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YAFFE & COMPANY, INC.

2009 EXECUTIVE COMPENSATION SURVEY

FOR

HOSPITALS AND SYSTEMS
YAFFE & COMPANY, INC.
2009 EXECUTIVE COMPENSATION SURVEY
FOR HOSPITALS AND SYSTEMS

INTRODUCTION
There are 17 positions included in this survey. Please complete all information requested for each
position and return no later than Friday , October 3, 2008. For organizations with executives
in the parent corporation and a subsidiary, complete a separate questionnaire for each organization
containing the appropriate positions in each.

DEFINITIONS:
POSITION TITLE: Position Descriptions are provided on pages 2 – 4.

If you are reporting more than one incumbent for a
position, report each incumbents data separately by
copying & pasting the column with the applicable
position at the end (after Position 1700).

ANNUAL BASE SALARY: The annual amount of cash compensation paid to the
incumbent regardless of performance or other factors.

Report Current Base Salary. If a position is
part-time, please provide the full-time equivalent
salary.

VARIABLE PAY: Includes Incentive Awards and/or Bonuses.

Report the Variable Pay made in the last fiscal year.
With Incentive Plans, incumbents know the performance
requirements and computation formula in advance and
receive additional compensation if performance warrants.

Bonuses are usually at the management’s discretion,
without formal goals or distribution formulas.

1
YAFFE & COMPANY, INC.
2009 EXECUTIVE COMPENSATION SURVEY
FOR HOSPITALS AND SYSTEMS

Job Descriptions
0001 - Chief Executive Officer (Single Hospital/System or Multi-Hospital System Headquarters):
(Common titles include President, Administrator, Executive Director) Responsible for planning, directing,
coordinating and controlling the overall operations of the organization and subsidiaries. Directs short and long-
range functions including development of goals, objectives and strategic plans. Reports to a Board of
Directors/Trustees.

0020 - Chief Executive Officer (Hospital Within Multi-Hospital System):
(Common title includes President) Top management position in a System owned or operated hospital. Works
with System management to develop short and long-range objectives, policies and procedures. May report to
senior management or hospital Board of Directors.

0030 - Chief Operating Officer:
(Common titles include Executive Vice President, Sr. Vice President, Sr. Vice President - Operations) Primarily
responsible for the day-to-day operations of the entire organization and may have direct responsibility for one or
more departments. Assists in planning and directing the overall operation of the organization. Participates in
short and long-range planning functions. May also be engaged in functional operation of certain aspects of the
organization such as acquisitions, financial forecasting, etc. In absence of the CEO, is responsible for hospital
administration.

0100 - Chief Financial Executive:
(Common titles include Chief Financial Officer, Sr. Vice President - Finance, Vice President - Fiscal Affairs)
Directs financial planning, fiscal policies, administration of accounting practices, and supervision of activities
involving treasury, budgeting, tax, purchasing, real estate, payroll, insurance activities and audits. Ensures all
financial reporting systems are developed and maintained.

0130 - Controller:
Responsible for the development, implementation, and maintenance of the organization's accounting principles,
practices, and procedures for the maintenance of its fiscal records. Prepares timely and accurate financial
statements/reports to determine the organization's costs, budgets, trends, and cash flow. Ensures compliance
with generally accepted accounting principles. Reports to the Chief Financial Officer.

0200 - Top Strategic Planning, Marketing, and Business Development Executive:
(Common titles include Vice President - Planning & Marketing, Vice President - Business Development, Sr.
Vice President - Marketing Development & Growth) Formulates organization's strategic long-range plans.
Interacts with and represents the organization before various planning agencies. Develops and implements
marketing plans to meet the long-range strategy and generate additional business revenue including growth and
structure through merger, acquisition and affiliation with other profit and/or non-profit health care organizations.
Reviews feasibility studies and market research to determine if changes need to be made to the strategy and/or
marketing services in response to market analysis.

2
YAFFE & COMPANY, INC.
2009 EXECUTIVE COMPENSATION SURVEY
FOR HOSPITALS AND SYSTEMS

Job Descriptions
(continued)
0300 - Top Medical Affairs Executive (Physician only):
(Common titles include Medical Director, Vice President - Medical Affairs, Senior Vice President - Medical
Affairs) Plans, directs, and coordinates all physicians. Participates in establishing and implementing standards
of medical service, and advises Chief Operating Officer on medical and administrative questions and policies as
they relate to medical practices. Plans for and participates in intern and resident physician education and
oversees matters related to physician relations. Responsible for review and measurement of patient care
effectiveness, physician recruiting and coordination of medical staff affairs such as peer review. May serve as a
consultant in unusual and difficult medical cases.

