93
MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data © 2016 MGMA. All rights reserved. Obstetrics and Gynecology, Hospital/IDS Owned 3.1: Staffing and Practice Data Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total provider FTE 68 5.05 4.68 1.60 2.04 3.57 7.06 9.35 Total physician FTE 168 2.58 2.57 .92 1.00 1.74 3.16 6.00 Total nonphysician provider FTE 70 1.65 2.09 .05 .53 1.00 1.98 3.08 Total support staff FTE 160 9.72 10.35 1.85 3.56 6.05 12.49 22.82 Number of branch clinics 8 * * * * * * * Square footage of all facilities 17 6,968 8,439 1,230 2,813 4,903 8,125 14,972 3.2: Accounts Receivable Data, Collection Percentages, and Financial Ratios Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total AR/physician 71 $211,011 $108,882 $75,955 $128,039 $191,000 $305,877 $363,940 Total AR/provider 23 $133,240 $68,940 $64,152 $74,852 $112,207 $176,626 $247,736 0-30 days in AR 76 47.80% 18.54% 24.57% 35.07% 46.91% 60.46% 71.84% 31-60 days in AR 76 12.31% 5.47% 6.63% 8.20% 11.41% 15.11% 20.18% 61-90 days in AR 76 7.45% 3.83% 3.52% 5.07% 7.01% 9.30% 13.25% 91-120 days in AR 76 6.34% 5.10% 2.48% 3.64% 5.55% 8.19% 9.88% 120+ days in AR 76 26.10% 16.54% 6.42% 11.14% 27.19% 38.54% 45.73% Re-aged: 0-30 days in AR 2 * * * * * * * Re-aged: 31-60 days in AR 2 * * * * * * * Re-aged: 61-90 days in AR 2 * * * * * * * Re-aged: 91-120 days in AR 2 * * * * * * * Re-aged: 120+ days in AR 2 * * * * * * * Not re-aged: 0-30 days in AR 26 62.25% 10.09% 49.77% 55.23% 61.72% 70.64% 77.08% Not re-aged: 31-60 days in AR 26 11.07% 4.26% 6.59% 7.66% 10.39% 13.15% 18.42% Not re-aged: 61-90 days in AR 26 7.40% 2.75% 4.07% 5.30% 7.02% 8.85% 12.41% Not re-aged: 91-120 days in AR 26 6.50% 5.95% 2.75% 3.83% 5.28% 7.59% 8.97% Not re-aged: 120+ days in AR 26 12.77% 6.64% 6.02% 8.10% 11.30% 16.02% 24.29% Months gross FFS charges in AR 76 1.91 1.18 .94 1.19 1.51 2.17 3.51 Months adjusted FFS charges in AR 77 4.84 4.05 1.80 2.20 3.64 6.04 9.97 Days gross FFS charges in AR 76 58.09 35.80 28.58 36.32 45.87 66.02 106.63 Days adjusted FFS charges in AR 76 139.87 105.54 54.42 66.74 110.49 179.70 269.77 Gross FFS collection % 108 46.37% 12.95% 30.68% 36.23% 44.88% 55.52% 62.57% Adjusted FFS collection % 108 95.34% 4.04% 90.92% 94.67% 96.50% 97.36% 98.42% 3.3: Breakout of Total Gross Charges by Type of Payer Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Medicare 38 8.35% 9.38% 1.96% 3.44% 5.56% 8.26% 25.37% Medicaid 38 22.75% 17.95% 2.25% 5.70% 16.74% 34.27% 46.75% Commercial 38 66.45% 17.66% 42.12% 54.42% 67.68% 82.22% 87.80% Workers' compensation 38 .01% .03% .00% .00% .00% .00% .01% Charity care and prof courtesy 38 .27% .46% .00% .00% .00% .44% .82% Self-pay 38 1.47% 1.18% .23% .68% 1.06% 2.00% 2.99% Other government payers 38 .72% .96% .00% .00% .37% 1.13% 2.01%

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Page 1: Obstetrics and Gynecology, Hospital/IDS Owned...Obstetrics and Gynecology, Hospital/IDS Owned 3.1: Staffing and Practice Data Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile

MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Obstetrics and Gynecology, Hospital/IDS Owned

3.1: Staffing and Practice Data

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total provider FTE 68 5.05 4.68 1.60 2.04 3.57 7.06 9.35 Total physician FTE 168 2.58 2.57 .92 1.00 1.74 3.16 6.00 Total nonphysician provider FTE 70 1.65 2.09 .05 .53 1.00 1.98 3.08 Total support staff FTE 160 9.72 10.35 1.85 3.56 6.05 12.49 22.82 Number of branch clinics 8 * * * * * * * Square footage of all facilities 17 6,968 8,439 1,230 2,813 4,903 8,125 14,972

3.2: Accounts Receivable Data, Collection Percentages, and Financial Ratios

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total AR/physician 71 $211,011 $108,882 $75,955 $128,039 $191,000 $305,877 $363,940 Total AR/provider 23 $133,240 $68,940 $64,152 $74,852 $112,207 $176,626 $247,736 0-30 days in AR 76 47.80% 18.54% 24.57% 35.07% 46.91% 60.46% 71.84% 31-60 days in AR 76 12.31% 5.47% 6.63% 8.20% 11.41% 15.11% 20.18% 61-90 days in AR 76 7.45% 3.83% 3.52% 5.07% 7.01% 9.30% 13.25% 91-120 days in AR 76 6.34% 5.10% 2.48% 3.64% 5.55% 8.19% 9.88% 120+ days in AR 76 26.10% 16.54% 6.42% 11.14% 27.19% 38.54% 45.73% Re-aged: 0-30 days in AR 2 * * * * * * * Re-aged: 31-60 days in AR 2 * * * * * * * Re-aged: 61-90 days in AR 2 * * * * * * * Re-aged: 91-120 days in AR 2 * * * * * * * Re-aged: 120+ days in AR 2 * * * * * * * Not re-aged: 0-30 days in AR 26 62.25% 10.09% 49.77% 55.23% 61.72% 70.64% 77.08% Not re-aged: 31-60 days in AR 26 11.07% 4.26% 6.59% 7.66% 10.39% 13.15% 18.42% Not re-aged: 61-90 days in AR 26 7.40% 2.75% 4.07% 5.30% 7.02% 8.85% 12.41% Not re-aged: 91-120 days in AR 26 6.50% 5.95% 2.75% 3.83% 5.28% 7.59% 8.97% Not re-aged: 120+ days in AR 26 12.77% 6.64% 6.02% 8.10% 11.30% 16.02% 24.29% Months gross FFS charges in AR 76 1.91 1.18 .94 1.19 1.51 2.17 3.51 Months adjusted FFS charges in AR 77 4.84 4.05 1.80 2.20 3.64 6.04 9.97 Days gross FFS charges in AR 76 58.09 35.80 28.58 36.32 45.87 66.02 106.63 Days adjusted FFS charges in AR 76 139.87 105.54 54.42 66.74 110.49 179.70 269.77 Gross FFS collection % 108 46.37% 12.95% 30.68% 36.23% 44.88% 55.52% 62.57% Adjusted FFS collection % 108 95.34% 4.04% 90.92% 94.67% 96.50% 97.36% 98.42%

3.3: Breakout of Total Gross Charges by Type of Payer

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Medicare 38 8.35% 9.38% 1.96% 3.44% 5.56% 8.26% 25.37% Medicaid 38 22.75% 17.95% 2.25% 5.70% 16.74% 34.27% 46.75% Commercial 38 66.45% 17.66% 42.12% 54.42% 67.68% 82.22% 87.80% Workers' compensation 38 .01% .03% .00% .00% .00% .00% .01% Charity care and prof courtesy 38 .27% .46% .00% .00% .00% .44% .82% Self-pay 38 1.47% 1.18% .23% .68% 1.06% 2.00% 2.99% Other government payers 38 .72% .96% .00% .00% .37% 1.13% 2.01%

Page 2: Obstetrics and Gynecology, Hospital/IDS Owned...Obstetrics and Gynecology, Hospital/IDS Owned 3.1: Staffing and Practice Data Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile

MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Obstetrics and Gynecology, Hospital/IDS Owned

(per FTE Physician) 3.4a: Staffing, RVUs, Patients, Procedures, and Square Footage

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Primary care physicians 13 .94 .23 .49 1.00 1.00 1.00 1.00 Nonsurgical specialty physicians 3 * * * * * * * Surgical specialty physicians 73 .99 .03 1.00 1.00 1.00 1.00 1.00 Total nonphysician providers 67 .60 .90 .03 .14 .42 .75 1.06 Total providers 67 1.60 .90 1.03 1.14 1.42 1.75 2.06 General administrative 35 .34 .20 .09 .17 .32 .45 .62 Patient accounting 6 * * * * * * * General accounting 20 .09 .08 .03 .04 .05 .17 .24 Managed care administrative 2 * * * * * * * Information technology 1 * * * * * * * Housekeeping, maintenance,

security 4 * * * * * * *

Total business operations staff 52 .38 .27 .10 .16 .31 .50 .81 Medical receptionists 35 1.20 .66 .27 .71 1.18 1.67 2.03 Medical secretaries, transcribers 1 * * * * * * * Medical records 3 * * * * * * * Other administrative support 52 .38 .27 .10 .16 .31 .50 .81 Total front office support staff 116 2.93 3.53 .60 1.22 2.00 3.92 5.12 Registered nurses 25 .49 .39 .03 .12 .39 .81 1.08 Licensed practical nurses 18 .43 .46 .00 .02 .28 .75 1.12 Medical assistants, nurse aides 28 .98 .73 .04 .39 .94 1.46 1.80 Total clinical support staff 65 1.66 1.29 .19 1.00 1.49 2.06 2.85 Radiology and imaging 6 * * * * * * * Other medical support services 13 .85 .83 .04 .14 .48 1.38 2.44 Total ancillary support staff 36 .58 .61 .10 .20 .41 .65 1.60 Total employed support staff 134 4.07 3.36 1.84 2.60 3.61 4.31 5.62 Total contracted support staff 1 * * * * * * * Total support staff 158 3.94 3.20 1.75 2.48 3.46 4.31 5.65 Total RVUs 124 18,826 16,296 8,875 12,481 16,411 20,480 26,580 Physician work RVUs 126 8,682 7,622 4,293 5,901 7,503 9,776 11,637 Patients 27 1,706 949 760 1,061 1,414 2,150 3,181 Total procedures 25 4,673 2,616 1,975 2,553 4,014 6,340 8,908 Square feet 16 1,956 1,165 473 1,249 1,651 2,752 3,928

3.4b: Charges and Revenue

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Net fee-for-service revenue 166 $735,849 $666,330 $316,247 $456,689 $634,556 $811,822 $1,142,778 Gross FFS charges 106 $1,830,240 $2,094,770 $788,199 $1,044,329 $1,453,214 $1,854,322 $2,498,670 Adjustments to FFS charges 103 $796,733 $457,846 $337,588 $447,284 $657,204 $1,083,352 $1,413,296 Adjusted FFS charges 106 $838,733 $808,594 $388,417 $506,436 $673,662 $857,156 $1,142,553 Bad debts due to FFS activity 52 $26,558 $19,102 $8,822 $12,131 $22,538 $36,022 $51,644 Gross capitation charges 1 * * * * * * * Net other medical revenue 41 $102,038 $150,619 $990 $1,824 $40,827 $139,003 $305,485 Gross revenue from other

medical activities 41 $102,038 $150,619 $990 $1,824 $40,827 $139,003 $305,485

Other medical revenue 33 $35,853 $46,614 $930 $1,400 $6,251 $73,599 $114,262 Revenue from hospital 11 $280,126 $190,220 $126,665 $142,876 $210,956 $329,754 $691,109 Revenue from sale of

goods/services 104 $1,819,948 $2,111,180 $785,742 $1,049,413 $1,423,237 $1,847,628 $2,437,148

Total gross charges 168 $760,397 $657,881 $335,713 $466,209 $650,300 $834,790 $1,141,456 Total medical revenue 166 $735,849 $666,330 $316,247 $456,689 $634,556 $811,822 $1,142,778

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Obstetrics and Gynecology, Hospital/IDS Owned

(per FTE Physician) 3.4c: Operating Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile General administrative 35 $20,308 $10,792 $7,061 $10,970 $20,720 $26,590 $37,114 Patient accounting 6 * * * * * * * General accounting 20 $4,465 $2,704 $1,738 $1,976 $3,699 $6,137 $9,559 Managed care administrative 2 * * * * * * * Information technology 1 * * * * * * * Housekeeping, maintenance, security 4 * * * * * * * Total business operations staff 52 $21,914 $14,074 $7,548 $9,603 $20,459 $27,476 $40,221 Medical receptionists 35 $35,315 $20,506 $7,314 $21,049 $34,560 $48,375 $57,911 Medical secretaries, transcribers 1 * * * * * * * Other administrative support 3 * * * * * * * Total front office support staff 115 $105,250 $105,626 $22,597 $40,958 $73,401 $143,878 $193,382 Registered nurses 26 $25,948 $19,491 $2,176 $5,986 $26,631 $41,637 $57,450 Licensed practical nurses 18 $16,570 $17,633 $119 $858 $12,079 $27,073 $46,268 Medical assistants, nurse aides 27 $29,132 $21,161 $859 $12,137 $26,198 $46,696 $56,925 Total clinical support staff 66 $65,390 $52,668 $6,377 $37,943 $54,379 $79,899 $132,964 Radiology and imaging 6 * * * * * * * Other medical support services 13 $28,551 $25,970 $1,513 $7,726 $24,273 $44,314 $78,527 Total ancillary support staff 37 $25,511 $23,951 $2,901 $12,719 $19,664 $32,151 $52,908 Total employed support staff 134 $190,221 $196,305 $69,180 $110,333 $143,793 $189,743 $274,093 Total employed support staff benefits 130 $58,335 $62,787 $19,246 $30,019 $45,064 $62,232 $96,478 Total contracted support staff 19 $2,329 $5,382 $68 $161 $360 $1,441 $7,122 Total support staff 158 $236,205 $242,533 $91,022 $124,627 $181,923 $232,890 $382,516 Information technology 39 $11,142 $7,125 $3,568 $6,225 $10,168 $15,312 $20,751 Drug supply 43 $27,806 $26,888 $2,845 $6,403 $23,473 $36,844 $55,396 Medical and surgical supply 35 $26,276 $20,246 $7,365 $9,874 $18,971 $46,684 $58,620 Building and occupancy 44 $52,618 $38,919 $22,630 $31,230 $43,854 $58,665 $103,985 Building/occupancy depreciation 18 $4,332 $7,963 $11 $389 $937 $3,737 $22,066 Furniture and equipment 31 $3,078 $7,223 $144 $271 $630 $2,660 $8,190 Furniture/equipment depreciation 36 $7,883 $7,600 $1,485 $2,638 $5,289 $11,241 $17,205 Administrative supplies and services 39 $5,602 $3,464 $214 $3,191 $5,786 $7,692 $10,669 Professional liability insurance 44 $31,596 $17,980 $10,529 $19,681 $30,841 $38,745 $60,008 Other insurance premiums 13 $380 $730 $1 $1 $53 $396 $1,974 Legal fees 1 * * * * * * * Consulting fees 2 * * * * * * * Outside professional fees 28 $4,577 $6,473 $197 $740 $1,767 $5,239 $14,409 Promotion and marketing 35 $2,176 $3,747 $36 $235 $1,078 $2,221 $5,669 Clinical laboratory 25 $4,460 $13,180 $30 $271 $429 $1,229 $14,173 Radiology and imaging 7 * * * * * * * Other ancillary services 12 $171 $147 $24 $63 $98 $344 $405 Billing/collections purchased services 20 $37,204 $30,049 $1,778 $21,035 $33,677 $43,147 $73,840 Management fees paid to MSO 26 $50,045 $27,727 $17,715 $32,913 $41,802 $76,939 $92,903 Miscellaneous operating cost 35 $16,127 $24,228 $554 $1,527 $8,304 $20,742 $41,416 Cost allocated to practice from parent 16 $67,744 $32,262 $36,590 $43,887 $57,925 $83,038 $125,459 Total general operating cost 160 $259,278 $141,321 $29,989 $182,865 $263,144 $343,765 $415,016 Total operating cost 166 $542,446 $610,747 $228,781 $321,778 $441,182 $580,178 $790,395 Total operating & NPP cost 63 $711,460 $433,080 $411,248 $468,488 $600,783 $821,420 $1,064,946

3.4d: Provider Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total medical revenue after operating cost 166 $163,865 $304,809 -$196,193 -$12,542 $150,940 $332,558 $540,315 Total medical revenue after operating & NPP cost 62 $54,377 $537,515 -$897,508 -$83,262 $190,807 $379,903 $544,874 Total provider cost 63 $623,717 $625,947 $281,917 $359,321 $461,528 $649,850 $1,098,347 Total nonphysician provider cost 63 $175,866 $255,475 $9,389 $20,206 $60,998 $173,277 $709,722 Nonphysician provider compensation 44 $62,298 $73,308 $4,246 $14,366 $38,800 $79,672 $168,435 Nonphysician provider benefit cost 64 $13,987 $18,779 $1,644 $3,218 $7,818 $16,443 $32,150 Total physician cost 168 $478,320 $516,826 $237,745 $274,834 $351,285 $460,105 $793,056 Total physician compensation 112 $347,442 $194,109 $207,319 $235,329 $297,815 $391,709 $503,049 Total physician benefit cost 112 $42,285 $22,540 $23,511 $30,984 $38,282 $45,525 $62,524

3.4d: Provider Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total cost 162 $1,011,633 $628,323 $578,135 $702,161 $855,425 $1,114,883 $1,388,982 Net nonmedical revenue 8 * * * * * * * Nonmedical revenue 5 * * * * * * * Net income, practices without financial support 168 -$11,840 $311,439 -$290,569 -$174,365 -$23,459 $135,561 $270,283

Net income, excluding financial support (all practices) 168 -$11,840 $311,439 -$290,569 -$174,365 -$23,459 $135,561 $270,283

Page 4: Obstetrics and Gynecology, Hospital/IDS Owned...Obstetrics and Gynecology, Hospital/IDS Owned 3.1: Staffing and Practice Data Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile

MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Obstetrics and Gynecology, Hospital/IDS Owned (as a Percentage of Total Medical Revenue)

3.5a: Charges and Revenue Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Net fee-for-service revenue 168 94.82% 16.35% 80.38% 98.68% 100.00% 100.00% 100.00% Net other medical revenue 41 12.71% 16.60% .09% .19% 7.42% 19.97% 39.52% Total gross charges 106 223.66% 77.37% 134.70% 168.40% 212.80% 275.31% 325.98%

3.5b: Operating Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile General administrative 35 3.13% 1.81% 1.15% 1.96% 2.87% 3.62% 6.34% Patient accounting 6 * * * * * * * General accounting 20 .68% .44% .38% .42% .44% 1.13% 1.36% Managed care administrative 2 * * * * * * * Information technology 1 * * * * * * * Housekeeping, maintenance, security 4 * * * * * * * Total business operations staff 52 3.13% 2.65% .85% 1.39% 2.99% 3.89% 5.54% Medical receptionists 35 5.38% 3.02% 1.37% 3.80% 5.34% 6.55% 9.08% Medical secretaries, transcribers 1 * * * * * * * Other administrative support 3 * * * * * * * Total front office support staff 118 15.91% 13.28% 4.24% 5.33% 11.77% 23.28% 33.69% Registered nurses 26 4.16% 3.46% .25% .70% 3.47% 6.57% 8.74% Licensed practical nurses 18 2.22% 2.27% .03% .12% 1.47% 4.15% 4.93% Medical assistants, nurse aides 27 4.89% 4.01% .10% 1.35% 4.41% 6.47% 11.91% Total clinical support staff 67 7.87% 4.75% .82% 4.90% 7.25% 11.10% 13.46% Radiology and imaging 6 * * * * * * * Other medical support services 13 3.46% 2.79% .26% 1.03% 2.57% 5.80% 7.95% Total ancillary support staff 37 2.93% 2.43% .52% 1.36% 2.35% 3.92% 6.97% Total employed support staff 136 29.19% 36.92% 13.21% 16.30% 20.98% 28.84% 43.31% Total employed support staff benefits 132 8.68% 9.45% 3.50% 4.76% 6.77% 9.17% 15.63% Total contracted support staff 19 .32% .82% .01% .02% .06% .32% .52% Total support staff 160 35.67% 43.04% 15.39% 20.76% 27.49% 37.88% 51.31% Information technology 39 1.58% .84% .54% 1.08% 1.44% 2.09% 3.15% Drug supply 43 3.81% 3.00% .60% 1.08% 3.57% 6.09% 7.88% Medical and surgical supply 35 3.95% 2.78% 1.21% 1.59% 2.97% 6.47% 8.81% Building and occupancy 44 8.31% 7.32% 2.74% 4.71% 6.50% 9.49% 15.36% Building/occupancy depreciation 18 .58% .92% .00% .04% .16% .63% 2.38% Furniture and equipment 31 .36% .68% .02% .05% .08% .40% 1.07% Furniture/equipment depreciation 36 1.24% 1.35% .27% .36% .81% 1.58% 2.90% Administrative supplies and services 39 .86% .54% .03% .46% .80% 1.23% 1.61% Professional liability insurance 44 5.14% 3.28% 1.42% 2.24% 4.57% 7.05% 11.06% Other insurance premiums 13 .05% .11% .00% .00% .01% .05% .29% Legal fees 1 * * * * * * * Consulting fees 2 * * * * * * * Outside professional fees 28 .82% 1.17% .02% .15% .26% 1.10% 2.94% Promotion and marketing 35 .33% .53% .01% .03% .14% .28% 1.03% Clinical laboratory 25 .47% 1.21% .01% .03% .09% .17% 1.69% Radiology and imaging 7 * * * * * * * Other ancillary services 12 .03% .03% .00% .01% .02% .05% .08%

Billing/collections purchased services 20 5.71% 7.64% .16% 4.20% 4.46% 4.77% 6.66% Management fees paid to MSO 26 6.63% 3.30% 3.88% 4.44% 4.79% 9.85% 12.28% Miscellaneous operating cost 35 2.82% 5.61% .12% .18% .96% 2.84% 5.47% Cost allocated to practice from parent 16 11.71% 4.67% 8.46% 9.33% 9.50% 13.52% 20.47% Total general operating cost 168 44.99% 40.93% 5.99% 28.01% 38.52% 54.98% 74.54% Total operating cost 168 78.93% 60.42% 38.95% 52.22% 64.88% 90.90% 122.94% Total operating & NPP cost 70 623.09% 3048.59% 49.62% 58.00% 73.93% 129.80% 219.48%

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Obstetrics and Gynecology, Hospital/IDS Owned

(as a Percentage of Total Medical Revenue) 3.5c: Provider Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total medical revenue after operating cost 170 10.55% 66.52% -49.27% -3.72% 23.58% 42.72% 53.02% Total medical revenue after operating & NPP cost 70 -544.38% 3065.33% -204.86% -49.28% 21.68% 42.27% 52.08% Total provider cost 68 640.68% 3114.52% 34.50% 42.70% 54.70% 88.09% 272.04% Total nonphysician provider cost 70 561.61% 3045.84% 1.28% 3.16% 9.18% 37.21% 180.62% Nonphysician provider compensation 47 10.46% 18.25% .67% 2.34% 4.51% 10.15% 17.64% Nonphysician provider benefit cost 67 2.19% 3.88% .24% .43% 1.06% 2.29% 4.87% Total physician cost 168 86.25% 117.96% 32.41% 39.39% 54.58% 71.98% 133.11% Total physician compensation 112 55.46% 55.21% 26.13% 32.88% 45.17% 61.35% 78.95% Total physician benefit cost 112 6.72% 5.72% 3.35% 4.38% 5.31% 7.07% 10.05%

3.5d: Net Income or Loss

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total cost 166 175.63% 164.50% 93.51% 102.75% 132.25% 167.32% 251.66% Net nonmedical revenue 9 * * * * * * * Nonmedical revenue 5 * * * * * * * Net income, practices without financial support 168 -10.27% 40.58% -65.02% -33.40% -2.75% 18.15% 34.85%

Net income, excluding financial support (all practices) 170 -10.90% 46.70% -66.25% -34.42% -2.75% 18.36% 34.86%

Page 6: Obstetrics and Gynecology, Hospital/IDS Owned...Obstetrics and Gynecology, Hospital/IDS Owned 3.1: Staffing and Practice Data Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile

MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Obstetrics and Gynecology, Hospital/IDS Owned

(per FTE Provider) 3.6a: Staffing, RVUs, Patients, Procedures, and Square Footage

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total nonphysician providers 68 .30 .21 .03 .13 .30 .44 .52 Total physicians 68 .70 .21 .48 .56 .70 .87 .97 General administrative 20 .25 .15 .08 .14 .23 .39 .46 Patient accounting 4 * * * * * * * General accounting 12 .08 .08 .02 .02 .05 .16 .23 Managed care administrative 2 * * * * * * * Information technology 1 * * * * * * * Housekeeping, maintenance,

security 1 * * * * * * *

Total business operations staff 34 .29 .22 .06 .12 .22 .40 .64

Medical receptionists 19 1.05 .35 .40 .83 1.06 1.39 1.52 Other administrative support 2 * * * * * * * Total front office support staff 54 1.38 .81 .55 .99 1.25 1.59 2.64 Registered nurses 14 .37 .33 .04 .07 .25 .57 .96 Licensed practical nurses 11 .36 .32 .01 .03 .27 .60 .90 Medical assistants, nurse aides 16 .76 .48 .09 .40 .72 1.02 1.50 Total clinical support staff 44 1.24 .57 .45 .89 1.30 1.57 1.96 Radiology and imaging 4 * * * * * * * Other medical support services 7 * * * * * * * Total ancillary support staff 24 .38 .39 .08 .17 .28 .44 1.01 Total employed support staff 65 2.63 .90 1.29 2.06 2.73 3.32 3.69 Total contracted support staff 1 * * * * * * * Total support staff 65 2.63 .90 1.29 2.06 2.73 3.32 3.69 Total RVUs 58 13,185 5,415 7,111 9,660 13,277 15,474 18,621 Physician work RVUs 59 6,094 2,399 3,634 4,896 6,044 7,053 8,424 Patients 17 1,362 799 644 922 1,111 1,758 2,421 Total procedures 13 4,436 1,609 1,644 3,516 4,611 5,670 6,667 Square feet 10 1,605 662 781 1,180 1,316 2,339 2,723

3.6b: Charges, Revenue, and Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total gross charges 43 $1,150,256 $536,229 $604,859 $782,112 $1,080,026 $1,345,342 $1,691,049 Total medical revenue 68 $555,378 $242,932 $270,333 $389,973 $507,976 $699,696 $858,565 Net fee-for-service revenue 68 $529,151 $260,252 $249,702 $350,591 $476,983 $691,582 $886,093 Net other medical revenue 25 $58,792 $73,794 $402 $960 $27,836 $100,626 $187,238 Total medical revenue after operating cost 67 $142,944 $235,936 -$189,356 -$11,152 $149,891 $300,927 $450,742 Total medical revenue after operating & NPP cost 63 $68,170 $335,099 -$491,143 -$60,806 $134,460 $264,861 $441,072 Total support staff cost 65 $145,760 $55,995 $74,162 $104,926 $142,960 $176,065 $215,409 Total general operating cost 68 $189,321 $125,986 $19,301 $109,699 $204,133 $251,284 $298,959 Total operating cost 68 $328,650 $158,278 $93,081 $241,591 $336,747 $417,680 $467,487 Total operating & NPP cost 64 $436,448 $140,996 $279,659 $339,594 $416,823 $482,075 $617,677 Total provider cost 64 $369,633 $187,273 $204,035 $231,136 $316,523 $417,500 $713,125 Total nonphysician provider cost 56 $45,503 $41,621 $7,137 $15,521 $36,573 $57,495 $99,629 Total physician cost 68 $288,670 $154,612 $143,355 $180,608 $271,122 $346,147 $439,430 Total physician compensation 50 $234,253 $101,082 $110,926 $166,825 $240,133 $289,725 $376,941 Total physician benefit cost 50 $31,828 $13,551 $18,044 $24,484 $31,347 $36,701 $49,485 Total cost 66 $995,863 $1,705,650 $494,350 $590,147 $677,792 $806,158 $997,192 Net nonmedical revenue 6 * * * * * * * Net income, excluding financial support (all practices) 68 -$31,405 $164,387 -$231,155 -$127,748 -$39,292 $73,454 $152,046

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Obstetrics and Gynecology, Hospital/IDS Owned

(per Square Foot) 3.7a: Staffing per 10,000 Square Feet

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total physicians 17 7.78 8.07 1.77 3.56 5.99 7.87 21.42 Total nonphysician providers 10 1.46 1.13 .11 .75 1.17 2.06 3.88 Total providers 10 7.23 2.92 3.68 4.28 7.61 8.52 12.93 General administrative 16 1.53 1.45 .27 .65 1.06 1.95 4.73 Patient accounting 4 * * * * * * * General accounting 11 .82 .65 .14 .19 .66 1.21 1.89 Managed care administrative 1 * * * * * * * Housekeeping, maintenance, security 1 * * * * * * * Total business operations staff 16 2.55 1.94 .47 .99 2.07 3.42 5.92 Medical receptionists 17 7.21 5.63 .25 2.37 6.38 10.34 17.11 Medical secretaries, transcribers 1 * * * * * * * Total front office support staff 17 7.89 6.56 .25 2.37 6.38 12.02 19.42 Registered nurses 11 1.96 1.37 .20 .34 1.93 2.76 4.27 Licensed practical nurses 6 * * * * * * * Medical assistants, nurse aides 14 5.65 5.50 .19 1.95 4.11 8.61 16.75 Total clinical support staff 16 9.31 9.36 1.38 3.78 7.11 11.11 24.72 Other medical support services 3 * * * * * * * Total ancillary support staff 3 * * * * * * * Total employed support staff 17 20.24 15.26 3.38 10.84 15.09 23.44 46.21 Total support staff 17 20.24 15.26 3.38 10.84 15.09 23.44 46.21

3.7b: Charges, Revenue, Cost, and Productivity per Square Foot

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total gross charges 12 $459.20 $188.96 $126.44 $339.47 $487.32 $609.21 $702.98 Total medical revenue 17 $433.40 $388.44 $139.94 $192.03 $337.42 $547.60 $958.13 Net fee-for-service revenue 17 $428.96 $390.02 $139.87 $192.03 $318.17 $547.60 $958.13 Net other medical revenue 3 * * * * * * * Total medical revenue after operating cost 16 $151.53 $95.89 $24.47 $82.28 $139.25 $231.22 $303.84 Total medical revenue after operating & NPP cost 10 $159.64 $96.22 $49.31 $73.77 $151.74 $240.41 $331.85 Total support staff cost 17 $98.06 $80.73 $23.38 $44.01 $69.92 $114.20 $249.24 Building and occupancy 17 $24.59 $19.71 $5.04 $10.95 $22.61 $32.13 $49.64 Total general operating cost 17 $127.01 $75.32 $39.24 $76.65 $116.80 $169.84 $275.62 Total operating cost 17 $225.07 $153.22 $72.57 $126.15 $190.88 $284.04 $525.05 Total operating & NPP cost 10 $230.32 $95.41 $111.07 $156.73 $220.05 $291.71 $416.59 Total provider cost 10 $227.22 $99.29 $86.43 $135.64 $231.04 $308.64 $365.60 Total nonphysician provider cost 10 $18.84 $18.20 $1.20 $8.58 $12.63 $24.19 $61.49 Total physician cost 14 $192.37 $89.40 $79.64 $107.98 $172.50 $286.13 $323.36 Total physician compensation 16 $186.15 $139.19 $45.00 $86.27 $149.51 $263.77 $397.97 Total physician benefit cost 15 $20.95 $9.25 $5.69 $14.59 $23.21 $29.51 $32.29 Total cost 17 $528.17 $502.22 $160.08 $258.67 $350.04 $591.40 $1,393.88 Net nonmedical revenue 1 * * * * * * * Net income, excluding financial support (all practices) 15 -$46.70 $44.09 -$128.16 -$70.06 -$41.62 -$5.24 $3.54 Total RVUs 16 14.44 11.62 5.39 7.24 11.01 18.41 32.69 Physician work RVUs 16 6.19 5.35 2.01 2.78 4.43 7.71 15.44 Patients 4 * * * * * * * Total procedures 17 4.23 3.28 1.31 2.05 3.88 5.18 9.99

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Obstetrics and Gynecology, Hospital/IDS Owned

