MEMORANDUM. SUBJECT: Benchmarks for the Second Half of 2008 & 12 Months Ending 12/31/08

MEMORANDUM TO: FROM: HR Investment Center Members Matt Cinque, Managing Director DATE: March 12, 2009 SUBJECT: Benchmarks for the Second Half of 2008 & 12 Months Ending 12/31/08 Please find enclosed the HR Investment Center s benchmarks reflecting performance for the calendar year 2008 as well as July December 2008. This correspondence contains medians for 13 metrics that comprise the Center s benchmarking initiative. This report includes the first 12-month reporting for three metrics added in 2008 two vacancy metrics calculated using open requisitions and time-to-fill for all employees. Thanks to the full or partial responses from 221 member hospitals, the subsequent report offers further analyses regional cuts, quartile rankings, and segmentation based on case mix. If you have a need for specific data points that you do not find in this report or suggestions for additional data cuts, please do not hesitate to contact me by email (cinquem@advisory.com) or phone (202-266-5499). The HR Investment Center is committed to this initiative in the long-term, and we want to ensure that we are providing data in the most usable format. For those hospitals that have yet to submit data for 2008, I would encourage you to do so using the online worksheet at www.advisory.com/hric. Even late, this data will be valuable for identifying metric trends. In closing, I would like to thank the participating member organizations and, in particular, the HR executives, directors, managers and analysts who pulled this data together. As more and more hospital and health system HR departments seek to elevate their strategic profile in their organizations, this data will help to make the case for greater investment in and focus on human capital. 1

TABLE OF CONTENTS Median Results for the Second Half of 2008....... 3 Median Results for the Twelve Months Ending December 31, 2008......4 Metric Component List for 2008....5 July-December 2008 Performance for All Hospitals.......6 12-Months Ending December 31, 2008 Performance for All Hospitals..8 12-Months Ending December 31, 2008 Performance by Bed Size...10 12-Months Ending December 31, 2008 Performance by Region...12 12-Months Ending December 31, 2008 Performance by Case Mix......14 12-Months Ending December 31, 2008 Performance by Union Status...16 12-Months Ending December 31, 2008 Performance by Hospital Type......18 2

Turnover MEDIAN RESULTS FOR THE SIX MONTHS ENDING DECEMBER 31, 2008 * National Hospital Medians Usable Responses 7.9% 208 Calculation (numbers in parentheses correspond to data points on collection worksheet) #17 + #18 ( ( #1 + #2 + #3 + #4 ) / 2 ) PRN /per 6.2% 214 18.5% 206 7.4% 210 5.5% 214 15.5% 208 #17 ( ( #1 + #3 ) / 2 ) #18 ( ( #2 + #4 ) / 2 ) #19 + #20 ( ( #5 + #6 + #7 + #8 ) / 2 ) #19 ( ( #5 + #7 ) / 2 ) #20 ( ( #6 + #8 ) / 2 ) Percentage of turnover attributed to employees with less than one year of tenure Vacancy 32.2% 202 FTEs 3.8% 126 requisitions 3.6% 186 FTEs 4.9% 129 requisitions 4.8% 187 Labor Costs Time-to-fill, all positions 57.0 121 Total Premium Labor Expense as a Percent of Payroll Expense 7.3% 137 #21 #17 #11 #15 #12 # 3 + #12 #13 #16 #14 # 7 + #14 #10 #9 #22 + #23 #24 * All data on this page reflects six month performance; it has NOT been annualized 3