0400 - Top Professional Services Executive:
(Common titles include Vice President - Professional Services, Vice President - Operations, Vice President -
Ancillary Services, Vice President, Clinical Services) Responsible for overseeing two or more patient care
services (excluding nursing): such as Laboratory, Pharmacy, Physical/Respiratory/ Occupational Therapy,
Radiology, Social Services and Dietary Services. Monitors performance, employee relations, training and
budgets of services areas, participates in formulation of clinical objectives, services, policies and procedures.

0500 - Top Support Services Executive:
(Common title includes Vice President - Support Services) Has overall responsibility for a variety of non-
patient care functions such as: Housekeeping, Laundry, Food Services, Purchasing, Security and Materials
Management. Monitors performance, employee relations, training and budgets of all support service areas.
Develops, implements, and administers all policies and procedures relating to these areas.

0600 - Top Nursing Services Executive:
(Common titles include Vice President - Nursing Services, Chief Nursing Officer, Vice President - Nursing,
Vice President - Patient Care Services) Directs and coordinates nursing and patient care services functions of
the organization. Represents nursing services in corporate planning, evaluates and implements nursing policies,
monitors overall performance of nursing units, plans and directs orientation and patient care training programs,
and provides supervision of nursing directors, managers, and supervisors.

0700 - Legal Counsel:
(Common titles include Vice President & Legal, General Counsel, Sr. Vice President - Legal Services) Plans
and directs the legal activities of the organization. Responsible for the development and coordination of the
organization's legal function. Provides legal advice to management, reviews contracts, ensures compliance with
federal, state, and local laws/regulations. May represent the organization to the courts and government agencies
regarding complex legal issues or may manage the services of outside counsel.

3
YAFFE & COMPANY, INC.
2009 EXECUTIVE COMPENSATION SURVEY
FOR HOSPITALS AND SYSTEMS
Job Descriptions
(continued)
0800 - Top Fund Development Executive:
(Common titles include Vice President - Development, Vice President - Development and Community Affairs,
Executive Director - Foundation) Develops and directs the fund-raising efforts of the organization. Reviews
and researches resources available through foundations, trust and grant programs. Identifies potential sources of
funds and controls on-going solicitation efforts.

0900 - Top Human Resources Executive:
(Common titles include Vice President - Human Resources, Vice President - Resource Management)
Responsible for the overall human resources functions of the organization including: employment,
employee/management relations, compensation and benefits administration, training and development, human
resources planning, and compliance with federal and local laws and regulations. Directs the development and
consistent implementation of human resources policies and practices throughout the organization. May also be
responsible for the Employee Health and Volunteer Programs.

1000 - Top Information Systems Executive:
(Common titles include Director - Management Information Systems, Director - Information Systems, Director -
Information Services, Chief Information Officer) Directs the long-term planning and production activities of
the Information Systems area including all phases of systems design, programming, installation, and daily
operations. Reviews and evaluates project feasibility studies based on management requirements and priorities.
Implements the installation and operation of systems and equipment.

1400 - Top Quality And Risk Management Executive:
(Common titles include Vice President - Quality and Risk Management, Vice President - Quality Improvement,
Vice President - Quality Management) Develops, implements, and administers quality standards for the
organization within financial and service parameters. Develops and coordinates risk management programs.
Audits hospital programs, budgets and policies to ensure that patient and physician needs are effectively
addressed. May ensure patient and/or employee complaints/suggestions are investigated.

1600 - Top Public Relations Executive:
(Common titles include Director - Public Relations, Director - Community Relations) Directs the public and
community relations functions. Undertakes or implements activities to promote a positive posture, public
understanding and goodwill. Serves as the major media liaison between the organization and the public to
ensure effective and accurate communications. Plans and directs internal and external programs designed to
promote the organization's mission.