(per Total RVU) 3.8a: Staffing per 10,000 Total RVUs

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total physicians 124 .89 1.42 .38 .49 .61 .80 1.13 Total nonphysician providers 59 .35 .49 .03 .08 .22 .37 .70 Total providers 58 .94 .65 .54 .65 .75 1.04 1.41 General administrative 33 .19 .10 .05 .11 .20 .24 .33 Patient accounting 5 * * * * * * * General accounting 20 .05 .04 .02 .02 .03 .09 .12 Managed care administrative 2 * * * * * * * Information technology 1 * * * * * * * Housekeeping, maintenance, security 4 * * * * * * * Total business operations staff 49 .20 .15 .06 .09 .21 .25 .33 Medical receptionists 33 .68 .35 .17 .43 .69 .96 1.14 Medical secretaries, transcribers 1 * * * * * * * Other administrative support 3 * * * * * * * Total front office support staff 101 1.92 2.13 .41 .72 1.30 2.50 3.66 Registered nurses 24 .27 .22 .02 .05 .21 .47 .58 Licensed practical nurses 17 .23 .24 .00 .01 .20 .40 .56 Medical assistants, nurse aides 26 .58 .54 .02 .21 .47 .78 1.37 Total clinical support staff 52 .85 .50 .20 .52 .79 1.06 1.49 Radiology and imaging 6 * * * * * * * Other medical support services 13 .40 .33 .03 .07 .35 .69 .94 Total ancillary support staff 31 .29 .25 .07 .12 .20 .38 .70 Total employed support staff 119 2.55 1.95 1.35 1.68 2.05 2.86 3.70 Total support staff 119 2.55 1.95 1.35 1.68 2.05 2.86 3.70

3.8b: Charges, Revenue, Cost, and Productivity per Total RVU

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total gross charges 90 $97.91 $50.59 $59.75 $71.46 $92.91 $108.31 $130.74 Total medical revenue 125 $43.58 $25.20 $29.05 $32.53 $38.58 $47.67 $55.82 Net fee-for-service revenue 125 $39.19 $17.55 $25.96 $30.75 $36.45 $43.70 $51.77 Net other medical revenue 30 $2.20 $2.95 $.03 $.06 $.33 $4.74 $5.31 Total medical revenue after operating cost 125 $1.51 $31.59 -$23.91 -$7.38 $5.46 $17.15 $24.62 Total medical revenue after operating & NPP cost 55 -$5.06 $44.71 -$56.51 -$8.04 $11.19 $18.27 $26.31 Total support staff cost 118 $14.55 $14.40 $6.39 $8.35 $10.71 $15.90 $25.62 Total general operating cost 125 $18.42 $17.69 $1.78 $10.05 $15.02 $23.35 $33.97 Total operating cost 124 $32.40 $26.08 $8.25 $19.21 $27.59 $37.90 $53.12 Total operating & NPP cost 54 $35.94 $16.88 $18.83 $23.36 $29.99 $46.35 $65.65 Total provider cost 54 $38.46 $46.82 $14.22 $17.58 $23.09 $33.63 $78.13 Total nonphysician provider cost 50 $11.57 $17.67 $.80 $1.35 $3.73 $9.85 $40.11 Total physician cost 122 $31.07 $28.73 $13.94 $17.44 $21.89 $28.74 $60.76 Total physician compensation 97 $23.84 $20.38 $11.99 $15.07 $18.83 $24.05 $41.64 Total physician benefit cost 97 $2.82 $2.59 $1.31 $1.72 $2.23 $2.86 $4.02 Total cost 120 $71.02 $58.54 $36.59 $42.20 $52.53 $72.84 $123.01 Net nonmedical revenue 3 * * * * * * * Net income, excluding financial support (all practices) 125 -$2.43 $28.24 -$21.51 -$10.35 $.00 $9.93 $16.35 Physician work RVUs 125 .47 .06 .43 .45 .47 .49 .52 Patients 25 .10 .06 .05 .06 .08 .14 .18 Total procedures 25 .28 .15 .12 .17 .26 .34 .49 Square feet 16 .10 .05 .03 .05 .09 .14 .19

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Obstetrics and Gynecology, Hospital/IDS Owned

(per Work RVU) 3.9a: Staffing per 10,000 Work RVUs

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total physicians 123 1.53 1.11 .86 1.02 1.31 1.67 2.20 Total nonphysician providers 60 .76 1.10 .05 .17 .46 .78 1.54 Total providers 59 2.18 2.76 1.19 1.42 1.65 2.04 2.75 General administrative 34 .41 .20 .11 .26 .43 .52 .71 Patient accounting 6 * * * * * * * General accounting 20 .11 .10 .04 .04 .05 .20 .28 Managed care administrative 2 * * * * * * * Information technology 1 * * * * * * * Housekeeping, maintenance, security 4 * * * * * * * Total business operations staff 51 .44 .32 .14 .24 .43 .56 .74 Medical receptionists 34 1.47 .75 .36 .98 1.54 1.97 2.47 Medical secretaries, transcribers 1 * * * * * * * Other administrative support 3 * * * * * * * Total front office support staff 103 3.99 4.42 .95 1.61 2.75 5.17 7.36 Registered nurses 25 .63 .54 .03 .11 .56 1.08 1.25 Licensed practical nurses 18 .47 .49 .01 .03 .35 .83 1.03 Medical assistants, nurse aides 27 1.48 1.62 .04 .46 1.03 1.73 4.45 Total clinical support staff 54 1.95 1.24 .50 1.16 1.90 2.40 3.30 Radiology and imaging 6 * * * * * * * Other medical support services 13 .79 .64 .06 .19 .71 1.39 1.80 Total ancillary support staff 32 .63 .48 .18 .26 .46 .92 1.46 Total employed support staff 121 5.42 4.04 3.04 3.57 4.43 6.00 7.92 Total support staff 121 5.42 4.04 3.04 3.57 4.43 6.00 7.92

3.9b: Charges, Revenue, Cost, and Productivity per Work RVU

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total gross charges 91 $209.04 $103.50 $130.48 $146.17 $201.40 $231.79 $275.83 Total medical revenue 127 $95.23 $65.68 $61.60 $70.18 $81.35 $101.61 $122.33 Net fee-for-service revenue 127 $84.58 $36.74 $58.09 $65.17 $74.90 $94.90 $118.06 Net other medical revenue 30 $4.59 $6.35 $.08 $.13 $.71 $9.09 $10.61 Total medical revenue after operating cost 127 $3.52 $66.33 -$49.47 -$15.91 $11.72 $37.15 $53.94 Total medical revenue after operating & NPP cost 55 -$1.98 $67.83 -$102.98 -$17.02 $25.12 $39.46 $53.34 Total support staff cost 118 $27.49 $15.54 $13.85 $17.69 $23.10 $33.30 $48.49 Total general operating cost 127 $39.77 $37.46 $3.82 $21.52 $32.69 $51.81 $74.30 Total operating cost 126 $69.15 $54.05 $23.75 $41.74 $59.01 $79.92 $113.39 Total operating & NPP cost 55 $77.28 $35.03 $42.17 $52.60 $64.99 $94.32 $135.68 Total provider cost 52 $60.51 $35.52 $31.34 $38.93 $49.36 $62.65 $116.70 Total nonphysician provider cost 55 $22.26 $36.71 $1.30 $2.09 $7.24 $17.92 $82.73 Total physician cost 115 $51.83 $26.91 $30.26 $36.39 $44.70 $57.14 $85.25 Total physician compensation 98 $50.95 $42.30 $26.50 $32.47 $40.16 $50.75 $81.04 Total physician benefit cost 98 $6.09 $5.40 $2.87 $3.76 $4.75 $6.29 $8.42 Total cost 126 $251.03 $585.83 $80.00 $95.31 $115.72 $157.39 $348.28 Net nonmedical revenue 4 * * * * * * * Net income, excluding financial support (all practices) 127 -$6.56 $60.14 -$51.14 -$26.07 $.00 $20.44 $33.31 Total RVUs 125 2.23 1.04 1.94 2.04 2.13 2.23 2.32 Patients 26 .21 .11 .10 .13 .16 .28 .37 Total procedures 24 .57 .28 .23 .33 .54 .76 .90 Square feet 16 .25 .17 .07 .13 .23 .36 .52

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Obstetrics and Gynecology, Hospital/IDS Owned

(per Patient) 3.10a: Staffing per 10,000 Patients

Count Mean Std Dev 10th %tile

25th %tile Median 75th %tile

90th %tile

Total physicians 27 7.48 3.56 3.16 4.65 7.07 9.43 13.16 Total nonphysician providers 17 2.99 1.98 .59 1.37 2.76 4.06 6.60 Total providers 17 9.21 4.14 4.42 5.69 9.00 10.85 15.64 General administrative 23 2.86 2.09 .76 1.55 2.35 4.08 4.68 Patient accounting 3 * * * * * * * General accounting 11 .32 .08 .21 .24 .32 .38 .46 Managed care administrative 1 * * * * * * * Information technology 1 * * * * * * * Housekeeping, maintenance, security 4 * * * * * * * Total business operations staff 25 3.36 3.13 .61 1.44 2.50 3.99 9.89 Medical receptionists 22 9.97 6.03 1.99 5.29 9.54 14.36 18.04 Other administrative support 3 * * * * * * * Total front office support staff 27 9.81 5.72 1.65 5.88 8.66 14.11 17.93 Registered nurses 15 5.47 5.68 .18 .28 4.76 8.16 15.53 Licensed practical nurses 14 2.80 2.89 .03 .16 1.57 5.48 7.46 Medical assistants, nurse aides 17 7.32 5.27 .23 2.37 7.89 11.96 14.59 Total clinical support staff 27 11.10 7.41 1.20 5.88 9.02 14.39 22.52 Radiology and imaging 6 * * * * * * * Other medical support services 12 5.58 5.39 .33 1.31 4.65 8.28 16.14 Total ancillary support staff 17 5.30 4.69 .31 1.90 3.20 7.97 10.80 Total employed support staff 27 27.37 13.98 9.00 17.92 25.76 33.34 46.79 Total support staff 27 27.37 13.98 9.00 17.92 25.76 33.34 46.79

3.10b: Charges, Revenue, Cost, and Productivity per Patient

Count Mean Std Dev 10th %tile 25th %tile

Median 75th %tile 90th %tile

Total gross charges 15 $959.06 $337.62 $524.11 $696.86 $927.54 $1,187.09 $1,530.92 Total medical revenue 27 $529.55 $247.45 $231.72 $345.04 $527.61 $680.07 $840.54 Net fee-for-service revenue 27 $501.07 $243.04 $216.19 $329.81 $463.18 $604.59 $798.88 Net other medical revenue 19 $36.53 $30.53 $1.82 $4.45 $32.91 $64.43 $79.25 Total medical revenue after operating cost 27 $203.71 $145.52 $6.71 $96.98 $204.55 $293.88 $410.64 Total medical revenue after operating & NPP cost 17 $165.04 $122.92 $12.77 $64.26 $179.37 $253.84 $368.33 Total support staff cost 27 $131.80 $72.98 $48.42 $92.74 $122.12 $160.84 $242.00 Total general operating cost 27 $195.57 $93.49 $84.93 $124.24 $191.45 $246.50 $319.18 Total operating cost 27 $325.84 $151.35 $174.01 $209.24 $316.43 $406.21 $474.04 Total operating & NPP cost 17 $344.28 $185.32 $135.07 $218.06 $323.74 $417.94 $585.49 Total provider cost 17 $290.85 $137.19 $118.90 $186.36 $272.18 $403.48 $526.46 Total nonphysician provider cost 17 $38.01 $25.27 $7.21 $16.95 $35.22 $54.43 $85.60 Total physician cost 27 $289.40 $146.56 $112.49 $185.88 $269.42 $374.32 $508.81 Total physician compensation 23 $267.57 $120.76 $102.68 $190.54 $232.28 $354.88 $452.60 Total physician benefit cost 23 $40.95 $26.11 $17.66 $27.46 $31.16 $49.82 $72.33 Total cost 27 $639.17 $271.51 $312.49 $432.04 $635.01 $792.95 $1,013.88 Net nonmedical revenue 3 * * * * * * * Net income, excluding financial support (all practices) 25 -$80.84 $111.25 -$298.38 -$115.02 -$40.50 -$3.46 $5.00 Total RVUs 25 12.19 5.56 5.58 7.03 12.88 15.68 20.31 Physician work RVUs 26 6.05 2.70 2.74 3.59 6.09 7.60 10.09 Total procedures 13 2.42 1.27 1.14 1.68 2.01 2.63 5.12 Square feet 4 * * * * * * *

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Pediatrics, Hospital/IDS Owned

5.1: Staffing and Practice Data

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total provider FTE 53 6.02 10.84 1.92 2.32 3.41 6.83 9.85 Total physician FTE 101 3.62 7.04 .93 1.10 2.00 4.00 7.01 Total nonphysician provider FTE 55 3.70 15.22 .13 .54 1.09 1.72 3.52 Total support staff FTE 97 27.08 112.88 2.03 4.19 6.95 14.71 27.69 Number of branch clinics 8 * * * * * * * Square footage of all facilities 21 21,619 76,099 1,926 2,981 4,366 6,592 12,849

5.2: Accounts Receivable Data, Collection Percentages, and Financial Ratios

Count Mean Std Dev 10th %tile

25th %tile Median 75th %tile 90th %tile

Total AR/physician 32 $161,497 $163,404 $47,986 $73,898 $118,076 $172,655 $276,132 Total AR/provider 12 $66,968 $24,568 $35,732 $47,930 $64,167 $72,072 $113,662 0-30 days in AR 34 50.10% 26.94% 6.93% 30.45% 58.69% 72.95% 80.71% 31-60 days in AR 34 10.04% 5.30% 2.70% 7.06% 9.90% 12.98% 16.35% 61-90 days in AR 34 7.30% 5.08% 1.15% 4.77% 6.91% 8.93% 10.58% 91-120 days in AR 34 7.00% 4.95% 2.86% 3.76% 5.60% 8.33% 13.69% 120+ days in AR 34 25.56% 27.99% 2.10% 5.29% 9.29% 42.30% 76.95% Re-aged: 0-30 days in AR 3 * * * * * * * Re-aged: 31-60 days in AR 3 * * * * * * * Re-aged: 61-90 days in AR 3 * * * * * * * Re-aged: 91-120 days in AR 3 * * * * * * * Re-aged: 120+ days in AR 3 * * * * * * * Not re-aged: 0-30 days in AR 17 72.67% 7.74% 60.74% 68.77% 72.79% 79.07% 83.06% Not re-aged: 31-60 days in AR 17 9.44% 2.34% 6.67% 7.17% 9.76% 11.23% 13.08% Not re-aged: 61-90 days in AR 17 6.29% 2.23% 2.77% 4.56% 6.72% 8.23% 9.38% Not re-aged: 91-120 days in AR 17 6.01% 5.75% 2.64% 3.76% 4.21% 6.42% 11.70% Not re-aged: 120+ days in AR 17 5.60% 3.07% 1.38% 2.90% 5.97% 8.30% 9.96% Months gross FFS charges in AR 34 2.60 3.24 .78 .88 1.14 1.97 9.58 Months adjusted FFS charges in AR 32 2.79 2.77 1.10 1.30 1.64 3.25 6.77 Days gross FFS charges in AR 34 79.10 98.42 23.67 26.85 34.54 60.05 291.33 Days adjusted FFS charges in AR 30 67.05 46.04 32.57 39.39 48.20 79.78 124.00 Gross FFS collection % 70 59.88% 14.07% 40.31% 53.64% 62.45% 68.33% 72.33% Adjusted FFS collection % 70 96.13% 5.75% 89.82% 96.49% 97.55% 98.99% 99.76% Gross FFS + cap collection % 23 61.23% 9.15% 48.66% 60.98% 62.71% 64.22% 69.20% Net cap rev % of gross cap chrg 21 53.55% 19.14% 18.47% 41.98% 61.15% 63.48% 71.89%

5.3: Breakout of Total Gross Charges by Type of Payer

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Medicare 49 1.83% 6.01% .00% .00% .00% .04% 4.00% Medicaid 49 28.80% 23.33% 6.07% 15.57% 22.00% 34.38% 58.90% Commercial 49 64.70% 25.25% 23.20% 49.50% 73.65% 81.53% 91.88% Workers' compensation 49 .08% .45% .00% .00% .00% .00% .00% Charity care and prof courtesy 49 .06% .11% .00% .00% .00% .10% .28% Self-pay 49 3.01% 4.26% .70% 1.00% 1.52% 2.76% 13.00% Other government payers 49 1.53% 2.50% .00% .00% .71% 1.63% 4.43%

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Pediatrics, Hospital/IDS Owned

(per FTE Physician) 5.4a: Staffing, RVUs, Patients, Procedures, and Square Footage

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Primary care physicians 49 1.00 .00 1.00 1.00 1.00 1.00 1.00 Nonsurgical specialty physicians 4 * * * * * * * Surgical specialty physicians 3 * * * * * * * Total nonphysician providers 54 .53 .78 .04 .16 .34 .54 1.14 Total providers 54 1.53 .78 1.04 1.16 1.34 1.54 2.14 General administrative 37 .40 .22 .16 .25 .38 .50 .60 Patient accounting 16 .54 .30 .04 .36 .57 .75 1.00 General accounting 11 .18 .15 .04 .04 .14 .33 .46 Managed care administrative 9 * * * * * * * Information technology 3 * * * * * * * Housekeeping, maintenance, security 1 * * * * * * * Total business operations staff 63 .60 .47 .14 .25 .43 .80 1.40 Medical receptionists 40 1.14 .62 .39 .67 1.02 1.61 2.03 Medical records 1 * * * * * * * Other administrative support 12 .38 .43 .02 .07 .21 .58 1.26 Total front office support staff 77 1.39 .86 .54 .93 1.15 1.73 2.33 Registered nurses 33 .68 .54 .12 .35 .54 .77 1.84 Licensed practical nurses 29 .86 .63 .24 .36 .76 1.12 1.80 Medical assistants, nurse aides 39 .85 .57 .25 .44 .76 1.02 1.90 Total clinical support staff 73 2.02 2.46 .93 1.26 1.84 2.04 2.64 Clinical laboratory 9 * * * * * * * Radiology and imaging 2 * * * * * * * Other medical support services 5 * * * * * * * Total ancillary support staff 18 .30 .30 .01 .15 .22 .32 1.01 Total employed support staff 90 3.28 1.27 1.44 2.52 3.22 4.14 4.69 Total contracted support staff 3 * * * * * * * Total support staff 96 3.46 2.65 1.38 2.52 3.22 4.09 4.75 Total RVUs 72 13,884 5,293 6,945 10,780 14,022 17,597 20,602 Physician work RVUs 86 6,106 2,137 3,435 4,781 6,277 7,531 8,750 Patients 29 2,996 2,368 860 1,473 2,008 4,420 6,328 Total procedures 22 15,663 5,050 8,998 10,523 16,192 17,650 23,029 Square feet 20 1,885 922 925 1,406 1,773 2,034 3,487

5.4b: Charges and Revenue

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Net fee-for-service revenue 102 $671,939 $321,535 $226,827 $463,178 $662,756 $860,375 $1,110,178 Gross FFS charges 68 $1,089,564 $420,158 $534,289 $818,874 $1,064,271 $1,366,900 $1,688,862 Adjustments to FFS charges 68 $426,256 $222,794 $193,333 $289,511 $390,751 $480,823 $688,489 Adjusted FFS charges 69 $698,849 $306,399 $259,596 $493,951 $704,894 $876,759 $1,027,558 Bad debts due to FFS

activity 53 $15,811 $12,937 $3,064 $6,486 $9,830 $24,997 $38,652

Net capitation revenue 21 $50,830 $48,123 $5,031 $13,057 $31,680 $70,353 $144,819 Gross capitation charges 27 $83,325 $102,377 $9,549 $18,459 $46,589 $102,164 $242,797 Capitation revenue 22 $62,254 $71,252 $5,342 $14,296 $35,510 $81,957 $157,671 Net other medical revenue 29 $28,743 $41,751 $4,733 $9,003 $15,402 $31,043 $53,292 Gross revenue from other

medical activities 29 $28,743 $41,751 $4,733 $9,003 $15,402 $31,043 $53,292

Other medical revenue 28 $18,814 $14,141 $4,377 $8,021 $14,274 $28,900 $43,187 Revenue from hospital 2 * * * * * * * Revenue from sale of

goods/services 1 * * * * * * *

Total gross charges 67 $1,126,244 $425,481 $534,616 $853,132 $1,147,618 $1,391,568 $1,689,612 Total medical revenue 102 $681,520 $323,895 $241,724 $498,142 $653,315 $838,862 $1,079,125

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Pediatrics, Hospital/IDS Owned (per FTE Physician)

5.4c: Operating Cost Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile

General administrative 37 $23,979 $12,713 $9,503 $16,067 $22,408 $32,439 $37,206 Patient accounting 15 $23,452 $13,922 $1,089 $12,027 $25,215 $32,454 $42,417 General accounting 11 $7,559 $5,546 $1,726 $3,238 $7,501 $11,264 $18,394 Managed care administrative 8 * * * * * * * Information technology 3 * * * * * * * Housekeeping, maintenance, security 1 * * * * * * * Total business operations staff 63 $29,835 $20,039 $7,175 $14,528 $25,687 $40,700 $63,387 Medical receptionists 40 $33,746 $18,430 $10,622 $20,722 $31,974 $46,772 $62,414 Medical secretaries, transcribers 1 * * * * * * * Other administrative support 12 $13,008 $14,497 $708 $2,840 $8,114 $19,547 $42,142 Total front office support staff 77 $47,180 $33,687 $17,877 $27,664 $36,139 $58,681 $92,916 Registered nurses 33 $33,981 $26,966 $6,576 $16,472 $27,275 $42,483 $85,865 Licensed practical nurses 28 $31,189 $23,046 $8,409 $12,546 $23,019 $43,193 $62,890 Medical assistants, nurse aides 40 $25,166 $18,982 $6,237 $12,015 $20,180 $33,907 $48,892 Total clinical support staff 72 $66,232 $31,704 $31,496 $43,962 $63,493 $83,002 $98,466 Clinical laboratory 11 $9,921 $10,258 $76 $3,431 $7,407 $11,635 $32,975 Radiology and imaging 2 * * * * * * * Other medical support services 5 * * * * * * * Total ancillary support staff 21 $10,164 $9,858 $56 $1,874 $9,353 $12,594 $29,568 Total employed support staff 90 $129,112 $52,539 $71,777 $95,847 $123,612 $153,194 $213,610 Total employed support staff benefits 86 $41,616 $25,920 $15,582 $26,800 $36,794 $50,642 $67,301 Total contracted support staff 13 $2,722 $5,132 $95 $165 $296 $3,321 $13,962 Total support staff 95 $165,611 $70,939 $78,703 $124,150 $158,157 $204,308 $277,063 Information technology 45 $9,895 $7,139 $709 $6,053 $8,643 $13,429 $17,360 Drug supply 49 $126,961 $76,849 $35,430 $87,795 $126,735 $169,547 $205,352 Medical and surgical supply 43 $7,141 $5,248 $2,609 $3,688 $5,294 $9,534 $13,522 Building and occupancy 46 $55,986 $78,505 $21,162 $27,186 $41,294 $53,451 $87,899 Building/occupancy depreciation 9 * * * * * * * Furniture and equipment 31 $2,742 $4,351 $161 $277 $1,364 $2,865 $5,735 Furniture/equipment depreciation 37 $3,097 $2,653 $138 $612 $2,590 $4,791 $7,340 Administrative supplies and services 47 $6,226 $6,221 $736 $2,829 $5,262 $7,381 $13,317 Professional liability insurance 48 $8,316 $3,718 $3,719 $5,334 $8,200 $10,880 $12,689 Other insurance premiums 9 * * * * * * * Legal fees 2 * * * * * * * Consulting fees 3 * * * * * * * Outside professional fees 32 $3,369 $4,367 $130 $372 $1,891 $4,833 $8,601 Promotion and marketing 36 $1,176 $1,644 $25 $109 $817 $1,538 $3,257 Clinical laboratory 32 $5,528 $3,907 $1,305 $1,878 $5,027 $7,415 $12,536 Radiology and imaging 2 * * * * * * * Other ancillary services 15 $169 $137 $46 $71 $119 $206 $452 Billing/collections purchased services 19 $36,836 $25,817 $105 $12,230 $41,783 $57,598 $74,539 Management fees paid to MSO 20 $42,935 $30,859 $5,260 $14,657 $35,715 $65,478 $91,466 Miscellaneous operating cost 42 $12,067 $14,408 $658 $959 $4,998 $20,404 $36,757 Cost allocated to practice from parent 20 $71,557 $27,349 $41,506 $49,794 $75,734 $85,894 $121,876 Total general operating cost 102 $291,448 $192,642 $36,425 $175,065 $280,252 $370,521 $466,858 Total operating cost 102 $454,331 $218,054 $196,665 $322,409 $443,781 $551,059 $725,110 Total operating & NPP cost 53 $634,877 $377,384 $357,374 $432,031 $557,982 $660,010 $1,089,006

5.4d: Provider Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total medical revenue after operating cost 98 $178,169 $278,025 -$139,034 $7,604 $230,746 $354,638 $498,703 Total medical revenue after operating & NPP cost

45 $273,057 $214,385 -$40,901 $219,786 $305,457 $359,028 $563,008

Total provider cost 44 $349,359 $95,590 $235,297 $283,148 $339,650 $395,797 $496,485 Total nonphysician provider cost 50 $85,182 $155,836 $5,520 $18,938 $41,564 $61,507 $184,761 Nonphysician provider compensation 39 $44,035 $67,137 $1,894 $13,975 $25,662 $43,230 $98,931 Nonphysician provider benefit cost 38 $7,331 $6,751 $636 $3,068 $4,798 $10,638 $16,042 Total physician cost 100 $332,628 $164,278 $201,458 $224,662 $309,651 $377,045 $485,974 Total physician compensation 76 $269,057 $92,435 $164,723 $195,634 $259,890 $311,654 $409,367 Total physician benefit cost 71 $40,694 $16,382 $23,244 $30,943 $38,235 $50,149 $66,286

5.4e: Net Income or Loss

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total cost 99 $893,018 $449,564 $532,192 $632,950 $778,318 $1,000,399 $1,436,015 Net nonmedical revenue 8 * * * * * * * Nonmedical revenue 5 * * * * * * * Financial support for operating costs 1 * * * * * * * Goodwill amortization 1 * * * * * * * Nonmedical cost 1 * * * * * * * Net income, practices without financial support

100 -$112,547 $392,873 -$436,323 -$142,402 -$40,284 $64,644 $182,336

Net income, excluding financial support (all practices)

100 -$112,547 $392,873 -$436,323 -$142,402 -$40,284 $64,644 $182,336

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Pediatrics, Hospital/IDS Owned

(as a Percentage of Total Medical Revenue) 11.5a: Charges and Revenue

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Net fee-for-service revenue 103 99.10% 22.20% 87.81% 95.94% 99.33% 100.00% 100.00% Net capitation revenue 23 8.66% 8.61% 1.26% 2.56% 6.97% 11.92% 20.72% Net other medical revenue 30 5.73% 14.51% .38% 1.05% 1.76% 4.62% 11.13% Total gross charges 69 174.25% 62.22% 133.32% 143.63% 158.80% 178.97% 248.74%

5.5b: Operating Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile General administrative 38 3.16% 1.78% 1.21% 1.85% 2.60% 4.09% 6.44% Patient accounting 15 4.57% 5.64% .10% 1.79% 4.13% 4.67% 12.85% General accounting 12 .98% .86% .28% .39% .73% 1.09% 2.74% Managed care administrative 8 * * * * * * * Information technology 3 * * * * * * * Housekeeping, maintenance,

security 1 * * * * * * *

Total business operations staff 64 4.41% 4.02% .99% 1.60% 3.26% 6.10% 8.66% Medical receptionists 41 4.47% 2.28% 1.74% 2.77% 4.02% 5.97% 7.46% Medical records 1 * * * * * * * Other administrative support 12 2.31% 2.82% .07% .30% .75% 4.20% 7.97% Total front office support staff 78 8.60% 8.81% 2.74% 3.60% 4.96% 8.27% 21.70% Registered nurses 35 3.99% 2.97% .46% 1.83% 3.83% 5.41% 6.89% Licensed practical nurses 28 4.63% 4.69% .72% 1.91% 3.10% 5.74% 12.00% Medical assistants, nurse aides 40 3.76% 3.53% 1.12% 1.72% 2.49% 4.79% 7.98% Total clinical support staff 73 9.00% 4.87% 4.77% 6.09% 8.13% 10.48% 14.78% Clinical laboratory 11 1.21% 1.05% .01% .33% .98% 2.31% 3.02% Radiology and imaging 2 * * * * * * * Other medical support services 5 * * * * * * * Total ancillary support staff 22 1.48% 1.75% .01% .42% 1.03% 1.88% 3.05% Total employed support staff 92 35.50% 141.66% 11.40% 14.12% 18.10% 23.78% 38.78% Total employed support staff benefits 87 10.08% 36.37% 3.02% 3.97% 5.37% 7.27% 11.84% Total contracted support staff 13 .78% 1.66% .01% .02% .04% .45% 4.60% Total support staff 97 43.88% 172.45% 14.05% 18.21% 23.29% 28.62% 43.31% Information technology 46 1.38% .82% .09% .80% 1.34% 1.85% 2.28% Drug supply 49 15.78% 7.92% 1.24% 11.38% 16.97% 20.93% 23.43% Medical and surgical supply 44 .95% .69% .38% .58% .68% 1.27% 1.78% Building and occupancy 48 7.98% 12.34% 2.51% 3.94% 5.29% 7.59% 13.11% Building/occupancy depreciation 10 1.23% 1.76% .04% .09% .62% 1.65% 5.47% Furniture and equipment 32 .36% .57% .02% .04% .18% .34% 1.15% Furniture/equipment depreciation 38 .49% .49% .02% .09% .31% .74% 1.46% Administrative supplies and services 48 .85% .84% .17% .38% .74% .96% 1.78% Professional liability insurance 48 1.39% 1.07% .34% .77% 1.15% 1.67% 2.86% Other insurance premiums 9 * * * * * * * Legal fees 2 * * * * * * * Consulting fees 3 * * * * * * * Outside professional fees 32 .48% .56% .01% .05% .40% .68% 1.43% Promotion and marketing 36 .13% .17% .00% .01% .07% .18% .34% Clinical laboratory 32 .72% .45% .20% .33% .73% 1.05% 1.17% Radiology and imaging 2 * * * * * * * Other ancillary services 15 .02% .02% .01% .01% .02% .04% .05%

Billing/collections purchased services

20 4.30% 2.96% .02% 1.94% 3.97% 7.79% 7.90%

Management fees paid to MSO 21 6.08% 5.22% .91% 2.78% 4.89% 5.69% 16.29% Miscellaneous operating cost 43 1.88% 3.01% .09% .14% .70% 2.56% 4.51% Cost allocated to practice from

parent 20 10.16% 3.65% 8.71% 9.41% 9.50% 10.07% 13.14%

Total general operating cost 103 55.23% 98.28% 6.00% 30.33% 39.23% 48.18% 93.90% Total operating cost 103 96.40% 189.15% 41.26% 54.32% 61.33% 77.11% 122.88% Total operating & NPP cost 55 170.58% 619.84% 48.31% 58.36% 64.83% 84.17% 159.48%

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Pediatrics, Hospital/IDS Owned

(as a Percentage of Total Medical Revenue) 5.5c: Provider Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total medical revenue after operating cost 103 -.64% 131.48% -75.26% 2.64% 37.50% 43.92% 52.77% Total medical revenue after operating & NPP cost 47 29.96% 22.84% -.20% 23.36% 35.67% 42.43% 51.64% Total provider cost 51 60.49% 56.03% 29.29% 36.08% 44.81% 54.30% 118.68% Total nonphysician provider cost 52 14.96% 27.79% .77% 2.33% 5.03% 11.84% 50.81% Nonphysician provider compensation 40 5.81% 8.20% .45% 1.48% 3.26% 6.08% 12.61% Nonphysician provider benefit cost 40 1.43% 2.56% .14% .39% .68% 1.25% 2.67% Total physician cost 97 55.21% 46.47% 25.96% 33.56% 42.90% 54.96% 103.68% Total physician compensation 78 82.26% 269.85% 21.86% 29.07% 36.99% 46.31% 62.04% Total physician benefit cost 73 13.80% 53.45% 3.51% 4.06% 5.17% 7.65% 10.89%

