Instructions. Frequently Asked Questions

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1 Physician Placement Starting Salary Survey: 2012 Guide to the Questionnaire Based on 2012 Data DO NOT attempt to change the settings or formatting of the Excel file. Tampering with the design of the questionnaire will distort your submission, making it ineligible for use. Instructions y p y p p g to a contract during the 12-month period of January 1, 2012 to December 31, The columns that display "R" are the variables that need to be reported to be eligible for the report. For additional information for answering the questions, please reference this tab. If your organization is an MSO, PPMC, IPA, or other type of management organization, you should complete one questionnaire for each medical practice that you manage or service that placed a provider in If you have additional questions about the survey questionnaire, call MGMA-ACMPE Data Solutions tollfree at , ext or survey@mgma.com. For a complete summary of the list box options, print the Codes Sheet. Frequently Asked Questions What is the purpose of this survey questionnaire? This survey collects data for the MGMA Physician Placement Starting Salary Survey: 2013 Report Based on 2012 Data. This report provides comparison data on provider placements from independent recruiting firms and health care organizations with employed recruitment staff. Who is conducting this questionnaire? MGMA-ACMPE Data Solutions Department in collaboration with the National Association of Physician Recruiters (NAPR). Who should complete this questionnaire? One survey should be completed for each independent recruiting firm, health care organization with employed recruitment staff, or anyone who has placed a provider between January 1, 2012 and December 31, If you are an employed recruiter with a health care organization, DO NOT complete information on any Why should I participate? All eligible participating organizations will receive a complimentary copy of the findings. The survey will provide accurate data on the range of provider placements to assist recruiters and health care organizations in benchmarking salaries and other employment terms. The reported data will provide an industry assessment of provider employment characteristics and serve as the basis for future analysis of trends and factors influencing provider recruitment.

2 Do I need to answer all of the questions? We would appreciate receiving the requested information on your organization to the extent you can provide it. The quality of our reported results depends upon the completeness and accuracy of every response. Questions marked with an "R" are required. If any of the following questions are omitted the respondent's questionnaire will be considered incomplete and ineligible for data inclusion: Practice Information Matrix (Practice Information Sheet) Practice ID (Question 1) Did you have any placements in 2012? (Question 2) First Name Last Name Organization Name Address City State Zip Code Provider Matrix Practice ID (Question 1) Placement ID (Question 2) Specialty (Question 3) Gender (Question 4) Medical Graduate Type (Question 5) Years of Experience (Question 6) New Physician Hired Out of Residency or Fellowship (Question 7) Practice Type (Question 10) Location of Placement (Question 11) Report if the Provider Relocated (Question 13) Demographic Classification (Question 14) First Year Guaranteed Comp Amount (Question 15) What if I am unsure about how to answer a question properly? Please refer to this guide for clarifications and definitions related to the questionnaire. For any further questions about the questionnaire call MGMA Data Solutions toll-free at , ext or e- mail survey@mgma.com. Is all survey data confidential? Yes, the MGMA-ACMPE and the MGMA Center for Research Policy on Data Confidentiality states: All data submitted to MGMA-ACMPE or to the MGMA Center for Research will be kept confidential. All submitted data and related materials that identify a specific organization or individual will be safeguarded and will not be published or voluntarily released within the public domain without written Only summary statistics will be published. A summary statistic will be reported only if there are sufficient responses and if the anonymity of those submitting data is protected.