1700 - Top Physical Facilities Executive:
(Common titles include Director - Plant Operations, Director - Facilities Management) Directs the management,
maintenance, and expansion of all properties and facilities of the organization. Directs and reviews all
renovation and new construction plans; has primary interface with external architects and contractors; reviews
purchase of all major plant equipment; ensures the safety of all employees and visitors on the premises.
Monitors performance, employee relations, training, and budgets of areas such as: buildings and grounds
maintenance, security and construction.

4
YAFFE & COMPANY, INC.
2009 EXECUTIVE COMPENSATION SURVEY
FOR HOSPITALS AND SYSTEMS

Organization Information
Organization Name:
Mailing Address 1:
Mailing Address 2:
City:
State: Select from Drop Down Menu
Zip Code (enter "-" if using 4 digit extension):
First Name of Person Completing Questionnaire:
M. I. of Person Completing Questionnaire:
Last Name of Person Completing Questionnaire:
Title:
Phone Number (enter numbers only)
Email:
Send Results to (if other than above) - First Name
Send Results to (if other than above) - M.I.
Send Results to (if other than above) - Last Name
Title:
Mailing Address 1:
Mailing Address 2:
City:
State: Select from Drop Down Menu
Zip Code (enter "-" if using 4 digit extension):
Email:
Does organization own Physician Practices? Select
from Drop Down Menu

Net Patient Revenue:
Hospitals (do not enter $)
Physician Practices (do not enter $)
Number of FTE's:
Fiscal Year End Month: Select from Drop Down Menu
Fiscal Year End Day: Select from Drop Down Menu

Critical Access Hospital? Select from Drop Down Menu
Facility Type: Select From the Drop Down Menu If type "A" selected, provide System
name in box below.
*See below for code descriptions
If Facility Type above is A, provide System Name:
*Facility Types
S = Single Hospital/System (A single acute care facility which may have business in other healthcare segments, such as long
term care, home care, etc.)
A = Hospital Within Multi-Hospital System (A hospital reporting to a System headquarters or other supervising organization).

M = Multi -Hospital System (A central organization owning, leasing, sponsoring or managing two or more hospitals).

5
YAFFE & COMPANY, INC.
2009 EXECUTIVE COMPENSATION SURVEY FOR HOSPITALS AND HEALTH SYSTEMS
If you have more than one incumbent in a position, report each incumbents data separately by
copying and pasting the column with the applicable position to the end (after Position 1700).

POSITION/JOB CODE
Chief Executive Top Strategic
Officer (Single Planning, Top Medical
Hospital/System or Chief Executive Marketing, and Affairs Top
Multi-Hospital Officer (Hospital Business Executive Professional
System Within Multi- Chief Operating Chief Financial Development (Physician Services
Survey Questions Headquarters) Hospital System) Officer Executive Controller Executive Only) Executive
0001 0020 0030 0100 0130 0200 0300 0400

1. Job Title

2. Position 0030 only - Does Nursing report to COO? Select from Drop Down Menu
3a. Job Match (L=Less/C=Close/M=More) Select from Drop Down Menu
3b. If 3a. is L or M - Explain
4. Same Incumbent Last Year? Select from Drop Down Menu
5a. Month of Birth Select from Drop Down Menu
5b. Day of Birth Select from Drop Down Menu
5c. Year of Birth Select from Drop Down Menu
6a. Month of Hire Select from Drop Down Menu
6b. Day of Hire Select from Drop Down Menu
6c. Year of Hire Select from Drop Down Menu
7a. Month Hired in Position Select from Drop Down Menu
7b. Day Hired in Position Select from Drop Down Menu
7c. Year Hired in Position Select from Drop Down Menu

8. Number of years experience at this level, whether or not at this organization?
9a. Annual Current Base Salary
9b. Effective Date of Base Salary (MMDDYYYY) do not enter "/"
10a. Eligible for Incentive/Bonus? Select from Drop Down Menu
10b. Based on specific criteria or discretionary? Select from Drop Down Menu
11. Total Incentive/Bonus Amount (lastest year end)?
12. Maximum Incentive/Bonus Opportunity as % of base salary
Basic Life Insurance (multiple of Base Salary i.e. 1X or 2X) Select from Drop
13a. Down Menu
13b. Basic Life Insurance Maximum Face Value (Dollar Amount)
13c. Supplemental Life Insurance (Dollar Amount)
14a. Have LTD Plan? Select from Drop Down Menu
14b. Benefit level as percentage of Base Pay (i.e 50, 60)

6
YAFFE & COMPANY, INC.
2009 EXECUTIVE COMPENSATION SURVEY FOR HOSPITALS AND HEALTH SYSTEMS
If you have more than one incumbent in a position, report each incumbents data separately by
copying and pasting the column with the applicable position to the end (after Position 1700).