5.5d: Net Income or Loss

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total cost 100 171.47% 209.69% 84.55% 95.94% 108.66% 141.78% 287.73% Net nonmedical revenue 8 * * * * * * * Nonmedical revenue 5 * * * * * * * Financial support for operating costs 1 * * * * * * * Goodwill amortization 1 * * * * * * * Nonmedical cost 1 * * * * * * * Net income, practices with financial support 1 * * * * * * * Net income, practices without financial support 97 -16.21% 43.85% -75.14% -32.83% -3.49% 8.76% 21.58%

Net income, excluding financial support (all practices) 98 -16.04% 43.66% -74.90% -32.73% -3.25% 8.56% 21.52%

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Pediatrics, Hospital/IDS Owned

(per FTE Provider) 5.6a: Staffing, RVUs, Patients, Procedures, and Square Footage

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total nonphysician providers 55 .28 .21 .04 .14 .25 .37 .55 Total physicians 55 .72 .21 .45 .63 .75 .86 .96 General administrative 26 .27 .14 .08 .19 .27 .36 .42 Patient accounting 6 * * * * * * * General accounting 9 * * * * * * * Managed care administrative 6 * * * * * * * Information technology 2 * * * * * * * Housekeeping, maintenance, security 1 * * * * * * * Total business operations staff 41 .36 .30 .08 .16 .27 .45 .86 Medical receptionists 25 .92 .36 .49 .64 .92 1.13 1.37 Medical records 1 * * * * * * * Other administrative support 7 * * * * * * * Total front office support staff 44 .94 .42 .43 .69 .91 1.11 1.60 Registered nurses 22 .43 .29 .05 .17 .41 .72 .82 Licensed practical nurses 20 .60 .47 .12 .24 .45 .92 1.34 Medical assistants, nurse aides 25 .60 .36 .15 .36 .52 .83 1.13 Total clinical support staff 45 1.33 .51 .61 1.05 1.38 1.70 1.84 Clinical laboratory 5 * * * * * * * Radiology and imaging 1 * * * * * * * Other medical support services 4 * * * * * * * Total ancillary support staff 12 .25 .29 .02 .11 .15 .32 .88 Total employed support staff 53 2.53 .83 1.33 2.10 2.50 2.93 3.67 Total contracted support staff 3 * * * * * * * Total support staff 54 2.49 .89 1.29 2.05 2.49 2.92 3.64 Total RVUs 42 11,371 2,752 8,030 9,426 11,216 13,645 14,730 Physician work RVUs 50 5,024 1,156 3,619 4,184 4,897 5,919 6,479 Patients 19 1,440 796 675 832 1,235 1,640 3,266 Total procedures 15 12,457 3,850 7,876 9,555 11,819 14,166 19,514 Square feet 13 1,540 637 987 1,082 1,286 1,871 2,823

5.6b: Charges, Revenue, and Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total gross charges 34 $931,115 $329,655 $547,242 $715,353 $958,914 $1,131,405 $1,372,392 Total medical revenue 55 $557,096 $221,815 $271,147 $408,275 $565,707 $692,762 $846,795 Net fee-for-service revenue 55 $545,479 $228,410 $252,772 $381,152 $558,764 $706,783 $812,578 Net capitation revenue 14 $53,880 $44,987 $3,558 $11,207 $48,403 $94,329 $130,575 Net other medical revenue 24 $21,807 $22,014 $2,194 $7,083 $13,527 $37,210 $55,887 Total medical revenue after operating cost 53 $185,244 $199,228 -$100,548 $50,719 $241,179 $293,563 $427,344 Total medical revenue after operating & NPP cost 44 $211,907 $162,273 $17,086 $136,209 $221,765 $293,730 $430,757 Total support staff cost 54 $122,402 $50,384 $57,169 $91,877 $119,950 $152,948 $187,244 Total general operating cost 55 $208,512 $128,232 $16,871 $119,195 $223,340 $264,271 $354,023 Total operating cost 55 $328,242 $145,294 $107,932 $221,422 $340,346 $408,118 $494,564 Total operating & NPP cost 54 $420,279 $202,191 $231,534 $343,069 $390,544 $467,111 $537,721 Total provider cost 47 $262,054 $68,122 $171,592 $207,547 $255,841 $309,492 $345,288 Total nonphysician provider cost 52 $51,867 $75,360 $5,550 $16,209 $31,907 $41,898 $153,900 Total physician cost 55 $294,036 $281,331 $149,004 $182,395 $238,064 $304,661 $399,261 Total physician compensation 43 $234,562 $221,648 $116,347 $155,075 $215,911 $249,093 $303,099 Total physician benefit cost 39 $33,052 $13,157 $20,824 $25,192 $30,451 $38,579 $56,137 Total cost 54 $713,184 $347,321 $425,569 $529,245 $646,127 $746,634 $965,255 Net nonmedical revenue 3 * * * * * * * Net income, excluding financial support (all practices) 52 -$22,189 $137,398 -$211,848 -$87,403 -$9,407 $63,911 $97,282

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Pediatrics, Hospital/IDS Owned

(per Square Foot) 5.7a: Staffing per 10,000 Square Feet

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total physicians 21 5.95 2.79 2.19 4.80 5.60 7.05 10.60 Total nonphysician providers 13 2.33 2.10 .26 .60 2.38 3.18 6.37 Total providers 13 7.30 2.25 3.64 5.37 7.78 9.25 10.14 General administrative 20 2.24 1.13 .66 1.62 2.14 2.77 3.65 Patient accounting 4 * * * * * * * General accounting 8 * * * * * * * Managed care administrative 6 * * * * * * * Information technology 1 * * * * * * * Housekeeping, maintenance, security 1 * * * * * * * Total business operations staff 21 4.02 2.68 .69 1.86 3.71 6.01 8.72 Medical receptionists 17 6.40 4.08 1.93 2.70 5.63 8.77 13.96 Other administrative support 1 * * * * * * * Total front office support staff 17 6.42 4.08 1.93 2.70 5.63 8.77 13.96 Registered nurses 17 3.08 2.02 .38 .81 3.13 4.78 5.58 Licensed practical nurses 12 2.18 1.31 .25 1.33 2.14 2.75 4.60 Medical assistants, nurse aides 18 4.53 2.84 1.67 2.55 3.71 6.71 7.96 Total clinical support staff 21 7.62 4.31 2.20 5.28 6.58 10.65 13.03 Clinical laboratory 1 * * * * * * * Radiology and imaging 1 * * * * * * * Other medical support services 4 * * * * * * * Total ancillary support staff 4 * * * * * * * Total employed support staff 21 17.31 6.49 8.29 12.98 15.45 21.35 27.45 Total contracted support staff 1 * * * * * * * Total support staff 21 17.34 6.52 8.29 12.98 15.45 21.35 27.45

5.7b: Charges, Revenue, Cost, and Productivity per Square Foot

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total gross charges 21 $684.08 $286.86 $377.77 $467.59 $606.10 $875.76 $1,148.63 Total medical revenue 21 $444.54 $177.13 $280.76 $313.26 $389.38 $558.75 $712.48 Net fee-for-service revenue 21 $410.09 $177.17 $225.99 $278.84 $358.22 $539.75 $631.59 Net capitation revenue 16 $42.58 $28.13 $12.66 $22.90 $32.30 $66.16 $94.94 Net other medical revenue 3 * * * * * * * Total medical revenue after operating cost 21 $185.35 $82.40 $91.14 $128.46 $180.72 $226.93 $310.54 Total medical revenue after operating & NPP cost 13 $161.79 $54.25 $54.48 $140.66 $170.54 $207.38 $219.80 Total support staff cost 21 $82.68 $33.88 $35.87 $58.43 $75.58 $106.80 $141.78 Building and occupancy 21 $25.37 $8.60 $13.61 $18.50 $25.09 $30.06 $39.89 Total general operating cost 21 $176.51 $72.35 $75.20 $116.05 $163.84 $227.36 $276.33 Total operating cost 21 $259.19 $100.90 $135.87 $183.17 $239.41 $337.66 $401.94 Total operating & NPP cost 13 $279.96 $94.88 $134.33 $180.27 $320.64 $358.82 $385.86 Total provider cost 13 $194.81 $64.86 $118.81 $127.76 $198.67 $255.02 $287.76 Total nonphysician provider cost 13 $27.95 $31.07 $3.26 $6.47 $22.73 $35.53 $89.04 Total physician cost 21 $180.09 $94.96 $98.75 $119.49 $160.14 $231.97 $362.56 Total physician compensation 21 $161.02 $83.52 $87.52 $105.57 $142.01 $205.65 $322.21 Total physician benefit cost 17 $23.56 $11.50 $8.73 $16.49 $22.83 $27.74 $45.06 Total cost 21 $456.58 $186.44 $268.38 $300.59 $399.84 $578.09 $793.39 Net nonmedical revenue 1 * * * * * * * Net income, excluding financial support (all practices) 20 -$7.83 $38.95 -$52.08 -$43.92 -$19.50 $23.51 $60.04 Total RVUs 17 9.88 4.19 5.45 6.78 8.23 12.40 17.94 Physician work RVUs 21 4.03 1.66 2.48 2.78 3.46 5.01 7.43 Patients 2 * * * * * * * Total procedures 21 8.81 3.47 5.30 6.07 7.66 11.01 13.48

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Pediatrics, Hospital/IDS Owned

(per Total RVU) 5.8a: Staffing per 10,000 Total RVUs

Count Mean Std Dev 10th %tile 25th %tile

Median 75th %tile 90th %tile

Total physicians 75 .91 .76 .47 .56 .69 .91 1.41 Total nonphysician providers 42 .30 .27 .03 .11 .21 .47 .69 Total providers 42 .95 .36 .68 .73 .89 1.06 1.25 General administrative 29 .26 .14 .07 .14 .25 .34 .45 Patient accounting 13 .46 .31 .01 .30 .48 .55 .99 General accounting 12 .13 .14 .02 .02 .10 .15 .41 Managed care administrative 4 * * * * * * * Information technology 3 * * * * * * * Housekeeping, maintenance, security 1 * * * * * * * Total business operations staff 52 .36 .30 .08 .14 .28 .48 .85 Medical receptionists 37 .74 .31 .37 .51 .76 .90 1.13 Other administrative support 11 .31 .39 .01 .03 .07 .55 1.10 Total front office support staff 63 1.08 .81 .42 .59 .86 1.27 2.04 Registered nurses 28 .49 .37 .07 .27 .41 .62 .96 Licensed practical nurses 22 .57 .46 .09 .21 .41 .97 1.29 Medical assistants, nurse aides 31 .57 .44 .16 .30 .45 .77 1.04 Total clinical support staff 56 1.20 .50 .62 .80 1.18 1.43 1.89 Clinical laboratory 8 * * * * * * * Radiology and imaging 1 * * * * * * * Other medical support services 5 * * * * * * * Total ancillary support staff 18 .25 .30 .00 .10 .17 .26 .75 Total employed support staff 72 2.53 .92 1.62 1.81 2.30 3.03 3.91 Total contracted support staff 1 * * * * * * * Total support staff 72 2.53 .92 1.62 1.81 2.30 3.03 3.91

5.8b: Charges, Revenue, Cost, and Productivity per Total RVU

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total gross charges 52 $84.80 $17.55 $66.10 $70.55 $82.95 $93.07 $110.31 Total medical revenue 75 $48.65 $16.64 $27.74 $36.35 $46.26 $57.55 $71.01 Net fee-for-service revenue 75 $45.79 $15.77 $27.04 $33.23 $44.27 $56.51 $68.94 Net capitation revenue 19 $4.43 $3.48 $.56 $1.88 $3.52 $5.77 $10.83 Net other medical revenue 28 $1.59 $1.43 $.25 $.58 $1.05 $2.51 $3.97 Total medical revenue after operating cost 75 $9.38 $31.65 -$21.73 $.69 $17.60 $26.14 $34.10 Total medical revenue after operating & NPP cost 41 $7.90 $36.64 -$55.25 $11.58 $17.95 $25.17 $35.05 Total support staff cost 71 $12.59 $5.22 $7.10 $8.80 $11.41 $14.47 $20.67 Total general operating cost 75 $18.48 $12.68 $1.81 $13.35 $19.11 $21.84 $29.29 Total operating cost 75 $35.45 $42.99 $16.10 $25.09 $30.71 $34.41 $45.46 Total operating & NPP cost 40 $35.70 $10.98 $27.15 $29.07 $33.55 $39.19 $50.76 Total provider cost 38 $29.19 $19.04 $15.88 $19.55 $22.79 $27.99 $59.12 Total nonphysician provider cost 40 $7.67 $13.28 $.31 $1.36 $2.54 $6.48 $25.83 Total physician cost 71 $24.21 $12.59 $13.82 $16.90 $20.17 $26.13 $44.63 Total physician compensation 61 $22.03 $23.92 $11.25 $14.10 $17.61 $22.45 $34.09 Total physician benefit cost 61 $2.99 $2.57 $1.61 $2.09 $2.43 $2.97 $4.29 Total cost 73 $66.38 $39.83 $42.13 $47.73 $54.34 $70.38 $113.73 Net nonmedical revenue 2 * * * * * * * Net income, excluding financial support (all practices) 75 -$7.41 $30.91 -$27.61 -$12.24 -$.36 $6.86 $15.11 Physician work RVUs 75 .45 .05 .41 .42 .44 .46 .50 Patients 26 .22 .19 .09 .11 .13 .32 .39 Total procedures 18 .91 .20 .76 .83 .88 .93 1.09 Square feet 17 .12 .05 .06 .08 .12 .15 .19

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Pediatrics, Hospital/IDS Owned

(per Work RVU) 5.9a: Staffing per 10,000 Work RVUs

Count Mean Std Dev 10th %tile

25th %tile Median 75th %tile 90th %tile

Total physicians 89 1.99 1.60 1.12 1.30 1.54 2.05 2.89 Total nonphysician providers 50 .63 .56 .07 .24 .49 .94 1.44 Total providers 50 2.10 .52 1.54 1.69 2.04 2.39 2.76 General administrative 38 .59 .31 .18 .33 .56 .79 1.00 Patient accounting 16 .93 .63 .05 .48 .99 1.18 1.81 General accounting 12 .30 .32 .04 .05 .23 .35 .96 Managed care administrative 9 * * * * * * * Information technology 3 * * * * * * * Housekeeping, maintenance, security 1 * * * * * * * Total business operations staff 64 .95 .78 .20 .33 .73 1.24 2.37 Medical receptionists 41 1.71 .85 .78 1.09 1.55 2.19 2.76 Medical records 1 * * * * * * * Other administrative support 12 .70 .81 .03 .09 .34 1.25 2.30 Total front office support staff 71 2.37 1.74 1.06 1.34 1.89 2.80 4.22 Registered nurses 34 1.06 .92 .14 .52 .90 1.37 1.96 Licensed practical nurses 29 1.30 .93 .23 .60 1.06 1.94 2.78 Medical assistants, nurse aides 39 1.33 .96 .42 .78 1.01 1.70 2.68 Total clinical support staff 69 2.71 1.05 1.54 1.98 2.66 3.23 4.07 Clinical laboratory 9 * * * * * * * Radiology and imaging 2 * * * * * * * Other medical support services 5 * * * * * * * Total ancillary support staff 19 .56 .68 .01 .24 .36 .56 1.54 Total employed support staff 85 5.63 1.87 3.63 4.42 5.14 6.61 8.47 Total counteracted support staff 1 * * * * * * * Total support staff 85 5.63 1.87 3.63 4.42 5.16 6.61 8.47

5.9b: Charges, Revenue, Cost, and Productivity per Work RVU

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total gross charges 61 $189.93 $37.84 $148.43 $165.91 $179.13 $212.82 $240.79 Total medical revenue 89 $108.25 $32.91 $60.50 $84.32 $110.76 $126.63 $149.95 Net fee-for-service revenue 89 $106.72 $34.47 $59.46 $81.11 $105.07 $129.34 $153.65 Net capitation revenue 19 $10.31 $7.86 $1.37 $4.15 $8.05 $12.82 $24.98 Net other medical revenue 29 $3.55 $3.21 $.62 $1.45 $2.30 $5.28 $9.40 Total medical revenue after operating cost 89 $16.21 $79.85 -$58.38 $.58 $41.10 $56.77 $68.91 Total medical revenue after operating & NPP cost 49 $16.10 $82.93 -$112.95 $19.82 $39.66 $52.80 $78.72 Total support staff cost 84 $27.18 $11.13 $14.97 $19.71 $25.25 $31.64 $42.87 Total general operating cost 89 $51.19 $54.36 $4.89 $32.68 $44.14 $51.78 $76.50 Total operating cost 89 $86.11 $97.69 $36.87 $61.30 $70.78 $81.30 $108.25 Total operating & NPP cost 48 $83.52 $26.91 $59.54 $68.33 $77.99 $91.11 $117.73 Total provider cost 43 $52.82 $13.81 $38.20 $45.43 $49.97 $55.60 $80.12 Total nonphysician provider cost 42 $6.18 $5.10 $.79 $2.37 $5.35 $8.02 $14.79 Total physician cost 81 $50.74 $19.11 $33.10 $39.23 $46.48 $53.69 $83.00 Total physician compensation 69 $42.69 $16.78 $27.38 $33.89 $39.82 $48.47 $63.75 Total physician benefit cost 65 $7.02 $5.78 $3.54 $4.71 $5.61 $7.36 $10.57 Total cost 89 $206.28 $360.56 $97.49 $110.52 $123.72 $154.51 $249.80 Net nonmedical revenue 5 * * * * * * * Net income, excluding financial support (all practices) 89 -$29.73 $119.90 -$65.00 -$26.41 -$3.35 $13.61 $31.27 Total RVUs 75 2.25 .23 2.01 2.17 2.30 2.38 2.46 Patients 29 .41 .24 .19 .23 .28 .69 .75 Total procedures 23 2.18 .32 1.73 2.07 2.14 2.31 2.69 Square feet 21 .28 .10 .14 .20 .29 .36 .40

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Pediatrics, Hospital/IDS Owned

(per Patient) 5.10a: Staffing per 10,000 Patients

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total physicians 30 5.12 3.46 1.58 2.06 4.96 6.75 11.26 Total nonphysician providers 19 2.72 2.82 .13 .67 1.24 5.10 7.41 Total providers 19 8.83 4.50 3.06 6.10 8.10 12.02 14.83 General administrative 19 2.24 1.94 .44 .68 2.11 2.81 4.44 Patient accounting 13 2.35 1.42 1.07 1.37 1.74 3.74 4.83 General accounting 6 * * * * * * * Managed care administrative 3 * * * * * * * Information technology 3 * * * * * * * Housekeeping, maintenance, security 1 * * * * * * * Total business operations staff 28 3.30 3.22 .62 1.27 1.79 4.86 8.71 Medical receptionists 26 5.88 3.81 1.15 1.82 6.27 8.57 11.43 Medical records 1 * * * * * * * Other administrative support 12 1.44 1.52 .12 .34 .54 2.89 4.26 Total front office support staff 29 6.74 4.40 1.58 3.87 6.40 8.99 13.22 Registered nurses 19 3.29 3.08 .45 1.00 2.35 5.51 8.89 Licensed practical nurses 18 4.57 3.44 .68 2.20 3.81 6.72 10.23 Medical assistants, nurse aides 21 5.47 5.29 .64 2.12 3.52 7.26 14.31 Total clinical support staff 30 9.78 5.60 2.18 5.01 10.32 14.03 17.91 Clinical laboratory 9 * * * * * * * Radiology and imaging 2 * * * * * * * Other medical support services 3 * * * * * * * Total ancillary support staff 13 2.03 2.67 .69 .93 1.26 1.85 7.33 Total employed support staff 30 20.20 11.34 6.40 10.46 19.69 28.51 39.77 Total contracted support staff 1 * * * * * * * Total support staff 30 20.22 11.34 6.40 10.46 19.69 28.51 39.77

5.10b: Charges, Revenue, Cost, and Productivity per Patient

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total gross charges 18 $532.24 $388.29 $197.84 $257.73 $423.17 $746.31 $1,276.81 Total medical revenue 30 $374.96 $213.82 $99.85 $178.08 $399.59 $521.49 $636.10 Net fee-for-service revenue 30 $359.94 $210.96 $99.14 $170.14 $366.85 $514.48 $636.01 Net capitation revenue 4 * * * * * * * Net other medical revenue 15 $17.62 $12.97 $4.34 $7.67 $10.61 $31.71 $38.00 Total medical revenue after operating cost 30 $150.05 $115.75 $2.73 $62.43 $154.93 $213.52 $300.43 Total medical revenue after operating & NPP cost 19 $171.48 $107.24 $56.43 $90.27 $159.00 $262.20 $289.89 Total support staff cost 30 $103.58 $63.33 $30.94 $49.96 $89.78 $147.36 $213.65 Total general operating cost 30 $123.75 $68.12 $38.81 $63.97 $128.13 $172.04 $196.19 Total operating cost 30 $225.66 $122.63 $91.86 $111.78 $222.74 $304.99 $402.14 Total operating & NPP cost 19 $308.41 $118.69 $124.53 $213.68 $297.28 $363.53 $544.30 Total provider cost 19 $223.58 $113.49 $65.43 $166.14 $191.51 $313.70 $428.91 Total nonphysician provider cost 18 $29.28 $28.66 $.97 $6.39 $18.54 $60.31 $79.36 Total physician cost 30 $161.01 $103.99 $48.95 $74.04 $152.21 $240.26 $341.27 Total physician compensation 27 $139.72 $83.33 $46.98 $75.65 $125.59 $212.32 $247.25 Total physician benefit cost 27 $22.43 $17.90 $2.93 $6.74 $21.78 $31.09 $52.00 Total cost 30 $409.25 $224.86 $135.04 $181.74 $408.13 $564.27 $774.69 Net nonmedical revenue 4 * * * * * * * Net income, excluding financial support (all practices) 29 -$34.97 $80.46 -$162.65 -$61.07 -$2.67 $16.58 $27.96 Total RVUs 26 6.74 3.55 2.55 3.11 7.61 8.99 11.12 Physician work RVUs 30 3.18 1.59 1.24 1.43 3.49 4.27 5.24 Total procedures 3 * * * * * * * Square feet 2 * * * * * * *

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Gastroenterology, All Practices

7.1: Staffing and Practice Data

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total provider FTE 24 14.85 17.19 2.62 4.80 11.60 14.20 39.22 Total physician FTE 54 5.52 9.02 1.00 1.00 2.36 6.82 11.75 Total nonphysician provider FTE 24 4.95 5.84 .91 1.69 2.83 5.79 11.02 Total support staff FTE 54 27.44 53.50 1.68 3.10 7.30 26.15 77.70 Number of branch clinics 10 4.80 7.38 1.00 1.00 2.00 5.50 23.20 Square footage of all facilities 13 14,799 15,033 1,941 3,506 9,971 23,632 44,515

7.2: Accounts Receivable Data, Collection Percentages, and Financial Ratios

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total AR/physician 24 $269,941 $190,391 $93,447 $138,668 $194,813 $361,768 $567,181 Total AR/provider 14 $200,409 $124,927 $48,119 $105,105 $191,839 $270,866 $421,871 0-30 days in AR 25 65.80% 14.63% 37.34% 64.29% 69.72% 73.83% 76.80% 31-60 days in AR 25 11.88% 5.02% 3.66% 8.57% 12.66% 15.57% 18.56% 61-90 days in AR 25 6.07% 1.95% 3.43% 4.68% 5.91% 7.54% 9.11% 91-120 days in AR 25 4.22% 2.17% 1.96% 2.68% 3.78% 5.13% 7.50% 120+ days in AR 25 12.04% 13.40% 3.09% 5.02% 7.65% 13.13% 34.17% Re-aged: 0-30 days in AR 4 * * * * * * * Re-aged: 31-60 days in AR 4 * * * * * * * Re-aged: 61-90 days in AR 4 * * * * * * * Re-aged: 91-120 days in AR 4 * * * * * * * Re-aged: 120+ days in AR 4 * * * * * * * Not re-aged: 0-30 days in AR 13 69.88% 4.09% 64.27% 65.63% 69.72% 74.02% 75.17% Not re-aged: 31-60 days in AR 13 10.79% 4.31% 2.85% 8.44% 12.04% 13.17% 16.64% Not re-aged: 61-90 days in AR 13 6.60% 2.03% 3.52% 4.95% 6.45% 8.44% 9.61% Not re-aged: 91-120 days in AR 13 4.51% 2.31% 2.39% 3.01% 3.79% 5.55% 9.13% Not re-aged: 120+ days in AR 13 8.23% 5.07% 1.38% 5.10% 7.65% 10.36% 17.92% Months gross FFS charges in AR 22 1.25 .57 .76 .83 .95 1.53 2.38 Months adjusted FFS charges in AR 23 3.19 2.13 1.41 1.66 2.44 4.04 7.26 Days gross FFS charges in AR 22 37.87 17.43 23.22 25.15 28.88 46.49 72.54 Days adjusted FFS charges in AR 23 96.91 64.72 42.79 50.59 74.29 122.92 220.75 Gross FFS collection % 27 37.86% 8.45% 24.98% 32.63% 37.21% 43.46% 50.92% Adjusted FFS collection % 27 91.27% 12.83% 71.28% 90.86% 95.07% 97.69% 99.48%

7.3: Breakout of Total Gross Charges by Type of Payer

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Medicare 23 37.46% 11.40% 22.68% 30.35% 37.00% 45.02% 46.83% Medicaid 23 7.08% 6.15% .41% 2.35% 7.00% 10.00% 17.44% Commercial 23 49.49% 15.84% 23.41% 40.00% 53.71% 61.10% 65.87% Workers' compensation 23 .01% .02% .00% .00% .00% .01% .04% Charity care and prof courtesy 23 .27% .54% .00% .00% .00% .30% 1.32% Self-pay 23 1.96% 2.68% .13% .56% 1.00% 1.98% 4.89% Other government payers 23 3.74% 10.76% .00% .17% .61% 2.50% 9.09%

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Gastroenterology, All Practices

(per FTE Physician)

7.4a: Staffing, RVUs, Patients, Procedures, and Square Footage Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile

Primary care physicians 1 * * * * * * * Nonsurgical specialty physicians 13 .90 .26 .30 1.00 1.00 1.00 1.00 Surgical specialty physicians 12 .87 .29 .21 .87 1.00 1.00 1.00 Total nonphysician providers 24 .62 .49 .24 .33 .52 .76 .91 Total providers 24 1.62 .50 1.20 1.33 1.52 1.76 1.91 General administrative 18 .43 .29 .13 .17 .36 .69 .96 Patient accounting 13 .77 .45 .27 .55 .67 .92 1.67 General accounting 8 * * * * * * * Managed care administrative 4 * * * * * * * Information technology 10 .14 .06 .03 .09 .16 .20 .22 Housekeeping, maintenance, security 4 * * * * * * * Total business operations staff 22 1.06 .63 .25 .66 1.00 1.40 1.68 Medical receptionists 19 1.35 1.33 .48 .83 1.04 1.29 2.12 Medical secretaries, transcribers 11 .39 .36 .05 .11 .25 .78 1.03 Medical records 13 .65 .78 .05 .19 .41 .61 2.40 Other administrative support 7 * * * * * * * Total front office support staff 30 1.92 1.63 .58 1.06 1.49 2.62 3.29 Registered nurses 18 .93 1.29 .08 .17 .37 1.17 3.58 Licensed practical nurses 7 * * * * * * * Medical assistants, nurse aides 16 1.25 .72 .47 .83 1.01 1.61 2.67 Total clinical support staff 26 1.93 1.78 .08 .90 1.43 2.32 4.50 Clinical laboratory 10 .27 .28 .02 .10 .21 .33 .93 Radiology and imaging 3 * * * * * * * Other medical support services 10 .63 .64 .02 .18 .43 1.03 1.95 Total ancillary support staff 16 .61 .63 .07 .20 .32 .82 1.95 Total employed support staff 36 4.39 3.42 1.74 2.75 3.38 4.90 8.14 Total contracted support staff 1 * * * * * * * Total support staff 54 3.95 2.98 1.44 2.25 3.28 4.63 6.72 Total RVUs 26 28,661 15,475 14,522 20,945 25,466 32,000 41,264 Physician work RVUs 32 9,745 2,713 7,012 7,790 9,043 11,059 13,719 Patients 14 1,538 565 757 1,067 1,456 2,113 2,374 Total procedures 14 10,041 21,266 2,505 3,452 4,004 6,120 45,554 Square feet 13 2,259 2,195 861 1,043 1,562 2,252 6,985

7.4b: Charges and Revenue

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Net fee-for-service revenue 53 $847,218 $467,034 $444,743 $539,236 $739,788 $993,579 $1,455,080 Gross FFS charges 26 $2,581,792 $1,322,060 $1,237,760 $1,641,347 $2,357,638 $3,244,431 $4,235,032 Adjustments to FFS charges 25 $1,552,467 $840,364 $595,144 $795,070 $1,423,420 $2,188,819 $2,634,948 Adjusted FFS charges 26 $1,089,035 $699,979 $512,432 $582,229 $908,363 $1,308,495 $2,152,133 Bad debts due to FFS

activity 18 $51,094 $81,152 $5,199 $8,149 $28,074 $52,050 $191,325

Gross capitation charges 1 * * * * * * * Net other medical revenue 13 $41,717 $73,029 $114 $1,223 $21,691 $44,411 $199,872 Gross revenue from other

medical activities 10 $54,177 $79,771 $2,290 $3,987 $27,005 $66,009 $248,245

Other medical revenue 8 * * * * * * * Revenue from hospital 5 * * * * * * * Revenue from sale of

goods/services 2 * * * * * * *

Total gross charges 25 $2,556,702 $1,336,240 $1,267,370 $1,557,072 $2,304,175 $3,173,190 $4,252,394 Total medical revenue 52 $822,822 $359,558 $461,639 $548,032 $756,513 $982,520 $1,464,353

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

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Gastroenterology, All Practices

(per FTE Physician) 7.4c: Operating Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile General administrative 18 $35,015 $19,114 $12,482 $18,847 $34,557 $46,159 $62,423 Patient accounting 13 $31,709 $21,754 $10,348 $19,402 $25,688 $39,540 $75,347 General accounting 9 * * * * * * * Managed care administrative 4 * * * * * * * Information technology 11 $9,773 $4,473 $2,414 $6,267 $9,583 $15,102 $15,476 Housekeeping, maintenance, security 5 * * * * * * * Total business operations staff 22 $61,966 $39,318 $17,163 $41,475 $57,500 $77,921 $102,046 Medical receptionists 18 $32,832 $14,317 $14,177 $22,677 $30,812 $40,992 $56,616 Medical secretaries, transcribers 10 $12,998 $11,168 $2,066 $3,216 $10,181 $20,816 $35,446 Medical records 13 $20,417 $24,418 $1,509 $4,467 $14,954 $20,383 $73,683 Other administrative support 7 * * * * * * * Total front office support staff 30 $64,162 $53,712 $19,722 $37,827 $55,178 $70,594 $119,264 Registered nurses 18 $58,242 $85,993 $2,939 $8,443 $23,263 $58,678 $247,288 Licensed practical nurses 7 * * * * * * * Medical assistants, nurse aides 16 $39,669 $18,129 $16,098 $26,370 $38,486 $54,927 $66,993 Total clinical support staff 26 $87,942 $94,769 $4,602 $28,137 $70,828 $102,827 $207,072 Clinical laboratory 9 * * * * * * * Radiology and imaging 3 * * * * * * * Other medical support services 10 $40,430 $49,542 $1,358 $11,360 $21,330 $56,935 $156,824 Total ancillary support staff 15 $26,642 $22,145 $5,116 $11,966 $19,342 $34,540 $70,544 Total employed support staff 36 $217,549 $191,070 $67,051 $111,152 $164,868 $259,277 $438,785 Total employed support staff benefits 33 $54,969 $49,484 $16,733 $25,738 $35,933 $67,191 $145,274 Total contracted support staff 3 * * * * * * * Total support staff 54 $240,693 $204,675 $82,805 $130,324 $173,804 $278,930 $447,304 Information technology 19 $18,279 $22,088 $4,040 $7,365 $11,409 $14,791 $47,590 Drug supply 12 $141,265 $138,564 $551 $2,907 $136,428 $260,889 $334,357 Medical and surgical supply 19 $20,739 $29,326 $280 $2,906 $8,124 $16,235 $82,019 Building and occupancy 20 $64,773 $49,567 $24,522 $32,650 $56,677 $68,877 $146,739 Building/occupancy depreciation 6 * * * * * * * Furniture and equipment 12 $4,434 $5,768 $169 $462 $1,683 $6,569 $16,062 Furniture/equipment depreciation 12 $18,348 $28,798 $681 $2,212 $4,867 $20,531 $83,198 Administrative supplies and services 20 $20,416 $29,033 $802 $4,626 $9,470 $27,780 $58,013 Professional liability insurance 20 $11,899 $6,066 $5,164 $7,163 $10,204 $15,855 $22,659 Other insurance premiums 10 $4,233 $4,185 $788 $1,650 $2,932 $5,899 $14,073 Legal fees 11 $2,734 $3,224 $375 $565 $1,761 $2,766 $9,783 Consulting fees 7 * * * * * * * Outside professional fees 16 $8,290 $6,018 $350 $2,213 $8,396 $13,206 $16,982 Promotion and marketing 19 $4,277 $7,309 $234 $269 $1,326 $2,524 $20,538 Clinical laboratory 12 $13,828 $16,979 $13 $56 $9,752 $21,950 $49,510 Radiology and imaging 1 * * * * * * * Other ancillary services 4 * * * * * * * Billing/collections purchased services 9 * * * * * * * Management fees paid to MSO 2 * * * * * * * Miscellaneous operating cost 16 $8,828 $12,182 $228 $1,107 $2,182 $15,744 $30,138 Cost allocated to practice from parent 9 * * * * * * * Total general operating cost 50 $191,576 $115,868 $45,658 $113,714 $171,848 $229,840 $413,157 Total operating cost 53 $453,153 $297,589 $220,752 $273,255 $372,654 $546,613 $757,762 Total operating & NPP cost 22 $626,235 $407,957 $265,780 $391,151 $481,721 $721,469 $1,315,290

