,164 $10, % COORDINATOR, REFERRAL - ALL $27,133 $29,952 $33,717 $34,203 $36,421 $40,217 $7, % Coordinator, Referral - LT 4M $29,453 $29,952 $33,717 $34,402 $36,000 $40,333 $7, % Coordinator, Referral - 4M - 10M $26,374 $27,597 $29,933 $29,516 $31,050 $32,240 $6, % Coordinator, Referral - MT 10M $28,732 $32,890 $36,275 $36,141 $36,795 $40,413 $8, % COORDINATOR, OTHER** (ADMIN.) - ALL $29,786 $34,544 $41,829 $42,478 $46,280 $57,237 $8, % Coordinator, Other (Administrative) - LT 4M * * * * * * * * Coordinator, Other (Administrative) - 4M - 10M * * * * * * * * Coordinator, Other (Administrative) - MT 10M $29,757 $33,280 $40,316 $42,141 $46,280 $58,311 $8, % DATA ANALYST - ALL $40,190 $50,024 $69,216 $63,061 $72,451 $86,960 $12, % Data Analyst - LT 4M * * * * * * * * Data Analyst - 4M - 10M * * * * * * * * Data Analyst - MT 10M $44,470 $53,695 $71,581 $66,716 $74,171 $87,181 $13, % DIRECTOR, DEVELOPMENT/GRANTS - ALL $54,459 $65,749 $86,475 $87,293 $103,094 $123,516 $15, % Director, Development/Grants - LT 4M * * * * * * * * Director, Development/Grants - 4M - 10M * * * * * * * * Director, Development/Grants - MT 10M $65,258 $81,289 $89,907 $96,266 $108,422 $134,274 $15, % DIRECTOR, EXECUTIVE/CEO - ALL $80,291 $89,430 $115,000 $131,201 $160,152 $210,178 $22, % Director, Executive/CEO - LT 4M $71,727 $81,090 $86,652 $93,154 $107,500 $122,504 $15, % Director, Executive/CEO - 4M - 10M $85,605 $94,058 $106,974 $117,656 $132,709 $158,266 $18, % Director, Executive/CEO - MT 10M $109,552 $138,235 $187,700 $179,320 $212,504 $246,505 $32, % DIRECTOR, FISCAL/CFO - ALL $60,903 $72,284 $83,673 $94,071 $108,341 $154,609 $16, % Director, Fiscal/CFO - LT 4M $55,134 $59,733 $66,013 $75,266 $83,960 $94,733 $13, % Director, Fiscal/CFO - 4M - 10M $62,849 $70,150 $75,747 $76,453 $80,592 $89,809 $12, % Director, Fiscal/CFO - MT 10M $83,445 $93,174 $115,362 $117,007 $139,178 $159,589 $20, % DIRECTOR, HUMAN RESOURCES - ALL $50,417 $55,068 $69,525 $75,232 $92,248 $103,416 $14, % Director, Human Resources - LT 4M * * * * * * * * Director, Human Resources - 4M - 10M $52,500 $55,017 $61,480 $61,247 $69,117 $69,763 $7, % Director, Human Resources - MT 10M $56,752 $66,987 $86,486 $84,607 $99,112 $106,319 $16, % *Count must be five+ to provide salary and benefits data. **Refer to the Job Description Summaries beginning on page 105 for positions included in Other categories. as % of 2016 CHAMPS Region VIII Health Center,, Turnover, and Vacancy Survey Report - 19

21 TABLE 5: Alphabetical Listing of Administrative Positions with and Summaries, continued ADMINISTRATIVE POSITIONS Count Actual FTEs 10th PCTL 25th PCTL 50th PCTL 75th PCTL 90th PCTL DIRECTOR, INFORMATION TECHNOLOGY/CIO - ALL $73,370 $85,764 $102,576 $100,226 $112,411 $120,703 $17, % Director, Information Technology/CIO - LT 4M * * * * * * * * Director, Information Technology/CIO - 4M - 10M * * * * * * * * Director, Information Technology/CIO - MT 10M $85,230 $95,264 $105,000 $104,437 $113,440 $121,654 $19, % DIRECTOR, OPERATIONS/COO - ALL $66,231 $70,915 $88,211 $96,754 $118,540 $143,200 $18, % Director, Operations/COO - LT 4M $51,115 $70,000 $77,500 $76,737 $95,992 $99,399 $12, % Director, Operations/COO - 4M - 10M $60,320 $66,569 $67,800 $72,845 $84,105 $90,000 $13, % Director, Operations/COO - MT 10M $72,360 $80,020 $108,834 $110,202 $135,837 $153,927 $21, % DIRECTOR, PROGRAM (ADMINISTRATIVE) - ALL $58,968 $62,861 $83,200 $83,317 $102,508 $116,881 $15, % Director, Program (Administrative) - LT 4M * * * * * * * * Director, Program (Administrative) - 4M - 10M * * * * * * * * Director, Program (Administrative) - MT 10M $59,688 $63,859 $84,240 $86,732 $106,790 $118,881 $15, % DIRECTOR, QI/QUALITY - ALL $57,816 $62,714 $74,319 $81,901 $100,718 $107,002 $15, % Director, QI/Quality - LT 4M * * * * * * * * Director, QI/Quality - 4M - 10M * * * * * * * * Director, QI/Quality - MT 10M $71,181 $76,259 $97,146 $94,639 $104,713 $115,592 $20, % DIRECTOR, OTHER** (ADMINISTRATIVE) - ALL $57,894 $65,555 $79,893 $85,526 $99,771 $119,937 $15, % Director, Other (Administrative) - LT 4M * * * * * * * * Director, Other (Administrative) - 4M - 10M * * * * * * * * Director, Other (Administrative) - MT 10M $60,195 $67,216 $80,403 $86,963 $102,677 $119,228 $15, % DRIVER - ALL $23,203 $24,497 $34,071 $35,376 $44,024 $48,568 $11, % Driver - LT 4M * * * * * * * * Driver - 4M - 10M * * * * * * * * Driver - MT 10M $23,110 $24,652 $34,320 $35,724 $44,138 $48,880 $11, % GRANT WRITER - ALL $41,201 $47,840 $61,856 $62,479 $82,347 $83,200 $12, % Grant Writer - LT 4M * * * * * * * * Grant Writer - 4M - 10M * * * * * * * * Grant Writer - MT 10M $40,203 $46,155 $53,581 $55,672 $63,132 $71,576 $12, % HEALTH EDUCATOR (ADMIN. DUTIES ONLY) - ALL $31,139 $37,440 $40,316 $40,313 $43,050 $48,930 $6, % Health Educator (administrative duties only) - LT 4M * * * * * * * * Health Educator (administrative duties only) - 4M - 10M * * * * * * * * Health Educator (administrative duties only) - MT 10M $34,651 $38,298 $40,831 $41,883 $45,268 $50,578 $6, % *Count must be five+ to provide salary and benefits data. **Refer to the Job Description Summaries beginning on page 105 for positions included in Other categories. as % of 2016 CHAMPS Region VIII Health Center,, Turnover, and Vacancy Survey Report - 20

