Home 2022 Compensation & Career Guide Survey Results APPs: who they are and how they’re paid

APPs: who they are and how they’re paid

August 2022

IN THIS YEAR’S Today’s Hospitalist Career & Compensation Survey, advanced practice providers (APPs) reported earning a mean comp of $151,000, although about 9% earned $200,000 or more. Our APP survey results also included these data points shown in both slide show and text:

• Demographics: Among the APPs who took our survey, the mean age was 50. A further breakdown: Thirty-five percent were age 56 or older, while 37% were between the ages of 46 and 55. Only 27.8% were younger, between the ages of 25 and 45.

As for where they work: 31.5% said in the Northeast, 29.6% in the Midwest and 20.4% in the South. The rest of the country had much lower representation, with 7.4% in the Pacific region, 5.6% in the Mountain region and 5.3% in the Southwest.

• Straight salary vs. hybrid compensation. Unlike physician hospitalists, the majority of whom have a hybrid compensation method of both base salary and incentives, 77% of APPs report earning a straight salary.

But even some who earn only straight salary received some kind of bonus in 2021, with one-third of responding APPs reporting some kind of bonus and/or incentive that year. For just over half of those who did earn bonus and incentive income, amounts in 2021 added up to less than $10,000. But 47% received more, and those APPs said such income made up about 11% of their compensation last year. The mean bonus/incentive amount for APPs was $17,353, while the median was $8,000.

Among those receiving incentives, more than half (51.8%) said they earned only group-based bonuses. Another 24.3% had a mix of group- and individual-based incentives, and 18.8% received individual incentives.

• A gender gap in wages is in full force: Among APP respondents, 78% were women and 22% were men. But despite the greater number of women, men APPs reported earning more: a mean of $164,120 vs. $147,313 for women.

Almost half are employed by a hospital or hospital corporation. Among APPs, 47% reported being a hospital employee. The next biggest group work for a private local hospitalist group (23%), while about 10% work in an academic setting. Another 10% are employed by a national hospitalist management group.

• Nearly half work seven-on/seven-off: The percentage was 46.8%, to be exact. However, 38.7% reported working other daytime shifts vs. seven-on/seven-off, and 14.5% are nocturnists.

As for shift length, 60% work 12-hour shifts, and almost two-thirds (64.8%) say they work 14 or 15 shifts a month. In 2021, 39% said they worked more hours than usual as a result of the pandemic, while 57.6% said their hours stayed the same. Only a small minority (3.4%) said their hours had gone down.

• They’re happy with their careers: Among APPs, 30% reported being “very satisfied” with their career while 56% were satisfied or somewhat satisfied.

Want to know more? An executive summary of advanced practice provider survey results is available for purchase here.

For more in this series, click here.

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