7.4d: Provider Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total medical revenue after operating cost 53 $346,297 $359,678 -$209,369 $133,556 $383,869 $620,441 $804,558 Total medical revenue after operating & NPP cost 23 $284,718 $558,506 -$508,253 $66,566 $368,334 $564,782 $918,195 Total provider cost 23 $596,846 $187,782 $334,623 $472,840 $606,514 $750,408 $843,184 Total nonphysician provider cost 22 $74,409 $78,294 $28,797 $39,949 $55,306 $86,372 $98,677 Nonphysician provider compensation 14 $52,124 $19,004 $25,756 $33,726 $52,701 $72,008 $75,031 Nonphysician provider benefit cost 17 $14,828 $14,507 $3,331 $6,871 $10,659 $19,183 $33,552 Total physician cost 54 $611,491 $215,850 $384,453 $450,796 $581,660 $723,471 $895,692 Total physician compensation 27 $520,035 $142,851 $348,952 $416,941 $493,107 $625,426 $725,263 Total physician benefit cost 27 $65,657 $45,256 $28,167 $36,154 $50,656 $87,222 $149,370

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Gastroenterology, All Practices

(per FTE Physician) 7.4e: Net Income or Loss

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total cost 53 $1,117,468 $437,128 $721,634 $841,196 $995,453 $1,359,883 $1,802,739 Net nonmedical revenue 12 $164,533 $173,577 $1,494 $8,800 $117,754 $358,084 $407,528 Nonmedical revenue 7 * * * * * * * Financial support for operating costs 4 * * * * * * * Nonmedical cost 1 * * * * * * * Net income, practices with financial support 4 * * * * * * *

Net income, practices without financial support 49 -$137,449 $195,708 -$420,757 -$278,158 -$113,781 -$1,539 $39,010

Net income, excluding financial support (all practices) 53 -$137,724 $216,106 -$419,028 -$306,219 -$127,398 -$1,539 $75,342

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Gastroenterology, All Practices

(as a Percentage of Total Medical Revenue) 7.5a: Charges and Revenue

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Net fee-for-service revenue 54 97.92% 6.65% 94.50% 99.17% 100.00% 100.00% 100.00% Net other medical revenue 13 4.21% 9.78% .02% .10% .99% 3.35% 24.36% Total gross charges 26 266.07% 66.52% 192.44% 211.67% 250.78% 297.80% 391.39%

7.5b: Operating Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile General administrative 18 3.32% 2.49% 1.28% 1.60% 2.62% 4.27% 7.57% Patient accounting 13 2.47% .96% 1.21% 1.53% 2.45% 3.23% 3.95% General accounting 9 * * * * * * * Managed care administrative 4 * * * * * * * Information technology 11 .74% .37% .30% .36% .78% 1.09% 1.29% Housekeeping, maintenance,

security 5 * * * * * * *

Total business operations staff 22 5.53% 2.42% 1.63% 4.09% 5.69% 6.79% 8.94% Medical receptionists 19 3.39% 2.38% 1.47% 2.20% 2.85% 3.77% 5.84% Medical secretaries, transcribers 10 1.51% 1.36% .17% .23% 1.23% 2.28% 4.32% Medical records 13 .90% .59% .19% .44% .84% 1.19% 1.99% Other administrative support 7 * * * * * * * Total front office support staff 30 6.46% 3.76% 2.55% 3.85% 5.50% 9.19% 11.78% Registered nurses 18 3.30% 3.05% .24% .92% 2.14% 5.90% 8.09% Licensed practical nurses 7 * * * * * * * Medical assistants, nurse aides 16 3.16% 2.00% .38% 1.91% 2.96% 3.99% 6.70% Total clinical support staff 26 7.26% 5.41% .70% 3.53% 6.09% 10.23% 17.91% Clinical laboratory 9 * * * * * * * Radiology and imaging 3 * * * * * * * Other medical support services 10 3.06% 4.53% .13% .77% 1.12% 3.56% 13.10% Total ancillary support staff 16 2.99% 3.80% .44% .85% 1.48% 2.71% 10.55% Total employed support staff 36 22.80% 17.26% 9.63% 14.49% 16.56% 27.37% 36.93% Total employed support staff benefits 34 5.78% 4.84% 1.94% 2.83% 4.38% 7.86% 11.33% Total contracted support staff 3 * * * * * * * Total support staff 54 27.67% 19.16% 12.03% 17.24% 21.37% 32.76% 46.82% Information technology 19 1.18% .62% .39% .81% 1.03% 1.34% 2.25% Drug supply 13 11.19% 10.48% .09% .34% 8.68% 19.84% 27.10% Medical and surgical supply 19 1.10% 1.17% .03% .54% .68% 1.29% 3.92% Building and occupancy 20 5.31% 3.72% 2.16% 3.26% 4.62% 5.79% 8.06% Building/occupancy depreciation 6 * * * * * * * Furniture and equipment 13 1.11% 2.97% .02% .05% .16% .63% 7.03% Furniture/equipment depreciation 12 1.31% 1.94% .07% .21% .59% 1.25% 5.76% Administrative supplies and services 20 1.21% .97% .06% .57% 1.02% 1.53% 2.91% Professional liability insurance 20 1.12% .65% .27% .52% 1.14% 1.71% 2.22% Other insurance premiums 10 .23% .16% .05% .11% .21% .28% .60% Legal fees 11 .15% .17% .03% .04% .09% .25% .53% Consulting fees 7 * * * * * * * Outside professional fees 16 .75% .71% .03% .14% .62% 1.08% 2.06% Promotion and marketing 19 .22% .31% .03% .05% .10% .18% .78% Clinical laboratory 12 .72% .66% .00% .01% .78% 1.12% 1.85% Radiology and imaging 1 * * * * * * * Other ancillary services 4 * * * * * * *

Billing/collections purchased services 10 1.40% 2.02% .01% .13% .35% 2.41% 6.01%

Management fees paid to MSO 2 * * * * * * * Miscellaneous operating cost 17 3.55% 11.92% .04% .12% .25% .93% 13.55% Cost allocated to practice from

parent 9 * * * * * * *

Total general operating cost 54 27.00% 15.69% 6.09% 16.51% 23.16% 34.40% 50.69% Total operating cost 54 54.62% 21.48% 32.73% 38.80% 49.51% 63.65% 90.79% Total operating & NPP cost 24 73.92% 45.96% 36.75% 50.37% 61.22% 85.67% 113.89%

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Gastroenterology, All Practices

(as a Percentage of Total Medical Revenue) 7.5c: Provider Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total medical revenue after operating cost 54 34.66% 37.19% -26.54% 27.58% 47.60% 58.18% 66.42% Total medical revenue after operating & NPP cost 24 13.06% 81.04% -93.27% 14.33% 38.25% 49.31% 58.61% Total provider cost 24 85.70% 78.10% 17.53% 45.57% 62.92% 106.00% 147.05% Total nonphysician provider cost 24 19.57% 44.30% 2.64% 2.91% 5.38% 13.67% 56.51% Nonphysician provider compensation 15 5.57% 4.95% 1.91% 2.34% 4.02% 6.73% 14.55% Nonphysician provider benefit cost 17 1.58% 1.84% .22% .44% .98% 1.91% 5.00% Total physician cost 54 81.36% 39.59% 38.60% 55.21% 81.21% 98.80% 121.83% Total physician compensation 27 62.27% 29.73% 26.91% 37.54% 64.32% 83.10% 104.45% Total physician benefit cost 27 7.31% 4.96% 1.87% 3.79% 6.31% 9.53% 16.00%

7.5d: Net Income or Loss

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total cost 54 144.68% 66.83% 87.89% 100.65% 128.65% 172.76% 208.38% Net nonmedical revenue 12 35.96% 47.60% .13% .62% 6.95% 73.54% 125.89% Nonmedical revenue 8 * * * * * * * Financial support for operating costs 4 * * * * * * * Nonmedical revenue 1 * * * * * * * Net income, practices with financial support 4 * * * * * * * Net income, practices without financial support 49 -24.60% 30.32% -79.36% -38.69% -18.55% -.10% 3.39%

Net income, excluding financial support (all practices) 53 -23.84% 33.02% -78.68% -43.90% -18.55% -.03% 12.46%

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Gastroenterology, All Practices

(per FTE Provider) 7.6a: Staffing, RVUs, Patients, Procedures, and Square Footage

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total nonphysician providers 24 .35 .13 .19 .24 .36 .43 .48 Total physicians 24 .65 .14 .52 .57 .66 .75 .84 General administrative 12 .21 .11 .07 .12 .17 .26 .42 Patient accounting 10 .57 .26 .21 .43 .53 .71 1.06 General accounting 7 * * * * * * * Managed care administrative 4 * * * * * * * Information technology 10 .10 .04 .02 .06 .09 .14 .16 Housekeeping, maintenance, security 4 * * * * * * * Total business operations staff 15 .80 .44 .11 .45 .85 1.04 1.46 Medical receptionists 11 .84 .37 .39 .64 .73 .96 1.64 Medical secretaries, transcribers 6 * * * * * * * Medical records 10 .43 .27 .16 .26 .36 .56 1.02 Other administrative support 7 * * * * * * * Total front office support staff 19 1.23 .62 .35 .61 1.22 1.79 2.00 Registered nurses 12 .68 .62 .11 .20 .40 1.21 1.81 Licensed practical nurses 6 * * * * * * * Medical assistants, nurse aides 12 .89 .35 .45 .61 .86 1.01 1.55 Total clinical support staff 19 1.42 .84 .53 .90 1.30 2.03 2.91 Clinical laboratory 9 * * * * * * * Radiology and imaging 2 * * * * * * * Other medical support services 8 * * * * * * * Total ancillary support staff 13 .34 .24 .07 .16 .32 .51 .76 Total employed support staff 21 3.36 1.58 1.53 2.06 3.25 4.46 5.57 Total contracted support staff 1 * * * * * * * Total support staff 24 3.16 1.59 1.45 1.75 2.85 4.35 5.52 Total RVUs 13 19,212 16,071 8,597 11,810 15,768 18,701 51,170 Physician work RVUs 18 6,158 1,636 3,434 5,293 5,937 7,115 8,023 Patients 16 1,518 1,169 510 801 1,071 1,613 4,143 Total procedures 7 * * * * * * * Square feet 6 * * * * * * *

7.6b: Charges, Revenue, and Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total gross charges 15 $2,254,440 $1,456,800 $628,550 $931,226 $2,201,720 $2,722,514 $4,787,194 Total medical revenue 24 $780,466 $648,788 $228,898 $364,542 $575,925 $1,075,784 $1,493,076 Net fee-for-service revenue 24 $754,879 $652,463 $190,218 $334,673 $575,925 $1,071,195 $1,483,523 Net other medical revenue 13 $29,069 $51,574 $67 $890 $12,260 $30,975 $142,492 Total medical revenue after operating cost 24 $341,699 $380,481 -$108,249 $93,939 $291,302 $551,991 $768,425 Total medical revenue after operating & NPP cost 24 $271,772 $435,685 -$247,576 $55,305 $260,330 $522,046 $737,006 Total support staff cost 24 $175,958 $101,820 $65,644 $94,010 $143,100 $231,733 $356,423 Total general operating cost 24 $232,198 $271,104 $31,811 $81,241 $117,132 $333,259 $569,322 Total operating cost 22 $327,138 $197,718 $125,652 $183,083 $242,216 $494,236 $605,955 Total operating & NPP cost 24 $478,083 $344,974 $186,319 $250,830 $353,715 $601,244 $968,995 Total provider cost 24 $418,125 $201,727 $212,093 $289,225 $388,168 $489,846 $704,006 Total nonphysician provider cost 22 $39,880 $14,752 $21,330 $29,190 $37,081 $51,221 $54,377 Total physician cost 24 $359,479 $144,017 $170,863 $256,917 $342,372 $437,390 $564,469 Total physician compensation 16 $341,900 $133,762 $165,478 $242,154 $318,125 $414,687 $568,580 Total physician benefit cost 16 $45,932 $34,241 $17,810 $24,207 $33,269 $54,684 $123,742 Total cost 24 $837,562 $376,667 $454,147 $576,705 $719,044 $1,160,161 $1,389,829 Net nonmedical revenue 11 $102,619 $98,148 $691 $6,362 $126,675 $198,105 $230,339 Net income, excluding financial support (all practices) 23 -$42,090 $169,591 -$238,365 -$197,288 -$13,246 $16,450 $240,364

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Gastroenterology, All Practices

(per Square Foot) 7.7a: Staffing per 10,000 Square Feet

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total physicians 13 6.63 3.30 1.69 4.49 6.40 9.59 11.87 Total nonphysician providers 6 * * * * * * * Total providers 6 * * * * * * * General administrative 12 2.85 2.54 .60 .73 1.96 5.59 7.17 Patient accounting 7 * * * * * * * General accounting 4 * * * * * * * Managed care administrative 1 * * * * * * * Information technology 4 * * * * * * * Housekeeping, maintenance, security 2 * * * * * * * Total business operations staff 12 6.29 4.26 .93 2.62 5.67 9.68 13.87 Medical receptionists 12 5.90 2.20 2.79 3.81 6.14 7.33 9.30 Medical secretaries, transcribers 8 * * * * * * * Medical records 8 * * * * * * * Other administrative support 4 * * * * * * * Total front office support staff 13 10.92 6.37 4.22 6.94 9.56 13.00 23.94 Registered nurses 11 3.49 4.13 .17 .87 1.85 5.26 12.17 Licensed practical nurses 5 * * * * * * * Medical assistants, nurse aides 9 * * * * * * * Total clinical support staff 12 8.53 4.93 .14 4.89 9.85 11.99 15.33 Clinical laboratory 7 * * * * * * * Radiology and imaging 2 * * * * * * * Other medical support services 5 * * * * * * * Total ancillary support staff 9 * * * * * * * Total employed support staff 13 26.45 14.23 10.69 13.18 24.94 32.65 52.71 Total support staff 13 26.45 14.23 10.69 13.18 24.94 32.65 52.71

7.7b: Charges, Revenue, Cost, and Productivity per Square Foot

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total gross charges 13 $1,864.12 $858.46 $519.77 $1,153.55 $1,901.65 $2,564.61 $3,136.29 Total medical revenue 13 $715.38 $345.95 $181.91 $435.47 $742.94 $946.43 $1,262.96 Net fee-for-service revenue 13 $695.54 $335.18 $181.91 $435.47 $681.59 $914.36 $1,242.29 Net other medical revenue 4 * * * * * * * Total medical revenue after operating cost 13 $385.55 $201.73 $42.07 $223.01 $445.82 $537.65 $646.78 Total medical revenue after operating & NPP cost 6 * * * * * * * Total support staff cost 13 $138.16 $70.90 $49.86 $66.29 $139.58 $193.00 $250.06 Building and occupancy 13 $32.33 $14.13 $13.66 $23.08 $30.03 $44.17 $56.13 Total general operating cost 13 $191.67 $134.48 $70.83 $94.42 $146.18 $246.10 $466.64 Total operating cost 13 $329.83 $170.39 $126.38 $157.61 $319.83 $410.98 $639.42 Total operating & NPP cost 6 * * * * * * * Total provider cost 6 * * * * * * * Total nonphysician provider cost 6 * * * * * * * Total physician cost 13 $375.95 $196.36 $83.38 $230.85 $381.31 $490.39 $699.17 Total physician compensation 13 $336.75 $185.78 $74.90 $195.62 $346.27 $461.35 $645.05 Total physician benefit cost 13 $39.18 $27.46 $8.40 $22.19 $30.40 $53.52 $92.45 Total cost 13 $720.37 $261.80 $318.15 $459.75 $736.98 $911.10 $1,100.23 Net nonmedical revenue 3 * * * * * * * Net income, excluding financial support (all practices) 13 -$6.06 $237.11 -$345.92 -$140.90 -$16.15 $83.75 $423.42 Total RVUs 9 * * * * * * * Physician work RVUs 10 6.88 3.07 2.16 4.19 7.10 9.65 10.69 Patients 5 * * * * * * * Total procedures 12 3.51 2.26 1.54 1.87 2.88 3.81 8.40

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Gastroenterology, All Practices

(per Total RVU) 7.8a: Staffing per 10,000 Total RVUs

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total physicians 27 .41 .15 .24 .31 .40 .46 .68 Total nonphysician providers 14 .24 .12 .09 .18 .22 .27 .45 Total providers 14 .69 .27 .31 .55 .65 .81 1.15 General administrative 14 .20 .13 .05 .08 .15 .35 .38 Patient accounting 9 * * * * * * * General accounting 7 * * * * * * * Managed care administrative 4 * * * * * * * Information technology 9 * * * * * * * Housekeeping, maintenance, security 4 * * * * * * * Total business operations staff 16 .48 .33 .06 .20 .39 .75 1.00 Medical receptionists 15 .46 .27 .13 .25 .40 .66 .92 Medical secretaries, transcribers 9 * * * * * * * Medical records 10 .19 .17 .01 .06 .17 .22 .57 Other administrative support 6 * * * * * * * Total front office support staff 21 .73 .41 .24 .29 .69 1.13 1.29 Registered nurses 13 .33 .33 .02 .06 .22 .52 .96 Licensed practical nurses 5 * * * * * * * Medical assistants, nurse aides 11 .48 .31 .04 .24 .46 .63 1.01 Total clinical support staff 17 .75 .57 .03 .22 .74 1.18 1.57 Clinical laboratory 6 * * * * * * * Radiology and imaging 3 * * * * * * * Other medical support services 9 * * * * * * * Total ancillary support staff 11 .26 .31 .01 .03 .21 .34 .97 Total employed support staff 27 1.68 1.09 .60 .70 1.12 2.60 3.32 Total contracted support staff 1 * * * * * * * Total support staff 27 1.68 1.10 .60 .70 1.12 2.60 3.40

7.8b: Charges, Revenue, Cost, and Productivity per Total RVU

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total gross charges 18 $108.11 $53.27 $46.63 $69.16 $82.15 $147.30 $199.81 Total medical revenue 27 $36.99 $24.50 $18.72 $19.42 $24.43 $52.86 $75.13 Net fee-for-service revenue 27 $36.21 $24.13 $18.39 $19.87 $23.96 $51.95 $74.24 Net other medical revenue 8 * * * * * * * Total medical revenue after operating cost 27 $11.41 $18.29 -$12.38 $1.25 $10.41 $24.53 $36.26 Total medical revenue after operating & NPP cost 14 $10.18 $37.16 -$66.85 $8.70 $21.49 $27.29 $44.39 Total support staff cost 27 $10.29 $7.07 $2.80 $4.27 $8.37 $15.61 $22.50 Total general operating cost 27 $11.17 $10.69 $1.15 $2.34 $7.39 $16.83 $31.23 Total operating cost 27 $21.46 $15.08 $5.59 $9.45 $16.45 $30.14 $49.45 Total operating & NPP cost 14 $36.29 $22.35 $9.91 $16.12 $32.11 $52.73 $73.92 Total provider cost 14 $33.81 $31.36 $6.10 $21.34 $25.52 $35.73 $94.91 Total nonphysician provider cost 14 $8.39 $18.47 $1.12 $2.19 $2.71 $3.36 $43.84 Total physician cost 27 $25.32 $12.04 $13.35 $19.77 $22.69 $26.66 $46.78 Total physician compensation 19 $21.37 $7.96 $14.51 $18.33 $20.47 $22.64 $29.97 Total physician benefit cost 19 $2.30 $1.67 $.96 $1.15 $1.68 $2.50 $6.07 Total cost 27 $51.12 $29.16 $24.73 $34.31 $39.63 $64.22 $86.24 Net nonmedical revenue 5 * * * * * * * Net income, excluding financial support (all practices) 27 -$5.82 $10.48 -$19.41 -$12.85 -$5.90 -$.05 $7.63 Physician work RVUs 26 .37 .09 .30 .33 .35 .43 .52 Patients 10 .11 .09 .03 .05 .07 .13 .31 Total procedures 10 .18 .08 .10 .12 .15 .27 .32 Square feet 9 * * * * * * *

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Gastroenterology, All Practices

(per Work RVU) 7.9a: Staffing per 10,000 Work RVUs

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total physicians 33 1.08 .34 .69 .90 1.10 1.28 1.42 Total nonphysician providers 19 .58 .29 .23 .38 .51 .73 1.14 Total providers 19 1.70 .61 .98 1.39 1.65 1.88 2.86 General administrative 15 .51 .37 .14 .19 .42 .78 1.17 Patient accounting 11 .80 .46 .27 .48 .71 .90 1.78 General accounting 8 * * * * * * * Managed care administrative 4 * * * * * * * Information technology 10 .15 .09 .03 .07 .14 .24 .29 Housekeeping, maintenance, security 4 * * * * * * * Total business operations staff 19 1.19 .68 .19 .68 1.19 1.52 1.99 Medical receptionists 17 1.10 .50 .59 .70 .90 1.36 1.88 Medical secretaries, transcribers 10 .45 .40 .07 .14 .29 .89 1.16 Medical records 11 .50 .51 .04 .16 .40 .62 1.65 Other administrative support 6 * * * * * * * Total front office support staff 24 1.81 .90 .70 1.05 1.56 2.52 3.05 Registered nurses 15 .79 .94 .06 .18 .44 1.23 2.65 Licensed practical nurses 6 * * * * * * * Medical assistants, nurse aides 13 1.13 .67 .31 .77 1.03 1.37 2.42 Total clinical support staff 20 1.81 1.48 .14 .82 1.56 2.17 4.05 Clinical laboratory 7 * * * * * * * Radiology and imaging 3 * * * * * * * Other medical support services 9 * * * * * * * Total ancillary support staff 12 .59 .74 .04 .15 .26 .84 2.22 Total employed support staff 30 4.22 2.52 1.84 2.25 3.52 6.09 6.94 Total contracted support staff 1 * * * * * * * Total support staff 33 4.16 2.45 1.86 2.24 3.55 5.93 6.83

7.9b: Charges, Revenue, Cost, and Productivity per Work RVU

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total gross charges 20 $282.17 $125.59 $164.66 $212.59 $240.82 $344.01 $447.49 Total medical revenue 33 $91.40 $53.37 $49.72 $56.64 $74.03 $111.53 $166.15 Net fee-for-service revenue 33 $89.68 $52.78 $49.70 $54.58 $72.04 $108.75 $165.76 Net other medical revenue 12 $2.11 $2.60 $.01 $.08 $.66 $4.34 $7.05 Total medical revenue after operating cost 33 $31.53 $43.35 -$28.80 $5.06 $31.89 $56.10 $102.75 Total medical revenue after operating & NPP cost 19 $27.33 $77.36 -$92.01 $10.56 $44.44 $62.95 $102.99 Total support staff cost 33 $25.30 $17.51 $9.57 $13.29 $19.81 $31.46 $47.77 Total general operating cost 33 $26.30 $23.72 $3.27 $11.89 $20.21 $33.21 $53.13 Total operating cost 33 $51.53 $34.44 $21.13 $31.38 $42.15 $59.71 $89.93 Total operating & NPP cost 19 $76.35 $49.70 $35.88 $45.86 $59.27 $77.09 $188.89 Total provider cost 19 $75.22 $59.94 $34.95 $43.51 $68.27 $77.02 $108.37 Total nonphysician provider cost 19 $16.32 $36.49 $3.16 $4.26 $5.89 $8.49 $45.32 Total physician cost 33 $65.22 $26.93 $33.82 $50.32 $58.68 $74.42 $100.96 Total physician compensation 21 $56.77 $14.60 $34.07 $50.48 $54.84 $64.33 $80.15 Total physician benefit cost 21 $6.72 $5.11 $2.45 $3.33 $5.26 $7.21 $16.83 Total cost 33 $126.15 $59.67 $78.18 $93.55 $110.64 $127.88 $216.97 Net nonmedical revenue 9 * * * * * * * Net income, excluding financial support (all practices) 33 -$16.96 $28.81 -$56.68 -$37.20 -$17.49 -$.02 $26.98 Total RVUs 26 2.98 1.47 1.92 2.34 2.88 3.05 3.30 Patients 16 .21 .15 .10 .14 .17 .20 .44 Total procedures 11 .47 .14 .31 .36 .44 .56 .73 Square feet 10 .19 .13 .09 .10 .14 .24 .48

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Gastroenterology, All Practices

(per Patient) 7.10a: Staffing per 10,000 Patients

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total physicians 18 6.15 3.75 1.27 3.51 5.73 8.41 12.49 Total nonphysician providers 16 3.29 1.96 1.10 2.16 2.90 3.67 6.96 Total providers 16 9.71 5.56 2.42 6.22 9.34 12.51 19.84 General administrative 11 1.46 1.28 .36 .54 .89 1.80 3.96 Patient accounting 10 3.68 1.30 1.80 2.52 3.67 4.90 5.44 General accounting 7 * * * * * * * Managed care administrative 4 * * * * * * * Information technology 9 * * * * * * * Housekeeping, maintenance, security 4 * * * * * * * Total business operations staff 14 5.72 3.81 .57 2.00 5.51 9.11 11.24 Medical receptionists 12 5.56 2.81 1.78 2.57 5.80 7.29 10.07 Medical secretaries, transcribers 6 * * * * * * * Medical records 10 2.09 .91 .37 1.49 2.55 2.62 2.78 Other administrative support 5 * * * * * * * Total front office support staff 15 9.32 4.25 3.44 5.78 9.62 12.52 15.37 Registered nurses 12 3.70 3.43 .46 1.13 2.76 5.32 10.66 Licensed practical nurses 5 * * * * * * * Medical assistants, nurse aides 12 5.14 2.16 2.17 3.57 5.16 6.28 9.10 Total clinical support staff 15 11.34 6.80 4.19 6.65 8.50 17.45 22.65 Clinical laboratory 8 * * * * * * * Radiology and imaging 2 * * * * * * * Other medical support services 8 * * * * * * * Total ancillary support staff 11 2.49 2.82 .21 .80 1.49 3.70 8.83 Total employed support staff 15 27.81 11.19 9.72 17.08 31.89 37.54 39.81 Total contracted support staff 1 * * * * * * * Total support staff 18 26.51 11.06 10.14 16.21 28.61 37.38 39.15

7.10b: Charges, Revenue, Cost, and Productivity per Patient

Count Mean Std Dev 10th %tile 25th %tile

Median 75th %tile 90th %tile

Total gross charges 12 $1,468.37 $626.89 $505.43 $953.75 $1,559.24 $1,989.18 $2,275.81 Total medical revenue 18 $613.32 $325.40 $223.50 $290.45 $629.92 $839.66 $1,118.41 Net fee-for-service revenue 18 $604.86 $321.74 $220.97 $290.32 $615.37 $839.13 $1,113.86 Net other medical revenue 11 $11.77 $16.20 $.05 $.16 $3.15 $26.51 $44.63 Total medical revenue after operating cost

18 $306.05 $205.54 $76.25 $86.08 $303.45 $536.78 $611.32

Total medical revenue after operating & NPP cost

16 $282.85 $207.69 $14.53 $76.69 $274.57 $525.46 $554.61

Total support staff cost 18 $145.63 $68.52 $43.51 $92.18 $134.13 $206.35 $244.35 Total general operating cost 18 $176.89 $119.06 $83.50 $97.27 $128.96 $248.97 $423.03 Total operating cost 18 $321.85 $151.34 $141.06 $204.15 $287.31 $416.51 $606.75 Total operating & NPP cost 16 $382.47 $149.97 $182.36 $272.53 $353.26 $514.51 $642.26 Total provider cost 16 $367.90 $228.21 $79.32 $142.60 $344.07 $546.20 $671.87 Total nonphysician provider cost 16 $37.76 $19.31 $11.58 $26.06 $35.14 $47.74 $68.49 Total physician cost 18 $335.79 $201.89 $78.95 $183.16 $303.02 $494.54 $573.14 Total physician compensation 13 $288.65 $199.68 $51.92 $85.57 $251.15 $457.28 $614.04 Total physician benefit cost 10 $29.70 $32.61 $7.30 $10.53 $15.37 $40.33 $93.59 Total cost 18 $691.21 $290.99 $249.70 $504.48 $687.83 $866.11 $1,106.55 Net nonmedical revenue 8 * * * * * * * Net income, excluding financial support (all practices)

16 -$102.56 $151.57 -$356.88 -$248.41 -$8.26 $1.72 $65.43

Total RVUs 9 * * * * * * * Physician work RVUs 15 6.19 2.37 3.11 5.22 6.08 7.15 10.39 Total procedures 7 * * * * * * * Square feet 5 * * * * * * *

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

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Neurology, All Practices

8.1: Staffing and Practice Data

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total provider FTE 18 7.81 6.31 1.90 2.41 6.33 12.07 19.48 Total physician FTE 77 3.00 3.09 .96 1.00 1.90 3.69 7.53 Total nonphysician provider FTE 18 2.31 2.57 .55 1.00 1.49 2.24 6.48 Total support staff FTE 73 7.96 9.98 1.00 2.05 4.00 8.92 23.16 Number of branch clinics 6 * * * * * * * Square footage of all facilities 14 4,971 6,154 1,087 1,902 2,636 5,758 16,431

8.2: Accounts Receivable Data, Collection Percentages, and Financial Ratios

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total AR/physician 33 $173,264 $130,829 $62,164 $84,843 $120,393 $227,930 $372,647 Total AR/provider 4 * * * * * * * 0-30 days in AR 33 41.68% 18.97% 13.58% 28.84% 42.95% 55.06% 66.49% 31-60 days in AR 33 13.55% 4.56% 9.23% 10.24% 12.09% 14.82% 20.97% 61-90 days in AR 33 8.49% 4.30% 4.81% 5.73% 7.14% 10.45% 12.45% 91-120 days in AR 33 7.54% 6.21% 3.31% 4.09% 5.52% 9.09% 14.93% 120+ days in AR 33 28.74% 17.36% 6.19% 13.27% 28.21% 43.48% 52.32% Not re-aged: 0-30 days in AR 8 * * * * * * * Not re-aged: 31-60 days in AR 8 * * * * * * * Not re-aged: 61-90 days in AR 8 * * * * * * * Not re-aged: 91-120 days in AR 8 * * * * * * * Not re-aged: 120+ days in AR 8 * * * * * * * Months gross FFS charges in AR 35 3.06 2.88 1.06 1.19 1.87 4.17 8.59 Months adjusted FFS charges in AR 30 4.41 3.27 1.41 2.27 3.28 5.36 11.49 Days gross FFS charges in AR 30 61.34 36.78 29.12 35.98 45.11 68.59 136.08 Days adjusted FFS charges in AR 25 94.66 42.41 39.90 67.39 78.95 129.03 163.70 Gross FFS collection % 44 45.24% 9.23% 32.03% 39.28% 46.22% 50.95% 56.52% Adjusted FFS collection % 44 88.82% 12.02% 69.70% 89.58% 93.72% 95.47% 96.46%

8.3: Breakout of Total Gross Charges by Type of Payer

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Medicare 28 35.90% 16.06% 13.00% 19.85% 36.75% 47.03% 62.04% Medicaid 28 11.63% 7.99% 3.50% 7.63% 10.00% 14.09% 22.95% Commercial 28 43.84% 14.80% 18.60% 39.49% 44.81% 50.98% 63.24% Workers' compensation 28 .40% .59% .00% .00% .08% .88% 1.29% Charity care and prof courtesy 28 .60% 1.35% .00% .00% .00% .50% 3.01% Self-pay 28 6.65% 9.67% .50% 1.03% 1.88% 6.37% 25.10% Other government payers 28 .98% 1.93% .00% .00% .35% 1.49% 2.07%