MEDIAN RESULTS FOR THE TWELVE MONTHS ENDING DECEMBER 31, 2008 Turnover National Hospital Medians Usable Responses 16.8% 192 Calculation * (numbers in parentheses correspond to data points on collection worksheet) #17 + #18 ( ( #1 + #2 + #3 + #4 ) / 3 ) PRN /per 12.5% 199 37.8% 192 15.5% 191 11.2% 199 34.4% 191 #17 ( ( #1 + #3 ) / 3 ) #18 ( ( #2 + #4 ) / 3 ) #19 + #20 ( ( #5 + #6 + #7 + #8 ) / 3 ) #19 ( ( #5 + #7 ) / 3 ) #20 ( ( #6 + #8 ) / 3 ) Percentage of turnover attributed to employees with less than one year of tenure Vacancy 31.8% 173 FTEs 4.7% 111 requisitions 4.6% 164 FTEs 5.8% 114 requisitions 5.9% 162 Labor Costs Time-to-fill, all positions 55.6 days 96 Total Premium Labor Expense as a Percent of Payroll Expense 8.0% 118 #21 #17 #11 #15 #12 # 3 + #12 #13 #16 #14 # 7 + #14 #10 #9 #22 + #23 #24 * All calculations for 12-months ending December 31, 2008 metrics combine data from the first half of 2008 and second half of 2008 data collections. * Turnover metrics divided by 3 because denominator calculation takes average number of employees using three data points: employees on January 1, 2008, June 30, 2008, and December 31, 2008. 4

Premium Labor Separations Budgeted Positions Open Positions Total Number of Employees METRIC COMPONENT LIST REQUESTED DATA POINT 1. Total number of full-time and part-time employees at beginning of timeframe [excludes HH, MR, PRN] 2. Total number of diem employees at beginning of timeframe [excludes FTPT, FP] 3. Total number of full-time and part-time employees at end of timeframe [excludes HH, MR, PRN] 4. Total number of diem employees at end of timeframe [excludes FTPT, FP] 5. Total number of full-time and part-time nurses at beginning of timeframe [excludes HH, LPN, PRN, EX] 6. Total number of diem nurses at beginning of timeframe [excludes FTPT, FP] 7. Total number of full-time and part-time nurses at end of timeframe [excludes HH, LPN, PRN, EX] 8. Total number of diem nurses at end of timeframe [excludes FTPT, FP] 9. Total number of full-time and part-time employees hired between beginning and end of timeframe [excludes HH, MR, PRN] 10. Total number of calendar days between date of posting position and date of offer acceptance among all full-time and part-time employees hired during timeframe [excludes HH, MR, PRN] 11. Total number of open budgeted FTE positions at end of timeframe[excludes HH, MR, PRN] 12. Total number of open requisitions on last day of timeframe [excludes HH, MR, PRN] 13. Total number of open nursing budgeted FTE positions at end of timeframe [excludes HH, LPN, PRN, EX] 14. Total number of open nursing requisitions on last day of timeframe [excludes HH, LPN, PRN, EX] 15. Total number of budgeted FTE positions at end of timeframe [excludes HH, MR, PRN] 16. Total number of budgeted nursing FTE positions at end of timeframe [excludes HH, LPN, PRN, EX] 17. Total number of separations among all full-time and part-time employees between beginning and end of timeframe [excludes HH, MR, PRN, LOA] 18. Total number of separations among all diem employees between beginning and end of timeframe [excludes FTPT, FP, LOA] 19. Total number of separations among full-time and part-time nurses between beginning and end of timeframe [excludes HH, LPN, PRN, EX, LOA] 20. Total number of separations among all diem nurses between beginning and end of timeframe [excludes FTPT, FP, LOA] 21. Total number of separations from 1st day to last day of timeframe among all full-time and part-time employees with less than one year of experience [excludes HH, MR, PRN, LOA] 22. Total overtime expense between beginning and end of timeframe 23. Total agency labor & traveling labor expense between beginning and end of timeframe 24. Total payroll expense, benefits related expenses between beginning and end of timeframe Key for Exclusion Codes: HH = home health positions EX = positions with exempt status MR = medical residents FTPT = full-time and part-time employees PRN = PRN, per diem, or contingent positions FP = float pool staff LPN = LPN positions LOA= staff on approved leave of absence 5 For more explanation of exclusions/inclusions, click on the benchmarking link at www.advisory.com/hric

