Introducing NOAH’s 2025 Annual Incentive Program

We are excited to announce details of NOAH’s 2025 incentive program. There are two separate components of the program each with their own qualifying metrics, eligible employees, and payouts.

Both incentive plans are eligible for annual distribution beginning in January 2026. One plan for providers and one for all other staff members. Both rely on meeting a specific minimum operating margin. Operating margin is the percent of operating profit relative to our revenue earned. A positive operating margin reflects that our income is greater than our expenses affording us the opportunity to grow programs and services, incentivize employees, etc. The operating margin for the year will be determined by subtracting all expenses from all income for 2025, then dividing the surplus by our total income and converting that number to a percentage.

To be eligible for any payout, NOAH must meet an operating margin of 3.5% for the All-Staff Incentive and 4% for the Provider Incentive.

Both annual plans also have a patient satisfaction score requirement. The All-Staff Incentive relies on achieving an overall weighted patient satisfaction score (WPSS) of 4.59 for the year. Weighted patient satisfaction is measured through online reviews (e.g., Google, Yelp), in-clinic comment cards, website feedback forms, and Q-Review patient satisfaction survey results. The Provider Incentive patient satisfaction metric is service-line specific and relies solely on the Q-Review survey scores as this tool can track responses by service line.

The Provider Incentive includes a third metric, achievement of quality goals in several specific areas for each service line:

  • Medical (includes nutrition): A1C, Well Child, Breast Cancer
  • Dental: Sealants
  • Behavioral Health: PHQ-9, Annuals
  • Psychiatry: PHQ-9, Annuals

The specific criteria for each of the annual plans are as follows:


All-Staff Incentive Plan

  • If the operating margin is 3.5% or greater at the end of 2025, all staff (excluding providers) will receive 50% of the incentive payout.
  • If the above operating margin is met AND the weighted patient satisfaction score is at least 4.59, all staff (excluding providers) will receive 100% of the incentive payout.

Provider Incentive Plan

  • If the operating margin is 4% or greater at the end of 2025, all providers are eligible to receive incentive payouts.
    • If operating margin is achieved and quality goals are met for one or more service lines, providers in each service line that reached the goal will receive 50% of the incentive payout. Goals specific to each quality metric will be shared when the UDS with 2024 actuals is released in February.
    • If operating margin is achieved and patient satisfaction scores meet or exceed 4.74 for Medical (includes nutrition), 4.77 for Dental. 4.71 for Behavioral Health, and 4.79 for Psychiatry, providers in each respective service line will receive 50% of the incentive payout.
    • If operating margin of at least 4% and both metrics are achieved, providers in qualifying service lines will receive 100% of the incentive payout.

Progress Dashboard

We’ll be tracking operating margin, weighted patient satisfaction scores, Q-Review scores by service line, and quality goals monthly through a dashboard on The Beat.

We know you have questions and invite you to check out the FAQs linked below. If you still have questions, feel free to submit them on the FAQ page or ask your leader. This is an exciting opportunity for all employees to contribute toward a common goal and we look forward to seeing what we can achieve as a team. Let’s crush it!     

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