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

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Neurology, All Practices

(per FTE Physician)

8.4a: Staffing, RVUs, Patients, Procedures, and Square Footage Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile

Nonsurgical specialty physicians 40 .98 .10 1.00 1.00 1.00 1.00 1.00 Surgical specialty physicians 5 * * * * * * * Total nonphysician providers 18 .66 .56 .08 .22 .42 1.03 1.60 Total providers 18 1.66 .56 1.08 1.22 1.42 2.03 2.60 General administrative 19 .33 .19 .15 .22 .26 .35 .69 Patient accounting 5 * * * * * * * General accounting 6 * * * * * * * Managed care administrative 5 * * * * * * * Information technology 3 * * * * * * * Housekeeping, maintenance, security 1 * * * * * * *

Total business operations staff 24 .49 .29 .11 .25 .43 .69 .89 Medical receptionists 13 1.04 .71 .13 .68 .85 1.45 2.40 Medical secretaries, transcribers 1 * * * * * * * Medical records 4 * * * * * * * Other administrative support 5 * * * * * * * Total front office support staff 43 1.79 1.40 .41 .73 1.36 2.73 3.31 Registered nurses 8 * * * * * * * Licensed practical nurses 9 * * * * * * * Medical assistants, nurse aides 18 .93 .60 .24 .48 .81 1.36 2.03 Total clinical support staff 29 1.18 .74 .26 .57 1.00 1.94 2.10 Clinical laboratory 4 * * * * * * * Radiology and imaging 1 * * * * * * * Other medical support services 8 * * * * * * * Total ancillary support staff 12 .66 1.45 .02 .09 .28 .41 3.82 Total employed support staff 62 2.83 2.63 .75 1.73 2.36 3.20 4.22 Total contracted support staff 3 * * * * * * * Total support staff 73 2.71 2.49 .55 1.40 2.30 3.20 4.00 Total RVUs 52 14,511 8,987 6,188 9,008 11,473 18,806 28,129 Physician work RVUs 61 6,801 3,810 2,853 4,264 5,756 8,887 12,217 Patients 18 1,494 1,135 595 802 1,043 2,141 3,989 Total procedures 15 3,526 1,835 959 1,898 3,296 4,607 6,435 Square feet 14 1,519 739 370 889 1,466 2,194 2,497

8.4b: Charges and Revenue

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Net fee-for-service revenue 77 $536,819 $475,081 $174,304 $296,543 $424,902 $592,677 $943,304 Gross FFS charges 44 $1,197,500 $975,570 $422,998 $684,538 $932,411 $1,372,770 $2,339,228 Adjustments to FFS charges 43 $616,148 $479,914 $196,172 $316,910 $451,521 $746,751 $1,310,648 Adjusted FFS charges 44 $627,352 $636,979 $224,548 $354,569 $468,863 $664,982 $960,544 Bad debts due to FFS activity 21 $27,647 $22,870 $6,318 $12,633 $25,430 $32,642 $57,911 Gross capitation charges 1 * * * * * * * Net other medical revenue 18 $46,769 $95,656 $92 $300 $5,041 $37,792 $183,745 Gross revenue from other medical

activities 16 $52,037 $100,521 $85 $247 $7,383 $43,438 $226,626

Other medical revenue 17 $11,371 $19,725 $88 $245 $2,962 $12,036 $51,234 Revenue from hospital 4 * * * * * * * Revenue from sale of

goods/services 1 * * * * * * *

Cost of sales 1 * * * * * * * Total gross charges 41 $1,123,183 $908,093 $420,986 $672,099 $926,847 $1,362,593 $1,802,066 Total medical revenue 77 $562,991 $486,443 $174,304 $299,000 $434,874 $654,982 $1,036,740

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

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Neurology, All Practices

(per FTE Physician) 8.4c: Operating Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile General administrative 18 $19,731 $11,484 $7,385 $12,827 $17,482 $24,257 $34,291 Patient accounting 4 * * * * * * * General accounting 6 * * * * * * * Managed care administrative 5 * * * * * * * Information technology 2 * * * * * * * Housekeeping, maintenance, security 1 * * * * * * * Total business operations staff 24 $24,266 $16,462 $3,496 $12,193 $21,619 $33,394 $51,899 Medical receptionists 13 $30,281 $26,291 $1,740 $11,559 $23,190 $47,527 $80,612 Medical secretaries, transcribers 1 * * * * * * * Medical records 3 * * * * * * * Other administrative support 5 * * * * * * * Total front office support staff 43 $63,147 $57,822 $9,975 $20,703 $45,865 $97,346 $128,895 Registered nurses 8 * * * * * * * Licensed practical nurses 10 $17,813 $29,829 $112 $588 $4,172 $27,488 $89,006 Medical assistants, nurse aides 17 $29,433 $18,881 $6,639 $14,180 $23,893 $45,662 $60,344 Total clinical support staff 28 $43,855 $30,165 $9,833 $21,787 $37,428 $59,140 $73,236 Clinical laboratory 4 * * * * * * * Radiology and imaging 1 * * * * * * * Other medical support services 7 * * * * * * * Total ancillary support staff 12 $85,679 $143,858 $1,429 $8,135 $16,637 $125,780 $397,474 Total employed support staff 60 $153,681 $164,749 $37,727 $63,923 $98,710 $154,037 $365,998 Total employed support staff benefits 59 $49,559 $57,708 $8,587 $16,230 $29,588 $62,203 $92,878 Total contracted support staff 8 * * * * * * * Total support staff 68 $143,114 $108,471 $28,900 $64,732 $124,152 $179,385 $302,390 Information technology 22 $9,162 $10,202 $146 $1,284 $3,811 $19,694 $27,175 Drug supply 19 $55,454 $60,195 $1,011 $12,948 $38,628 $89,486 $132,512 Medical and surgical supply 20 $9,503 $13,780 $972 $1,975 $4,563 $10,948 $31,042 Building and occupancy 23 $42,179 $28,252 $5,100 $29,356 $39,106 $50,473 $84,040 Building/occupancy depreciation 7 * * * * * * * Furniture and equipment 10 $3,027 $3,140 $74 $1,148 $1,673 $5,428 $8,605 Furniture/equipment depreciation 13 $4,760 $3,791 $481 $1,251 $3,797 $8,300 $10,765 Administrative supplies and services 21 $7,242 $7,955 $785 $1,612 $4,817 $9,844 $24,159 Professional liability insurance 21 $9,153 $7,777 $121 $5,199 $6,652 $14,177 $21,228 Other insurance premiums 9 * * * * * * * Legal fees 4 * * * * * * * Consulting fees 2 * * * * * * * Outside professional fees 16 $6,766 $4,946 $427 $1,599 $7,514 $11,623 $13,130 Promotion and marketing 13 $1,520 $1,338 $45 $320 $1,295 $2,550 $3,865 Clinical laboratory 5 * * * * * * * Other ancillary services 1 * * * * * * * Billing/collections purchased services 14 $30,377 $21,312 $863 $13,299 $30,984 $43,971 $65,877 Management fees paid to MSO 9 * * * * * * * Miscellaneous operating cost 21 $8,792 $7,901 $537 $2,010 $7,440 $13,335 $22,408 Cost allocated to practice from parent 7 * * * * * * * Total general operating cost 76 $199,032 $193,295 $33,974 $90,122 $162,343 $231,447 $406,965 Total operating cost 76 $390,183 $327,641 $112,300 $240,001 $317,149 $429,193 $706,231 Total operating & NPP cost 17 $638,426 $373,999 $297,845 $352,521 $457,098 $786,031 $1,331,236

8.4d: Provider Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total medical revenue after operating cost 77 $129,531 $311,303 -$263,970 -$21,780 $119,135 $222,913 $494,929 Total medical revenue after operating & NPP cost 18 $160,198 $500,131 -$721,228 $111,185 $244,810 $446,589 $705,717 Total provider cost 18 $686,083 $485,480 $276,731 $383,101 $505,499 $765,648 $1,520,950 Total nonphysician provider cost 15 $71,593 $58,087 $9,649 $20,365 $52,970 $111,105 $175,206 Nonphysician provider compensation 13 $58,234 $54,025 $7,351 $14,137 $32,147 $107,864 $152,972 Nonphysician provider benefit cost 20 $11,730 $9,838 $1,639 $2,700 $10,053 $16,677 $28,375 Total physician cost 77 $497,002 $413,891 $225,772 $274,540 $334,581 $565,634 $863,188 Total physician compensation 49 $387,508 $256,437 $226,376 $273,601 $311,292 $417,694 $642,487 Total physician benefit cost 43 $41,159 $12,273 $26,328 $32,078 $37,280 $50,017 $58,444

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

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Neurology, All Practices

(per FTE Physician) 8.4e: Net Income or Loss

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total cost 77 $917,290 $628,018 $383,495 $545,549 $673,840 $1,130,198 $1,791,604 Net nonmedical revenue 8 * * * * * * * Nonmedical revenue 4 * * * * * * * Financial support for operating

costs 3 * * * * * * *

Nonmedical cost 1 * * * * * * * Net income, practices with financial support 3 * * * * * * *

Net income, practices without financial support 74 -$135,657 $240,345 -$365,200 -$269,196 -$107,369 -$12,979 $59,038

Net income, excluding financial support (all practices) 77 -$141,499 $239,088 -$369,033 -$272,904 -$131,180 -$16,908 $56,627

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

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Neurology, All Practices

(as a Percentage of Total Medical Revenue) 8.5a: Charges and Revenue

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Net fee-for-service revenue 77 96.62% 9.23% 89.47% 99.18% 100.00% 100.00% 100.00% Net other medical revenue 18 7.15% 13.08% .01% .06% .99% 7.20% 28.29% Total gross charges 41 222.89% 66.01% 153.05% 181.12% 204.21% 249.19% 317.43%

8.5b: Operating Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile General administrative 18 3.69% 3.02% 1.10% 1.74% 2.90% 4.49% 9.94% Patient accounting 4 * * * * * * * General accounting 6 * * * * * * * Managed care administrative 5 * * * * * * * Information technology 2 * * * * * * * Housekeeping, maintenance,

security 1 * * * * * * *

Total business operations staff 24 4.57% 4.82% .56% 1.68% 2.90% 5.46% 10.89% Medical receptionists 13 5.90% 5.27% .32% 1.26% 5.17% 8.26% 16.09% Medical secretaries, transcribers 1 * * * * * * * Medical records 3 * * * * * * * Other administrative support 5 * * * * * * * Total front office support staff 43 12.78% 11.95% 2.20% 4.44% 8.74% 18.54% 32.20% Registered nurses 8 * * * * * * * Licensed practical nurses 10 1.66% 2.36% .02% .11% .37% 2.82% 6.10% Medical assistants, nurse aides 17 5.56% 4.60% 1.20% 2.10% 4.90% 8.62% 12.85% Total clinical support staff 28 8.75% 9.02% 1.60% 2.99% 6.20% 11.04% 18.38% Clinical laboratory 4 * * * * * * * Radiology and imaging 1 * * * * * * * Other medical support services 7 * * * * * * * Total ancillary support staff 13 5.25% 6.91% .12% .49% 2.66% 8.17% 19.14% Total employed support staff 61 45.62% 122.15% 6.60% 12.97% 18.67% 33.05% 57.18% Total employed support staff benefits 59 12.51% 30.93% 1.85% 3.22% 6.05% 10.82% 15.34% Total contracted support staff 8 * * * * * * * Total support staff 73 53.10% 139.79% 9.55% 17.60% 26.51% 42.30% 69.11% Information technology 22 1.34% 1.44% .03% .27% 1.21% 1.89% 4.24% Drug supply 20 10.77% 9.86% .36% 2.82% 6.52% 18.41% 24.72% Medical and surgical supply 21 1.14% 1.15% .13% .39% .99% 1.58% 2.22% Building and occupancy 23 7.56% 7.17% 1.12% 4.61% 5.36% 8.05% 15.87% Building/occupancy depreciation 7 * * * * * * * Furniture and equipment 10 .36% .36% .01% .07% .25% .59% 1.11% Furniture/equipment depreciation 15 2.08% 2.82% .11% .27% .99% 2.00% 7.52% Administrative supplies and services 21 1.43% 1.66% .15% .32% .67% 1.50% 4.80% Professional liability insurance 22 2.51% 2.98% .03% .34% 1.26% 4.42% 6.43% Other insurance premiums 9 * * * * * * * Legal fees 4 * * * * * * * Consulting fees 2 * * * * * * * Outside professional fees 16 1.50% 1.12% .04% .22% 1.60% 2.34% 3.16% Promotion and marketing 13 .16% .12% .01% .05% .19% .23% .36% Clinical laboratory 5 * * * * * * * Other ancillary services 1 * * * * * * *

Billing/collections purchased services 14 5.37% 3.75% .13% 3.01% 4.66% 7.62% 11.73%

Management fees paid to MSO 9 * * * * * * * Miscellaneous operating cost 21 1.34% 1.25% .15% .39% 1.16% 1.94% 2.82% Cost allocated to practice from

parent 7 * * * * * * *

Total general operating cost 76 39.82% 25.91% 5.97% 22.22% 35.87% 52.55% 72.32% Total operating cost 76 90.76% 133.81% 37.75% 51.60% 65.55% 86.56% 125.45% Total operating & NPP cost 17 83.39% 57.06% 47.38% 52.24% 68.19% 82.06% 175.57%

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© 2016 MGMA. All rights reserved.

Neurology, All Practices

(as a Percentage of Total Medical Revenue) 8.5c: Provider Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total medical revenue after operating cost

77 10.26% 82.45% -41.47% -6.93% 31.19% 45.80% 61.44%

Total medical revenue after operating & NPP cost

18 7.33% 83.35% -129.67% 20.00% 29.99% 47.86% 64.45%

Total provider cost 18 98.06% 81.54% 33.07% 46.83% 68.37% 135.19% 229.28% Total nonphysician provider cost 18 26.66% 49.08% 1.86% 4.39% 7.94% 21.34% 90.99% Nonphysician provider compensation 13 6.52% 7.05% 1.47% 1.62% 4.72% 7.52% 20.90% Nonphysician provider benefit cost 20 1.84% 2.22% .29% .49% .96% 2.32% 6.73% Total physician cost 77 126.94% 191.22% 40.87% 62.59% 95.92% 136.05% 182.05% Total physician compensation 49 82.19% 42.44% 33.29% 44.84% 78.99% 101.69% 148.98% Total physician benefit cost 43 8.84% 4.64% 3.59% 5.78% 8.09% 11.35% 15.00%

8.5d: Net Income or Loss

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total cost 77 222.31% 283.51% 99.46% 119.00% 165.05% 208.31% 296.49% Net nonmedical revenue 8 * * * * * * * Nonmedical revenue 4 * * * * * * * Financial support for operating costs 3 * * * * * * * Nonmedical cost 1 * * * * * * * Net income, practices with financial support 3 * * * * * * * Net income, practices without financial support 74 -46.21% 79.58% -103.57% -65.06% -30.41% -1.91% 11.75%

Net income, excluding financial support (all practices) 77 -48.51% 78.87% -110.18% -66.90% -31.74% -2.14% 11.61%

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Neurology, All Practices

(per FTE Provider) 8.6a: Staffing, RVUs, Patients, Procedures, and Square Footage

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total nonphysician providers 18 .34 .20 .08 .18 .29 .51 .61 Total physicians 18 .66 .20 .39 .49 .71 .82 .92 General administrative 8 * * * * * * * Patient accounting 2 * * * * * * * General accounting 1 * * * * * * * Information technology 1 * * * * * * * Housekeeping, maintenance, security 1 * * * * * * * Total business operations staff 11 .33 .29 .07 .11 .21 .63 .86 Medical receptionists 5 * * * * * * * Medical records 3 * * * * * * * Other administrative support 5 * * * * * * * Total front office support staff 14 .92 .59 .18 .41 .76 1.54 1.80 Registered nurses 6 * * * * * * * Licensed practical nurses 6 * * * * * * * Medical assistants, nurse aides 8 * * * * * * * Total clinical support staff 14 .79 .43 .09 .51 .95 1.03 1.33 Clinical laboratory 2 * * * * * * * Other medical support services 4 * * * * * * * Total ancillary support staff 7 * * * * * * * Total employed support staff 18 2.07 1.60 .27 1.07 1.89 2.40 4.07 Total contracted support staff 3 * * * * * * * Total support staff 18 2.13 1.58 .27 1.61 1.89 2.48 4.07 Total RVUs 15 11,254 5,167 6,715 8,400 9,002 12,853 22,826 Physician work RVUs 16 5,583 1,926 3,713 3,830 4,843 7,311 8,464 Patients 10 1,188 606 403 732 1,057 1,831 2,186 Total procedures 2 * * * * * * * Square feet 1 * * * * * * *

8.6b: Charges, Revenue, and Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total gross charges 7 * * * * * * * Total medical revenue 18 $524,743 $251,352 $224,412 $331,411 $475,528 $667,044 $944,660 Net fee-for-service revenue 18 $474,293 $261,718 $201,687 $287,517 $401,353 $577,253 $936,376 Net other medical revenue 9 * * * * * * * Total medical revenue after operating cost 18 $198,594 $177,458 -$89,667 $117,648 $204,550 $327,411 $443,390 Total medical revenue after operating & NPP cost 18 $109,260 $281,853 -$506,287 $68,432 $158,542 $276,955 $374,540 Total support staff cost 18 $122,048 $81,387 $19,812 $75,726 $111,568 $142,176 $230,876 Total general operating cost 17 $169,571 $130,957 $11,957 $93,473 $153,130 $203,690 $391,317 Total operating cost 17 $298,079 $165,116 $136,889 $180,455 $260,168 $356,706 $599,865 Total operating & NPP cost 17 $388,172 $168,452 $238,573 $264,474 $293,458 $548,925 $662,127 Total provider cost 18 $402,432 $197,353 $218,106 $259,264 $328,854 $532,288 $817,825 Total nonphysician provider cost 16 $45,247 $33,352 $9,246 $18,352 $43,560 $60,284 $95,357 Total physician cost 18 $313,098 $163,053 $153,824 $228,786 $269,139 $368,738 $622,768 Total physician compensation 14 $306,767 $167,545 $169,001 $207,332 $233,368 $372,467 $654,980 Total physician benefit cost 14 $32,391 $10,221 $19,875 $23,674 $30,339 $40,603 $48,828 Total cost 18 $679,315 $246,901 $310,810 $532,864 $601,195 $935,873 $1,003,163 Net nonmedical revenue 4 * * * * * * * Net income, excluding financial support (all practices) 18 -$89,377 $141,498 -$410,276 -$137,516 -$49,672 -$4,121 $30,128

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Neurology, All Practices

(per Square Foot) 8.7a: Staffing per 10,000 Square Feet

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total physicians 14 9.68 8.21 4.01 4.57 6.89 11.27 27.70 Total nonphysician providers 1 * * * * * * * Total providers 1 * * * * * * * General administrative 10 2.43 1.27 1.15 1.41 1.90 3.71 4.70 Patient accounting 3 * * * * * * * General accounting 4 * * * * * * * Managed care administrative 3 * * * * * * * Information technology 1 * * * * * * * Total business operations staff 11 4.66 3.42 .50 2.12 4.82 5.35 11.75 Medical receptionists 8 * * * * * * * Medical secretaries, transcribers 1 * * * * * * * Medical records 2 * * * * * * * Other administrative support 1 * * * * * * * Total front office support staff 9 * * * * * * * Registered nurses 3 * * * * * * * Licensed practical nurses 4 * * * * * * * Medical assistants, nurse aides 9 * * * * * * * Total clinical support staff 10 8.24 8.67 1.72 3.49 5.35 9.83 29.42 Clinical laboratory 2 * * * * * * * Radiology and imaging 1 * * * * * * * Other medical support services 4 * * * * * * * Total ancillary support staff 6 * * * * * * * Total employed support staff 13 19.37 10.67 8.90 11.14 16.87 25.74 40.34 Total contracted support staff 1 * * * * * * * Total support staff 13 19.40 10.66 8.90 11.14 17.27 25.74 40.34

8.7b: Charges, Revenue, Cost, and Productivity per Square Foot

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total gross charges 13 $1,003.43 $929.99 $176.41 $464.76 $781.58 $972.19 $3,052.39 Total medical revenue 14 $489.07 $394.65 $98.11 $191.15 $389.53 $609.26 $1,280.69 Net fee-for-service revenue 14 $485.44 $395.64 $98.11 $188.27 $376.71 $605.36 $1,280.69 Net other medical revenue 6 * * * * * * * Total medical revenue after operating cost 14 $241.13 $226.04 $26.45 $67.15 $166.58 $397.20 $692.44 Total medical revenue after operating & NPP cost 1 * * * * * * * Total support staff cost 13 $85.00 $40.83 $33.22 $44.88 $86.36 $119.62 $150.28 Building and occupancy 14 $32.07 $29.63 $4.35 $16.67 $26.89 $32.65 $89.36 Total general operating cost 14 $169.01 $162.33 $29.43 $101.45 $133.29 $182.77 $457.31 Total operating cost 14 $247.94 $196.02 $47.77 $150.31 $219.90 $291.65 $588.25 Total operating & NPP cost 1 * * * * * * * Total provider cost 1 * * * * * * * Total nonphysician provider cost 1 * * * * * * * Total physician cost 14 $323.84 $221.14 $120.75 $172.82 $244.80 $405.34 $740.55 Total physician compensation 14 $301.91 $221.62 $120.75 $143.28 $233.39 $373.87 $702.99 Total physician benefit cost 9 * * * * * * * Total cost 14 $574.42 $411.27 $175.55 $333.51 $464.70 $710.59 $1,310.45 Net nonmedical revenue 1 * * * * * * * Net income, excluding financial support (all practices) 7 * * * * * * * Total RVUs 8 * * * * * * * Physician work RVUs 13 5.75 4.55 1.67 2.93 4.25 7.77 14.76 Patients 4 * * * * * * * Total procedures 12 3.41 3.13 .39 1.37 3.00 4.32 10.01

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Neurology, All Practices

(per Total RVU) 8.8a: Staffing per 10,000 Total RVUs

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total physicians 52 1.02 .80 .36 .53 .87 1.11 1.62 Total nonphysician providers 15 .37 .26 .08 .22 .29 .60 .80 Total providers 15 1.02 .33 .44 .78 1.11 1.19 1.49 General administrative 13 .29 .17 .08 .16 .27 .34 .63 Patient accounting 4 * * * * * * * General accounting 6 * * * * * * * Managed care administrative 1 * * * * * * * Information technology 2 * * * * * * * Housekeeping, maintenance, security 1 * * * * * * * Total business operations staff 18 .40 .34 .05 .12 .33 .68 .77 Medical receptionists 11 .83 .54 .11 .59 .73 1.12 1.91 Medical records 4 * * * * * * * Other administrative support 5 * * * * * * * Total front office support staff 37 1.96 2.10 .41 .74 1.19 2.58 4.04 Registered nurses 6 * * * * * * * Licensed practical nurses 6 * * * * * * * Medical assistants, nurse aides 11 .67 .45 .05 .37 .56 1.07 1.46 Total clinical support staff 19 1.01 1.08 .10 .50 .73 1.13 1.53 Clinical laboratory 1 * * * * * * * Radiology and imaging 1 * * * * * * * Other medical support services 8 * * * * * * * Total ancillary support staff 11 1.38 2.66 .10 .19 .35 2.08 7.70 Total employed support staff 52 2.63 2.66 .84 1.37 2.06 3.02 4.60 Total contracted support staff 2 * * * * * * * Total support staff 52 2.63 2.66 .84 1.37 2.06 3.02 4.60

8.8b: Charges, Revenue, Cost, and Productivity per Total RVU

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total gross charges 29 $89.49 $26.87 $64.22 $73.20 $81.29 $100.51 $130.16 Total medical revenue 52 $51.38 $51.40 $25.51 $31.89 $38.78 $50.33 $74.03 Net fee-for-service revenue 52 $49.48 $51.57 $23.81 $29.06 $37.32 $48.11 $72.54 Net other medical revenue 14 $3.27 $5.66 $.01 $.01 $.29 $4.51 $16.03 Total medical revenue after operating cost 52 $7.22 $29.62 -$23.00 -$7.19 $10.50 $17.84 $34.34 Total medical revenue after operating & NPP cost 15 $7.78 $35.33 -$58.60 $8.26 $15.06 $28.35 $40.84 Total support staff cost 52 $21.03 $26.59 $4.89 $8.11 $12.07 $19.86 $75.08 Total general operating cost 49 $15.65 $11.92 $1.68 $6.53 $15.25 $20.71 $30.91 Total operating cost 51 $41.85 $41.92 $13.69 $21.92 $28.11 $42.94 $96.61 Total operating & NPP cost 14 $39.13 $18.40 $21.97 $28.07 $33.58 $45.94 $73.83 Total provider cost 15 $41.58 $26.75 $14.96 $24.78 $36.06 $54.94 $86.33 Total nonphysician provider cost 12 $3.81 $2.36 $.86 $1.57 $3.67 $5.44 $7.89 Total physician cost 47 $34.05 $13.38 $16.97 $27.46 $32.86 $40.92 $47.66 Total physician compensation 38 $37.29 $33.45 $16.34 $24.77 $28.97 $37.13 $59.76 Total physician benefit cost 38 $3.92 $3.04 $1.98 $2.37 $3.29 $3.89 $6.26 Total cost 52 $97.80 $97.26 $37.61 $53.17 $63.76 $87.32 $229.01 Net nonmedical revenue 2 * * * * * * * Net income, excluding financial support (all practices) 52 -$12.03 $24.82 -$43.76 -$21.10 -$8.18 -$.44 $5.06 Physician work RVUs 52 .51 .09 .40 .45 .52 .58 .62 Patients 14 .13 .10 .05 .07 .10 .13 .34 Total procedures 7 * * * * * * * Square feet 8 * * * * * * *

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Neurology, All Practices

(per Work RVU) 8.9a: Staffing per 10,000 Work RVUs

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total physicians 61 2.01 1.32 .82 1.13 1.74 2.35 3.51 Total nonphysician providers 16 .67 .47 .12 .25 .60 1.04 1.46 Total providers 16 1.98 .61 1.19 1.37 2.06 2.61 2.69 General administrative 18 .55 .36 .23 .30 .47 .64 1.12 Patient accounting 4 * * * * * * * General accounting 6 * * * * * * * Managed care administrative 5 * * * * * * * Information technology 2 * * * * * * * Housekeeping, maintenance, security 1 * * * * * * * Total business operations staff 23 .86 .72 .11 .28 .68 1.31 2.15 Medical receptionists 12 1.64 .97 .27 1.03 1.63 2.13 3.35 Medical secretaries, transcribers 1 * * * * * * * Medical records 4 * * * * * * * Other administrative support 5 * * * * * * * Total front office support staff 37 2.81 2.00 .57 1.26 2.13 3.87 6.41 Registered nurses 8 * * * * * * * Licensed practical nurses 9 * * * * * * * Medical assistants, nurse aides 17 1.55 1.01 .33 .97 1.24 1.90 3.27 Total clinical support staff 25 2.11 2.11 .30 1.22 1.63 2.53 3.74 Clinical laboratory 4 * * * * * * * Radiology and imaging 1 * * * * * * * Other medical support services 8 * * * * * * * Total ancillary support staff 13 1.14 1.80 .04 .22 .55 .76 5.25 Total employed support staff 58 5.10 5.62 1.62 2.52 3.88 5.39 9.41 Total counteracted support staff 2 * * * * * * * Total support staff 60 5.00 5.55 1.61 2.43 3.82 5.35 9.26

8.9b: Charges, Revenue, Cost, and Productivity per Work RVU

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total gross charges 36 $174.07 $61.28 $109.20 $131.15 $160.59 $199.42 $280.48 Total medical revenue 57 $77.44 $32.18 $44.96 $54.32 $71.09 $98.20 $115.87 Net fee-for-service revenue 57 $74.06 $30.60 $44.96 $50.24 $67.51 $96.25 $108.71 Net other medical revenue 15 $4.33 $9.17 $.01 $.03 $.95 $4.43 $20.05 Total medical revenue after operating cost 61 $16.49 $60.71 -$31.82 -$8.91 $21.08 $38.12 $67.51 Total medical revenue after operating & NPP cost 16 $19.83 $62.26 -$91.86 $15.62 $34.45 $58.40 $80.69 Total support staff cost 59 $35.03 $45.57 $7.94 $13.68 $22.16 $35.27 $50.94 Total general operating cost 58 $29.69 $20.63 $3.01 $15.33 $29.51 $38.50 $52.61 Total operating cost 57 $60.40 $38.55 $29.30 $36.91 $46.77 $72.07 $97.32 Total operating & NPP cost 15 $75.73 $32.41 $35.13 $60.73 $70.62 $80.39 $137.17 Total provider cost 16 $79.43 $41.34 $37.04 $52.00 $72.47 $100.07 $143.85 Total nonphysician provider cost 15 $12.69 $15.49 $1.51 $2.55 $7.52 $14.65 $45.50 Total physician cost 57 $69.71 $27.03 $46.21 $53.24 $63.38 $81.60 $99.87 Total physician compensation 45 $71.79 $69.04 $41.62 $47.87 $55.43 $73.02 $103.66 Total physician benefit cost 39 $7.44 $5.54 $3.61 $4.94 $5.87 $7.47 $11.91 Total cost 61 $183.72 $190.46 $88.79 $97.49 $117.51 $155.10 $496.41 Net nonmedical revenue 5 * * * * * * * Net income, excluding financial support (all practices) 61 -$25.92 $51.02 -$80.69 -$45.73 -$24.73 -$1.34 $12.10 Total RVUs 52 2.04 .49 1.60 1.71 1.92 2.20 2.50 Patients 17 .26 .20 .10 .14 .20 .28 .65 Total procedures 14 .60 .09 .48 .53 .60 .65 .77 Square feet 13 .27 .19 .08 .13 .24 .35 .64

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Neurology, All Practices

(per Patient) 8.10a: Staffing per 10,000 Patients

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total physicians 18 9.74 5.15 2.51 4.68 9.68 12.47 16.92 Total nonphysician providers 10 3.56 4.17 .41 .78 2.26 5.00 13.53 Total providers 10 10.99 6.54 4.58 5.47 9.47 13.90 25.19 General administrative 12 2.82 1.40 .84 1.74 2.60 3.72 5.30 Patient accounting 5 * * * * * * * General accounting 3 * * * * * * * Managed care administrative 1 * * * * * * * Information technology 3 * * * * * * * Housekeeping, maintenance, security 1 * * * * * * * Total business operations staff 13 4.59 3.10 .80 2.17 4.75 5.77 10.51 Medical receptionists 9 * * * * * * * Medical records 4 * * * * * * * Other administrative support 5 * * * * * * * Total front office support staff 14 9.01 5.07 2.59 4.27 9.21 12.27 17.53 Registered nurses 7 * * * * * * * Licensed practical nurses 7 * * * * * * * Medical assistants, nurse aides 11 6.51 3.46 .75 4.53 6.46 9.38 11.53 Total clinical support staff 16 8.80 4.90 3.52 5.13 8.32 11.55 15.63 Clinical laboratory 2 * * * * * * * Other medical support services 7 * * * * * * * Total ancillary support staff 9 * * * * * * * Total employed support staff 16 22.98 9.25 8.52 16.49 23.48 29.15 37.96 Total contracted support staff 2 * * * * * * * Total support staff 18 21.61 9.85 8.11 12.15 21.74 28.92 37.97

