The American Association of Provider Compensation Professionals has released its 2026 Hospital Medicine: A Review of Organizational Practices media brief, highlighting national survey findings on hospitalist physician and advanced practice provider compensation, staffing, and workforce practices. The report is based on survey responses from 46 healthcare organizations representing an estimated 4,400 to 5,900 employed hospitalist physician and APP FTEs nationwide.
Key Findings
Median physician on-site hourly rate: $173/hour
Median APP on-site hourly rate: $76/hour
Median daytime physician annual hours: 2,050
Median nocturnist annual hours: 1,850
Hospital Medicine at an Inflection Point
The findings reflect a hospital medicine workforce environment increasingly shaped by rising compensation pressure, workforce shortages, growing APP integration, and operational complexity. The report reinforces that hospital medicine compensation cannot be evaluated through hourly rates alone; annual hour expectations, nocturnist reductions, overtime structures, and incentive compensation all materially affect workforce economics and program sustainability.
