2009 Emergency Physician Salary & Benefit Survey THIS REPORT: U.S. NATIONAL RESULTS

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1 2009 Emergency Physician Salary & Benefit Survey THIS REPORT: U.S. TIOL RESULTS

2 2009 Emergency Physician Salary & Benefit Survey THIS REPORT: U.S. TIOL RESULTS About the Survey Daniel Stern and Associates is pleased to present the results of its 2009 Annual National Emergency Physician Salary & Benefit Survey. One thousand nine physicians participated in this our 24th salary survey, responding from 50 states and the District of Columbia. The data reported in this survey is reflective of compensation received by respondents during calendar year Later this year, we will also publish a separate Academic Report designed especially from data collected in a second survey we are conducting strictly for academic Emergency Medicine physicians. Again this year we conducted a mini survey in conjunction with this year s salary survey, which gages the satisfaction of Emergency Medicine physicians in practice. This year fifty-eight percent (58%) of the physicians who participated in the compensation survey also chose to participate in this mini survey, which is titled, Trends, Perceptions and Predictions of Emergency Medicine Physicians. All physicians who participated in this mini survey will receive a free copy of the results. All survey reports compiled with the data from this years survey are now available or will be available shortly on our website: 2009 National Report, and the five regional reports (North Central Report, Northeast Report, South Central Report, Southeast Report, and West Report) as well as the results of the mini satisfaction survey - Trends, Predictions and Perceptions of Emergency Medicine Physicians. The results of the 2009 National Academic Emergency Physician Salary & Benefit Survey will be available this summer. Individual state reports are available for any state that had sufficient participation as well as reports customized to your specific needs. We are able to provide you with data specific to your state/ region; or create customized reports to group various states together for a more focused analysis. We can also provide you with a customized report based on various parameters size of hospital, ED volume, physician training and/or certification, employment status, trauma designation, number of annual contractual hours required, patients seen per hour, etc. Please consult our website www. danielstern.com or contact us at or Daniel Stern directly at Our expertise obtained from our over 38 years of physician recruitment and healthcare consulting experience is available to your hospital, academic institution or physician practice. Please do not hesitate to contact us at our offices at about the survey or your recruitment needs. To purchase any of these reports, please visit our website at and simply follow the links to the salary survey purchase page. We wish to thank all of the physicians who took time out of their busy schedules to participate in our annual compensation survey. We are also very grateful to all of the physicians who contributed to our new venture, Trends, Predictions and Perceptions of Emergency Medicine Physicians. Thank you for sharing your thoughts and your frustrations with us. We only hope that this report reaches at least some of the decision makers and those persons in administrative positions that possess at least some capability to effect positive changes to resolve some of the myriad of issues that confront you each day while you work in Emergency Departments across the US. We also wish to thank everyone who purchases copies of this survey. We appreciate your support and loyalty. Daniel Stern & Staff Daniel Stern & Associates 2

3 The 2009 National EM Salary Survey Results TOTAL RESPONSES: 1, ED Staff (61.8%) 385 ED Directors (38.2%) ED STAFF 372 Employees 108 Partners 144 Independent Contactors ED DIRECTOR 242 Employees 93 Partners 50 Independent Contractors Section One: Overall Compensation ED Staff Physicians Employee 10th % 25th % 50th % 75th % 90th % Base Compensation $175,100 $195,500 $220,000 $250,000 $280,400 Total Compensation $200,000 $220,018 $252,690 $300,000 $361,117 Partner 10th % 25th % 50th % 75th % 90th % Base Compensation $160,000 $187,000 $230,000 $258,000 $307,500 Total Compensation $220,470 $259,500 $301,274 $370,190 $460,944 Independent Contractor 10th % 25th % 50th % 75th % 90th % Base Compensation $142,500 $182,000 $230,000 $292,320 $342,800 Total Compensation $182,746 $220,000 $270,000 $323,000 $400,000 3

