2015 survey of membership compensation, career satisfaction and personal perspectives conducted by...
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2015 Survey of Membership
Compensation, Career Satisfaction and
Personal Perspectives
Conducted by Merritt Hawkins
ABOUT MERRITT HAWKINS
The nation’s leading physician search and consulting firm and a company of AMN Healthcare (NYSE: AHS)
Third party research conducted for:
The Indian Health Service
Trinity University
The Physicians Foundation
North Texas Regional Extension Center
Texas Healthcare Trustees
Numerous hospitals and health systems
THE 2015 AASA SURVEY
Scope expanded to better understand
concerns and perspectives of AASA members
METHODOLOGY
Survey sent by email to all AASA members three times from July 30 to September 17, 2015. Merritt
Hawkins’ researchers called through the list to enhance participation.
2015 2014
Total Responses 138 105
Response Rate 59% 44%
RESPONDENT DEMOGRAPHICS
BY POSITION
2015 2014
Chief Department Administrator 41.8% 41.9%
Associate/Assistant Administrator
13.4% 10.5%
Division/Section Administrator 27.6% 31.4%
Business Office Manager 4.5% 5.7%
Other within surgery 12.7% 10.5%
BY REGION
2014
2015
28%
32%
25%
29%
16%
20%
31%
19%
East Midwest South West
BY YEARS IN HEALTH CARE
2015 2014
One year or less 0% 1.0%
2 – 5 years 11.9% 7.6%
6 - 10 years 22.4% 17.1%
11 – 15 years 20.9% 20.0%
16 years or more 44.8% 54.3%
BY GENDER
2014
2015
46%
40%
54%
60%
Male Female
BY DEGREE
2015 2014
High school 1% 3%
Associate degree 11% 2%
Bachelor’s degree 22% 19%
Master’s degree 75% 74%
Doctoral degree 1% 2%
BY AGE
3.4%
31%
35.6%
20.7%
9.2%
20-2930-3940-4950-5960-69
6.9%
32.7%
32.7%
21.8%
5.9%
20-2930-3940-4950-5960-69
2015 2014
BY SOURCE OF SALARY FUNDING
2014
2015
67%
55%
11%
16%
13%
12%
8%
12%
1%
5%
Department Department/ Hospital Department/ Practice Plan
Practice Plan Other Combination
BY AREA OF PRIMARY RESPONSIBILITY
2014
2015
87.5%
84.4%
14.3%
15.6%
Multiple Specialties Single Specialties
BY NUMBER OF FULL-TIME FACULTY
Low Average High
3 59.5 250
25th Percentile Mean 75th Percentile
15 54 82
2015
2014
BY NUMBER OF PHYSICIAN ASSISTANTS AND NURSE PRACTITIONERS
Low Average High
0 20.8 130
25th Percentile Mean 75th Percentile
8 26 41
2015
2014
NUMBER OF PHYSICIAN ASSISTANTS & NURSE PRACTITIONERS BY FACULTY SIZE
Full Time Faculty % Representation Average High Low
201-301 1% 50 50 50151-200 5% 60 80 30101-150 10% 55 100 851-100 26% 38 120 01-50 58% 13 45 0
BY NUMBER OF RESIDENTS/FELLOWS
Low Average High
0 57.5 200
25th Percentile Mean 75th Percentile
12 47 78
2015
2014
NUMBER OF RESIDENTS BY FACULTY SIZE
Full Time Faculty % Representation Average High Low
201-301 0% - - -151-200 5% 113 173 20101-150 12% 92 150 2351-100 27% 75 132 121-50 56% 20 94 0
BY NUMBER OF TOTAL SUPPORT STAFF
Low Average High
1 114.3 660
25th Percentile Mean 75th Percentile
14 93 125
2015
2014
NUMBER OF SUPPORT STAFF BY FACULTY SIZE
Full Time Faculty % Representation Average High Low
201-301 0% - - -151-200 5% 290 700 50101-150 11% 204 550 8551-100 23% 138 330 211-50 60% 39 300 0
BY NUMBER OF SUPPORT STAFF SPECIFIC TO ACADEMICS
Low Average High
0 42.4 560
25th Percentile Mean 75th Percentile
4 26 25
2015
2014
NUMBER OF SUPPORT STAFF SPECIFIC TO ACADEMICS BY FACULTY SIZE
Full Time Faculty % Representation Average High Low
201-301 0% - - -151-200 6% 136 310 10101-150 9% 77 275 551-100 22% 26 92 11-50 63% 8 50 0
BY NUMBER OF SUPPORT STAFF SPECIFIC TO CLINICAL
Low Average High
0 57.1 400
25th Percentile Mean 75th Percentile
5 53 64
2015
2014
NUMBER OF SUPPORT STAFF SPECIFIC TO CLINICAL BY FACULTY SIZE