3 When is my response due? The due date is January 25, The survey results will be much more useful to you if we can report the results on a timely basis. We have a very tight schedule for obtaining responses, processing the data and publishing the 2013 Physician Placement Starting Salary Report. Therefore, we would sincerely appreciate you giving this survey a high priority and returning your completed survey as soon Can the data be submitted electronically? As an alternative to the Excel Survey, you may visit www6.mgma.com and take this survey via the MGMA Data Solutions Web portal. This Web portal allows you to enter placements on a perpetual Where do I send a completed questionnaire? Please your completed survey to survey@mgma.com. Practice Information Practice ID Indicate your organization's name or tracking number for the practice. If you do not have a unique identifier, create a series of letters and numbers for each practice (ex x). This will be used to Did you have any placements in 2012? Choose 1 for "Yes" or 2 for "No". If you did not place any providers in 2012 please discontinue participating in the survey. Are you an MGMA-ACMPE, National Association of Physician Recruiters (NAPR), or Association of Staff Physician Recruiters (ASPR) member? (select all that apply) For each organization that you belong to enter a 1 for "Yes" if you are a member and enter 2 for "No" if you are not a member. Which option best describes your organization? Select the option that best describes the type of organization this questionnaire represents. What is the contact information for the individual who completed the survey? If we need to clarify any responses, it is helpful to have the name of the person who is most familiar with the completed questionnaire. Provide complete information. Provider Placement Matrix The matrix requests information for questions 1 through 24. Complete this section for providers who were signed to a contract for a permanent full-time position during the 12-month period of January 1, 2012 to December 31, The information collected in this section pertains to the provider's first-year contract with the practice in which he/she was assigned. Practice ID This will be used to match the practice to the placement. This ID must match the ID of the practice specified in the Practice Information sheet. Indicate your organization's name or tracking number for the practice. If you do not have a unique identifier, create a series of letters and numbers for each practice

4 Placement ID Indicate a tracking number for each new provider. This number may be numeric, alpha, or a combination of both, such as the last four numbers of a SSN or initials for each individual, and may be up to 6 digits long. If you do not have an internal unique identifier, create a series of letters and numbers for each provider. Specialty Select only one specialty for each provider using the primary specialty codes provided. A provider should be classified in the specialty or subspecialty for which they were recruited. If a provider is of a specialty other than the options provided, write his/her specialty in column 2T. Gender Report gender by entering 1 for Male or 2 for Female. Medical graduate type Report the placement's origin of graduation as 1 for "American Education" or 2 for Foreign Education." American Education: An American graduate is defined as any provider, regardless of nationality, who graduated from a medical program within the United States. Foreign Education: An international medical graduate is defined as any provider, regardless of nationality, who graduated from a medical program outside the United States. Years of experience Report the number of years the provider has practiced in his or her primary specialty. Experience begins at the time the provider completes their education program. New physician hired out of residency or fellowship (Answer for Physicians Only) p y g Residency: A period of advanced medical training and education that normally follows graduation from medical school and licensing to practice medicine. This process consists of supervised practice of a specialty in a hospital and in its outpatient department and instruction from specialists on the hospital staff. Fellow: A physician who has completed training as a resident and has been granted a position allowing him or her to do further study or research in a specialty. Medium From the options listed, select the choice that represents the medium used to attract the placement. Practice ownership From the options listed, select the choice that represents the majority owners of the practice in which the provider was placed. If ownership is not listed in the options provided, write ownership in column 9T. If your organization is an MSO, PPMC, IPA, or other type of management organization, you should complete one questionnaire for each medical practice that you manage or service.