Turnover ALL HOSPITALS JULY- DECEMBER 2008 PERFORMANCE FOR ALL HOSPITALS N 10 th 20 th 30th 40th 50th 60th 70th 80th 90th 208 13.4% 10.8% 9.7% 8.9% 7.9% 7.4% 6.7% 6.1% 4.9% 214 9.7% 8.5% 7.3% 6.7% 6.2% 5.5% 5.1% 4.5% 3.6% PRN /per Percentage of turnover attributed to employees with less than one year of tenure 206 27.6% 24.4% 21.5% 19.6% 18.5% 16.4% 13.9% 12.8% 9.7% 210 15.3% 11.8% 9.9% 8.4% 7.4% 6.3% 5.6% 4.9% 3.9% 214 11.1% 8.8% 7.1% 6.2% 5.5% 4.8% 4.2% 3.5% 2.5% 208 33.1% 25.5% 21.2% 17.4% 15.5% 13.6% 11.8% 9.4% 5.5% 202 50.0% 46.1% 40.7% 36.4% 32.2% 29.0% 24.6% 20.9% 16.7% 6

Premium Vacancy ALL HOSPITALS JULY- DECEMBER 2008 PERFORMANCE FOR ALL HOSPITALS N 10 th 20 th 30th 40th 50th 60th 70th 80th 90th FTEs 126 9.3% 6.6% 5.2% 4.5% 3.8% 3.2% 2.6% 2.1% 1.3% requisitions 186 7.3% 5.5% 4.9% 4.4% 3.6% 3.1% 2.6% 2.1% 1.5% vacancy rate FTEs 129 15.1% 8.4% 6.8% 5.8% 4.9% 3.9% 3.0% 2.2% 1.1% vacancy rate requisitions 187 10.6% 7.6% 6.8% 5.7% 4.8% 3.8% 3.1% 2.0% 0.9% Time-to-fill, all positions (days) 121 96.3 75.0 67.6 60.0 57.0 53.0 43.7 38.7 33.0 Total Premium Labor Expense as a Percent of Payroll Expense 137 12.6% 10.9% 9.3% 8.5% 7.3% 5.9% 5.2% 4.5% 3.2% 7

Turnover ALL HOSPITALS 12 MONTHS ENDING DECEMBER 31, 2008 PERFORMANCE FOR ALL HOSPITALS N 10 th 20 th 30th 40th 50th 60th 70th 80th 90th 192 25.5% 22.4% 20.4% 18.9% 16.8% 15.4% 13.7% 12.5% 10.7% 199 19.5% 16.9% 15.2% 13.5% 12.5% 11.8% 10.4% 9.2% 8.2% PRN /per Percentage of turnover attributed to employees with less than one year of tenure 192 56.8% 48.6% 43.7% 40.0% 37.8% 34.3% 30.8% 26.6% 22.3% 191 31.3% 24.0% 20.8% 18.1% 15.5% 13.9% 12.6% 11.0% 9.0% 199 21.5% 17.5% 15.0% 13.1% 11.2% 10.0% 9.0% 7.8% 5.9% 191 66.5% 48.1% 44.6% 38.3% 34.4% 29.8% 25.9% 22.1% 16.2% 173 48.3% 42.9% 38.6% 35.0% 31.8% 28.3% 24.9% 21.6% 13.7% 8

Premium Vacancy ALL HOSPITALS 12 MONTHS ENDING DECEMBER 31, 2008 PERFORMANCE FOR ALL HOSPITALS N 10 th 20 th 30th 40th 50th 60th 70th 80th 90th FTEs 111 10.0% 7.4% 6.4% 5.5% 4.7% 4.0% 3.5% 2.7% 2.0% requisitions 164 9.1% 7.0% 6.2% 5.4% 4.6% 3.9% 3.4% 2.8% 2.2% vacancy rate FTEs 114 13.0% 9.4% 7.9% 6.9% 5.8% 5.1% 3.9% 3.0% 1.8% vacancy rate requisitions 162 12.0% 9.0% 8.0% 6.9% 5.9% 5.0% 4.2% 3.3% 2.3% Time-to-fill, all positions (days) 96 87.2 77.3 70.0 60.3 55.6 51.1 49.1 41.5 34.5 Total Premium Labor Expense as a Percent of Payroll Expense 118 12.8% 10.8% 9.5% 8.9% 8.0% 6.6% 6.0% 5.1% 3.8% 9

