Considering switching orthopedic surgical group at the premiere of teaching and research hospital of the system, in which surgeons are compensated with a flat salary to the system where they are compensated on the basis of profitability. Allows for the consideration of several important issues in the promotion strategy, including pay-performance in not-for-profit environment, whether it is really a system of compensation in accordance with the value (issues of quality of care and research time), and the difficulty in developing a system compensation in a competitive labor market, where the objectives of institutions beyond pure profit maximization. This is a rewritten version of the previous case. "Hide
by Jason R. Barro, Aaron MG Zimmerman, Kevin J. Bozic Source: HBS 12 pages. Publication Date: September 22, 2003. Prod. #: 904028-PDF-ENG