Home 2023 Compensation & Career Survey Salary vs. productivity vs. both: how hospitalists are paid

Salary vs. productivity vs. both: how hospitalists are paid

January 2024
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WHEN IT COMES TO PAYING hospitalists, just under two-thirds (60.7%) are paid based on a combination of salary and productivity. Less than 5% are paid based solely on productivity, and just over one-third (34.4%) earn only a salary.

Hospitalists working for universities/medical schools had the highest number of those earning salary only: 50%. Hospitalists working for local hospitalist groups had the highest number paid based solely on productivity: 22%. And hospitalists working for national hospitalist management companies had the highest number paid a combination of the two: 70.2%.

By geographic region, straight salary was most prevalent in the Southwest, where 47.2% of hospitalists reported being paid that way. Productivity-only pay was most common in the South (10.5%), while a combination of salary and productivity was most widely used in the Northeast (63.6%). That percentage, however, was just slightly higher than the mean.

Salaries at smaller hospitals
Our survey data uncovered one interesting trend: Straight salary is much more commonly used at smaller hospitals. At hospitals with fewer than 100 beds, for example, 58.1% of hospitalists reported being paid only a salary. At hospitals with more than 500 beds, by comparison, that percentage dropped to 18.9%.

Larger hospitals pay more of their hospitalists based on productivity. At hospitals with more than 500 beds, 11.6% of hospitalists said they were paid based only on productivity.

We spotted a similar trend related to encounters per shift. Two-thirds (66.6%) of hospitalists with nine or fewer patient encounters per shift were paid only salary, compared to 24.2% of hospitalists with 21 or more patient encounters per shift.

Finally, nearly half (45.6%) of part-time hospitalists earned only a salary, a percentage that’s significantly higher than the mean.

hospitalists-salaryAll data are for hospitalists who treat adults


For more on hospitalist compensation, check out our 2023 Compensation & Career guide here.

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