Full Time Faculty % Representation Average High Low
201-301 0% - - -151-200 6% 154 400 14101-150 9% 115 300 151-100 21% 66 230 01-50 64% 29 260 0
BY ANNUAL BASE SALARY
Low Average High
$51,000 $132,711 $300,000
25th Percentile Mean 75th Percentile
$92,000 $131,479 $172,000
2015
2014
AVERAGE SALARY BY TITLE
2015 2014
Chief Department Administrator $173,873 $180,701
Associate/Assistant Administrator $104,117 $116,877
Division/Section Administrator $102,804 $95,369
Business Office Manager $89,400 $89,184
Other within surgery $112,385 $79,089
RECEIVING A BONUS
2014
2015
51.5%
58.6%
48.5%
41.4%
Yes No
BY AMOUNT OF BONUS
Low Average High
$1,000 $19,181 $214,094
25th Percentile Mean 75th Percentile
$5,000 $16,525 $22,000
2015
2014
BONUS BY TITLE
2015 2014
Chief Department Administrator $25,695 $30,901
Associate/Assistant Administrator
$6,333 $1,000
Division/Section Administrator $5,244 $6,438
Business Office Manager $3,050 $1,000
Other within surgery $18,742 $5,833
BY OPERATING BUDGET
Low Average High
$160,000 $43,024,133 $180,000,000
25th Percentile Mean 75th Percentile
$8,000,000 $36,614,698 $55,000,000
2015
2014
OPERATING BUDGET BY FACULTY SIZE
Full Time Faculty % Representation Average High Low
201-301 0% - - -
151-200 4% $76,769,500 $100,000,000 $65,153,585
101-150 15% $87,381,818 $130,000,000 $1,200,000
51-100 28% $46,813,949 $85,144,000 $84,000
1-50 54% $17,872,183 $87,000,000 $700,000
BY GROSS BILLINGS
Low Average High
$100,000 $84,731,233 $318,861,131
25th Percentile Mean 75th Percentile
$18,000,000 $79,685,563 $140,872,743
2015
2014
GROSS BILLINGS BY FACULTY SIZE
Full Time Faculty % Representation Average High Low
201-301 0% - - -
151-200 4% $212,130,574 $214,195,861 $208,000,000
101-150 13% $159,914,234 $270,000,000 $70,000,000
51-100 29% $94,207,586 $254,132,298 $1,000,000
1-50 54% $44,099,131 $166,120,000 $1,700,000
BY GROSS COLLECTIONS
Low Average High
$2,100,000 $29,640,732 $104,725,941
25th Percentile Mean 75th Percentile
$7,800,000 $28,558,392 $44,300,000
2015
2014
GROSS COLLECTIONS BY FACULTY SIZE
Full Time Faculty % Representation Average High Low
201-301 0% - - -
151-200 4% $76,998,367 $77,497,500 $76,000,000
101-150 14% $67,210,224 $105,000,000 $34,400,000
51-100 27% $34,626,218 $75,000,000 $16,981,391
1-50 55% $13,200,257 $40,000,000 $1,500,000
BY ANNUAL RESTRICTED FUNDS
Low Average High
$5,261 $15,500,483 $315,000,000
25th Percentile Mean 75th Percentile
$1,000,000 $15,921,594 $20,000,000
2015
2014
RESTRICTED FUNDS BY FACULTY SIZE
Full Time Faculty % Representation Average High Low
201-301 0% - - -
151-200 5% $64,057,622 $160,000,000 $16,086,433
101-150 16% $38,505,300 $85,000,000 $3,100,000
51-100 27% $17,245,813 $51,533,422 $1,093,237
1-50 62% $4,605,203 $53,000,000 -
SATISFACTION, PLANS AND PERSPECTIVES
2015 2014
Very positive/satisfying 61.7% 69.1%
Somewhat positive/satisfying 35.5% 25.8%
Neither positive/satisfying nor negative/unsatisfying
1.8% 3.1%
Somewhat negative/unsatisfying 1.0% 2.1%
Very negative/unsatisfying 0.0% 0.0%
ATTITUDE TOWARD BEING A SURGICAL ADMINISTRATOR
ATTITUDE TOWARD BEING A SURGICAL ADMINISTRATOR BY FACULTY SIZE
Full Time Faculty
Very positive
Somewhat positive
Neither positive nor
negative
Somewhat negative
Very negative
201-301 0% 100% 0% 0% 0%
151-200 100% 0% 0% 0% 0%
101-150 62% 38% 0% 0% 0%
51-100 57% 43% 0% 0% 0%
1-50 63% 32% 4% 2% 0%
WOULD RECOMMEND SURGICAL ADMINISTRATOR AS A CAREER
2014
2015
88.5%
90.7%
11.5%
9.3%
Yes No
COMPARISON TO PHYSICIANS
Yes No
Source: A Survey of America’s Physicians: Practice Patterns and Perspectives, The Physicians Foundation/Merritt Hawkins, 2014
Would recommend medicine as a career
49.8% 50.2%