4 ED Staff Physicians - Compensation Methods Hourly rate 66% Annual Salary Bonus Plan (any type) RVUs Generated 27% 39% 25% Patients Seen Fee-For-Service Collections Received Productivity Patient Satisfaction Net Profits Profit Sharing Plan Stipends 12% 9% 8% 24% 14% 9% 16% 12% Other 4% ED Directors Employee 10th % 25th % 50th % 75th % 90th % Base Compensation $180,000 $208,000 $242,000 $286,250 $328,500 Total Compensation $208,500 $235,000 $290,000 $343,777 $402,500 Partner 10th % 25th % 50th % 75th % 90th % Base Compensation $169,000 $198,280 $230,000 $300,000 $360,000 Total Compensation $246,000 $300,000 $368,373 $434,566 $513,500 Independent Contractor 10th % 25th % 50th % 75th % 90th % Base Compensation $191,500 $230,000 $276,480 $374,950 $410,000 Total Compensation $210,000 $256,500 $340,000 $433,400 $531,000 4

5 ED Directors - Compensation Methods Hourly rate 63% Annual Salary Bonus Plan (any type) RVUs Generated 38% 43% 27% Patients Seen Fee-For-Service Collections Received 10% 4% 6% Productivity Patient Satisfaction Net Profits Profit Sharing Plan Stipends Other 28% 18% 9% 15% 28% 6% Base Compensation does not include any overtime, bonuses, etc... Total Compensation includes all compensation received in 2008 not including the cost of any benefits. ED Staff Physicians EM Residency & EM Board Certified (Reported at the 50th Percentile ) Employees Partners Independent Contractors $215,000 Base $250,000 Total $230,000 Base $305,000 Total $259,200 Base $276,000 Total All Repondents $219,000 Base $265,000 Total

6 Non EM Residency & EM Board Certified (Reported at the 50th Percentile) Employees Partners Independent Contractors All Repondents $230,000 Base $264,000 Total $232,500 Base $300,000 Total $225,000 Base $266,272 Total $230,000 Base $270,000 Total Non EM Residency & Non EM Board Certified (Reported at the 50th Percentile) Employees Partners Independent Contractors All Repondents $244,000 Base N/A $240,000 Total $285,000 Total N/A $297,753 Total $240,000 Base $283,000 Total ED Directors EM Residency & EM Board Certified (Reported at the 50th Percentile ) Employees Partners $238,000 Base $291,000 Total $243,000 Base $377,500 Total Independent Contractors $250,000 Base $342,500 Total All Repondents $240,000 Base $311,652 Total

7 Non EM Residency & EM Board Certified (Reported at the 50th Percentile) Employees $249,925 Base $290,000 Total Partners $230,000 Base $359,187 Total Independent Contractors All Repondents $300,000 Base $325,000 Total $249,925 Base $309,898 Total Non EM Residency & Non EM Board Certified (Reported at the 50th Percentile) Employees Partners Independent Contractors All Repondents $239,200 Base $276,500 Total N/A $253,627 Total $250,000 Base $280,000 Total N/A $342,450 Total Base Compensation does not include any overtime, bonuses, etc... Total Compensation includes all compensation received in ED Staff Physicians (reported at the 50th percentile) EM Residency Non EM Residency Non EM Residency & EM Board Certified & EM Board Certified & Non EM Board Certified Experience Base Total Base Total Base Total < 4 Years 4-6 Years 7-9 Years Years Years Years Years Years Years Years 30+ Years $217,840 $255,000 $210,000 $282,388 $220,000 $257,500 $235,200 $274,150 $224,640 $258,652 $206,000 $248,500 $215,500 $254,987 $225,000 $305,000 $210,000 $244,000 $250,000 $293,000 $211,012 $205,500 $259,000 $228,250 $300,400 $230,000 $259,364 $220,000 $258,384 $197,500 $278,750 $235,000 $281,220 $250,000 $278,746 $244,000 $277,300 $209,000 $250,000 $300,000 $270,000 $309,000 $217,500 $292,500 $286,000 7