5 Government: A governmental organization at the federal, state, or local level. Government funding is not a sufficient criterion. Government ownership is the key factor. An example would be a medical clinic at a federal, state, or county correctional facility. Hospital/integrated delivery system (IDS): An IDS is a network of organizations that provide or coordinate and arrange for the provision of a continuum of health care services to consumers and is willing to be held clinically and fiscally responsible for the outcomes and the health status of the populations served. Generally consisting of hospitals, physician groups, health plans, home health agencies, hospices, skilled nursing facilities, or other provider entities, these networks may be built through "virtual" integration processes encompassing contractual arrangements and strategic alliances as well as through direct ownership. A hospital is an inpatient facility that admits patients for overnight Insurance company or health maintenance organization (HMO): An insurance company is an organization that indemnifies an insured party against a specified loss in return for premiums paid, as stipulated by a contract. An HMO is an insurance company that accepts responsibility for providing and delivering a predetermined set of comprehensive health maintenance and treatment services to a voluntarily enrolled population for a negotiated and fixed periodic premium. MSO, PPMC, etc: An MSO is an entity organized to provide various forms of practice management and administrative support services to health care providers. These services may include centralized billing and collections services, management information services, and other components of the managed care infrastructure. MSOs do not actually deliver health care services. MSOs may be jointly or solely owned and sponsored by physicians, hospitals or other parties. Some MSOs also purchase assets of affiliated physicians and enter into long-term management service arrangements with a provider network. Some expand their ownership base by involving outside investors to help capitalize the development of such practice infrastructure. A PPMC is an entity that maintains full or partial ownership interest in, and provides management services to, multiple physician organizations. PPMCs may own practices that span multiple specialties, An Independent Practice Association (IPA) is an association or network of licensed providers and/or medical practices. An IPA is usually a unique legal entity, most often operating on a for-profit basis. Typically, the primary purpose of the IPA is to secure and maintain contractual relationships between Physicians: Any doctor of medicine (MD) or doctor of osteopathy (DO) who is duly licensed and qualified under the law of jurisdiction in which treatment is received. University or medical school: A university is an institution of higher learning with teaching and research facilities comprising undergraduate, graduate and professional schools. A medical school is an institution that trains physicians and awards medical and osteopathic degrees. Other: Describe the type of entity in the "Other" box. Practice type From the options listed, select the choice that represents the practice type in which the provider was placed. If practice type is not listed in the options provided, describe practice type in column 10T.

6 Solo practice: A medical practice where there is only one "solo" physician within the practice. Single specialty: A medical practice that focuses its clinical work in one specialty. The determining factor for classifying the type of specialty is the focus of clinical work and not necessarily the specialties of the physicians in the practice. For example, a single-specialty neurosurgery practice may include a could include more than one primary care specialty and a surgical specialty such as Obstetrics/Gynecology. Hospital department: A medical practice which consists of physicians practicing in a hospital which could include more than one primary care specialty and a surgical specialty. ( ) p Medicaid reimbursement. The purpose of the RHC program is improving access to primary care in underserved rural areas. RHCs are required to use a team approach of physicians and midlevel practitioners (nurse practitioners, physician assistants, and certified nurse midwives) to provide services. The clinic must be staffed at least 50% of the time with a midlevel practitioner. RHCs may also provide other health care services, such as mental health or vision services, but reimbursement for those services may not be based on their allowable costs. Federally Qualified Health Center (FQHC): Is a reimbursement designation that refers to several health programs funded under Section 330 of the Public Health Service Act of the United States of America's Federal Government. These 330 grantees in the Health Center Program include: -Community Health Centers which serve a variety of underserved populations and areas; -Migrant Health Centers which serve migrant and seasonal agricultural workers; -Health Care for the Homeless Programs which reach out to homeless individuals and families and provide primary and preventive care and substance abuse services; and -Public Housing Primary Care Programs that serve residents of public housing and are located in or adjacent to the communities they serve. oral, and mental health/substance abuse services to persons in all stages of the life cycle, regardless of their ability to pay. Academic Department: A department in an institution that trains physicians and awards medical and osteopathic degrees. Location of placement Report the state where the placement opportunity was located. Use only the state abbreviations. If the provider was placed outside of the United States, please write "OOC" - Out of Country - in this column. Size of practice Report the practice's full-time-equivalent (FTE) physician count in which the provider was placed. If an exact number is not known, a best estimate is acceptable. minimum for a normal workweek. For example, this could be 37.5 hours, 40 hours, 50 hours, or some other standard.

