This article deals with whether physicians who devote considerable time to leadership and committee responsibilities are compensated, how they are compensated, who pays that compensation, and other related issues. To gather the information, the American College of Physician Executives surveyed a sample of 600 of its hospital-based members. There were 195 responses, representing hospitals of all sizes and types (community, government, for-profit, not-for-profit, urban, suburban, and rural) and medical staff sizes ranging from as few as four to as many as 1,300. Uncovered was what appears to be a trend to payment of physicians for these leadership services.