8 ED Directors (reported at the 50th percentile) EM Residency Non EM Residency Non EM Residency & EM Board Certified & EM Board Certified & Non EM Board Certified Experience Base Total Base Total Base Total < 4 Years 4-6 Years 7-9 Years Years Years Years Years Years Years Years 30+ Years $323,905 $215,000 $295,000 $225,000 $288,224 $237,500 $323,000 $225,000 $317,680 $283,000 $357,500 $251,000 $302,500 $275,000 $303,500 $275,000 $360,000 $257,000 $339,000 $308,000 $365,000 $298,000 $247,500 $325,000 $257,500 $290,000 $265,000 $310,000 $293,000 $314,000 $239,925 $285,000 $236,600 $298,702 $302,257 Staff Comparisons Average Difference Between Base & Total Compensation Director Comparisons Average Difference Between Base & Total Compensation Difference % Over Base Difference % Over Base Employees $44, % Partners $90, % Independent Contractors $36, % All Repondents $51, % Employees $47, % Partners $118, % Independent Contractors $96, % All Repondents $63, % Hourly Rate - Staff 10th % 25th % 50th % 75th % 90th % Hourly Rate $ $ $ $ $ Total Hourly Rate $ $ $ $ $ Hourly Rate - Director 10th % 25th % 50th % 75th % 90th % Hourly Rate $ $ $ $ $ Total Hourly Rate $ $ $ $ $

9 Shift Differentials % Reporting Median Differential Working Additional Hours 15% $25.00 Night Shifts 31% $20.00 Weekend Shifts 7% $15.00 Holdiay Shifts 28% $50.00 Hours Worked ED Staff ED Director Total < 1,200 1% 1% 1% 1,200-1,250 2% 1% 2% 1,251-1,300 1% 1% 1% 1,301-1,350 1% 0% 0% 1,351-1,400 2% 2% 2% 1,401-1,450 3% 1% 2% 1,451-1,500 7% 2% 5% 1,501-1,550 3% 1% 2% 1,551-1,600 8% 5% 7% 1,601-1,650 3% 2% 3% 1,651-1,700 6% 5% 6% 1,701-1,750 5% 2% 4% 1,751-1,800 11% 7% 10% 1,801-1,850 4% 2% 3% 1,851-1,900 6% 5% 5% 1,901-1,950 3% 2% 3% 1,951-2,000 7% 14% 10% 2,001-2,050 3% 2% 2% 2, % 45% 32% No Answer 1% 1% 1% Total Hours - Clinical ED Staff ED Director Total < 1,200 9% 38% 20% 1,200-1,250 5% 7% 6% 1,251-1,300 2% 4% 3% 1,301-1,350 1% 3% 2% 1,351-1,400 4% 5% 4% 1,401-1,450 4% 3% 4% 1,451-1,500 5% 5% 5% 1,501-1,550 4% 1% 2% 1,551-1,600 10% 5% 8% 1,601-1,650 2% 1% 2% 1,651-1,700 6% 3% 5% 1,701-1,750 5% 4% 5% 1,751-1,800 9% 4% 7% 1,801-1,850 4% 2% 3% 1,851-1,900 5% 3% 4% 1,901-1,950 2% 1% 2% 1,951-2,000 4% 2% 4% 2,001-2,050 2% 1% 2% 2, % 9% 12% No Answer

10 Total Hours - Non-Clinical ED Staff ED Director Total < % 13% 47% % 14% 11% % 7% 6% % 6% 3% % 7% 4% % 5% 3% % 4% 2% % 5% 2% % 3% 2% 901-1,000 1% 7% 3% 1,001-1,100 0% 4% 2% 1,101-1,200 0% 1% 1% 1, % 23% 12% No Answer 2% 1% 1% Total Hours - Non-Clinical Admin ED Staff ED Director Total < % 16% 51% % 13% 12% % 8% 5% % 9% 5% % 8% 4% % 5% 3% % 3% 2% % 4% 2% % 4% 2% 901-1,000 0% 8% 3% 1,001-1,100 0% 4% 2% 1,101-1,200 0% 1% 0% 1, % 17% 9% No Answer 1% 1% 1% Total Hours - Non-Clinical Teaching ED Staff ED Director Total < % 75% 82% % 10% 7% Protected Time ED Staff ED Director Total Median Hours % Reporting 11% 24% 16% % 4% 2% % 3% 2% % 2% 1% % 2% 1% % 1% 0% % 1% 1% % 1% 0% 901-1,000 0% 1% 0% 1, % 0% 1% No Answer 1% 1% 1% 10