PERFORMANCE BY BED SIZE Hospitals with less than 101 beds Hospitals with 101 250 beds Hospitals with 251 500 beds Hospitals with more than 500 beds HOSPITALS BY BED SIZE PRN /per Percentage of turnover attributed to employees with less than one year of tenure N 55 58 55 55 58 55 52 10th 26.5% 20.6% 55.9% 34.7% 23.3% 62.5% 48.3% 25th 22.7% 18.2% 45.2% 23.4% 17.5% 45.4% 42.2% 50th 18.1% 13.6% 37.4% 16.7% 11.9% 34.7% 33.3% 75th 13.5% 10.3% 30.0% 13.3% 8.8% 26.3% 26.8% 90th 12.1% 8.5% 25.0% 10.0% 7.3% 16.2% 14.1% N 54 54 54 53 54 53 50 10th 28.2% 20.1% 63.1% 36.7% 22.6% 81.8% 52.4% 25th 23.1% 15.6% 55.3% 26.0% 17.1% 64.3% 46.3% 50th 19.5% 12.6% 42.9% 19.7% 12.0% 36.1% 31.5% 75th 15.0% 9.6% 32.5% 11.1% 8.1% 24.2% 22.4% 90th 10.5% 8.0% 22.6% 8.2% 5.1% 15.6% 15.6% N 49 52 49 49 52 49 44 10th 23.7% 18.9% 44.9% 24.2% 19.0% 46.4% 44.7% 25th 18.6% 15.1% 42.7% 18.3% 13.6% 40.1% 38.3% 50th 15.3% 12.5% 34.9% 13.6% 10.9% 30.0% 29.5% 75th 12.6% 9.8% 24.9% 11.2% 8.3% 19.8% 22.5% 90th 10.7% 8.5% 18.4% 8.9% 6.7% 15.1% 13.3% N 34 35 34 34 35 34 27 10th 21.5% 17.2% 46.5% 23.6% 17.9% 58.0% 41.3% 25th 19.0% 14.3% 39.8% 19.9% 14.6% 44.3% 35.4% 50th 16.0% 12.3% 36.0% 14.9% 11.3% 35.3% 31.8% 75th 12.2% 9.7% 28.0% 11.2% 8.3% 27.5% 22.9% 90th 10.0% 7.5% 21.5% 9.4% 6.4% 17.9% 17.4% 10

HOSPITALS BY BED SIZE PERFORMANCE BY BED SIZE Hospitals with less than 101 beds Hospitals with 101 250 beds Hospitals with 251 500 beds Hospitals with more than 500 beds FTEs 11 requisitions Time-to-fill, all positions (days) Total Premium Labor Expense as a Percent of Payroll Expense vacancy rate FTEs vacancy rate requisitions N 34 48 35 48 25 41 10th 8.3% 8.8% 13.5% 11.7% 90.1 13.9% 25th 6.0% 6.6% 8.3% 8.5% 74.9 10.9% 50th 4.8% 4.5% 6.3% 6.1% 53.7 8.6% 75th 3.1% 3.1% 3.9% 3.7% 44.8 5.8% 90th 1.7% 2.0% 2.2% 2.2% 36.3 3.6% N 28 44 28 44 28 28 10th 8.0% 9.2% 10.4% 12.2% 123.2 13.1% 25th 6.3% 7.0% 8.3% 8.8% 72.1 9.7% 50th 4.1% 4.7% 5.4% 7.2% 53.3 7.6% 75th 2.8% 3.0% 3.8% 3.8% 37.8 5.0% 90th 2.3% 2.1% 2.6% 3.0% 28.7 3.5% N 32 47 33 45 26 31 10th 12.5% 9.2% 13.0% 12.2% 82.0 12.4% 25th 7.7% 6.4% 8.2% 7.4% 73.2 9.1% 50th 4.9% 4.5% 5.6% 5.6% 57.8 7.0% 75th 3.7% 3.2% 3.1% 4.1% 44.7 5.7% 90th 2.5% 2.4% 1.6% 2.5% 39.7 3.9% N 17 25 18 25 17 18 10th 11.1% 7.6% 12.7% 9.8% 89.3 11.3% 25th 7.5% 5.5% 9.0% 8.2% 70.7 9.7% 50th 4.8% 4.6% 5.9% 5.6% 57.0 7.5% 75th 3.3% 3.5% 3.9% 3.5% 52.9 6.0% 90th 2.0% 2.5% 2.2% 2.1% 49.6 5.6%

