2014 MPCA Compensation & Benefits Survey Return to Merces Consulting Group, Inc. by September 15,

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1 2014 MPCA Compensation & Benefits Survey Return to Merces Consulting Group, Inc. by September 15, Org. Name: Completed by: Title: Address: Phone: Top Executive: Title: EMPLOYMENT Management Providers (inc. mid-levels) Non-provider clinical staff Non-mgmt. admin. staff TOTAL Full-Time Part-Time Total FTE (Full Time Equivalent) If the organization has salary/wage ranges, what method is used to assign jobs to pay grades? point factor or other formal job evaluation method discretion labor market rates other (describe: ) Does the organization give the same percentage amount of pay increase to all employees (e.g., general increase or cost of living )? YES NO If the organization gives the same percentage increase, by what percentage were they increased: in 2014: % est. for 2015: % Does the organization give different percentage increases to employees based on performance or abilities (e.g., merit increase )? YES NO If the organization gives merit increases, what is the budget: in 2014: % est. for 2015: % What is the total budget for increasing pay to employees (including general and merit increases, but not promotional increases): What is the total expense budget for the organization? (report in millions) For Fiscal 2014: Est. Fiscal 2015: in 2014: % INCENTIVE PLANS est. for 2015: % What is the total revenue budget for the organization? (report in millions) For Fiscal 2014: Est. Fiscal 2015: How many hours are in the regularly scheduled workweek? (e.g., 40) COMPENSATION PROGRAMS Does the organization have a formal salary/wage structure? YES NO If the organization has salary/wage ranges, by what average percentage were they increased: in 2014: % est. for 2015: % Does the organization have a general bonus/ incentive plan? YES NO If yes, which of the following types of employees participate?: Executive/management Professional staff Non-provider clinical staff Clerical/administrative staff Which of the following methods are used to compensate providers? Base Salary Productivity-based compensation (e.g. per encounter) Incentive/Bonus (may include productivity, but not paid solely on per encounter (visit/rvu/other) basis Other, please describe:

2 2014 MPCA Compensation & Benefits Survey Return to Merces Consulting Group, Inc. by September 15, BENEFIT PROGRAMS Paid Time Off Number of paid holidays: Method of paying for jury duty: 1 No reimbursement/compensation 2 Pay difference between regular pay and court pay 3 Full pay, no reduction for court pay Maximum paid days off allowed for funeral/bereavement? immediate family member extended family member friend/colleague If you have a combined time off or personal time off plan instead of separate time off programs, please complete the following two questions, and then skip to health insurance : Total number of days off after an employee has the following years of service: one year three years five years ten years What is the most number of days an employee can have in a combined time off bank? If you have separate paid time off policies Number of paid sick days: Number of paid personal days: Number of years of service required to earn the following weeks of vacation: 1 week (5 days) 2 weeks (10 days) 3 weeks (15 days) 4 weeks (20 days) 5 weeks (25 days) Salaried employees Hourly employees Health Insurance Do you offer a High Deductible Health Plan (HDHP)? YES NO If yes, is there a: Health Savings Account? YES NO Health Reimbursement Account? YES NO What is the annual limit on employer contributions to HSA/HRA? Single $ Two Person $ Family $ Plan Premiums (report monthly amounts) Point of Service HMO PPO Offer this type of program? YES NO YES NO YES NO Total Premium Employee-Only % of premium paid by employee (employee only) Total Premium Employee + 1 % of premium paid by employee (employee + 1) Total Premium Full Family % of premium paid by employee (full family) Plan Provisions Point of Service HMO In Network Annual Deductible $ $ $ In Network Family Deductible $ $ $ Cost per office visit $ $ $ Cost for emergency visit $ $ $ PPO In Network Employee Copay % % % Maximum annual in network $ $ $ individual coinsurance Maximum annual in network family coinsurance $ $ $ Prescription Drug Program? YES NO YES NO YES NO Copay for Generic Drugs $ $ $ Co-pay Brand Name Drugs $ $ $