11 Section Two: Physician Information Respondents By Degree All Respondents ED Staff ED Director M.D. 87% 87% 87% D.O 13% 13% 13% Respondents By Gender* All Respondents ED Staff ED Director Female 14% 8% 12% Male 86% 92% 88% Total Years Practicing Emergency Medicine < 4 Years 10% 2% 7% 4-6 Years 13% 9% 12% 7-9 Years 14% 10% 13% Years 12% 11% 11% Years 9% 12% 10% Years 9% 13% 11% Years 9% 9% 9% Years 8% 10% 8% Years 7% 12% 9% Years 5% 5% 5% 30+ Years 5% 7% 6% How many years in current position? < 4 Years 37% 31% 35% 4-6 Years 17% 19% 18% 7-9 Years 16% 13% 15% Years 11% 10% 11% Years 6% 10% 8% 16+ years 12% 18% 14% No Answer 0% 0% 0% 11

12 Respondents By Job Title Emergency Department-Staff/Attending 95% 0% 58% Emergency Department-Assistant Director 0% 10% 4% Emergency Department-Associate Director 0% 10% 4% Emergency Department-Chair Academic 0% 5% 2% Emergency Department-Chair Non Academic 0% 13% 5% Emergency Department-Director 0% 49% 19% Emergency Medicine Residency Program Director 0% 5% 2% EMS Director 0% 6% 2% Director of Ultrasound 0% 2% 1% Other 5% 0% 3% Respondents By Employment Status Employee - Emergency Department - Academic Facility - Non-Tenured Position 10% 12% 11% Employee - Emergency Department - Academic Facility - Tenured Position 1% 2% 1% Employee-Hospital 23% 27% 25% Employee-Independent Physician Group 18% 10% 15% Employee-National Contract Mgmt Org 4% 5% 4% Employee-Regional Contract Mgmt Org 1% 4% 2% Employee-University Based Group 1% 3% 2% Independ. Contractor-Hospital 3% 2% 2% Independ. Contractor-Independent Physician Group 9% 7% 8% Independ.Contractor-Contract Mgmt Org 5% 4% 5% Partner-Independent Physician Group 20% 21% 20% Partner-National Contract Mgmt Org 2% 1% 1% Partner-Regional Contract Mgmt Org 2% 2% 2% Other 1% 1% 1% 12

13 Respondents By Region ED Staff ED Director All North Central 21% 22% 21% Northeast 27% 31% 29% South Central 12% 13% 12% Southeast 23% 21% 22% West 18% 12% 15% 100% 100% 100% Residencies Completed Emergency Medicine 63% 62% 62% Emergency Medicine/Family Medicine 0% 1% 0% Emergency Medicine/Internal Medicine 2% 2% 2% Emergency Medicine/Internal Medicine/Critical Care 0% 0% 0% Emergency Medicine/Pediatrics 0% 0% 0% Family Medicine 13% 9% 11% Internal Medicine 10% 10% 10% Pediatrics 4% 4% 4% Surgery 1% 3% 2% None 10% 12% 10% Other 2% 1% 2% Fellowships Completed Administrative 1% 2% 1% EMS 1% 2% 2% Pediatric Emergency Medicine 2% 2% 2% Toxicology 1% 1% 1% Ultrasound 1% 1% 1% None 91% 88% 90% Other 4% 5% 4% 13