8.10b: Charges, Revenue, Cost, and Productivity per Patient

Count Mean Std Dev 10th %tile 25th %tile

Median 75th %tile 90th %tile

Total gross charges 6 * * * * * * * Total medical revenue 18 $553.09 $372.42 $136.24 $323.41 $479.07 $650.25 $1,259.08 Net fee-for-service revenue 18 $537.07 $373.60 $135.44 $321.80 $435.75 $647.57 $1,252.03 Net other medical revenue 13 $20.60 $33.40 $.18 $.85 $6.08 $32.79 $88.66 Total medical revenue after operating cost 18 $295.79 $286.13 $26.19 $118.80 $191.95 $350.86 $870.92 Total medical revenue after operating & NPP cost 10 $281.58 $248.90 $40.21 $114.24 $210.15 $368.11 $790.85 Total support staff cost 18 $108.78 $52.37 $31.59 $55.07 $116.50 $144.10 $193.73 Total general operating cost 17 $171.92 $134.17 $47.64 $98.40 $127.61 $198.27 $491.98 Total operating cost 17 $285.23 $164.69 $91.19 $187.27 $261.64 $336.12 $630.51 Total operating & NPP cost 9 * * * * * * * Total provider cost 10 $410.15 $307.75 $72.10 $203.09 $305.98 $799.79 $885.59 Total nonphysician provider cost 10 $47.16 $58.38 $8.87 $9.90 $26.43 $63.46 $187.65 Total physician cost 18 $353.09 $217.84 $97.77 $208.89 $314.94 $434.27 $777.63 Total physician compensation 13 $345.62 $219.89 $113.76 $190.36 $247.58 $512.63 $751.52 Total physician benefit cost 13 $43.09 $20.12 $17.47 $31.29 $38.63 $56.08 $79.75 Total cost 18 $636.58 $332.47 $198.17 $439.11 $568.03 $764.86 $1,179.02 Net nonmedical revenue 5 * * * * * * * Net income, excluding financial support (all practices) 15 -$87.86 $134.28 -$315.44 -$203.35 -$9.76 -$.14 $47.10 Total RVUs 14 10.88 5.53 3.13 7.65 10.21 13.85 20.19 Physician work RVUs 17 5.35 2.82 1.57 3.57 4.94 7.10 10.02 Total procedures 4 * * * * * * * Square feet 4 * * * * * * *

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Orthopedic Surgery, Physician Owned

11.1: Staffing and Practice Data

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total provider FTE 31 30.74 22.51 8.40 12.32 26.25 42.55 59.26 Total physician FTE 34 14.65 10.81 4.09 6.00 11.30 20.50 32.00 Total nonphysician provider FTE 31 15.76 12.74 1.78 5.50 13.00 22.60 37.21 Total support staff FTE 34 100.76 83.04 20.85 42.27 66.85 133.41 265.71 Number of branch clinics 26 3.42 2.93 1.00 1.00 3.00 5.00 7.60 Square footage of all facilities 26 49,003 36,526 12,555 21,845 39,825 62,809 109,127

11.2: Accounts Receivable Data, Collection Percentages, and Financial Ratios

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total AR/physician 28 $516,956 $263,000 $225,847 $380,299 $444,793 $714,664 $802,988 Total AR/provider 27 $267,510 $146,191 $123,016 $158,937 $237,589 $319,841 $447,726 0-30 days in AR 27 58.05% 11.97% 40.25% 47.76% 58.96% 66.78% 75.47% 31-60 days in AR 27 15.16% 4.04% 10.15% 12.18% 15.19% 17.82% 21.49% 61-90 days in AR 27 7.65% 2.16% 4.77% 6.13% 7.34% 8.85% 11.27% 91-120 days in AR 27 5.49% 3.52% 2.73% 3.55% 4.36% 6.49% 8.67% 120+ days in AR 27 13.65% 7.76% 3.93% 8.23% 11.46% 18.91% 23.95% Re-aged: 0-30 days in AR 9 * * * * * * * Re-aged: 31-60 days in AR 9 * * * * * * * Re-aged: 61-90 days in AR 9 * * * * * * * Re-aged: 91-120 days in AR 9 * * * * * * * Re-aged: 120+ days in AR 9 * * * * * * * Not re-aged: 0-30 days in AR 15 58.28% 14.91% 36.98% 42.95% 58.44% 71.72% 79.41% Not re-aged: 31-60 days in AR 15 15.51% 4.34% 10.36% 12.19% 14.86% 18.15% 22.36% Not re-aged: 61-90 days in AR 15 7.77% 2.40% 4.17% 6.04% 7.82% 9.52% 11.50% Not re-aged: 91-120 days in AR 15 5.15% 2.15% 2.60% 3.20% 4.88% 6.49% 8.83% Not re-aged: 120+ days in AR 15 13.29% 8.11% 3.50% 5.65% 16.24% 20.11% 24.81% Months gross FFS charges in AR 28 1.31 .37 .84 1.06 1.33 1.49 2.08 Months adjusted FFS charges in AR 29 3.26 1.59 1.13 2.27 3.54 4.02 5.58 Days gross FFS charges in AR 28 39.99 11.32 25.51 32.14 40.44 45.24 63.32 Days adjusted FFS charges in AR 29 99.09 48.32 34.43 69.00 107.55 122.30 169.63 Gross FFS collection % 33 43.32% 40.50% 24.00% 30.55% 37.04% 42.22% 50.43% Adjusted FFS collection % 31 89.08% 27.11% 26.00% 93.78% 97.59% 100.00% 110.51% Gross FFS + cap collection % 3 * * * * * * * Net cap rev % of gross cap chrg 1 * * * * * * *

11.3: Breakout of Total Gross Charges by Type of Payer

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Medicare 32 31.63% 9.34% 22.22% 24.51% 29.96% 37.50% 46.34% Medicaid 32 5.78% 5.56% .07% 1.05% 4.00% 9.07% 16.48% Commercial 32 50.81% 11.54% 35.36% 41.53% 50.54% 58.48% 65.08% Workers' compensation 32 6.68% 2.95% 3.19% 5.14% 6.00% 8.23% 11.75% Charity care and prof courtesy 32 .09% .26% .00% .00% .00% .01% .44% Self-pay 32 2.34% 2.47% .42% 1.00% 1.64% 3.00% 5.13% Other government payers 32 2.66% 3.74% .00% .00% 1.49% 3.00% 10.28%

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

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Orthopedic Surgery, Physician Owned

(per FTE Physician)

11.4a: Staffing, RVUs, Patients, Procedures, and Square Footage Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile

Primary care physicians 6 * * * * * * * Nonsurgical specialty physicians 16 .19 .15 .04 .07 .16 .25 .48 Surgical specialty physicians 29 .88 .15 .70 .79 .93 1.00 1.00 Total nonphysician providers 31 1.10 .94 .23 .68 .88 1.24 1.97 Total providers 31 2.06 .98 1.10 1.64 1.88 2.24 2.97 General administrative 31 .42 .31 .18 .25 .33 .45 .75 Patient accounting 31 .90 .53 .20 .56 .88 1.13 1.55 General accounting 23 .11 .07 .04 .07 .10 .13 .24 Managed care administrative 7 * * * * * * * Information technology 20 .20 .20 .06 .09 .15 .25 .38 Housekeeping, maintenance, security 6 * * * * * * * Total business operations staff 34 1.49 .87 .53 .98 1.44 1.94 2.26 Medical receptionists 30 1.41 .72 .70 .86 1.20 1.87 2.23 Medical secretaries, transcribers 14 .65 .74 .03 .10 .31 1.06 2.11 Medical records 28 .31 .17 .12 .18 .25 .49 .57 Other administrative support 19 .58 .67 .06 .18 .33 .52 1.94 Total front office support staff 33 2.28 1.11 1.16 1.34 2.10 3.11 3.90 Registered nurses 14 .36 .37 .02 .03 .22 .72 1.00 Licensed practical nurses 7 * * * * * * * Medical assistants, nurse aides 30 1.49 .94 .51 .84 1.37 1.84 2.91 Total clinical support staff 33 1.69 .93 .89 1.01 1.52 1.93 3.00 Clinical laboratory 1 * * * * * * * Radiology and imaging 29 .59 .24 .32 .41 .52 .73 .80 Other medical support services 26 .93 1.37 .08 .29 .40 .98 2.94 Total ancillary support staff 32 1.29 1.42 .29 .61 .91 1.45 2.93 Total employed support staff 34 6.69 2.96 3.20 4.99 6.32 7.46 11.90 Total contracted support staff 11 .35 .29 .03 .18 .25 .40 .93 Total support staff 34 6.80 2.92 3.47 5.14 6.34 7.46 12.01 Total RVUs 27 33,824 17,035 16,360 24,649 32,150 39,220 55,899 Physician work RVUs 28 14,986 6,266 8,965 11,871 13,833 17,507 24,219 Patients 32 2,064 1,044 1,144 1,417 1,725 2,526 3,551 Total procedures 21 10,548 6,368 1,290 5,790 9,598 13,999 22,416 Square feet 26 3,020 1,077 2,048 2,348 2,945 3,265 4,748

11.4b: Charges and Revenue

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Net fee-for-service revenue 34 $1,654,521 $1,093,830 $852,685 $1,158,360 $1,394,485 $1,872,247 $2,370,228 Gross FFS charges 33 $4,332,437 $1,979,170 $1,985,273 $3,005,749 $3,819,448 $5,620,568 $6,721,986 Adjustments to FFS charges 28 $2,688,396 $1,611,340 $846,066 $1,967,871 $2,338,280 $3,680,664 $4,358,025 Adjusted FFS charges 32 $2,015,039 $1,543,910 $1,007,652 $1,203,286 $1,488,350 $2,112,248 $3,833,954 Bad debts due to FFS

activity 18 $56,736 $56,488 $3,289 $17,273 $29,883 $90,284 $164,077

Net capitation revenue 3 * * * * * * * Gross capitation charges 1 * * * * * * * Capitation revenue 2 * * * * * * * Net other medical revenue 25 $62,650 $44,492 $7,905 $31,059 $62,212 $83,567 $138,934 Gross revenue from other

medical activities 23 $82,959 $62,347 $6,742 $32,848 $83,967 $104,769 $141,570

Other medical revenue 22 $29,575 $27,930 $1,855 $8,346 $19,137 $44,557 $77,591 Revenue from hospital 8 * * * * * * * Revenue from sale of

goods/services 12 $82,095 $64,998 $9,846 $28,210 $77,525 $96,213 $216,426

Cost of sales 12 $44,740 $35,290 $2,253 $13,492 $38,899 $76,068 $103,423 Total gross charges 33 $4,340,093 $1,984,000 $1,985,273 $3,005,749 $3,819,448 $5,695,607 $6,721,986 Total medical revenue 34 $1,519,132 $619,699 $786,062 $1,129,966 $1,419,983 $1,848,769 $2,194,451

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

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Orthopedic Surgery, Physician Owned

(per FTE Physician) 11.4c: Operating Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile General administrative 31 $33,729 $20,065 $17,876 $20,274 $26,547 $40,768 $62,329 Patient accounting 31 $34,865 $22,237 $9,499 $18,713 $33,601 $46,702 $66,416 General accounting 23 $6,898 $4,914 $2,039 $3,722 $5,530 $9,193 $12,541 Managed care administrative 7 * * * * * * * Information technology 20 $10,196 $6,483 $3,815 $5,295 $8,789 $12,840 $19,474 Housekeeping, maintenance, security 6 * * * * * * * Total business operations staff 34 $77,307 $42,755 $27,851 $44,506 $70,604 $104,470 $128,293 Medical receptionists 30 $44,494 $28,690 $18,536 $24,612 $35,336 $63,344 $74,898 Medical secretaries, transcribers 14 $29,007 $33,576 $803 $3,727 $13,969 $43,274 $94,881 Medical records 28 $9,248 $6,393 $2,696 $4,745 $7,112 $13,726 $18,482 Other administrative support 18 $24,843 $31,383 $3,424 $7,607 $14,689 $18,423 $86,415 Total front office support staff 33 $78,305 $49,740 $29,264 $42,316 $58,524 $108,506 $161,912 Registered nurses 14 $19,593 $18,350 $1,384 $2,872 $14,107 $35,134 $51,822 Licensed practical nurses 7 * * * * * * * Medical assistants, nurse aides 30 $56,793 $37,204 $18,807 $35,329 $50,476 $67,622 $108,665 Total clinical support staff 33 $66,469 $40,490 $28,654 $39,582 $61,463 $83,965 $113,389 Clinical laboratory 1 * * * * * * * Radiology and imaging 29 $28,312 $13,822 $12,684 $18,258 $25,355 $37,903 $43,929 Other medical support services 24 $22,316 $16,072 $2,878 $10,219 $18,584 $34,637 $48,425 Total ancillary support staff 32 $51,615 $40,783 $17,012 $25,069 $45,892 $67,965 $93,636 Total employed support staff 34 $270,453 $126,390 $110,215 $180,660 $254,944 $319,312 $463,145 Total employed support staff benefits 32 $64,343 $34,662 $15,055 $36,056 $62,817 $94,015 $114,285 Total contracted support staff 13 $22,222 $28,225 $122 $5,137 $14,065 $24,196 $83,862 Total support staff 34 $333,097 $147,963 $121,952 $242,060 $335,029 $419,691 $547,798 Information technology 30 $28,034 $17,884 $9,620 $13,217 $26,748 $36,904 $56,834 Drug supply 24 $47,433 $36,481 $9,391 $26,899 $43,592 $58,652 $73,837 Medical and surgical supply 28 $27,416 $18,017 $10,677 $15,130 $23,623 $33,411 $55,257 Building and occupancy 29 $99,403 $51,737 $42,732 $63,705 $82,313 $142,293 $172,685 Building/occupancy depreciation 10 $9,756 $7,996 $508 $3,007 $8,097 $14,671 $24,930 Furniture and equipment 23 $15,615 $19,877 $670 $2,536 $6,182 $18,551 $43,100 Furniture/equipment depreciation 17 $11,196 $9,670 $515 $2,693 $12,695 $17,070 $24,465 Administrative supplies and services 30 $27,473 $19,289 $9,376 $13,105 $19,990 $41,539 $51,255 Professional liability insurance 30 $23,440 $18,380 $7,692 $12,896 $20,842 $30,192 $38,489 Other insurance premiums 24 $6,152 $9,546 $1,817 $2,624 $3,156 $5,185 $14,238 Legal fees 29 $2,268 $2,140 $330 $574 $1,575 $3,595 $4,866 Consulting fees 16 $2,538 $2,672 $243 $814 $1,289 $4,279 $7,817 Outside professional fees 29 $11,158 $11,920 $1,105 $2,756 $6,548 $17,016 $26,203 Promotion and marketing 31 $17,331 $14,085 $3,107 $7,025 $13,840 $28,501 $36,362 Clinical laboratory 5 * * * * * * * Radiology and imaging 26 $18,110 $13,120 $1,959 $5,706 $18,230 $27,336 $36,191 Other ancillary services 11 $24,884 $18,047 $3,055 $7,193 $21,961 $36,055 $59,184 Billing/collections purchased services 22 $28,523 $27,021 $2,090 $6,402 $15,486 $52,816 $73,804 Management fees paid to MSO 9 * * * * * * * Miscellaneous operating cost 26 $27,009 $36,629 $1,700 $6,430 $14,380 $24,666 $80,250 Total general operating cost 34 $365,479 $187,963 $156,875 $232,393 $344,101 $495,529 $582,175 Total operating cost 34 $703,028 $307,117 $332,034 $478,687 $632,940 $910,448 $1,041,639 Total operating & NPP cost 31 $868,609 $371,011 $411,587 $639,613 $816,394 $1,073,871 $1,323,800

11.4d: Provider Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total medical revenue after operating cost 33 $775,680 $268,210 $436,780 $602,849 $713,882 $943,935 $1,219,125 Total medical revenue after operating & NPP cost 31 $699,064 $300,933 $403,406 $513,945 $616,420 $815,226 $1,102,846 Total provider cost 31 $798,482 $250,236 $509,953 $592,965 $740,604 $952,845 $1,179,538 Total nonphysician provider cost 31 $134,708 $88,517 $48,376 $81,850 $107,250 $177,232 $289,707 Nonphysician provider compensation 28 $123,605 $80,583 $63,521 $78,629 $93,002 $153,466 $248,985 Nonphysician provider benefit cost 26 $22,964 $13,663 $5,572 $15,373 $20,428 $28,083 $46,921 Total physician cost 34 $647,920 $223,716 $339,803 $499,892 $625,586 $800,678 $939,999 Total physician compensation 31 $564,692 $191,787 $290,068 $421,030 $570,908 $697,068 $790,616 Total physician benefit cost 28 $108,040 $78,566 $57,316 $66,496 $83,055 $119,365 $187,460

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

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Orthopedic Surgery, Physician Owned

(per FTE Physician) 11.4e: Net Income or Loss

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total cost 34 $1,473,770 $490,498 $851,037 $1,096,492 $1,436,204 $1,869,029 $2,208,869 Net nonmedical revenue 22 $45,249 $69,213 $351 $2,723 $21,487 $50,872 $154,335 Nonmedical revenue 19 $26,005 $31,988 $8 $1,070 $14,222 $32,112 $89,686 Nonmedical cost 6 * * * * * * * Extraordinary nonmedical cost 1 * * * * * * * Net income, practices without financial support 33 $36,551 $78,582 -$30,371 -$3,315 $14,175 $51,129 $156,400

Net income, excluding financial support (all practices) 33 $36,551 $78,582 -$30,371 -$3,315 $14,175 $51,129 $156,400

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

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Orthopedic Surgery, Physician Owned

(as a Percentage of Total Medical Revenue) 11.5a: Charges and Revenue

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Net fee-for-service revenue 34 120.90% 140.62% 90.11% 93.37% 98.09% 100.00% 100.00% Net capitation revenue 3 * * * * * * * Net other medical revenue 25 4.69% 3.66% .48% 1.75% 4.14% 7.75% 10.50% Total gross charges 33 283.66% 74.53% 201.64% 229.92% 265.96% 328.09% 414.07%

11.5b: Operating Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile General administrative 31 2.20% 1.09% 1.05% 1.63% 1.96% 2.63% 3.07% Patient accounting 31 2.27% 1.26% .82% 1.22% 2.08% 3.53% 4.11% General accounting 23 .45% .34% .15% .25% .37% .47% .97% Managed care administrative 7 * * * * * * * Information technology 20 .72% .47% .24% .34% .52% 1.09% 1.47% Housekeeping, maintenance,

security 6 * * * * * * *

Total business operations staff 34 5.09% 2.11% 2.20% 3.43% 4.76% 6.52% 8.10% Medical receptionists 30 2.73% 1.15% 1.41% 1.74% 2.43% 3.84% 4.37% Medical secretaries, transcribers 14 1.72% 1.97% .06% .35% .95% 2.43% 5.72% Medical records 28 .65% .52% .24% .33% .47% .80% 1.74% Other administrative support 19 1.26% 1.41% .21% .39% .87% 1.56% 3.99% Total front office support staff 33 5.00% 2.05% 2.31% 3.41% 5.10% 6.48% 7.74% Registered nurses 14 1.31% 1.28% .10% .18% 1.00% 1.85% 3.77% Licensed practical nurses 7 * * * * * * * Medical assistants, nurse aides 30 3.52% 1.48% 1.12% 2.46% 3.32% 4.66% 5.39% Total clinical support staff 33 4.38% 1.81% 2.21% 2.93% 4.23% 5.70% 6.92% Clinical laboratory 1 * * * * * * * Radiology and imaging 29 1.80% .80% .94% 1.31% 1.67% 2.23% 2.91% Other medical support services 26 1.91% 2.57% .29% .77% 1.19% 2.05% 3.54% Total ancillary support staff 32 3.23% 2.52% 1.49% 1.81% 2.73% 3.77% 4.77% Total employed support staff 34 17.78% 4.36% 11.99% 15.38% 17.17% 21.07% 23.34% Total employed support staff benefits 32 4.41% 2.18% 1.73% 2.77% 4.33% 5.72% 7.53% Total contracted support staff 13 1.71% 2.49% .01% .40% .89% 1.44% 7.33% Total support staff 34 21.73% 6.15% 14.06% 18.09% 21.47% 26.12% 30.24% Information technology 30 1.76% .93% .63% 1.01% 1.73% 2.25% 3.39% Drug supply 24 2.73% 1.27% .91% 1.79% 2.64% 3.60% 4.63% Medical and surgical supply 29 1.82% 1.21% .52% .85% 1.59% 2.40% 3.96% Building and occupancy 29 6.04% 1.98% 3.68% 4.72% 5.59% 7.08% 9.04% Building/occupancy depreciation 10 .55% .44% .04% .19% .48% .91% 1.29% Furniture and equipment 24 2.42% 7.29% .05% .17% .72% 1.15% 4.75% Furniture/equipment depreciation 17 .93% .88% .03% .17% .67% 1.59% 2.41% Administrative supplies and services 30 1.74% 1.12% .65% .97% 1.27% 2.34% 3.44% Professional liability insurance 30 1.58% 1.61% .58% .74% 1.23% 1.78% 2.36% Other insurance premiums 25 .75% 1.93% .11% .15% .28% .38% 1.62% Legal fees 29 .15% .15% .02% .04% .13% .22% .34% Consulting fees 16 .14% .13% .01% .04% .10% .24% .36% Outside professional fees 29 .69% .63% .05% .18% .55% 1.09% 1.62% Promotion and marketing 31 1.09% .77% .16% .47% .94% 1.65% 2.31% Clinical laboratory 5 * * * * * * * Radiology and imaging 26 1.25% .96% .15% .42% 1.18% 1.76% 2.73% Other ancillary services 13 3.49% 5.72% .21% .64% 1.57% 3.27% 15.80%

Billing/collections purchased services 23 2.09% 2.18% .17% .38% 1.08% 3.68% 5.15%

Management fees paid to MSO 9 * * * * * * * Miscellaneous operating cost 26 1.48% 1.63% .11% .48% .98% 1.54% 5.00% Total general operating cost 34 23.89% 7.07% 16.33% 19.86% 23.29% 26.21% 34.64% Total operating cost 34 46.22% 8.90% 36.54% 40.28% 44.17% 51.86% 59.80% Total operating & NPP cost 31 55.13% 9.54% 44.82% 47.79% 53.78% 61.71% 67.18%

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

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Orthopedic Surgery, Physician Owned

(as a Percentage of Total Medical Revenue) 11.5c: Provider Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total medical revenue after operating cost

34 53.81% 8.88% 40.20% 48.26% 55.83% 59.72% 63.46%

Total medical revenue after operating & NPP cost

31 44.90% 9.52% 32.82% 38.29% 46.22% 52.21% 55.18%

Total provider cost 31 53.33% 11.04% 41.35% 45.90% 56.15% 61.97% 64.60% Total nonphysician provider cost 31 8.22% 3.53% 4.66% 6.06% 7.53% 10.81% 13.49% Nonphysician provider compensation 28 7.22% 2.99% 4.36% 5.14% 6.35% 9.85% 12.26% Nonphysician provider benefit cost 26 1.44% .73% .40% 1.00% 1.45% 1.87% 2.42% Total physician cost 34 45.25% 11.25% 33.81% 37.66% 46.34% 53.86% 60.19% Total physician compensation 31 37.55% 9.96% 26.76% 30.82% 38.08% 45.19% 48.61% Total physician benefit cost 28 7.12% 4.04% 3.43% 4.72% 5.77% 8.27% 13.88%

11.5d: Net Income or Loss

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total cost 34 98.97% 10.47% 86.04% 97.22% 100.44% 102.83% 108.10% Net nonmedical revenue 21 2.35% 3.00% .03% .17% 1.23% 3.19% 7.01% Nonmedical revenue 19 1.69% 2.07% .00% .07% .88% 3.09% 5.70% Nonmedical cost 6 * * * * * * * Extraordinary nonmedical cost 1 * * * * * * * Net income, practices without financial support 34 4.03% 9.32% -2.72% -.16% 1.15% 5.30% 18.71%

Net income, excluding financial support (all practices) 33 2.95% 6.94% -2.72% -.19% .90% 4.43% 14.30%

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

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Orthopedic Surgery, Physician Owned

(per FTE Provider) 11.6a: Staffing, RVUs, Patients, Procedures, and Square Footage

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total nonphysician providers 31 .48 .17 .22 .41 .48 .56 .74 Total physicians 31 .56 .20 .34 .45 .53 .61 .91 General administrative 28 .21 .19 .10 .11 .18 .24 .31 Patient accounting 28 .47 .25 .15 .26 .44 .66 .84 General accounting 23 .06 .06 .02 .03 .04 .07 .14 Managed care administrative 7 * * * * * * * Information technology 20 .10 .07 .02 .05 .07 .14 .22 Housekeeping, maintenance, security 6 * * * * * * * Total business operations staff 31 .77 .33 .31 .57 .73 1.09 1.28 Medical receptionists 27 .69 .22 .45 .51 .65 .80 1.07 Medical secretaries, transcribers 14 .40 .61 .02 .07 .19 .51 1.52 Medical records 25 .14 .07 .05 .09 .13 .19 .28 Other administrative support 17 .26 .34 .03 .08 .13 .31 .97 Total front office support staff 30 1.18 .61 .60 .77 1.03 1.38 2.08 Registered nurses 14 .20 .20 .01 .02 .13 .41 .55 Licensed practical nurses 7 * * * * * * * Medical assistants, nurse aides 28 .74 .38 .29 .48 .70 .92 1.19 Total clinical support staff 31 .89 .40 .45 .56 .89 1.01 1.65 Clinical laboratory 1 * * * * * * * Radiology and imaging 26 .31 .14 .12 .20 .26 .41 .47 Other medical support services 23 .37 .45 .05 .15 .25 .37 .76 Total ancillary support staff 29 .57 .47 .15 .28 .47 .67 1.05 Total employed support staff 31 3.47 1.16 2.05 2.61 3.36 4.21 5.50 Total contracted support staff 10 .21 .19 .01 .07 .15 .40 .53 Total support staff 31 3.53 1.18 2.19 2.61 3.36 4.21 5.61 Total RVUs 25 18,023 8,862 10,478 13,035 16,586 20,159 27,759 Physician work RVUs 26 7,827 2,773 4,849 6,118 7,749 9,101 12,296 Patients 29 1,136 579 620 762 948 1,358 2,003 Total procedures 18 5,689 3,516 771 3,454 5,563 6,660 11,949 Square feet 23 1,581 657 1,022 1,162 1,524 1,660 2,669

11.6b: Charges, Revenue, and Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total gross charges 30 $2,394,900 $1,112,280 $1,267,961 $1,752,498 $2,195,100 $2,648,020 $3,277,338 Total medical revenue 31 $796,824 $223,161 $579,892 $637,107 $744,851 $865,545 $1,136,505 Net fee-for-service revenue 31 $966,416 $1,109,170 $572,458 $631,817 $719,710 $838,269 $1,120,461 Net capitation revenue 3 * * * * * * * Net other medical revenue 24 $36,211 $32,098 $2,270 $10,774 $30,756 $50,043 $89,500 Total medical revenue after operating cost 31 $420,186 $122,836 $275,115 $313,626 $390,803 $476,524 $624,100 Total medical revenue after operating & NPP cost 31 $357,314 $119,266 $213,689 $243,575 $345,529 $427,153 $547,636 Total support staff cost 31 $170,478 $65,976 $108,328 $116,062 $171,913 $218,323 $266,970 Total general operating cost 31 $201,537 $95,653 $121,016 $139,417 $181,082 $239,607 $310,513 Total operating cost 31 $376,898 $143,678 $242,901 $277,526 $328,195 $449,308 $550,476 Total operating & NPP cost 31 $439,770 $155,419 $283,003 $342,639 $397,870 $514,489 $639,530 Total provider cost 31 $422,426 $133,739 $292,650 $341,882 $389,840 $488,821 $614,779 Total nonphysician provider

cost 31 $62,872 $27,487 $36,901 $48,782 $60,579 $69,811 $100,326

Total physician cost 31 $359,038 $129,352 $220,878 $283,732 $331,067 $442,579 $563,332 Total physician

compensation 28 $304,223 $111,160 $178,078 $222,070 $284,347 $376,365 $459,069

Total physician benefit cost 26 $57,468 $42,843 $22,244 $30,871 $46,388 $68,626 $107,150 Total cost 31 $798,808 $240,316 $540,077 $667,639 $761,365 $863,660 $1,134,576 Net nonmedical revenue 21 $26,161 $39,758 $201 $1,408 $7,542 $34,226 $90,769 Net income, excluding financial support (all practices)

31 $22,559 $58,664 -$18,237 -$2,044 $3,772 $34,219 $99,569

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

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Orthopedic Surgery, Physician Owned

(per Square Foot) 11.7a: Staffing per 10,000 Square Feet

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total physicians 26 3.67 1.23 2.11 3.06 3.40 4.26 4.93 Total nonphysician providers 23 3.70 1.66 1.93 2.50 3.19 4.35 6.43 Total providers 23 7.09 2.18 3.86 6.02 6.56 8.60 9.78 General administrative 26 1.34 .64 .50 .85 1.12 1.79 2.29 Patient accounting 26 3.17 1.92 .60 2.15 2.80 4.55 5.99 General accounting 19 .37 .17 .23 .27 .33 .42 .52 Managed care administrative 7 * * * * * * * Information technology 18 .69 .48 .22 .31 .60 .98 1.37 Housekeeping, maintenance, security 6 * * * * * * * Total business operations staff 26 5.44 2.83 1.96 3.82 4.76 6.89 10.11 Medical receptionists 26 4.72 2.08 2.37 3.18 4.15 6.00 8.20 Medical secretaries, transcribers 12 2.11 2.32 .12 .31 .88 3.67 6.35 Medical records 25 1.12 .75 .28 .61 .89 1.51 2.55 Other administrative support 16 1.51 1.48 .14 .50 .96 2.12 4.41 Total front office support staff 26 7.69 2.88 3.83 5.48 7.92 9.38 12.32 Registered nurses 12 1.25 1.43 .08 .11 .66 2.87 3.61 Licensed practical nurses 6 * * * * * * * Medical assistants, nurse aides 25 5.20 2.69 1.93 3.36 4.45 6.74 10.07 Total clinical support staff 25 6.03 2.89 3.11 3.73 5.14 7.33 11.25 Clinical laboratory 1 * * * * * * * Radiology and imaging 25 1.97 .90 .97 1.42 1.78 2.44 2.95 Other medical support services 22 2.94 3.68 .38 .85 1.36 3.33 10.94 Total ancillary support staff 25 4.50 3.74 1.74 2.24 3.16 5.24 10.31 Total employed support staff 26 23.77 5.99 15.47 20.11 23.15 28.21 31.68 Total contracted support staff 9 * * * * * * * Total support staff 26 24.22 5.47 17.65 20.63 23.20 28.21 31.68

11.7b: Charges, Revenue, Cost, and Productivity per Square Foot

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total gross charges 26 $1,531.61 $616.99 $791.72 $1,109.22 $1,480.92 $1,813.64 $2,511.57 Total medical revenue 26 $520.46 $124.12 $350.85 $434.78 $502.43 $607.76 $692.37 Net fee-for-service revenue 26 $585.25 $358.20 $354.50 $443.09 $510.66 $612.70 $724.62 Net capitation revenue 2 * * * * * * * Net other medical revenue 19 $18.56 $13.06 $.61 $5.24 $20.52 $28.16 $36.97 Total medical revenue after operating cost 26 $281.22 $91.62 $171.36 $212.13 $278.78 $336.85 $408.91 Total medical revenue after operating & NPP cost 23 $234.83 $86.44 $135.12 $152.45 $231.81 $266.30 $346.14 Total support staff cost 26 $117.59 $38.01 $75.86 $98.47 $112.16 $139.55 $175.00 Building and occupancy 24 $30.47 $10.35 $21.01 $23.72 $27.88 $35.06 $51.11 Total general operating cost 26 $119.96 $35.08 $75.35 $88.82 $116.09 $152.58 $165.86 Total operating cost 26 $239.48 $52.39 $170.62 $193.89 $233.88 $282.30 $321.01 Total operating & NPP cost 23 $292.41 $59.68 $207.04 $243.69 $286.62 $345.07 $367.98 Total provider cost 23 $272.32 $92.33 $134.11 $197.49 $283.40 $317.32 $405.40 Total nonphysician provider cost 23 $44.94 $19.37 $29.18 $32.28 $40.28 $58.53 $74.94 Total physician cost 26 $226.86 $84.34 $119.39 $157.32 $242.56 $270.40 $349.77 Total physician compensation 26 $195.22 $73.93 $99.44 $138.95 $204.85 $234.95 $299.52 Total physician benefit cost 23 $35.76 $25.01 $19.30 $23.78 $26.57 $41.08 $53.01 Total cost 26 $506.09 $122.92 $334.25 $433.86 $501.13 $614.19 $693.65 Net nonmedical revenue 15 $5.45 $5.24 $.07 $.39 $4.26 $10.29 $14.28 Net income, excluding financial support (all practices) 26 $27.19 $54.92 -$7.18 -$.72 $5.61 $36.11 $108.12 Total RVUs 22 10.92 4.82 4.55 7.98 10.50 12.71 19.09 Physician work RVUs 21 5.23 2.13 3.07 3.81 5.06 6.01 9.07 Patients 24 .73 .38 .45 .49 .55 1.00 1.25 Total procedures 19 4.10 2.03 1.73 2.48 3.81 5.89 6.94

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Orthopedic Surgery, Physician Owned