3 2014 MPCA Compensation & Benefits Survey Return to Merces Consulting Group, Inc. by September 15, Dental insurance is provided YES NO % of premium paid by employee for employee coverage % individual annual deductible $ family annual deductible $ employee co-pay for preventative services % annual maximum benefit $ life-time benefit for orthodontia $ Life & Disability Insurance Life insurance is available/provided YES NO Life insurance (list the actual benefit amount, either as a % of pay, or a dollar amount, however it is quoted) Accidental death coverage is available/provided YES NO Accidental death (list the actual benefit amount, either as a % of pay, or a dollar amount, however it is quoted) Short-Term Disability (STD) is available/provided YES NO Actual Short-Term Disability (STD) weekly benefit (list the actual benefit amount, either as a % of pay or a dollar amount, however it is quoted) Duration STD benefit is paid (in weeks) wks Waiting period in event of illness days Waiting period in event of accident days Long-Term Disability (LTD) is available/provided YES NO Actual Long-Term Disability (LTD) monthly benefit (list the actual benefit amount, either as a % of pay or a dollar amount, however it is quoted) Waiting period before LTD benefits are payable (in days) days Retirement Plans What is the age (e.g. 65) for: normal retirement early retirement What type of pension/retirement plans do you have? no pension/retirement plans profit-sharing pension (defined benefit or defined contribution) savings (e.g., 401(k)) If you have a 401(k) type plan, how much (on average, as a percent of pay) do you contribute, regardless of whether the employee contributes ( safe harbor contribution )? If your plan provides for a matching contribution, how do you match contributions by employees (e.g., 50% of first 6% of pay): TRAINING & DEVELOPMENT Check all of the following that you provide to employees (either paid directly or reimbursed): tuition assistance for a Bachelor s Degree college program related to the current (or potential future) position If yes, annual $ limit: tuition assistance for a Master s Degree college program related to the current (or potential future) position If yes, annual $ limit: seminars related to the employee s current position If yes, annual $ limit: dues or fees for membership in professional organizations If yes, annual $ limit: professional publications or professional journals/magazines If yes, annual $ limit:

4 2014 MPCA Compensation & Benefits Survey Return to Merces Consulting Group, Inc. by September 15, Compensation Information - Instructions The purpose of this section is to gather information on actual pay practices. You do not need to find a survey job for each employee, only those that are actually like the description. Do not include outliers or individuals who are paid significantly differently from most employees in the job. Please report individuals in only one job; if they have multiple responsibilities, select only the role that is most appropriate. : Report the title that is used in your organization for this job. Job: Report the number of employees in this job. Actual Pay: Enter either the average hourly or average annualized base pay for all employees in the job, using current pay rates; Please include all employees as either annual or hourly do not mix full-time and part-time salaries. If part-time employees are included, please use the annual rate they would earn if they were full-time if using annual averages, or convert all employees to hourly rates. (5) Midpoint/Target: Enter the established midpoint for the pay grade for employees in the job; if the rate is hourly, please provide an annual amount using the regularly scheduled workweek reported previously (6) OT Elig.?: Circle Y if employees in the job are eligible for overtime, or N if they are not. Circle either Y or N Please do not leave blank (7) Bonus Elig.? Circle Y if employees in the job are eligible for bonuses, or N if they are not. Circle either Y or N Please do not leave blank (8) Bonus: Enter the average bonus earned for the most recently completed fiscal year, whether paid or deferred. Please enter an annual amount. Please do not leave blank. If no bonus was paid, enter 0. If you do not know the amount, enter DNK Job Annual Pay (5) Midpoint/ Target Rate (6) OT Elig? (7) Bonus Elig.? (8) Avg. Bonus/ Incentive ($) EXAMPLE: Staff Accountant 4 $42,500 $45,000 Y N $0 EXECUTIVE/ADMINISTRATION POSITIONS President/CEO/Exec Director Y N Y N EVP/SVP/Deputy Director Y N Y N Executive Assistant Y N Y N Executive Secretary Y N Y N Administrative VP/Director Y N Y N MEDICAL/CLINICAL OPERATIONS COO/Operations Director Y N Y N Quality Director/Manager Y N Y N Clinic Director/Manager Y N Y N Clinic Office Manager Y N Y N Supervisor Front Desk Y N Y N Front-Desk/Intake (Med./Dent.) Y N Y N Financial Eligibility Specialist Y N Y N Referral Clerk/Coordinator Y N Y N Bus/Van Driver Y N Y N

