Society of Hospital Medicine Releases 2025 State of Hospital Medicine Report

Use of Non-Production Performance Incentives for Individual Hospitalists & Groups, NP/PA Roles & Structures Among New Data Points in Latest Installment 

Philadelphia, PA (September 8, 2025) – This month, the Society of Hospital Medicine (SHM) released the 2025 State of Hospital Medicine (SoHM) Report, the latest in its series of reports on operational structures and trends in hospital medicine. This year’s Report includes brand-new questions on initiatives to address ED boarding challenges, NP/PA schedules and roles in leadership, contractual requirements and compensation breakdowns for physician nocturnists, use of non-production performance incentives for individual hospitalists and groups, and more.

Five highlights in the 2025 State of Hospital Medicine Report include:

• Groups continue to grow, and 64% of groups anticipate a growth in full-time equivalents (FTEs) in the coming year.
• Growth, rather than turnover, was the biggest contributor to unfilled positions. In adult groups, physician turnover was about half that of 2023.
• More groups reported scheduling flexibility, with 11% more allowing some work to be completed off-site than in 2023.
• The presence of NPs/PAs remained steady in adult groups but continued to rise in groups serving pediatric groups.
• The larger the group, the more reported having an NP or PA in a leadership position.

The 2025 SoHM Report includes data that represents nearly 11,000 FTE physician hospitalists, the most FTE physician hospitalists ever covered in the Report. Data spans practice demographics, staffing levels, turnover, staff growth, compensation models, and financial support, as well as data licensed from the Medical Group Management Association (MGMA) on hospitalist compensation and productivity.

“The role of hospitalists and the reach of hospital medicine continue to expand, and the State of Hospital Medicine Report helps hospitalists at all levels navigate the challenges and opportunities in the field during a particularly turbulent time for healthcare,” notes Eric E. Howell, MD, MHM, Chief Executive Officer of SHM. “Data in the 2025 Report is invaluable in helping members of our hospital medicine community make informed decisions in the coming year to optimize operations while improving care for hospitalized patients.”

The 2025 SoHM Report is available in print only, a bundle of print and electronic, or electronic only. For more information and to purchase the 2025 State of Hospital Medicine Report, visit hospitalmedicine.org/sohm.

About the Society of Hospital Medicine:
Representing the fastest-growing specialty in modern healthcare, the Society of Hospital Medicine (SHM) is the leading medical society for hospitalists and their patients. SHM is dedicated to promoting the highest quality care for all hospitalized patients and overall excellence in the practice of hospital medicine through quality improvement, education, advocacy, and research. Over the past decade, studies have shown that hospitalists can contribute to decreased patient lengths of stay, reductions in hospital costs and readmission rates, and increased patient satisfaction.

For more information about SHM and hospital medicine, visit hospitalmedicine.org.

Contact:
Brett Radler
Director of Communications
Society of Hospital Medicine
Tel: 267-702-2629
Email: bradler@shm.org