7 Relocation Report if the provider relocated by entering 1 for "Yes", 2 for "No", or 3 for "Unknown." If the provider relocated, then also report the state where the provider relocated from. Use only the state abbreviations. If the provider relocated from outside of the United States, please write "OOC" - Out of Demographic classification From the options listed, select the choice that represents the demographic classification in which the provider was placed. Rural/Nonmetropolitan (fewer than 5,000) - The community in which the practice is located within a "metropolitan statistical area" (MSA), as defined by the United States Office of Management and Budget, and has a population less than 5,000. Nonmetropolitan (5,000 to 10,000) - The community in which the practice is located within a "metropolitan statistical area" (MSA), as defined by the United States Office of Management and Budget, and has a population of 5,000 to 10,000. Nonmetropolitan (10,001 to 50,000) - The community in which the practice is located within a "metropolitan statistical area" (MSA), as defined by the United States Office of Management and Budget, and has a population of 10,001 to 50,000. Metropolitan (50,001 to 100,000) - The community in which the practice is located within a "metropolitan statistical area" (MSA) or Census Bureau defined urbanized area with a population of Metropolitan (100,001 to 250,000) - The community in which the practice is located within a "metropolitan statistical area" (MSA) or Census Bureau defined urbanized area with a population of Metropolitan (250,001 to 500,000) - The community in which the practice is located within a "metropolitan statistical area" (MSA) or Census Bureau defined urbanized area with a population of Metropolitan (500,001 to 1,000,000) - The community in which the practice is located is a "metropolitan statistical area" (MSA) or Census Bureau defined urbanized area with a population of Metropolitan (more than 1,000,000) - The community in which the practice is located a "primary metropolitan statistical area" (PMSA) with a population of more than 1,000,000. First year guaranteed compensation amount (excluding benefits and signing bonuses) Report the first year guaranteed contract dollar amount. Do not include: The dollar value of a signing bonus and other dollar amounts received through bonus system, such as production-based bonuses, the dollar value of expense reimbursements, fringe benefits paid by the medical practice such as retirement plan contributions, life and health insurance or automobile allowances or any employer contributions to a 401(k), 403(b) or Keogh Plan. Production bonus Indicate if the provider was eligible for a bonus based on their production during the first year.

8 Nose coverage offered Indicate if the provider was offered nose coverage in his or her contract. Nose Coverage is defined as a "type of professional liability or malpractice coverage that extends the effective date of claims-made policies to a prior date. It is also called retroactive or prior acts coverage." Nose coverage amount Report the dollar amount of the nose coverage that was offered in his/her contract. Tail coverage offered Indicate if the provider was offered tail coverage in his or her contract. Tail Coverage is defined as "a type of professional liability or malpractice coverage that protects the provider against all claims that arise from professional services performed while the claims-made policy was in effect, but which were reported after the termination of the policy." Tail coverage amount Provide the dollar amount of the tail coverage that was offered in his/her contract. Signing bonus offered Indicate if the provider was offered a signing bonus in his or her contract. Amount of signing bonus Report the dollar value that the provider received as a signing bonus in his/her contract. Do not include: The dollar value of stipends, student loan repayments, or relocation expenses. Loan forgiveness offered Indicate if the provider was offered loan forgiveness in his or her contract. Amount of loan forgiveness Select the category that best represents the dollar value that the provider received as loan forgiveness in his or her contract. Relocation expenses paid Indicate if the provider had any of their relocation expenses paid. Report status by entering 1 for Yes, 2 for No, and 3 for "Unknown." Amount of relocation expenses paid Report the dollar value that the provider received, in their contract, for expenses associated with

9 First year vacation time (in weeks-excluding CME) Report the amount of weeks that the provider was given for vacation. Do not include: Any paid time off for continuing medical education (CME) for their first year of placement. p g professional performance and relationships a provider uses to provide services for patients, the public or the profession. The content of CME is the body of knowledge and skills generally recognized and accepted by the profession as within the basic medical sciences, the discipline of clinical medicine and the provision of health care to the public. First year CME Paid Time Off (in weeks) Report the amount of weeks that the provider was given for continuing medical education (CME) in his/her first year of placement. Years to partnership (Answer for Physicians Only) From the options listed, select the choice that represents how many years until an acquisition of an ownership interest in the practice is offered.