22 TABLE 5: Alphabetical Listing of Administrative Positions with and Summaries, continued ADMINISTRATIVE POSITIONS Count Actual FTEs 10th PCTL 25th PCTL 50th PCTL 75th PCTL 90th PCTL INFORMATION TECHNOLOGY SUPPORT STAFF - ALL $34,478 $38,230 $42,806 $47,017 $48,485 $57,721 $9, % Information Technology Support Staff - LT 4M * * * * * * * * Information Technology Support Staff - 4M - 10M $36,034 $40,082 $41,600 $41,607 $44,875 $45,994 $8, % Information Technology Support Staff - MT 10M $34,518 $36,900 $42,713 $44,111 $48,657 $57,654 $9, % INFORMATION TECHNOLOGY, OTHER** - ALL $39,396 $43,829 $61,799 $59,200 $69,837 $77,642 $17, % Information Technology, Other - LT 4M * * * * * * * * Information Technology, Other - 4M - 10M * * * * * * * * Information Technology, Other - MT 10M $43,392 $49,779 $68,598 $62,778 $71,013 $79,067 $17, % INTERPRETER - ALL $23,375 $25,813 $29,640 $30,349 $33,784 $38,454 $8, % Interpreter - LT 4M * * * * * * * * Interpreter - 4M - 10M $27,144 $31,200 $31,200 $32,710 $32,136 $39,599 $8, % Interpreter - MT 10M $23,323 $25,761 $29,208 $29,955 $33,847 $37,182 $7, % JANITOR/CUSTODIAN/HOUSEKEEPING - ALL $20,925 $21,404 $22,370 $23,676 $24,820 $29,819 $5, % Janitor/Custodian/Housekeeping - LT 4M $24,161 $25,709 $25,710 $26,767 $28,600 $31,200 $ % Janitor/Custodian/Housekeeping - 4M - 10M $21,112 $21,203 $22,547 $24,550 $24,030 $31,944 $8, % Janitor/Custodian/Housekeeping - MT 10M $20,800 $21,320 $21,840 $22,321 $23,403 $24,736 $4, % MAINTENANCE/FACILITIES - ALL $26,790 $28,995 $34,000 $37,449 $41,787 $50,000 $10, % Maintenance/Facilities - LT 4M * * * * * * * * Maintenance/Facilities - 4M - 10M $24,916 $26,647 $27,852 $28,692 $31,200 $32,880 $12, % Maintenance/Facilities - MT 10M $27,173 $29,931 $34,944 $38,670 $44,751 $55,268 $10, % MANAGER, CLINIC OPERATIONS (ADMIN.) - ALL $44,281 $47,753 $50,076 $54,871 $57,248 $75,208 $9, % Manager, Clinic Operations (Administrative) - LT 4M $41,620 $43,165 $51,315 $55,099 $57,715 $72,363 $9, % Manager, Clinic Operations (Administrative) - 4M - 10M $60,000 $60,000 $72,229 $73,416 $79,850 $88,940 $14, % Manager, Clinic Operations (Administrative) - MT 10M $44,737 $47,546 $50,000 $53,276 $55,000 $66,406 $9, % MANAGER, ELIGIBILITY - ALL $40,618 $41,002 $46,848 $47,162 $51,822 $54,543 $9, % Manager, Eligibility - LT 4M * * * * * * * * Manager, Eligibility - 4M - 10M * * * * * * * * Manager, Eligibility - MT 10M $40,963 $43,706 $50,093 $49,096 $52,527 $55,771 $10, % MANAGER, FINANCE (OTHER**) - ALL $40,247 $48,909 $53,044 $56,275 $65,000 $74,000 $14, % Manager, Finance (Other) - LT 4M * * * * * * * * Manager, Finance (Other) - 4M - 10M $41,787 $46,407 $63,000 $58,623 $70,000 $73,000 $17, % Manager, Finance (Other) - MT 10M $44,314 $49,683 $52,022 $54,807 $60,500 $68,892 $13, % *Count must be five+ to provide salary and benefits data. **Refer to the Job Description Summaries beginning on page 105 for positions included in Other categories. as % of 2016 CHAMPS Region VIII Health Center,, Turnover, and Vacancy Survey Report - 21

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