14 Board Certification EBoard Certified- Emergency Medicine 81% 85% 83% Board Certified- Emergency Medicine/Family Medicine 2% 2% 2% Board Certified- Emergency Medicine/Internal Medicine 2% 3% 3% Board Certified- Emergency Medicine/Internal Medicine/Critical Care 0% 0% 0% Board Certified- Emergency Medicine/Pediatrics 0% 1% 0% Board Certified- Family Medicine 11% 9% 10% Board Certified- Internal Medicine 8% 6% 7% Board Certified- Pediatrics 3% 3% 3% Board Certified- Pediatric Emergency Medicine 3% 3% 3% Board Certified- Surgery 0% 1% 1% Board Certified- None 3% 3% 3% Board Certified- Other 4% 3% 4% Emergency Medicine Boards Through AAmerican Board of Emergency Medicine (Residency Trained) 59% 58% 59% American Board of Emergency Medicine (Grandfathered) 12% 17% 14% American Osteopathic Board of Emergency Medicine (Residency) 3% 5% 4% American Osteopathic Board of Emergency Medicine (Grandfathered) 1% 0% 1% AAPS 12% 11% 12% BE (American Board of Emergency Medicine) 0% 0% 0% BE American Osteopathic Board of Emergency Medicine 0% 0% 0% Board Eligible (AAPS) 2% 1% 2% American Board of Pediatrics 3% 2% 2% None of the Above 8% 6% 8% 14

15 Section Three: Hospital Information Is board certification in Emergency Medicine required of physicians working at your hospital? Yes 61% 60% 61% No 34% 39% 36% Don t Know 4% 1% 3% No Answer 0% 1% 0% Does your hospital accept AAPS certification? Yes 23% 28% 25% No 32% 49% 38% Don t Know 45% 23% 37% No Answer 0% 0% 0% Is completion of an Emergency Medicine Residency required of physicians working at your hospital? Yes 27% 30% 28% No 65% 70% 67% Don t Know 7% 0% 5% 15

16 How many hours per week must a physician work to be considered full-time? 30 Hours 41% 40% 40% 35 Hours 27% 32% 29% 40 Hours 11% 15% 12% 45 Hours 1% 2% 1% 50 Hours 1% 1% 1% Not Applicable 17% 9% 14% No Answer 2% 1% 2% Hospital Description Hospital catchment area University 10% Pediatric 1% Community Non-Teaching 49% County Hospital 4% Military Base 0% Comminity Teaching 33% Other 1% VA Hospital 1% Urban as it relates to urban area of 500K+ 19% Urban as it relates to urban area of 250K-500K 11% Urban as it relates to urban area of 50K-250K 13% Urban as it relates to urban area of <50K 5% Rural 16% Suburban as it relates to urban area <50K 4% Suburban as it relates to urban area of 50K-250K 15% Suburban as it relates to urban area of 250K-500K 8% Suburban as it relates to urban area of 500K+ 10% Number of Inpatient Beds All Respondents beds 18% Beds 21% Beds 21% Beds 14% Beds 9% Beds 5% Beds 4% 701+ Beds 6% Unknown 2% Total 100% Trauma Designation Level 4 4% Level 3 13% Level 2 23% Unknown 1% No Trauma Designation 39% No Answer 1% Level 1 19% 16

17 ED Patient Volume All Respondents Patients seen in the ED per Physician Hour All Respondents 0-5,000 visits 1% 5,001-10,000 visits 2% 10,001-15,000 visits 5% 15,001-20,000 visits 6% 20,001-25,000 visits 7% 25,001-30,000 visits 9% 30,001-35,000 visits 9% 35,001-40,000 visits 8% 40,001-45,000 visits 6% 45,001-50,000 visits 8% 50,001-55,000 visits 6% 55,001-60,000 visits 6% 60,001-65,000 visits 6% 0 to.50 1%.50 to % 1.00 to % 1.50 to % 2.00 to % 2.50 to % 3.00 to % 3.50 to % 4.00 to % 4.50 to % More Than 5 0% Unknown 2% Total 100% 65,001-70,000 visits 3% 70,001-75,000 visits 5% 75,001-80,000 visits 3% 80,001-85,000 visits 2% 85,001-90,000 visits 1% 90,001-95,000 visits 2% 95, ,000 visits 2% Percentage of Emergency Department patient volume admitted to Hospital All Respondents Total 22% 100, visits 3% Unknown 0% Total 100% 17