PERFORMANCE BY REGION Northeast (ME, NH, VT, MA, CT, RI, NY, PA, NJ) South (MD, DE, DC, VA, WV, NC, SC, KY, TN, GA, FL, MS, AL, LA, AR, OK, TX) Midwest (OH, MI, IN, IL, WI, MN, IA, MO, ND, SD, NE, KS) West (MT, WY, CO, NM, AZ, UT, ID, WA, OR, NV, CA, HI, AK) HOSPITALS BY REGION PRN /per 12 Percentage of turnover attributed to employees with less than one year of tenure N 29 29 29 29 29 29 27 10th 20.4% 16.0% 40.8% 19.9% 16.3% 43.3% 42.8% 25th 15.3% 13.3% 37.1% 13.9% 10.5% 34.8% 37.0% 50th 13.4% 10.3% 28.0% 11.2% 8.5% 27.2% 30.2% 75th 10.5% 9.4% 20.1% 9.0% 5.9% 17.7% 23.8% 90th 9.1% 6.4% 11.8% 7.0% 5.0% 9.6% 22.3% N 85 85 85 85 85 85 68 10th 27.3% 21.3% 60.4% 35.9% 22.9% 81.2% 51.4% 25th 24.3% 18.9% 53.7% 24.9% 19.7% 57.6% 46.7% 50th 20.4% 14.5% 44.4% 20.8% 15.0% 40.2% 38.0% 75th 16.9% 12.1% 37.4% 16.9% 10.9% 32.5% 27.4% 90th 14.7% 9.6% 29.5% 12.5% 7.8% 24.4% 22.1% N 37 44 37 37 44 37 38 10th 22.2% 18.4% 47.3% 23.9% 16.2% 47.1% 46.8% 25th 16.8% 13.9% 41.4% 16.7% 13.5% 45.4% 36.0% 50th 14.3% 11.7% 34.0% 14.0% 10.9% 32.7% 31.5% 75th 11.9% 9.3% 26.4% 12.0% 8.9% 21.1% 24.0% 90th 10.2% 7.9% 22.4% 9.5% 7.4% 18.2% 12.8% N 41 41 41 40 41 40 40 10th 21.2% 16.5% 44.8% 25.3% 18.8% 50.1% 43.1% 25th 19.1% 13.5% 39.9% 16.3% 12.0% 35.0% 37.3% 50th 15.3% 10.8% 33.5% 13.2% 9.1% 27.5% 26.3% 75th 12.3% 8.8% 28.4% 10.9% 7.3% 20.1% 11.8% 90th 10.9% 7.5% 22.7% 9.3% 5.8% 16.0% 8.7%

PERFORMANCE BY REGION Northeast (ME, NH, VT, MA, CT, RI, NY, PA, NJ) South (MD, DE, DC, VA, WV, NC, SC, KY, TN, GA, FL, MS, AL, LA, AR, OK, TX) Midwest (OH, MI, IN, IL, WI, MN, IA, MO, ND, SD, NE, KS) West (MT, WY, CO, NM, AZ, UT, ID, WA, OR, NV, CA, HI, AK) HOSPITALS BY REGION FTEs requisitions Time-to-fill, all positions (days) Total Premium Labor Expense as a Percent of Payroll Expense vacancy rate FTEs vacancy rate requisitions N 21 26 21 23 20 16 10th 10.3% 10.0% 16.2% 10.3% 155.7 11.0% 25th 8.9% 7.9% 7.9% 8.2% 82.5 8.8% 50th 4.6% 3.7% 3.8% 4.6% 52.0 6.6% 75th 2.2% 2.3% 1.7% 3.5% 46.6 6.1% 90th 1.7% 1.9% 1.2% 1.5% 39.7 5.1% N 31 61 35 62 24 44 10th 6.8% 7.0% 9.5% 10.5% 74.4 14.3% 25th 5.8% 6.1% 8.3% 8.1% 70.2 10.8% 50th 4.6% 4.6% 6.2% 6.5% 57.5 7.7% 75th 3.0% 3.5% 3.6% 4.3% 48.7 5.2% 90th 2.4% 2.6% 2.8% 3.0% 30.7 3.7% N 31 35 29 35 16 38 10th 12.7% 7.5% 17.0% 12.5% 65.1 10.1% 25th 6.7% 5.6% 10.1% 8.6% 57.8 9.4% 50th 4.0% 3.9% 7.2% 5.9% 49.5 7.2% 75th 3.0% 2.8% 4.9% 3.2% 37.3 4.9% 90th 2.1% 2.1% 2.7% 2.1% 34.3 3.3% N 28 42 29 42 36 20 10th 10.2% 11.6% 13.6% 12.8% 92.2 15.1% 25th 7.1% 7.9% 7.7% 8.7% 78.2 12.7% 50th 5.6% 6.1% 5.7% 5.8% 58.3 9.1% 75th 3.9% 4.0% 4.0% 4.1% 49.4 7.7% 90th 3.3% 2.9% 3.3% 3.1% 35.6 5.9% 13

