Institutional Subscription Tiers

Academic Tier             Primary/secondary school 1             Undergraduate (baccalaureate) or master's level college/university 3             Doctorate-granting research university 3             Medical school 3             University consortium or shared network 5

Medical Tier             Private practice office or clinic 1             Residency program 1             Nursing school or allied health training program (e.g. chiropractic, physical therapy) 2             Community hospital or clinic (not a major teaching or clinical research facility) 2             Major teaching or research hospital (medical school-affiliated, multiple residency programs) 3             Healthcare network (multi-site shared access) 4

Public/nonprofit Tier             nonresearch public library 1             Independent research library 2             Small nonprofit or government research laboratory 2             Health policy or advocacy nonprofit 2             Local or regional government agency/ministry (e.g. city or state public health authority) 2             Charitable organization 2             Professional society or trade union 2             Industry trade association 2             Large nonprofit/government research institute or national government agency 4             Consortia, multisite licenses 5

Corporate Tier             Small for-profit organization (e.g. small consulting partnership, law firm) 3             midsize for-profit organization (e.g. regional or national corporation) 4             Large for-profit organization (e.g. multinational corporation) 5