18 Number of Full-Time Physicians in ED All Respondents 0 0% % % % % % % % % % % 50+ 1% Number of Part-Time Physicians In ED All Respondents 0 10% % % % % % % % % Unknown 1% No Answer 2% Total 100% Unknown 1% No Answer 2% Total 100% How many NPs & PAs work in your department? All Respondents 0 23% % % % % % % % % % % Unknown 0% No Answer 2% Total 100% Maximum Amount of Physician Coverage in ED Other 8% Quad 16% Triple 29% No Answer 1% Single 17% Unknown 0% Double 29% 18

19 Hours of attending physician coverage per day? All Respondents < 24 3% % % % % % % % Unknown 2% No Answer 2% Types of Hourly Shifts Worked By Physicians in ED Hours Other 1% 3% 7% 45% 35% 37% 51% All Respondents Total 100% ED s That Added Physicians In Last 12 Months All Respondents Yes 66% No 32% Unknown 1% No Answer 2% Total 100% ED s Planning to Add Physicians in Next 12 Months All Respondents Yes 56% No 25% Unknown 17% No Answer 2% Total 100% Fast-Track Volume ED s With Fast-Track Components Volume All Respondents 0% - 10% 11-20% 21-30% 31-40% 41-50% 51-60% Not Applicable Unknown No Answer 4% 2% 1% 1% 10% 13% 11% 32% 26% Yes 69% No 31% No Answer 0% Total 100% All Respondents 19

20 SECTION FOUR: COMPENSATION INFORMATION Permitted to moonlight at other facilities, not affiliated with employer Yes 79% 77% 79% No 21% 23% 21% Moonlighted in the past year Yes 21% 15% 18% No 59% 62% 60% No Answer 21% 23% 21% Median moonlighting hours MEDIAN Hours Median $$ 33,000 18,716 28,800 Number Reporting Receive an annual cost of living increase Yes 26% 31% 28% No 72% 68% 70% Unknown 2% 2% 2% Physicians at facility receive an increase in compensation upon board certification Yes 22% 25% 23% No 68% 70% 68% Unknown 10% 5% 8% No Answer 1% 1% 1% 20

21 Physicians in group receive increase in compensation upon attaining partnership status Yes 31% 29% 30% No 21% 22% 21% Unknown 3% 1% 2% Not Applicable 45% 49% 46% NO ANSWER 0% 1% 0% Physicians joining facility receive a sign-on bonus Yes 22% 35% 27% No 66% 60% 64% Unknown 12% 5% 10% No Answer 0% 0% 0% Does your Emergency Department utilize an RVU system to determine productivity? Yes 46% 48% 46% No 54% 52% 54% ED utilizes an RVU system to determine productivity A straight RVU plan 74% 75% 74% RVU plan based on patient satisfaction 12% 9% 11% Determined by the Director of the ED 23% 23% 23% Percentage of Physician offered Cafeteria Benefit Plan % Reporting 23% 30% 26% Median Benefit $11,000 $8,500 $9,550 21

22 Estimated value of all benefits Percent Reporting 37% 40% 38% Median Benefit $45,000 $50,000 $49,000 Increase in co-payments for health insurance or other benefits in 2008 Yes 44% 47% 45% No 56% 53% 55% Eligible or currently participate in pension or retirement plan Yes 86% 90% 87% No 14% 10% 13% Type of Pension Plan Qualified Plan 53% 65% 57% Unqualified Plan 2% 5% 3% Unknown 45% 31% 39% Employer contributes to retirement plan Yes 59% 67% 62% No 33% 29% 32% Non Applicable 8% 4% 6% 22

23 Percentage employer contributes to retirement plan 0% 11% 6% 9% 1% - 5% 18% 16% 17% 6% - 10% 11% 16% 13% 11% - 15% 5% 6% 6% 16% - 20% 1% 2% 2% 21% - 25% 0% 1% 0% 26% - 30% 0% 0% 0% 30%+ 12% 13% 12% No Answer 42% 40% 41% Days paid for CME annually 0 51% 40% 47% 1-5 days 12% 13% 12% 6-10 days 11% 16% 12% days 3% 4% 3% days 0% 1% 1% days 1% 0% 0% 25+ days 1% 2% 1% No Answer 23% 25% 23% 23