PERFORMANCE BY CASE MIX Case Mix Index <1.3 Case Mix Index 1.3-1.5 Case Mix Index 1.5-1.7 Case Mix Index >1.7 HOSPITALS BY CASE MIX PRN /per Percentage of turnover attributed to employees with less than one year of tenure N 41 42 41 40 42 40 38 10th 27.7% 20.5% 60.4% 36.9% 24.5% 67.5% 56.9% 25th 24.3% 18.2% 53.4% 26.4% 19.8% 48.5% 46.8% 50th 21.5% 14.9% 39.7% 21.1% 14.7% 34.8% 36.6% 75th 16.2% 10.9% 30.5% 14.2% 10.0% 24.7% 27.9% 90th 10.9% 8.4% 23.7% 10.7% 5.2% 21.3% 22.8% N 51 53 51 51 53 51 52 10th 26.7% 20.7% 56.4% 32.8% 22.7% 67.4% 47.6% 25th 21.6% 15.6% 45.6% 23.8% 17.3% 45.8% 35.7% 50th 16.5% 12.0% 37.3% 16.7% 10.8% 36.6% 25.7% 75th 13.4% 9.7% 26.7% 12.4% 7.8% 26.4% 14.1% 90th 11.8% 8.5% 20.1% 9.5% 5.9% 17.3% 9.6% N 36 39 36 36 39 36 33 10th 21.6% 17.0% 46.6% 24.8% 18.9% 49.9% 42.9% 25th 17.3% 14.1% 40.3% 18.5% 14.2% 40.4% 37.4% 50th 16.1% 12.4% 35.1% 13.7% 11.1% 33.8% 32.5% 75th 12.5% 9.9% 30.1% 11.7% 8.2% 25.9% 26.5% 90th 9.2% 7.3% 24.0% 9.6% 6.9% 19.1% 19.4% N 36 37 36 36 37 36 29 10th 21.8% 18.3% 54.5% 21.7% 17.1% 59.5% 47.4% 25th 19.9% 15.3% 43.4% 18.8% 13.7% 46.6% 40.6% 50th 16.0% 12.1% 38.2% 14.1% 10.9% 33.7% 33.9% 75th 12.6% 9.6% 31.6% 11.9% 8.4% 26.5% 25.7% 90th 11.5% 8.8% 24.4% 14 9.3% 7.4% 18.4% 13.8%