(per Total RVU) 11.8a: Staffing per 10,000 Total RVUs

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total physicians 29 .46 .58 .15 .25 .31 .41 .89 Total nonphysician providers 26 .31 .20 .08 .20 .25 .37 .68 Total providers 26 .69 .56 .30 .46 .60 .76 .95 General administrative 27 .16 .20 .04 .06 .10 .14 .45 Patient accounting 27 .35 .48 .04 .15 .25 .40 .62 General accounting 21 .07 .21 .01 .02 .03 .04 .04 Managed care administrative 6 * * * * * * * Information technology 18 .09 .15 .02 .02 .05 .10 .29 Housekeeping, maintenance, security 6 * * * * * * * Total business operations staff 29 .51 .39 .17 .23 .44 .59 1.03 Medical receptionists 26 .49 .37 .17 .26 .43 .55 .89 Medical secretaries, transcribers 12 .20 .26 .01 .02 .07 .37 .74 Medical records 24 .14 .19 .03 .06 .08 .11 .55 Other administrative support 17 .14 .15 .00 .03 .09 .23 .35 Total front office support staff 28 .77 .48 .37 .49 .62 1.03 1.25 Registered nurses 13 .15 .19 .00 .01 .09 .25 .53 Licensed practical nurses 7 * * * * * * * Medical assistants, nurse aides 26 .45 .33 .08 .24 .39 .60 .83 Total clinical support staff 28 .60 .63 .22 .31 .47 .69 .88 Clinical laboratory 1 * * * * * * * Radiology and imaging 25 .23 .31 .07 .11 .14 .19 .50 Other medical support services 24 .31 .70 .03 .07 .12 .22 .67 Total ancillary support staff 27 .44 .75 .10 .17 .24 .36 .82 Total employed support staff 29 2.70 3.76 1.11 1.29 1.88 2.41 3.55 Total contracted support staff 11 .14 .15 .01 .04 .07 .32 .40 Total support staff 29 2.75 3.81 1.11 1.43 1.88 2.44 3.55

11.8b: Charges, Revenue, Cost, and Productivity per Total RVU

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total gross charges 29 $155.14 $145.15 $77.62 $101.62 $118.80 $153.88 $261.31 Total medical revenue 29 $53.63 $41.52 $30.71 $38.21 $42.99 $54.49 $71.31 Net fee-for-service revenue 28 $45.44 $21.73 $27.77 $36.57 $40.81 $52.68 $68.18 Net capitation revenue 3 * * * * * * * Net other medical revenue 21 $2.26 $1.71 $.51 $.83 $1.91 $3.16 $5.55 Total medical revenue after operating cost 29 $27.71 $14.82 $14.16 $21.67 $25.27 $30.06 $41.87 Total medical revenue after operating & NPP cost 26 $21.68 $10.29 $11.55 $16.39 $20.33 $25.83 $33.34 Total support staff cost 29 $10.50 $6.82 $4.94 $6.81 $9.15 $12.21 $15.22 Total general operating cost 28 $10.24 $4.01 $5.43 $7.60 $9.77 $12.58 $15.47 Total operating cost 29 $25.93 $29.02 $10.90 $15.59 $20.54 $25.87 $31.62 Total operating & NPP cost 26 $29.80 $32.72 $13.73 $17.77 $23.92 $31.92 $37.08 Total provider cost 26 $27.15 $19.38 $11.09 $18.37 $24.98 $28.96 $40.57 Total nonphysician provider cost 26 $4.31 $3.27 $.92 $2.25 $3.73 $5.07 $9.02 Total physician cost 29 $24.13 $17.79 $10.70 $16.10 $19.61 $25.79 $35.31 Total physician compensation 27 $21.21 $17.51 $7.64 $13.10 $17.43 $23.58 $36.61 Total physician benefit cost 24 $3.22 $2.65 $1.16 $1.87 $2.46 $3.53 $6.51 Total cost 29 $53.91 $47.43 $26.70 $36.72 $41.16 $54.12 $71.61 Net nonmedical revenue 18 $.92 $1.18 $.01 $.08 $.41 $1.37 $3.22 Net income, excluding financial support (all practices) 29 $3.69 $10.95 -$1.12 -$.08 $.32 $2.68 $9.27 Physician work RVUs 28 .47 .12 .34 .45 .46 .48 .52 Patients 28 .06 .05 .03 .04 .05 .07 .10 Total procedures 19 .37 .33 .03 .21 .31 .46 .57 Square feet 22 .14 .19 .05 .08 .10 .13 .23

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Orthopedic Surgery, Physician Owned

(per Work RVU) 11.9a: Staffing per 10,000 Work RVUs

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total physicians 29 1.11 2.24 .39 .55 .71 .84 1.11 Total nonphysician providers 27 .72 .52 .17 .45 .56 .86 1.53 Total providers 27 1.71 2.24 .78 1.06 1.27 1.61 2.04 General administrative 26 .38 .73 .09 .14 .22 .29 .63 Patient accounting 26 .91 1.92 .08 .28 .57 .83 1.16 General accounting 21 .24 .82 .03 .04 .06 .09 .11 Managed care administrative 6 * * * * * * * Information technology 18 .27 .58 .04 .04 .11 .22 .75 Housekeeping, maintenance, security 6 * * * * * * * Total business operations staff 29 1.17 1.35 .32 .54 .99 1.25 1.53 Medical receptionists 25 1.14 1.40 .49 .54 .93 1.14 1.63 Medical secretaries, transcribers 12 .48 .60 .02 .05 .15 1.02 1.62 Medical records 23 .30 .51 .06 .12 .17 .24 .58 Other administrative support 17 .29 .29 .01 .07 .20 .57 .68 Total front office support staff 28 1.68 1.29 .75 1.10 1.38 2.05 2.49 Registered nurses 13 .41 .69 .01 .02 .23 .55 1.83 Licensed practical nurses 7 * * * * * * * Medical assistants, nurse aides 25 1.11 1.19 .18 .51 .89 1.37 1.76 Total clinical support staff 28 1.55 2.49 .48 .69 1.06 1.53 1.95 Clinical laboratory 1 * * * * * * * Radiology and imaging 24 .57 1.24 .14 .25 .32 .41 .60 Other medical support services 23 .51 .76 .06 .16 .25 .45 1.49 Total ancillary support staff 27 .77 .80 .22 .36 .51 .83 1.73 Total employed support staff 28 4.10 1.63 2.35 3.09 4.13 5.10 6.10 Total counteracted support staff 11 .37 .42 .02 .11 .16 .81 1.20 Total support staff 28 4.20 1.63 2.35 3.33 4.17 5.10 6.37

11.9b: Charges, Revenue, Cost, and Productivity per Work RVU

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total gross charges 27 $276.30 $121.80 $192.86 $213.52 $255.97 $314.77 $400.14 Total medical revenue 27 $100.36 $23.15 $77.91 $82.75 $91.61 $115.44 $132.57 Net fee-for-service revenue 28 $93.89 $28.37 $69.86 $79.41 $87.60 $112.17 $134.87 Net capitation revenue 3 * * * * * * * Net other medical revenue 20 $4.72 $3.48 $.97 $1.77 $3.95 $7.83 $10.98 Total medical revenue after operating cost 29 $61.95 $46.05 $35.49 $46.05 $53.47 $62.10 $84.65 Total medical revenue after operating & NPP cost 27 $51.19 $37.57 $27.81 $35.86 $45.10 $53.57 $72.76 Total support staff cost 29 $21.82 $8.69 $10.78 $16.27 $20.75 $29.21 $33.07 Total general operating cost 28 $21.61 $8.45 $12.26 $16.34 $20.45 $27.52 $32.97 Total operating cost 28 $43.06 $14.53 $26.58 $33.12 $44.02 $52.60 $65.88 Total operating & NPP cost 25 $53.67 $15.92 $32.81 $41.92 $51.63 $65.93 $78.08 Total provider cost 27 $66.61 $75.78 $28.29 $44.32 $54.31 $61.50 $88.79 Total nonphysician provider cost 27 $10.42 $11.20 $2.02 $4.99 $8.12 $11.50 $18.46 Total physician cost 29 $55.58 $60.98 $25.68 $37.28 $45.43 $54.52 $72.42 Total physician compensation 25 $38.38 $15.52 $15.65 $30.86 $38.20 $48.30 $60.51 Total physician benefit cost 23 $6.11 $3.08 $2.48 $3.94 $5.44 $8.24 $11.49 Total cost 27 $98.86 $25.37 $67.76 $79.67 $87.71 $120.04 $135.16 Net nonmedical revenue 17 $1.93 $2.53 $.02 $.14 $1.00 $2.78 $7.10 Net income, excluding financial support (all practices) 28 $3.27 $9.78 -$2.52 -$.20 $.19 $3.00 $14.73 Total RVUs 27 2.31 .52 1.95 2.08 2.18 2.24 3.09 Patients 28 .14 .08 .08 .10 .12 .15 .29 Total procedures 18 .68 .40 .08 .43 .68 .96 1.25 Square feet 20 .20 .06 .11 .17 .19 .25 .27

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Orthopedic Surgery, Physician Owned

(per Patient) 11.10a: Staffing per 10,000 Patients

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total physicians 32 5.79 2.20 2.83 3.96 5.81 7.06 8.76 Total nonphysician providers 29 5.27 3.44 1.60 2.74 4.82 6.32 10.86 Total providers 29 10.52 4.00 4.99 7.38 10.55 13.13 16.13 General administrative 29 2.23 1.74 .93 1.31 1.61 2.27 4.76 Patient accounting 29 4.39 2.45 1.29 2.50 4.37 6.08 6.89 General accounting 22 .52 .24 .20 .28 .53 .68 .92 Managed care administrative 7 * * * * * * * Information technology 19 1.08 .96 .22 .47 .62 1.63 2.68 Housekeeping, maintenance, security 6 * * * * * * * Total business operations staff 32 7.53 3.92 2.96 4.74 7.25 10.05 12.12 Medical receptionists 28 7.35 3.38 2.97 5.28 6.58 10.22 12.66 Medical secretaries, transcribers 14 3.46 4.92 .19 .55 1.51 4.13 13.47 Medical records 26 1.72 1.22 .40 .93 1.28 2.43 3.37 Other administrative support 19 2.81 2.89 .41 .88 1.40 4.11 8.21 Total front office support staff 31 12.42 5.90 5.28 8.21 11.59 15.41 22.45 Registered nurses 13 2.07 2.54 .09 .17 .74 3.01 7.35 Licensed practical nurses 7 * * * * * * * Medical assistants, nurse aides 28 7.15 3.18 2.14 5.10 7.17 9.18 10.64 Total clinical support staff 31 8.50 4.02 4.62 6.28 7.84 9.56 14.09 Clinical laboratory 1 * * * * * * * Radiology and imaging 27 2.87 1.10 1.54 1.89 2.74 3.42 4.66 Other medical support services 25 3.59 3.23 .57 1.33 2.49 4.72 9.59 Total ancillary support staff 30 5.61 3.61 1.63 3.13 4.60 8.08 11.07 Total employed support staff 32 33.46 10.70 17.89 26.66 34.54 40.08 49.56 Total contracted support staff 11 2.23 2.33 .10 .75 1.10 3.25 6.70 Total support staff 32 34.23 10.74 17.98 27.30 35.09 42.01 49.56

11.10b: Charges, Revenue, Cost, and Productivity per Patient

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total gross charges 31 $2,352.34 $1,284.34 $1,081.12 $1,666.85 $2,010.45 $2,485.89 $3,791.11 Total medical revenue 32 $801.84 $292.58 $336.59 $635.31 $808.82 $1,029.65 $1,171.43 Net fee-for-service revenue 32 $833.40 $356.44 $425.69 $632.84 $760.12 $1,000.73 $1,202.73 Net capitation revenue 3 * * * * * * * Net other medical revenue 24 $37.71 $28.63 $2.84 $9.98 $40.54 $62.56 $78.34 Total medical revenue after operating cost 32 $441.49 $184.49 $195.01 $279.68 $452.46 $568.45 $676.23 Total medical revenue after operating & NPP cost 29 $372.56 $160.52 $151.39 $233.59 $411.63 $486.52 $547.96 Total support staff cost 32 $171.55 $67.07 $88.01 $120.98 $177.22 $216.34 $253.58 Total general operating cost 32 $187.37 $86.40 $67.82 $134.00 $174.83 $235.78 $299.03 Total operating cost 32 $360.35 $136.72 $167.57 $262.78 $359.34 $433.45 $500.62 Total operating & NPP cost 29 $436.19 $165.80 $201.56 $293.91 $460.53 $534.96 $637.60 Total provider cost 29 $434.78 $181.46 $184.20 $275.03 $422.98 $580.67 $620.40 Total nonphysician provider cost 29 $66.83 $38.39 $19.02 $33.90 $55.90 $98.14 $125.11 Total physician cost 32 $364.97 $160.41 $119.85 $246.15 $358.02 $474.32 $542.24 Total physician compensation 29 $312.63 $142.95 $95.87 $198.74 $274.03 $410.96 $475.69 Total physician benefit cost 26 $61.09 $44.72 $20.21 $33.12 $57.04 $72.01 $92.12 Total cost 32 $785.88 $284.58 $340.04 $626.24 $777.37 $990.22 $1,114.70 Net nonmedical revenue 17 $10.35 $10.84 $.18 $.76 $8.46 $17.16 $30.56 Net income, excluding financial support (all practices) 30 $11.24 $35.48 -$24.66 -$1.78 $2.16 $18.11 $51.65 Total RVUs 26 19.64 6.45 11.96 15.35 18.85 22.63 30.27 Physician work RVUs 29 10.81 14.14 2.84 6.69 8.55 10.50 13.12 Total procedures 20 5.59 3.22 .73 3.30 5.43 7.06 10.34 Square feet 24 1.63 .59 .80 1.01 1.81 2.05 2.23

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Orthopedic Surgery, Hospital/IDS Owned

12.1: Staffing and Practice Data

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total provider FTE 32 6.98 9.08 1.10 1.94 3.78 7.15 20.71 Total physician FTE 93 2.90 3.59 .71 1.00 1.74 3.05 6.97 Total nonphysician provider FTE 32 2.78 4.35 .03 .27 1.00 3.61 8.83 Total support staff FTE 91 10.40 11.99 1.00 3.57 6.48 12.65 29.62 Number of branch clinics 3 * * * * * * * Square footage of all facilities 4 * * * * * * *

12.2: Accounts Receivable Data, Collection Percentages, and Financial Ratios

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total AR/physician 38 $478,791 $483,435 $119,099 $228,468 $348,499 $587,810 $964,611 Total AR/provider 6 * * * * * * * 0-30 days in AR 38 41.16% 18.63% 21.30% 25.45% 39.31% 55.24% 70.41% 31-60 days in AR 38 14.03% 5.21% 8.86% 9.96% 14.07% 16.65% 20.18% 61-90 days in AR 38 7.98% 3.26% 4.38% 5.84% 7.99% 9.75% 12.56% 91-120 days in AR 38 6.40% 3.95% 2.43% 3.67% 5.88% 7.54% 11.53% 120+ days in AR 38 30.43% 18.08% 7.04% 18.36% 29.39% 39.84% 48.53% Not re-aged: 0-30 days in AR 9 * * * * * * * Not re-aged: 31-60 days in AR 9 * * * * * * * Not re-aged: 61-90 days in AR 9 * * * * * * * Not re-aged: 91-120 days in AR 9 * * * * * * * Not re-aged: 120+ days in AR 9 * * * * * * * Months gross FFS charges in AR 38 2.17 .87 1.21 1.58 1.97 2.50 3.27 Months adjusted FFS charges in AR 38 6.39 3.30 2.99 4.08 5.71 7.88 12.89 Days gross FFS charges in AR 38 65.91 26.32 36.93 48.15 60.06 75.95 99.59 Days adjusted FFS charges in AR 38 194.38 100.41 91.00 123.96 173.63 239.70 392.15 Gross FFS collection % 51 37.21% 10.03% 23.11% 29.53% 37.50% 46.00% 50.96% Adjusted FFS collection % 51 91.89% 8.37% 82.12% 89.03% 95.33% 96.51% 97.39% Gross FFS + cap collection % 1 * * * * * * *

12.3: Breakout of Total Gross Charges by Type of Payer

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Medicare 12 43.66% 10.12% 28.16% 36.11% 45.16% 48.74% 60.07% Medicaid 12 9.76% 7.16% 1.69% 3.97% 9.10% 12.87% 23.66% Commercial 12 42.01% 10.05% 27.95% 32.22% 42.28% 49.74% 57.19% Workers' compensation 12 1.70% 2.26% .00% .00% .34% 4.05% 5.70% Charity care and prof courtesy 12 .26% .50% .00% .00% .00% .38% 1.31% Self-pay 12 2.24% 1.26% .73% 1.01% 2.30% 3.13% 4.33% Other government payers 12 .38% .70% .00% .00% .00% .64% 1.91%

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

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Orthopedic Surgery, Hospital/IDS Owned

(per FTE Physician)

12.4a: Staffing, RVUs, Patients, Procedures, and Square Footage Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile

Primary care physicians 1 * * * * * * * Nonsurgical specialty physicians 5 * * * * * * * Surgical specialty physicians 39 .98 .07 .92 1.00 1.00 1.00 1.00 Total nonphysician providers 32 .76 .87 .02 .22 .59 1.00 1.50 Total providers 32 1.76 .87 1.02 1.22 1.59 2.00 2.50 General administrative 10 .39 .30 .11 .20 .32 .45 1.09 Patient accounting 2 * * * * * * * General accounting 7 * * * * * * * Managed care administrative 1 * * * * * * * Information technology 1 * * * * * * * Total business operations staff 17 .52 .38 .14 .28 .44 .65 1.27 Medical receptionists 10 1.63 .64 .77 1.20 1.43 2.05 2.87 Other administrative support 1 * * * * * * * Total front office support staff 49 2.62 1.52 .73 1.43 2.43 3.54 4.79 Registered nurses 8 * * * * * * * Licensed practical nurses 9 * * * * * * * Medical assistants, nurse aides 4 * * * * * * * Total clinical support staff 24 1.55 .88 .16 1.01 1.41 2.15 2.62 Clinical laboratory 1 * * * * * * * Radiology and imaging 3 * * * * * * * Other medical support services 8 * * * * * * * Total ancillary support staff 19 .93 .63 .48 .56 .77 1.08 1.69 Total employed support staff 81 4.27 4.56 1.70 2.65 3.78 4.76 6.32 Total support staff 91 4.23 4.35 1.12 2.60 3.78 4.88 6.32 Total RVUs 78 22,433 12,748 10,757 13,256 18,989 28,044 44,537 Physician work RVUs 79 9,731 5,501 4,817 5,978 8,374 11,861 19,221 Patients 11 1,533 470 816 1,068 1,638 1,930 2,215 Total procedures 9 * * * * * * * Square feet 4 * * * * * * *

12.4b: Charges and Revenue

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Net fee-for-service revenue 93 $845,742 $886,705 $365,793 $459,357 $644,880 $985,172 $1,413,571 Gross FFS charges 46 $1,890,546 $842,901 $876,684 $1,393,972 $1,802,797 $2,402,329 $3,024,841 Adjustments to FFS charges 49 $1,268,103 $760,640 $511,429 $762,560 $1,069,621 $1,634,756 $2,530,881 Adjusted FFS charges 49 $797,098 $394,974 $394,300 $533,224 $667,303 $1,033,473 $1,455,097 Bad debts due to FFS

activity 20 $40,883 $23,914 $11,761 $19,017 $40,549 $55,774 $78,574

Net capitation revenue 1 * * * * * * * Gross capitation charges 1 * * * * * * * Capitation revenue 1 * * * * * * * Net other medical revenue 16 $68,427 $103,118 $275 $607 $15,074 $91,535 $289,447 Gross revenue from other

medical activities 16 $68,427 $103,118 $275 $607 $15,074 $91,535 $289,447

Other medical revenue 17 $21,317 $31,172 $314 $566 $2,989 $38,602 $86,209 Revenue from hospital 2 * * * * * * * Revenue from sale of

goods/services 1 * * * * * * *

Total gross charges 47 $2,091,355 $1,158,220 $886,365 $1,407,082 $1,840,003 $2,713,507 $3,765,910 Total medical revenue 93 $867,846 $885,528 $371,994 $478,972 $687,415 $1,019,189 $1,414,265

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

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Orthopedic Surgery, Hospital/IDS Owned

(per FTE Physician) 12.4c: Operating Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile General administrative 10 $23,415 $16,495 $7,496 $12,199 $18,003 $29,938 $57,634 Patient accounting 2 * * * * * * * General accounting 7 * * * * * * * Managed care administrative 1 * * * * * * * Information technology 1 * * * * * * * Total business operations staff 17 $29,436 $17,272 $7,838 $16,551 $27,295 $39,601 $63,941 Medical receptionists 10 $51,740 $20,094 $24,988 $37,435 $45,544 $68,577 $88,917 Other administrative support 1 * * * * * * * Total front office support staff 49 $99,833 $63,704 $23,680 $51,718 $90,722 $141,405 $180,186 Registered nurses 8 * * * * * * * Licensed practical nurses 9 * * * * * * * Medical assistants, nurse aides 4 * * * * * * * Total clinical support staff 24 $60,787 $37,698 $5,154 $37,171 $57,533 $79,330 $109,651 Clinical laboratory 1 * * * * * * * Radiology and imaging 3 * * * * * * * Other medical support services 8 * * * * * * * Total ancillary support staff 19 $40,617 $19,985 $19,940 $26,593 $34,545 $50,514 $68,953 Total employed support staff 78 $237,755 $313,759 $64,396 $104,704 $153,908 $240,676 $367,289 Total employed support staff benefits 76 $68,018 $89,163 $18,216 $27,257 $44,808 $73,320 $100,407 Total contracted support staff 3 * * * * * * * Total support staff 82 $206,323 $111,043 $67,726 $124,731 $188,926 $286,024 $371,167 Information technology 10 $14,665 $11,307 $1,344 $5,086 $11,526 $24,208 $35,381 Drug supply 10 $28,300 $20,206 $1,863 $11,276 $27,691 $42,177 $64,345 Medical and surgical supply 9 * * * * * * * Building and occupancy 10 $54,254 $46,164 $22,255 $30,176 $40,659 $56,277 $168,467 Building/occupancy depreciation 7 * * * * * * * Furniture and equipment 6 * * * * * * * Furniture/equipment depreciation 9 * * * * * * * Administrative supplies and services 10 $8,789 $10,787 $981 $2,300 $4,730 $11,766 $33,063 Professional liability insurance 10 $19,231 $4,606 $10,914 $15,993 $19,826 $22,211 $26,710 Other insurance premiums 6 * * * * * * * Outside professional fees 3 * * * * * * * Promotion and marketing 9 * * * * * * * Clinical laboratory 4 * * * * * * * Radiology and imaging 4 * * * * * * * Other ancillary services 2 * * * * * * * Billing/collections purchased services 7 * * * * * * * Management fees paid to MSO 8 * * * * * * * Miscellaneous operating cost 9 * * * * * * * Cost allocated to practice from parent 2 * * * * * * * Total general operating cost 93 $246,662 $322,037 $25,509 $54,822 $219,932 $335,192 $473,063 Total operating cost 89 $488,765 $332,702 $132,377 $303,845 $430,101 $629,950 $863,096 Total operating & NPP cost 22 $797,843 $463,833 $385,529 $476,555 $569,527 $1,057,269 $1,660,808

12.4d: Provider Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total medical revenue after operating cost 93 $104,741 $550,007 -$494,270 -$261,305 $108,089 $342,828 $639,127 Total medical revenue after operating & NPP cost 25 -$177,831 $1,159,430 -$1,925,681 -$560,005 $172,373 $533,222 $991,602 Total provider cost 24 $1,183,889 $883,489 $579,348 $668,588 $767,945 $1,144,252 $2,769,774 Total nonphysician provider cost 19 $123,895 $80,793 $31,090 $77,206 $100,059 $141,071 $234,947 Nonphysician provider compensation 16 $82,505 $40,399 $27,186 $55,280 $77,415 $110,122 $156,872

Nonphysician provider benefit cost 37 $14,639 $8,943 $5,513 $7,725 $13,981 $17,200 $28,686

Total physician cost 88 $707,857 $399,680 $348,206 $520,613 $597,986 $746,593 $1,359,979 Total physician compensation 52 $661,141 $630,563 $347,553 $483,917 $545,582 $658,990 $898,713 Total physician benefit cost 52 $50,585 $28,305 $27,254 $34,857 $43,845 $54,466 $100,029

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Orthopedic Surgery, Hospital/IDS Owned

(per FTE Physician) 12.4e: Net Income or Loss

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total cost 79 $1,306,147 $637,542 $753,465 $905,820 $1,121,433 $1,508,035 $2,091,220 Net nonmedical revenue 4 * * * * * * * Financial support for operating costs 1 * * * * * * *

Net income, practices with financial support 1 * * * * * * *

Net income, practices without financial support 92 -$263,723 $345,065 -$715,950 -$418,853 -$224,580 -$22,203 $36,798

Net income, excluding financial support (all practices) 93 -$267,943 $345,590 -$715,384 -$424,600 -$225,726 -$22,572 $36,344

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

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Orthopedic Surgery, Hospital/IDS Owned

(as a Percentage of Total Medical Revenue) 12.5a: Charges and Revenue

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Net fee-for-service revenue 93 97.17% 9.01% 90.71% 99.12% 100.00% 100.00% 100.00% Net capitation revenue 1 * * * * * * * Net other medical revenue 16 9.10% 16.08% .02% .04% 3.55% 11.00% 38.59% Total gross charges 49 286.02% 99.09% 194.00% 209.77% 265.25% 344.61% 438.63%

12.5b: Operating Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile General administrative 10 3.47% 3.06% 1.27% 1.52% 2.30% 4.84% 10.66% Patient accounting 2 * * * * * * * General accounting 7 * * * * * * * Managed care administrative 1 * * * * * * * Information technology 1 * * * * * * * Total business operations staff 17 3.33% 2.62% .94% 1.65% 2.31% 4.53% 6.83% Medical receptionists 10 7.37% 3.56% 4.22% 5.35% 6.27% 8.38% 15.73% Other administrative support 1 * * * * * * * Total front office support staff 50 15.11% 11.13% 4.15% 5.98% 12.74% 22.39% 27.71% Registered nurses 8 * * * * * * * Licensed practical nurses 9 * * * * * * * Medical assistants, nurse aides 4 * * * * * * * Total clinical support staff 24 7.18% 4.98% 1.73% 4.47% 6.12% 8.57% 15.91% Clinical laboratory 1 * * * * * * * Radiology and imaging 3 * * * * * * * Other medical support services 8 * * * * * * * Total ancillary support staff 19 5.39% 5.05% 1.40% 2.19% 3.55% 6.07% 17.17% Total employed support staff 81 118.91% 468.84% 10.09% 13.76% 21.62% 33.00% 80.26% Total employed support staff benefits 79 31.13% 118.48% 2.85% 4.15% 6.31% 9.51% 20.37% Total contracted support staff 3 * * * * * * * Total support staff 91 135.56% 553.82% 12.53% 17.66% 26.74% 38.19% 94.01% Information technology 10 2.11% 2.01% .17% .87% 1.40% 2.90% 6.72% Drug supply 10 3.26% 1.85% .37% 1.70% 3.19% 4.67% 6.40% Medical and surgical supply 9 * * * * * * * Building and occupancy 10 7.44% 5.14% 2.21% 3.06% 5.47% 12.08% 15.80% Building/occupancy depreciation 7 * * * * * * * Furniture and equipment 6 * * * * * * * Furniture/equipment depreciation 9 * * * * * * * Administrative supplies and services 10 1.14% 1.37% .11% .31% .58% 1.47% 4.12% Professional liability insurance 10 2.92% 1.63% 1.09% 1.32% 2.44% 4.62% 5.43% Other insurance premiums 6 * * * * * * * Outside professional fees 3 * * * * * * * Promotion and marketing 9 * * * * * * * Clinical laboratory 4 * * * * * * * Radiology and imaging 4 * * * * * * * Other ancillary services 2 * * * * * * *

Billing/collections purchased services 7 * * * * * * *

Management fees paid to MSO 8 * * * * * * * Miscellaneous operating cost 9 * * * * * * * Cost allocated to practice from

parent 2 * * * * * * *

Total general operating cost 93 31.30% 27.21% 5.75% 5.99% 26.25% 42.65% 65.49% Total operating cost 93 163.95% 543.99% 20.16% 39.79% 59.38% 88.50% 153.26% Total operating & NPP cost 20 68.30% 28.02% 33.34% 46.42% 61.12% 89.70% 121.16%

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Orthopedic Surgery, Hospital/IDS Owned

(as a Percentage of Total Medical Revenue) 12.5c: Provider Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total medical revenue after operating cost

93 -9.70% 95.32% -116.67% -35.20% 21.30% 44.29% 60.99%

Total medical revenue after operating & NPP cost

32 -3249.21% 13313.80% -7017.75% -594.45% -16.38% 39.15% 56.17%

Total provider cost 21 92.67% 43.47% 44.26% 63.46% 82.97% 106.52% 177.31% Total nonphysician provider cost 20 14.52% 9.83% 5.14% 6.20% 11.88% 21.04% 33.01% Nonphysician provider compensation 17 10.16% 6.76% 3.89% 4.45% 9.85% 12.84% 20.95% Nonphysician provider benefit cost 38 1.96% 1.22% .61% 1.14% 1.50% 2.63% 3.92% Total physician cost 84 92.74% 40.10% 47.31% 64.13% 84.66% 114.88% 148.44% Total physician compensation 52 91.37% 82.27% 50.02% 62.59% 77.38% 101.86% 130.14% Total physician benefit cost 52 9.64% 17.48% 3.30% 3.91% 6.63% 8.75% 13.66%

12.5d: Net Income or Loss

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total cost 76 170.99% 69.54% 99.68% 124.68% 153.71% 209.00% 281.86% Financial support for operating costs 1 * * * * * * * Net income, practices with financial support 1 * * * * * * * Net income, practices without financial support 89 -37.31% 50.88% -114.21% -54.75% -27.18% -1.90% 7.24%

Net income, excluding financial support (all practices) 90 -38.26% 51.40% -122.35% -56.44% -28.65% -1.90% 7.12%

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

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Surgery: General, Hospital/IDS Owned

13.1: Staffing and Practice Data

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total provider FTE 24 6.75 6.49 1.17 2.80 5.65 8.91 11.59 Total physician FTE 150 2.51 2.44 1.00 1.00 1.84 3.00 5.00 Total nonphysician provider FTE 25 1.81 2.35 .31 .70 1.00 2.56 3.22 Total support staff FTE 144 5.62 4.86 1.33 2.48 4.02 7.04 11.84 Number of branch clinics 10 2.00 .47 1.10 2.00 2.00 2.00 2.90 Square footage of all facilities 15 5,188 3,435 1,506 2,617 4,322 8,096 11,032

13.2: Accounts Receivable Data, Collection Percentages, and Financial Ratios

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total AR/physician 55 $267,166 $154,526 $102,953 $132,988 $234,448 $358,714 $473,849 Total AR/provider 5 * * * * * * * 0-30 days in AR 65 33.68% 18.17% .00% 24.70% 35.33% 44.97% 54.71% 31-60 days in AR 65 12.45% 8.25% .00% 7.75% 11.49% 15.14% 25.81% 61-90 days in AR 65 7.54% 4.99% .00% 5.28% 7.23% 9.63% 13.09% 91-120 days in AR 65 10.17% 18.78% 1.66% 3.76% 5.00% 8.27% 12.08% 120+ days in AR 65 36.16% 21.02% 8.13% 25.46% 36.61% 46.53% 56.50% Not re-aged: 0-30 days in AR 9 * * * * * * * Not re-aged: 31-60 days in AR 9 * * * * * * * Not re-aged: 61-90 days in AR 9 * * * * * * * Not re-aged: 91-120 days in AR 9 * * * * * * * Not re-aged: 120+ days in AR 9 * * * * * * * Months gross FFS charges in AR 65 3.17 2.69 1.15 1.65 2.31 3.30 9.08 Months adjusted FFS charges in AR 58 6.36 3.31 2.12 3.53 6.17 8.62 11.30 Days gross FFS charges in AR 65 96.42 81.84 35.01 50.27 70.22 100.41 276.04 Days adjusted FFS charges in AR 61 214.23 135.32 65.24 108.64 192.93 271.78 367.34 Gross FFS collection % 78 35.04% 9.32% 25.01% 28.73% 34.34% 40.61% 45.77% Adjusted FFS collection % 77 89.74% 8.42% 78.20% 87.05% 91.74% 95.06% 97.67%