5 2014 MPCA Compensation & Benefits Survey Return to Merces Consulting Group, Inc. by September 15, (5) Midpoint/ (6) (7) Bonus Job Annual Pay Target Rate OT Elig? Elig.? NURSING/DENTAL SERVICES Nursing Services Director Y N Y N Nursing Manager Y N Y N Case Manager Y N Y N Nurse RN Y N Y N Patient Care Spec. (LPN/MA) Y N Y N Nurse LPN Y N Y N Medical Assistant Y N Y N Dental Assistant Y N Y N (8) Avg. Bonus/ Incentive ($) Registered Dental Assistant MEDICAL RECORDS Medical Records Dir./Mgr. Y N Y N Medical Records Supervisor Y N Y N Medical Records (EHR) Tech. Y N Y N Medical Records Clerk Y N Y N LABORATORY/RADIOLOGY/PHARMACY Phlebotomist Y N Y N X-Ray Technician Y N Y N Sonographer/Ultrasound Tech. Y N Y N Pharmacy Technician Y N Y N Pharmacy Assistant Y N Y N SOCIAL SERVICES/BEHAVIORAL HEALTH Director of Programs Y N Y N Program/Project Manager Y N Y N Addiction Counselor Y N Y N Social Worker (MSW) Y N Y N Social Worker (BSW) Y N Y N Health Educator Y N Y N Outreach Wkr./Health Navigator Y N Y N

6 2014 MPCA Compensation & Benefits Survey Return to Merces Consulting Group, Inc. by September 15, NUTRITION/WIC Job Annual Pay (5) Midpoint/ Target Rate (6) OT Elig? WIC Program Director Y N Y N Registered Dietitian Y N Y N Nutritionist Y N Y N WIC Program Clerk Y N Y N ACCOUNTING/FINANCE Top Financial Officer Y N Y N Accounting Manager/Controller Y N Y N Sr. Accountant Y N Y N Accountant Y N Y N Accounting Clerk Y N Y N Billing Manager/Supervisor Y N Y N Patient Accounts/Billing Clerk Y N Y N INFORMATION SYSTEMS IS Manager/Director Y N Y N IS Specialist (Small Operation) Y N Y N Network Administrator Y N Y N PC/Microcomputer Technician Y N Y N HUMAN RESOURCES Human Resources Dir./Mgr. Y N Y N HR Generalist Y N Y N HR Assistant Y N Y N BUILDINGS & GROUNDS Facilities/Maintenance Manager Y N Y N Building Maintenance Person Y N Y N Custodian Y N Y N CLERICAL/ADMINISTRATIVE Administrative Assistant Y N Y N (7) Bonus Elig.? Receptionist Y N Y N (8) Avg. Bonus/ Incentive ($)

7 2014 MPCA Compensation & Benefits Survey Return to Merces Consulting Group, Inc. by September 15, PROVIDER COMPENSATION The purpose of this section is to gather information on actual pay practices for providers, and to do so in a way that accurately reflects the annual compensation cost of a full-time provider. Many organizations will have part-time providers as well as full-time. If you are able to annualize part-time provider compensation, please do, and include it with your full-time averages; however, if it is difficult or if information is unavailable, please report information for full-time staff only. : Report the title that is used in your organization for this job. Job: Report the number of employees in this job. Base Pay: Enter either the average annualized base salary. Base salary is defined as the amount the provider is paid regardless of productivity. (9) Productivity Pay: Enter the amount of compensation received based solely on the provider s productivity, whether this is paid during the year (e.g., as in a draw ) or quarterly/annually. (10) Other Incentives: Enter the total amount of cash compensation received from incentive plans based on factors other than productivity (or which may include productivity, but are not based solely on productivity). (11) Total Cash Comp. Enter the average total amount of cash compensation received from all sources. DENTAL PROVIDERS Job Base Pay (9) Avg. Productivity Pay (10) Avg. Other Incentives (11) Avg. Total Compensation Dental Director Dentist Dental Hygienist MEDICAL PROVIDERS Medical Director Physician OB/GYN Physician Family Prac. (no OB) Physician Family Prac. (w/ OB) Physician Pediatrician Physician Internal Medicine Physician Assistant Nurse Practitioner Certified Nurse Midwife PHARMACY PROVIDERS Pharmacy Director Pharmacist

8 2014 MPCA Compensation & Benefits Survey Return to Merces Consulting Group, Inc. by September 15, Job Base Pay (9) Avg. Productivity Pay (10) Avg. Other Incentives (11) Avg. Total Compensation MENTAL HEALTH PROVIDERS Psychiatrist (MD) Psychologist (Ph.D.) RETURN THE COMPLETED QUESTIONNAIRE TO MERCES CONSULTING GROUP, INC. BY SEPTEMBER 15, 2014 Merces Consulting Group, Inc. ATTN: MPCA Compensation & Benefits Survey 306 South Washington Ave., Suite 300 Royal Oak, MI FAX: lmbudd@mercesconsulting.com For questions on completing the survey, contact Linda Budd at Merces Consulting Group, Inc. at or by at lmbudd@mercesconsulting.com.

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