HOSPITALS BY CASE MIX PERFORMANCE BY CASE MIX Case Mix Index <1.3 Case Mix Index 1.3-1.5 Case Mix Index 1.5-1.7 Case Mix Index >1.7 FTEs requisitions Time-to-fill, all positions (days) Total Premium Labor Expense as a Percent of Payroll Expense vacancy rate FTEs vacancy rate requisitions N 25 33 25 33 20 31 10th 6.3% 8.1% 10.2% 12.4% 80.1 11.7% 25th 5.0% 6.1% 8.0% 8.2% 72.3 10.6% 50th 3.9% 3.9% 5.4% 6.0% 52.3 9.2% 75th 2.7% 3.1% 3.2% 3.4% 40.5 6.1% 90th 1.7% 2.3% 2.7% 2.4% 36.7 4.0% N 33 45 32 43 26 28 10th 10.6% 10.9% 16.1% 15.2% 91.8 12.6% 25th 8.7% 7.9% 11.1% 10.8% 68.5 9.6% 50th 6.0% 5.6% 5.8% 6.9% 55.4 7.1% 75th 3.4% 3.5% 3.2% 4.1% 40.6 4.9% 90th 2.1% 2.8% 1.6% 2.8% 29.2 3.1% N 22 34 21 33 21 26 10th 7.8% 6.8% 9.4% 9.2% 84.9 11.4% 25th 6.6% 5.8% 7.3% 8.1% 73.3 9.3% 50th 4.8% 4.2% 6.2% 5.9% 58.5 6.6% 75th 4.0% 2.7% 4.9% 3.5% 50.0 5.4% 90th 2.8% 2.4% 2.6% 2.3% 41.5 4.3% N 19 29 22 29 17 19 10th 8.0% 6.7% 9.1% 7.2% 77.3 15.2% 25th 6.6% 4.9% 7.5% 5.9% 57.5 10.6% 50th 4.3% 4.2% 5.7% 4.8% 52.9 8.9% 75th 3.0% 3.0% 3.8% 3.3% 49.1 6.3% 90th 2.2% 2.0% 1.8% 1.5% 43.3 6.1%

PERFORMANCE BY UNION STATUS Significant number of unionized nurses No significant union presence among nurses At least one employee category with significant union presence No significant union presence, any employee category HOSPITALS BY UNION STATUS PRN /per 16 Percentage of turnover attributed to employees with less than one year of tenure N 30 32 30 30 32 30 30 10th 22.0% 15.8% 53.1% 25.3% 18.6% 51.3% 37.7% 25th 19.2% 13.2% 41.0% 16.4% 11.2% 45.9% 31.7% 50th 15.0% 11.8% 31.0% 13.5% 8.5% 28.7% 22.1% 75th 13.3% 9.5% 24.4% 9.8% 6.1% 23.7% 11.7% 90th 11.7% 7.6% 20.4% 9.3% 5.1% 19.4% 7.9% N 158 163 158 157 163 157 141 10th 25.9% 19.8% 57.6% 33.0% 22.4% 66.7% 50.0% 25th 22.0% 16.5% 46.9% 23.2% 17.1% 46.2% 42.5% 50th 17.2% 12.9% 38.3% 16.9% 11.9% 34.9% 33.9% 75th 13.3% 10.2% 30.5% 12.1% 8.9% 24.7% 25.7% 90th 10.7% 8.3% 23.0% 9.0% 6.8% 14.1% 19.4% N 40 42 40 40 42 40 40 10th 21.3% 15.8% 44.2% 24.0% 15.5% 49.2% 37.7% 25th 17.3% 12.9% 38.0% 16.1% 11.1% 37.9% 32.0% 50th 13.8% 9.9% 30.5% 12.9% 8.5% 29.6% 22.8% 75th 12.0% 9.0% 23.6% 10.6% 7.1% 23.9% 12.0% 90th 10.8% 7.6% 20.0% 9.4% 5.1% 18.7% 8.0% N 148 153 148 147 153 147 131 10th 26.1% 20.0% 57.9% 33.5% 22.6% 67.0% 50.5% 25th 22.3% 16.6% 47.6% 23.6% 17.3% 46.8% 42.8% 50th 17.5% 13.2% 39.2% 17.3% 12.0% 35.9% 34.1% 75th 14.2% 10.6% 31.2% 12.5% 9.2% 24.6% 26.5% 90th 10.8% 8.4% 23.4% 8.7% 6.9% 14.1% 19.4%