24 Amount reimbursed for CME time annually All Respondents ED Staff ED Director $1-$1,000 4% 3% 4% $1,001-$2,000 8% 9% 8% $2,001-$3,000 15% 19% 16% $3,001-$4,000 14% 12% 13% $4,001-$5,000 11% 12% 11% $5,001-$6,000 4% 5% 4% $6,001-$7,000 2% 4% 3% $7,001-$8,000 2% 4% 3% $8,001-$9,000 1% 1% 1% $9,001-$10,000 3% 3% 3% More Than $10,000 2% 2% 2% No CME Reimbursement 18% 13% 16% No Answer 17% 13% 15% How many days of paid vacation in 2008 All Respondents ED Staff ED Director 00 34% 25% 31% 1-5 Days 2% 1% 1% 6-10 Days 3% 2% 3% Days 6% 3% 5% Days 5% 5% 5% Days 4% 7% 5% Days 5% 10% 7% Days 3% 4% 3% Days 2% 1% 2% 40+ Days 2% 5% 3% No Answer/Not Applicable 34% 35% 35% 24

25 Type of malpractice policy Occurence 42% 42% 42% Claims Made 39% 38% 38% Self Insured 12% 16% 14% Other 4% 3% 4% No Answer 3% 1% 2% Who pays malpratice premiums Hospital 34% 38% 35% Physician Group 56% 54% 55% Self Insured 8% 5% 7% Shared 1% 2% 1% No Answer 2% 2% 2% If leaving current position, who pays tail coverage Hospital 27% 30% 28% Physician Group 41% 43% 42% Self 12% 7% 10% Shared 1% 1% 1% Not Applicable 16% 18% 17% No Answer 2% 1% 2% Considered leaving the practice of Emergency Medicine Yes 54% 48% 52% No 45% 51% 48% No Answer 0% 0% 0% 25

26 Received money in 2008 designated as a stipend for performing duties at facility or with your group Yes 24% 54% 35% No 76% 46% 65% Those who answered yes to above question, the total amount of money received in 2008 Median $15,000 $48,000 $31,000 # Reporting Duties for which respondents received a stipend for in 2008 Administrative Duties-Chair/Director of Dept 3% 33% 14% Administrative Duties-Vice Chair/Associate/Assitant Dir of Dept 2% 11% 6% Administrative Duties-Residency Program Director 0% 3% 1% Administrative Duties-Assistant/ Assoc/Residency Program Director 0% 0% 0% Administrative Duties-EMS Director 4% 9% 5% Administrative Duties-Toxicology Director 0% 0% 0% Administrative Duties-Ultra Sound Director 0% 2% 1% Administrative Duties-Director - Other 2% 4% 3% Research Duties 1% 0% 1% Teaching of Medical Students, Residents,Fellows 4% 3% 3% Clinical supervision of Teaching of Medl Students, Res, Fellows 2% 2% 2% Clinical supervision of NPs or PAs 1% 2% 1% Committee Assignments 4% 6% 5% Other 12% 9% 11% 26

27 Please check all of the following benefits that you received in 2008 as a component of your compensation plan. (Please select all that apply) Health Insurance 71% 78% 74% Dental Insurance 55% 67% 59% Long Term Disability Insurance 49% 57% 52% Short Term Disability Insurance 34% 41% 37% Life Insurance 52% 60% 55% Malpractice Insurance 79% 88% 82% Paid CME Expenses 65% 73% 68% Relocation Expenses 6% 9% 7% Retirement/Pension Plan 62% 69% 65% Paid Time Off 29% 34% 31% None 16% 8% 13% Top 3 states respondents would choose to practice in % % 17% 17% 15% % 11% 9% 9% 9% 7% 7% 6% 6% 5% 5% 5% 0 CA FL TX CO NC WA HI NY AZ VA OR SC GA PA MD MA IN 27

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