2015 2014
Very positive 50.5% 51.5%
Somewhat positive 47.6% 41.2%
Neither positive nor negative
0.0% 2.1%
Somewhat negative 1.9% 4.1%
Very negative 0.0% 1.0%
RATE YOUR MORALE
PERSONAL MORALE BY FACULTY SIZE
Full Time Faculty
Very positive
Somewhat positive
Neither positive nor
negative
Somewhat negative
Very negative
201-301 0% 100% 0% 0% 0%
151-200 75% 25% 0% 0% 0%
101-150 38% 62% 0% 0% 0%
51-100 57% 43% 0% 0% 0%
1-50 52% 45% 0% 4% 0%
COMPARISON TO PHYSICIANS
Source: A Survey of America’s Physicians: Practice Patterns and Perspectives, The Physicians Foundation/Merritt Hawkins, 2014
Rate your morale
Very positive 8.8%
Somewhat positive 35.6%
Somewhat negative 37.1%
Very negative 18.5%
WOULD CHOOSE SURGICAL ADMINISTRATOR AS A CAREER AGAIN
2014
2015
67.4%
73.8%
32.6%
26.2%
Yes No
COMPARISON TO PHYSICIANS
Yes No
Source: A Survey of America’s Physicians: Practice Patterns and Perspectives, The Physicians Foundation/Merritt Hawkins, 2014
Would choose medicine as a career again
71% 29%
2015 2014
Very positive/optimistic 5.7% 5.2%
Somewhat positive/optimistic 63.2% 51.0%
Neither positive/optimistic nor negative/pessimistic
19.8% 25.0%
Somewhat negative/pessimistic 11.3% 16.7%
Very negative/pessimistic 0.0% 2.1%
HOW DO YOU FEEL ABOUT THE FUTURE OF THE HEALTHCARE SYSTEM?
ATTITUDE ABOUT THE FUTURE OF THE HEALTHCARE SYSTEM BY FACULTY SIZE
Full Time Faculty
Very positive
Somewhat positive
Neither positive nor
negative
Somewhat negative
Very negative
201-301 0% 100% 0% 0% 0%
151-200 0% 75% 0% 25% 0%
101-150 8% 62% 15% 15% 0%
51-100 15% 52% 19% 15% 0%
1-50 0% 70% 21% 9% 0%
Very positive/optimistic 10.2%
Somewhat positive/optimistic 38.7%
Somewhat negative/pessimistic 39.5%
Very negative/pessimistic 11.6%
COMPARISON TO PHYSICIANS
Source: A Survey of America’s Physicians: Practice Patterns and Perspectives, The Physicians Foundation/Merritt Hawkins, 2014
2015 2014
It has proven to be a success 7.7% 2.1%
A work in progress but likely to be a success
38.5% 32.3%
Needs improvement but should be modified not repealed
46.2% 57.3%
Has been a failure 4.8% 5.2%
Should be repealed 2.9% 3.1%
ATTITUDE TOWARD THE ACA
STRATEGIC PRIORITIES
Very Important
2015 2014
Reimbursement/revenue 91.5% 97.9%
Quality initiatives 73.3% 76.6%
Evolving payment models 79.2% 74.7%
Patient attitudes 64.2% 74.5%
Physician recruiting/retention 73.6% 74.2%
Physician Alignment 48.6% 71.3%
EMR implementation 65.1% 48.4%
Nurse/allied professional staffing 31.7% 44.1%
ACO implementation 23.3% 31.5%
PRIORITIES FOR NEXT 12 MONTHS
Very Important
2015 2014
Increasing revenue 87.5% 86.6%
Decreasing costs 64.1% 67.7%
Physician relations 63.8% 56.7%
Physician recruitment 55.3% 50.5%
Regulatory compliance 26.9% 37.1%
Impact of the ACA 21.2% 28.1%
Implementing/upgrading EMR 16.8% 22.7%
PREPARED FOR VOLUME TO VALUE
2015 2014
Very prepared 8.7% 4.1%
Somewhat prepared 48.5% 64.9%
Neither prepared nor unprepared
28.2% 13.4%
Somewhat unprepared 13.6% 15.5%
Very unprepared 1.0% 2.1%
DEPARTMENT’S RELATIONSHIP WITH PHYSICIANS
2015 2014
Open hostility 0.0% 0.0%
Uneasy alliance 4.8% 4.1%
General cooperation 76.2% 63.9%
Complete integration/alignment 19.0% 30.9%
Not applicable 0.0% 1.0%
PLANS FOR THE NEXT THREE YEARS
2015 2014
Continue as I am 46.2% 60.2%
Retire 5% 2.8%
Work part-time 3.4% 3.7%
Find another surgical administrator position
22.7% 25.0%
Seek a non-surgical administrator position
14.3% 14.8%
Seek a job outside of healthcare 3.4% 2.8%
Work from home 5.0% 2.8%
2015 Survey of Membership
Compensation, Career Satisfaction and
Personal Perspectives
Conducted by Merritt Hawkins
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