PERFORMANCE BY UNION STATUS Significant number of unionized nurses No significant union presence among nurses At least one employee category with significant union presence No significant union presence, any employee category HOSPITALS BY UNION STATUS FTEs requisitions Time-to-fill, all positions (days) Total Premium Labor Expense as a Percent of Payroll Expense vacancy rate FTEs vacancy rate requisitions N 28 29 29 29 26 14 10th 16.9% 11.1% 21.6% 17.7% 100.6 13.5% 25th 10.0% 9.5% 11.1% 11.2% 80.8 8.8% 50th 7.2% 7.6% 6.9% 6.3% 63.1 7.1% 75th 4.4% 4.6% 3.8% 4.1% 49.8 5.8% 90th 2.4% 2.7% 1.5% 1.7% 40.3 5.0% N 81 132 84 130 68 103 10th 7.5% 7.7% 10.9% 11.5% 84.4 12.7% 25th 5.8% 6.1% 8.1% 8.1% 70.2 10.5% 50th 4.2% 4.3% 5.7% 5.9% 53.4 8.1% 75th 3.0% 3.0% 3.3% 3.7% 42.1 5.5% 90th 2.0% 2.2% 1.9% 2.4% 33.1 3.7% N 38 39 39 39 30 22 10th 16.9% 10.8% 21.6% 16.5% 99.7 10.8% 25th 9.3% 9.1% 9.4% 9.7% 77.6 9.2% 50th 6.8% 6.6% 5.8% 6.3% 58.5 7.9% 75th 3.7% 3.9% 3.8% 3.8% 49.3 6.4% 90th 2.5% 2.7% 1.5% 1.7% 42.1 5.3% N 71 122 74 120 64 95 10th 7.5% 7.7% 10.9% 11.5% 84.7 12.8% 25th 5.8% 6.1% 8.2% 8.1% 70.9 10.5% 50th 4.4% 4.3% 5.9% 5.9% 54.1 7.9% 75th 2.9% 2.9% 3.4% 3.7% 41.5 5.3% 90th 2.0% 2.1% 2.6% 2.4% 33.1 3.6% 17

PERFORMANCE BY HOSPITAL TYPE Community Hospitals Teaching Hospitals/ Academic Medical Center HOSPITALS BY TYPE PRN /per Percentage of turnover attributed to employees with less than one year of tenure N 152 158 152 151 158 151 143 10th 26.1% 20.0% 58.3% 33.3% 22.5% 67.4% 49.7% 25th 22.1% 16.5% 47.5% 23.8% 17.2% 46.6% 42.6% 50th 17.5% 13.0% 38.9% 17.3% 11.9% 34.7% 31.5% 75th 14.0% 10.2% 30.4% 12.4% 8.5% 24.7% 22.8% 90th 10.8% 8.3% 22.8% 9.3% 5.9% 17.3% 12.3% N 40 41 40 40 41 40 30 10th 20.4% 17.6% 43.9% 20.3% 15.6% 50.4% 38.7% 25th 16.9% 14.1% 38.5% 16.6% 11.7% 43.2% 35.6% 50th 13.5% 11.5% 32.8% 13.4% 10.0% 33.4% 32.8% 75th 12.0% 9.3% 26.4% 10.5% 8.1% 22.5% 26.9% 90th 10.3% 7.8% 19.7% 8.4% 5.9% 13.3% 21.0% 18

HOSPITALS BY HOSPITAL TYPE PERFORMANCE BY HOSPITAL TYPE Community Hospitals Teaching Hospitals/ Academic Medical Center FTEs requisitions Time-to-fill, all positions (days) Total Premium Labor Expense as a Percent of Payroll Expense vacancy rate FTEs vacancy rate requisitions N 92 132 92 131 78 97 10th 10.0% 9.5% 14.7% 12.2% 90.8 12.8% 25th 7.1% 6.9% 8.7% 8.5% 74.7 10.5% 50th 4.7% 4.6% 6.0% 6.1% 56.3 8.1% 75th 3.0% 3.1% 3.8% 3.8% 42.4 5.4% 90th 2.0% 2.3% 2.0% 2.4% 33.0 3.7% N 19 32 22 31 18 21 10th 8.6% 7.6% 9.9% 9.3% 74.8 12.7% 25th 6.6% 5.6% 8.2% 8.2% 58.8 9.3% 50th 4.7% 4.5% 5.6% 5.6% 53.9 7.1% 75th 3.2% 3.4% 2.7% 3.7% 50.1 5.6% 90th 2.4% 2.1% 1.2% 1.5% 43.6 4.6% 19