14c. Monthly Maximum Benefit (Dollar Amount)
14d. Supplemental LTD coverage provided? Select from Drop Down Menu

15a. Supplemental Executive Retirement Plan Provided? Select from Drop Down Menu
Annual Supplemental Executive Retirement plan contribution/premium (Dollar
15b. Amount)
Annual Supplemental Executive Retirement plan contribution as % of base
15c. salary
Benefit/Contribution based on Base Pay or Total Compensation? Select from Drop
15d. Down Menu
16a. Is there an employment contract? Select from Drop Down Menu
16b. Term of contract? (Years)
16c. Evergreen provision? X if Yes
Period of severance paid for Change of Governance (Months) Select from Drop
17a. Down Menu
Period of severance paid for Involuntary Termination (Months) Select from Drop
17b. Down Menu
18. Perquisites Paid by Organization:
a.1. Auto or Car Allowance provided? Select from Drop Down Menu
a.2. Amount of Auto or Car Allowance? (Dollar Amount)
b. Professional Membership Dues? Select from Drop Down Menu
c. Country Club? Select from Drop Down Menu
d. Health Club? Select from Drop Down Menu
e. Financial Counseling? Select from Drop Down Menu
f. Post Retirement Health Insurance? Select from Drop Down Menu
g. Physical Exam? Select from Drop Down Menu
h. Spouse Travel? Select from Drop Down Menu
i. Cell Phone/PDA? Select from Drop Down Menu

7
YAFFE & COMPANY, INC.
2009 EXECUTIVE COMPENSATION SURVEY FOR HOSPITALS AND HEALTH SYSTEMS
If you have more than one incumbent in a position, report each incumbents data separately by
copying and pasting the column with the applicable position to the end (after Position 1700).

POSITION/JOB CODE

Top Top Quality Top
Top Support Top Nursing Top Fund Top Human Information and Risk Top Public Physical
Services Services Legal Development Resources Systems Management Relations Facilities
Survey Questions Executive Executive Counsel Executive Executive Executive Executive Executive Executive
0500 0600 0700 0800 0900 1000 1400 1600 1700

1. Job Title

8
YAFFE & COMPANY, INC.
2009 EXECUTIVE COMPENSATION SURVEY FOR HOSPITALS AND HEALTH SYSTEMS
If you have more than one incumbent in a position, report each incumbents data separately by
copying and pasting the column with the applicable position to the end (after Position 1700).

POSITION/JOB CODE

14c. Monthly Maximum Benefit (Dollar Amount)
14d. Supplemental LTD coverage provided? Select from Drop Down Menu
1. Job Title
15a. Supplemental Executive Retirement Plan Provided? Select from Drop Down Menu
Annual Supplemental Executive Retirement plan contribution/premium (Dollar
15b. Amount)
Annual Supplemental Executive Retirement plan contribution as % of base
15c. salary
Benefit/Contribution based on Base Pay or Total Compensation? Select from Drop
15d. Down Menu
16a. Is there an employment contract? Select from Drop Down Menu
16b. Term of contract? (Years)
16c. Evergreen provision? X if Yes
Period of severance paid for Change of Governance (Months) Select from Drop
17a. Down Menu
Period of severance paid for Involuntary Termination (Months) Select from Drop
17b. Down Menu
18. Perquisites Paid by Organization:
a.1. Auto or Car Allowance provided? Select from Drop Down Menu
a.2. Amount of Auto or Car Allowance? (Dollar Amount)
b. Professional Membership Dues? Select from Drop Down Menu
c. Country Club? Select from Drop Down Menu
d. Health Club? Select from Drop Down Menu
e. Financial Counseling? Select from Drop Down Menu
f. Post Retirement Health Insurance? Select from Drop Down Menu
g. Physical Exam? Select from Drop Down Menu
h. Spouse Travel? Select from Drop Down Menu
i. Cell Phone/PDA? Select from Drop Down Menu

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