13.3: Breakout of Total Gross Charges by Type of Payer

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Medicare 28 28.57% 14.30% 8.82% 15.25% 28.50% 42.76% 47.10% Medicaid 28 9.38% 9.72% 2.95% 5.00% 5.95% 9.59% 21.66% Commercial 28 48.07% 14.68% 26.74% 33.00% 49.80% 58.00% 65.63% Workers' compensation 28 .41% .92% .00% .00% .00% .40% 1.18% Charity care and prof courtesy 28 .35% .97% .00% .00% .00% .08% 1.13% Self-pay 28 12.63% 14.59% .71% 1.48% 4.55% 26.75% 36.73% Other government payers 28 .59% 1.13% .00% .00% .00% .66% 2.84%

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

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Surgery: General, Hospital/IDS Owned

(per FTE Physician) 13.4a: Staffing, RVUs, Patients, Procedures, and Square Footage

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Nonsurgical specialty physicians 3 * * * * * * * Surgical specialty physicians 72 .99 .05 1.00 1.00 1.00 1.00 1.00 Total nonphysician providers 24 .39 .20 .12 .22 .38 .51 .74 Total providers 24 1.39 .20 1.12 1.22 1.38 1.51 1.74 General administrative 28 .30 .21 .09 .16 .27 .37 .61 Patient accounting 10 .22 .17 .04 .10 .19 .28 .61 General accounting 6 * * * * * * * Managed care administrative 12 .69 .54 .06 .27 .57 .96 1.72 Information technology 2 * * * * * * * Housekeeping, maintenance, security 2 * * * * * * * Total business operations staff 31 .65 .58 .10 .18 .36 1.00 1.47 Medical receptionists 20 .76 .66 .07 .23 .59 1.09 2.15 Medical secretaries, transcribers 5 * * * * * * * Other administrative support 6 * * * * * * * Total front office support staff 76 2.16 2.51 .30 1.00 2.09 2.85 3.46 Registered nurses 13 .52 .46 .02 .13 .36 .87 1.33 Licensed practical nurses 15 .40 .31 .05 .13 .33 .59 .99 Medical assistants, nurse aides 19 .62 .36 .05 .36 .58 .94 1.00 Total clinical support staff 39 .98 .59 .50 .59 .83 1.08 1.46 Clinical laboratory 2 * * * * * * * Radiology and imaging 3 * * * * * * * Other medical support services 5 * * * * * * * Total ancillary support staff 12 .61 .59 .07 .18 .48 .76 1.89 Total employed support staff 108 2.49 2.15 .96 1.62 2.16 2.98 3.63 Total support staff 143 2.51 1.95 1.00 1.62 2.17 3.16 3.85 Total RVUs 88 14,903 6,861 7,810 10,330 13,747 19,001 22,678 Physician work RVUs 102 7,041 3,655 3,267 5,067 6,505 8,762 10,787 Patients 18 917 685 297 546 838 953 1,951 Total procedures 18 4,537 3,933 1,604 1,985 2,954 5,699 12,067 Square feet 14 1,743 1,107 592 714 1,423 3,100 3,269

13.4b: Charges and Revenue

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Net fee-for-service revenue 150 $519,986 $336,594 $251,688 $332,742 $475,661 $594,168 $764,610 Gross FFS charges 77 $1,583,154 $1,341,610 $731,469 $996,377 $1,353,876 $1,719,889 $2,450,932 Adjustments to FFS charges 76 $1,004,949 $936,880 $441,355 $585,231 $809,690 $1,186,790 $1,596,015 Adjusted FFS charges 76 $584,062 $440,456 $294,918 $395,943 $530,954 $629,216 $808,767 Bad debts due to FFS activity 27 $33,616 $28,786 $10,814 $19,675 $26,595 $36,602 $55,722 Gross capitation charges 2 * * * * * * * Net other medical revenue 16 $106,248 $158,465 $755 $2,533 $35,950 $154,771 $445,387 Gross revenue from other

medical activities 16 $106,248 $158,465 $755 $2,533 $35,950 $154,771 $445,387

Other medical revenue 14 $29,710 $39,218 $5 $931 $3,552 $58,471 $106,090 Revenue from hospital 6 * * * * * * * Revenue from sale of

goods/services 1 * * * * * * *

Total gross charges 74 $1,571,474 $1,351,730 $743,860 $997,073 $1,348,809 $1,707,855 $2,424,476 Total medical revenue 150 $531,871 $333,338 $256,771 $354,442 $487,039 $613,799 $863,422

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

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Surgery: General, Hospital/IDS Owned

(per FTE Physician) 13.4c: Operating Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile General administrative 29 $17,919 $13,397 $6,317 $9,381 $13,398 $22,245 $36,332 Patient accounting 10 $9,584 $7,960 $2,168 $3,729 $8,156 $13,046 $27,586 General accounting 6 * * * * * * * Managed care administrative 12 $20,881 $17,464 $3,475 $9,731 $17,583 $26,582 $57,339 Information technology 2 * * * * * * * Housekeeping, maintenance, security 2 * * * * * * * Total business operations staff 31 $29,679 $22,025 $6,827 $11,617 $26,520 $40,003 $63,147 Medical receptionists 21 $22,307 $19,746 $1,197 $6,209 $17,200 $31,373 $61,855 Medical secretaries, transcribers 5 * * * * * * * Other administrative support 6 * * * * * * * Total front office support staff 77 $80,434 $84,772 $8,015 $33,249 $70,031 $109,632 $150,582 Registered nurses 13 $29,280 $27,055 $1,065 $6,411 $20,217 $48,520 $79,960 Licensed practical nurses 17 $13,182 $11,802 $159 $3,055 $10,964 $20,483 $34,897 Medical assistants, nurse aides 19 $20,884 $12,824 $1,194 $12,074 $19,309 $35,598 $38,521 Total clinical support staff 39 $39,418 $27,064 $16,024 $22,216 $33,554 $44,047 $79,160 Clinical laboratory 2 * * * * * * * Radiology and imaging 3 * * * * * * * Other medical support services 5 * * * * * * * Total ancillary support staff 11 $13,953 $9,640 $577 $5,878 $11,566 $23,668 $26,010 Total employed support staff 103 $114,493 $82,620 $49,407 $69,717 $95,307 $140,189 $180,729 Total employed support staff benefits 102 $40,332 $50,719 $11,804 $17,081 $29,386 $41,536 $63,060 Total contracted support staff 1 * * * * * * * Total support staff 137 $139,061 $79,136 $59,308 $88,380 $120,723 $168,741 $236,761 Information technology 25 $6,602 $6,605 $244 $719 $4,802 $12,866 $17,044 Drug supply 20 $1,568 $2,152 $161 $344 $650 $1,361 $6,641 Medical and surgical supply 21 $11,679 $12,184 $2,055 $2,543 $5,718 $17,678 $27,745 Building and occupancy 25 $48,589 $41,565 $18,193 $29,491 $40,086 $53,587 $80,383 Building/occupancy depreciation 15 $3,981 $4,247 $177 $767 $3,445 $5,144 $11,479 Furniture and equipment 13 $1,672 $2,418 $16 $113 $623 $2,286 $6,876 Furniture/equipment depreciation 18 $7,818 $5,283 $1,031 $2,551 $7,170 $11,495 $16,007 Administrative supplies and services 25 $4,986 $4,336 $892 $1,515 $2,792 $8,735 $11,689 Professional liability insurance 26 $22,847 $14,663 $270 $13,583 $23,631 $32,620 $44,521 Other insurance premiums 13 $10,547 $10,509 $1 $57 $3,903 $22,253 $23,583 Legal fees 1 * * * * * * * Consulting fees 3 * * * * * * * Outside professional fees 16 $10,746 $14,085 $158 $2,942 $7,548 $11,814 $36,607 Promotion and marketing 18 $543 $516 $15 $74 $358 $1,051 $1,357 Clinical laboratory 6 * * * * * * * Radiology and imaging 3 * * * * * * * Other ancillary services 3 * * * * * * * Billing/collections purchased services 17 $42,975 $26,451 $18,158 $22,025 $31,550 $67,996 $86,672 Management fees paid to MSO 16 $52,850 $43,333 $7,508 $19,155 $34,594 $104,471 $118,502 Miscellaneous operating cost 22 $16,196 $27,949 $705 $3,732 $8,020 $12,297 $67,774 Cost allocated to practice from parent 4 * * * * * * * Total general operating cost 150 $211,112 $203,761 $28,358 $114,483 $180,502 $278,801 $371,948 Total operating cost 147 $359,278 $223,371 $158,395 $217,084 $318,023 $451,544 $568,656 Total operating & NPP cost 21 $541,326 $421,247 $142,622 $280,860 $451,350 $558,429 $1,215,902

13.4d: Provider Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total medical revenue after operating cost 150 $101,681 $261,152 -$247,996 -$88,966 $99,643 $267,395 $393,503 Total medical revenue after operating & NPP cost 22 -$237,872 $799,016 -$1,713,649 -$682,969 $59,307 $354,595 $425,347 Total provider cost 22 $806,562 $605,051 $369,885 $423,429 $549,351 $1,060,446 $1,875,758 Total nonphysician provider cost 17 $64,616 $66,214 $15,075 $23,993 $37,346 $81,681 $203,864 Nonphysician provider

compensation 8 * * * * * * *

Nonphysician provider benefit cost 20 $8,782 $6,337 $670 $3,444 $7,106 $13,875 $19,917 Total physician cost 150 $489,725 $364,794 $252,053 $336,699 $423,069 $507,003 $734,841 Total physician compensation 80 $450,155 $367,696 $251,243 $331,461 $395,709 $460,143 $549,439 Total physician benefit cost 71 $43,819 $36,586 $24,177 $29,459 $38,511 $45,350 $58,848

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Surgery: General, Hospital/IDS Owned

(per FTE Physician) 13.4e: Net Income or Loss

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total cost 150 $1,186,549 $1,939,360 $490,345 $618,465 $758,766 $991,498 $1,588,487 Net nonmedical revenue 5 * * * * * * * Financial support for operating costs 1 * * * * * * *

Net income, practices with financial support 1 * * * * * * *

Net income, practices without financial support 148 -$155,293 $183,552 -$411,350 -$249,275 -$143,392 -$22,332 $62,614

Net income, excluding financial support (all practices) 149 -$157,489 $184,885 -$416,351 -$251,372 -$143,909 -$23,748 $62,402

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Surgery: General, Hospital/IDS Owned

(as a Percentage of Total Medical Revenue) 13.5a: Charges and Revenue

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Net fee-for-service revenue 151 98.94% 22.15% 88.61% 99.83% 100.00% 100.00% 100.00% Net other medical revenue 16 14.59% 19.01% .08% .46% 8.95% 24.25% 50.04% Total gross charges 75 298.72% 87.17% 203.36% 246.24% 289.00% 351.29% 403.27%

13.5b: Operating Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile General administrative 30 3.75% 3.10% 1.02% 1.72% 2.81% 4.84% 7.73% Patient accounting 10 1.66% 1.45% .30% .73% 1.31% 2.10% 5.03% General accounting 6 * * * * * * * Managed care administrative 12 5.12% 5.89% .59% 1.96% 3.76% 5.65% 17.93% Information technology 2 * * * * * * * Housekeeping, maintenance,

security 2 * * * * * * *

Total business operations staff 32 6.75% 7.62% 1.19% 2.47% 4.37% 8.29% 13.96% Medical receptionists 22 3.97% 3.29% .31% .84% 3.63% 5.98% 10.06% Medical secretaries, transcribers 5 * * * * * * * Other administrative support 6 * * * * * * * Total front office support staff 78 16.25% 13.17% 1.60% 6.52% 13.36% 24.92% 34.45% Registered nurses 13 4.92% 4.55% .23% 1.20% 3.70% 7.33% 13.77% Licensed practical nurses 17 2.29% 2.09% .02% .63% 2.26% 2.94% 5.99% Medical assistants, nurse aides 19 5.06% 3.81% .22% 2.27% 3.86% 7.45% 10.13% Total clinical support staff 39 7.64% 4.40% 3.07% 5.08% 6.60% 8.59% 14.03% Clinical laboratory 2 * * * * * * * Radiology and imaging 4 * * * * * * * Other medical support services 5 * * * * * * * Total ancillary support staff 14 5.26% 7.10% .24% 1.06% 3.16% 5.93% 20.04% Total employed support staff 103 22.91% 12.58% 10.99% 14.42% 19.04% 28.33% 41.79% Total employed support staff benefits 99 6.51% 3.88% 2.53% 3.78% 5.60% 8.25% 12.11% Total contracted support staff 1 * * * * * * * Total support staff 138 28.44% 15.38% 13.55% 18.16% 24.06% 36.84% 48.07% Information technology 26 1.21% 1.35% .04% .11% .75% 1.84% 3.47% Drug supply 24 1.05% 2.49% .02% .07% .15% .62% 4.79% Medical and surgical supply 24 3.73% 6.74% .30% .56% 1.62% 3.79% 11.04% Building and occupancy 26 9.56% 13.74% 2.78% 5.34% 6.42% 9.41% 14.76% Building/occupancy depreciation 15 .91% 1.40% .04% .07% .69% .91% 3.20% Furniture and equipment 13 .28% .50% .00% .02% .06% .31% 1.36% Furniture/equipment depreciation 21 2.35% 3.30% .27% .70% 1.25% 2.33% 6.73% Administrative supplies and services 26 .96% 1.04% .16% .29% .46% 1.36% 3.05% Professional liability insurance 27 4.01% 3.06% .05% 1.79% 3.74% 5.93% 8.21% Other insurance premiums 13 2.09% 2.16% .00% .01% 1.16% 4.36% 5.38% Legal fees 1 * * * * * * * Consulting fees 3 * * * * * * * Outside professional fees 16 1.68% 1.54% .03% .58% 1.42% 2.04% 4.63% Promotion and marketing 18 .09% .08% .00% .01% .09% .15% .20% Clinical laboratory 6 * * * * * * * Radiology and imaging 3 * * * * * * * Other ancillary services 3 * * * * * * *

Billing/collections purchased services 17 7.89% 4.35% 4.27% 4.45% 7.31% 8.75% 16.41%

Management fees paid to MSO 16 8.33% 7.47% 1.45% 4.30% 4.77% 11.21% 22.48% Miscellaneous operating cost 22 2.05% 2.05% .19% .67% 1.63% 2.63% 6.44% Cost allocated to practice from

parent 5 * * * * * * *

Total general operating cost 151 43.18% 31.80% 5.87% 22.20% 37.55% 59.10% 82.68% Total operating cost 147 73.66% 41.56% 33.45% 45.66% 61.23% 90.10% 130.15% Total operating & NPP cost 22 98.32% 72.37% 30.30% 46.25% 76.64% 128.91% 234.11%

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Surgery: General, Hospital/IDS Owned

(as a Percentage of Total Medical Revenue) 13.5c: Provider Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total medical revenue after operating cost

151 7.04% 64.98% -63.82% -22.67% 21.08% 48.26% 59.05%

Total medical revenue after operating & NPP cost

25 -135.58% 320.91% -622.77% -207.68% 10.74% 49.54% 65.33%

Total provider cost 21 134.37% 90.14% 55.00% 72.18% 96.32% 181.73% 290.95% Total nonphysician provider cost 18 14.41% 16.79% 2.92% 3.58% 7.10% 20.63% 48.78% Nonphysician provider compensation 9 * * * * * * * Nonphysician provider benefit cost 21 1.91% 1.66% .17% .79% 1.57% 2.58% 3.95% Total physician cost 150 112.77% 154.22% 54.27% 70.92% 90.06% 110.90% 135.96% Total physician compensation 80 88.16% 30.72% 57.44% 69.89% 84.38% 100.01% 119.21% Total physician benefit cost 71 9.50% 8.26% 4.58% 6.48% 8.09% 10.65% 14.53%

13.5d: Net Income or Loss

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total cost 143 170.89% 63.58% 101.34% 125.37% 165.47% 196.77% 260.53% Net nonmedical revenue 5 * * * * * * * Financial support for operating costs 1 * * * * * * * Net income, practices with financial support 1 * * * * * * * Net income, practices without financial support 150 -38.59% 61.16% -93.91% -61.15% -26.46% -3.79% 15.83%

Net income, excluding financial support (all practices) 151 -38.82% 61.02% -93.59% -61.56% -26.96% -3.80% 15.78%

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Surgery: General, Hospital/IDS Owned

(per FTE Provider) 13.6a: Staffing, RVUs, Patients, Procedures, and Square Footage

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total nonphysician providers 24 .27 .11 .11 .18 .27 .34 .43 Total physicians 24 .73 .11 .57 .66 .73 .82 .89 General administrative 7 * * * * * * * Patient accounting 3 * * * * * * * Managed care administrative 3 * * * * * * * Housekeeping, maintenance, security 1 * * * * * * * Total business operations staff 8 * * * * * * * Medical receptionists 4 * * * * * * * Medical secretaries, transcribers 1 * * * * * * * Other administrative support 3 * * * * * * * Total front office support staff 12 .79 .61 .06 .16 .89 1.32 1.65 Registered nurses 4 * * * * * * * Licensed practical nurses 5 * * * * * * * Medical assistants, nurse aides 4 * * * * * * * Total clinical support staff 12 .79 .52 .26 .48 .59 1.05 1.87 Clinical laboratory 1 * * * * * * * Radiology and imaging 1 * * * * * * * Other medical support services 1 * * * * * * * Total ancillary support staff 4 * * * * * * * Total employed support staff 24 1.53 .79 .47 .96 1.58 1.97 2.77 Total support staff 24 1.53 .79 .47 .96 1.58 1.97 2.77 Total RVUs 15 12,048 5,259 5,915 7,765 11,244 16,465 21,085 Physician work RVUs 20 6,700 4,955 3,030 4,372 5,939 7,477 8,521 Patients 6 * * * * * * * Total procedures 3 * * * * * * * Square feet 3 * * * * * * *

13.6b: Charges, Revenue, and Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total gross charges 10 $1,053,873 $362,273 $335,951 $860,508 $1,152,031 $1,323,719 $1,408,783 Total medical revenue 24 $436,111 $171,845 $175,902 $323,841 $423,505 $527,462 $696,246 Net fee-for-service revenue 24 $375,643 $134,100 $162,198 $294,594 $401,786 $459,951 $519,110 Net other medical revenue 5 * * * * * * * Total medical revenue after operating cost 24 $44,292 $239,113 -$253,451 -$173,243 $53,383 $268,086 $338,396 Total medical revenue after operating & NPP cost 22 -$166,077 $571,008 -$1,253,811 -$457,300 $50,604 $234,867 $319,193 Total support staff cost 22 $85,641 $47,456 $22,808 $54,617 $75,444 $112,059 $169,352 Total general operating cost 24 $103,328 $97,276 $15,823 $24,724 $73,724 $170,735 $289,750 Total operating cost 22 $196,265 $116,810 $57,331 $91,359 $172,888 $282,637 $394,579 Total operating & NPP cost 21 $392,382 $315,917 $115,508 $184,946 $284,870 $426,391 $863,590 Total provider cost 20 $463,826 $242,316 $238,513 $325,774 $398,330 $459,870 $965,026 Total nonphysician provider cost 17 $42,567 $40,949 $12,787 $18,724 $28,210 $49,894 $120,229 Total physician cost 24 $341,453 $152,159 $90,805 $274,687 $343,776 $418,800 $554,982 Total physician compensation 13 $333,069 $64,645 $235,361 $310,486 $324,313 $354,644 $453,980 Total physician benefit cost 10 $41,078 $27,800 $9,833 $27,407 $34,099 $49,293 $103,354 Total cost 23 $949,961 $861,933 $306,879 $542,448 $701,362 $1,018,729 $2,343,081 Net nonmedical revenue 2 * * * * * * * Net income, excluding financial support (all practices) 24 -$181,767 $120,774 -$363,749 -$260,935 -$166,326 -$99,566 -$13,548

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Surgery: General, Hospital/IDS Owned

(per Square Foot) 13.7a: Staffing per 10,000 Square Feet

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total physicians 14 8.82 5.62 3.06 3.23 7.03 14.14 16.88 Total nonphysician providers 4 * * * * * * * Total providers 3 * * * * * * * General administrative 14 2.55 2.59 .86 1.08 1.99 2.75 7.37 Patient accounting 9 * * * * * * * General accounting 1 * * * * * * * Managed care administrative 9 * * * * * * * Housekeeping, maintenance, security 1 * * * * * * * Total business operations staff 15 6.39 4.33 1.84 2.55 4.68 9.19 14.23 Medical receptionists 8 * * * * * * * Medical secretaries, transcribers 3 * * * * * * * Total front office support staff 9 * * * * * * * Registered nurses 5 * * * * * * * Licensed practical nurses 8 * * * * * * * Medical assistants, nurse aides 12 4.03 2.61 .67 2.34 3.69 5.64 9.02 Total clinical support staff 14 6.71 4.27 2.11 3.18 5.24 10.08 13.93 Clinical laboratory 1 * * * * * * * Radiology and imaging 2 * * * * * * * Other medical support services 1 * * * * * * * Total ancillary support staff 4 * * * * * * * Total employed support staff 15 15.48 8.02 7.57 10.23 11.36 23.91 28.81 Total support staff 15 15.48 8.02 7.57 10.23 11.36 23.91 28.81

13.7b: Charges, Revenue, Cost, and Productivity per Square Foot

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total gross charges 15 $994.23 $568.62 $338.01 $510.84 $900.91 $1,411.64 $1,977.85 Total medical revenue 15 $395.67 $215.56 $129.51 $202.12 $380.41 $565.77 $761.81 Net fee-for-service revenue 15 $390.81 $210.46 $129.51 $202.12 $380.41 $565.77 $761.81 Net other medical revenue 2 * * * * * * * Total medical revenue after operating cost 15 $125.23 $188.32 -$153.80 $21.02 $102.02 $211.72 $444.58 Total medical revenue after operating & NPP cost 4 * * * * * * * Total support staff cost 15 $82.12 $52.01 $28.62 $40.55 $60.77 $125.50 $174.81 Building and occupancy 14 $32.07 $19.61 $9.39 $16.04 $29.02 $39.26 $70.39 Total general operating cost 14 $154.94 $63.86 $51.00 $120.28 $147.66 $204.44 $254.64 Total operating cost 15 $270.44 $179.11 $85.31 $171.28 $212.48 $325.02 $552.78 Total operating & NPP cost 4 * * * * * * * Total provider cost 3 * * * * * * * Total nonphysician provider cost 4 * * * * * * * Total physician cost 14 $359.76 $236.73 $106.20 $158.38 $263.03 $534.00 $762.12 Total physician compensation 13 $328.92 $217.02 $104.45 $146.50 $249.04 $508.90 $691.86 Total physician benefit cost 4 * * * * * * * Total cost 15 $613.99 $360.21 $219.43 $353.74 $453.99 $821.91 $1,222.36 Net nonmedical revenue 1 * * * * * * * Net income, excluding financial support (all practices) 13 -$161.27 $115.15 -$330.62 -$271.21 -$172.63 -$72.63 $4.79 Total RVUs 6 * * * * * * * Physician work RVUs 15 5.75 4.26 .57 2.10 5.05 9.66 12.53 Patients 2 * * * * * * * Total procedures 14 2.86 1.95 .47 1.73 2.42 3.41 6.81

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Surgery: General, Hospital/IDS Owned

(per Total RVU) 13.8a: Staffing per 10,000 Total RVUs

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total physicians 88 .84 .51 .44 .53 .73 .97 1.28 Total nonphysician providers 16 .56 1.07 .05 .14 .28 .54 1.83 Total providers 15 .99 .44 .48 .61 .89 1.29 1.72 General administrative 16 .26 .26 .04 .11 .19 .25 .78 Patient accounting 4 * * * * * * * General accounting 6 * * * * * * * Managed care administrative 2 * * * * * * * Information technology 2 * * * * * * * Housekeeping, maintenance, security 1 * * * * * * * Total business operations staff 17 .35 .39 .04 .12 .20 .47 1.21 Medical receptionists 13 .49 .31 .09 .23 .45 .73 .99 Medical secretaries, transcribers 3 * * * * * * * Other administrative support 5 * * * * * * * Total front office support staff 60 1.63 1.24 .43 .81 1.23 2.30 3.37 Registered nurses 9 * * * * * * * Licensed practical nurses 6 * * * * * * * Medical assistants, nurse aides 9 * * * * * * * Total clinical support staff 18 .75 .31 .42 .51 .69 .89 1.24 Radiology and imaging 1 * * * * * * * Other medical support services 4 * * * * * * * Total ancillary support staff 5 * * * * * * * Total employed support staff 86 1.78 1.21 .73 .95 1.45 2.31 3.41 Total support staff 86 1.78 1.21 .73 .95 1.45 2.31 3.41

13.8b: Charges, Revenue, Cost, and Productivity per Total RVU

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total gross charges 56 $108.04 $49.99 $69.14 $82.77 $95.51 $110.14 $184.28 Total medical revenue 86 $32.61 $11.11 $21.76 $25.93 $29.36 $36.63 $47.71 Net fee-for-service revenue 86 $30.73 $9.76 $21.63 $24.96 $28.56 $34.41 $42.80 Net other medical revenue 10 $2.40 $2.81 $.01 $.09 $1.43 $4.07 $8.07 Total medical revenue after operating cost 89 -$1.07 $24.53 -$23.83 -$10.27 -$1.51 $10.39 $21.22 Total medical revenue after operating & NPP cost 15 -$45.15 $76.41 -$174.92 -$83.74 -$33.17 $21.01 $41.72 Total support staff cost 83 $13.39 $16.04 $4.24 $5.87 $9.18 $12.68 $23.42 Total general operating cost 86 $13.70 $11.16 $1.46 $1.84 $12.16 $19.71 $30.35 Total operating cost 87 $39.05 $69.92 $10.59 $15.11 $22.40 $33.80 $57.63 Total operating & NPP cost 15 $77.29 $81.05 $12.30 $17.36 $43.49 $114.15 $232.87 Total provider cost 14 $76.51 $61.86 $16.09 $24.50 $55.14 $105.31 $197.42 Total nonphysician provider cost 8 * * * * * * * Total physician cost 86 $34.84 $26.07 $15.59 $22.29 $29.06 $39.58 $50.67 Total physician compensation 59 $29.51 $13.64 $18.29 $22.23 $26.79 $33.70 $42.50 Total physician benefit cost 60 $3.04 $2.18 $1.37 $1.87 $2.59 $3.56 $4.37 Total cost 84 $69.98 $48.26 $31.76 $43.46 $55.42 $73.49 $120.81 Net nonmedical revenue 1 * * * * * * * Net income, excluding financial support (all practices) 89 -$11.28 $21.08 -$31.89 -$18.68 -$7.27 -$.87 $7.28 Physician work RVUs 89 .46 .09 .35 .43 .47 .51 .54 Patients 15 .07 .04 .04 .05 .06 .07 .16 Total procedures 8 * * * * * * * Square feet 6 * * * * * * *

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Surgery: General, Hospital/IDS Owned

(per Work RVU) 13.9a: Staffing per 10,000 Work RVUs

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total physicians 101 1.80 1.17 .93 1.14 1.53 1.96 2.90 Total nonphysician providers 20 .57 .43 .06 .27 .50 .79 1.40 Total providers 20 1.92 .89 1.17 1.34 1.68 2.29 3.30 General administrative 27 .50 .59 .09 .19 .36 .58 1.07 Patient accounting 11 .48 .51 .07 .12 .30 .63 1.54 General accounting 6 * * * * * * * Managed care administrative 10 .85 .47 .17 .40 .87 1.26 1.50 Information technology 2 * * * * * * * Housekeeping, maintenance, security 2 * * * * * * * Total business operations staff 30 .94 .92 .14 .25 .51 1.48 2.60 Medical receptionists 20 1.08 1.08 .11 .38 .74 1.44 2.34 Medical secretaries, transcribers 4 * * * * * * * Other administrative support 6 * * * * * * * Total front office support staff 68 3.35 2.87 .54 1.29 2.55 4.69 7.22 Registered nurses 13 .81 .93 .03 .07 .41 1.40 2.64 Licensed practical nurses 14 .68 .82 .04 .22 .46 .82 2.29 Medical assistants, nurse aides 18 .83 .52 .05 .46 .87 1.19 1.51 Total clinical support staff 31 1.36 .71 .53 .90 1.20 1.60 2.60 Clinical laboratory 2 * * * * * * * Radiology and imaging 3 * * * * * * * Other medical support services 5 * * * * * * * Total ancillary support staff 9 * * * * * * * Total employed support staff 99 3.91 2.95 1.59 2.21 3.09 4.72 7.25 Total support staff 99 3.91 2.95 1.59 2.21 3.09 4.72 7.25

13.9b: Charges, Revenue, Cost, and Productivity per Work RVU

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total gross charges 66 $234.84 $123.74 $151.04 $178.77 $206.53 $233.47 $380.51 Total medical revenue 99 $71.44 $25.73 $51.25 $57.41 $64.63 $78.42 $107.47 Net fee-for-service revenue 99 $68.76 $25.00 $51.04 $55.61 $61.59 $74.99 $106.33 Net other medical revenue 12 $4.08 $5.60 $.03 $.16 $1.27 $7.28 $15.56 Total medical revenue after operating cost 103 $4.42 $68.20 -$48.82 -$21.16 $3.61 $30.64 $46.34 Total medical revenue after operating & NPP cost 19 -$49.44 $114.55 -$283.30 -$140.06 $1.95 $38.95 $71.66 Total support staff cost 97 $29.63 $39.08 $9.47 $12.48 $18.33 $27.40 $53.55 Total general operating cost 97 $29.08 $22.74 $3.34 $7.38 $24.95 $43.88 $62.16 Total operating cost 97 $58.43 $42.20 $23.06 $30.80 $44.73 $68.24 $119.02 Total operating & NPP cost 20 $145.79 $188.74 $25.95 $36.32 $58.23 $157.36 $516.53 Total provider cost 16 $85.58 $46.81 $34.61 $50.21 $72.75 $114.66 $172.07 Total nonphysician provider cost 13 $10.76 $11.13 $.60 $2.75 $4.32 $18.64 $32.05 Total physician cost 97 $68.01 $38.30 $36.63 $48.16 $58.60 $73.72 $98.46 Total physician compensation 71 $63.92 $32.82 $41.26 $48.42 $55.74 $68.48 $91.70 Total physician benefit cost 64 $6.86 $5.46 $3.13 $3.89 $5.55 $7.31 $10.44 Total cost 101 $206.06 $309.18 $76.24 $96.48 $115.95 $172.65 $370.68 Net nonmedical revenue 2 * * * * * * * Net income, excluding financial support (all practices) 103 -$34.77 $90.98 -$92.17 -$39.47 -$17.10 -$3.17 $12.68 Total RVUs 89 2.25 .52 1.86 1.96 2.14 2.33 2.88 Patients 18 .13 .06 .08 .09 .11 .14 .20 Total procedures 19 .72 .70 .30 .34 .52 .73 1.17 Square feet 15 .46 .64 .08 .10 .20 .48 1.85

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Surgery: General, Hospital/IDS Owned

(per Patient) 13.10a: Staffing per 10,000 Patients

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total physicians 18 15.66 9.49 5.28 10.51 11.93 18.53 33.71 Total nonphysician providers 6 * * * * * * * Total providers 6 * * * * * * * General administrative 15 3.30 2.44 .88 1.69 2.93 3.49 8.57 Patient accounting 2 * * * * * * * General accounting 6 * * * * * * * Managed care administrative 2 * * * * * * * Information technology 2 * * * * * * * Housekeeping, maintenance, security 1 * * * * * * * Total business operations staff 16 4.52 5.25 .88 1.70 3.17 3.88 13.43 Medical receptionists 12 10.46 6.53 3.37 5.76 8.58 14.22 23.32 Medical secretaries, transcribers 1 * * * * * * * Other administrative support 6 * * * * * * * Total front office support staff 15 11.53 5.41 5.95 6.50 11.29 14.62 20.13 Registered nurses 8 * * * * * * * Licensed practical nurses 6 * * * * * * * Medical assistants, nurse aides 9 * * * * * * * Total clinical support staff 17 12.33 4.93 5.12 9.25 11.61 15.18 18.82 Clinical laboratory 1 * * * * * * * Radiology and imaging 1 * * * * * * * Other medical support services 5 * * * * * * * Total ancillary support staff 6 * * * * * * * Total employed support staff 18 28.10 15.18 9.82 19.13 24.47 35.01 53.23 Total support staff 18 28.10 15.18 9.82 19.13 24.47 35.01 53.23

13.10b: Charges, Revenue, Cost, and Productivity per Patient

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total gross charges 8 * * * * * * * Total medical revenue 18 $724.95 $336.91 $216.33 $537.88 $671.83 $947.53 $1,172.24 Net fee-for-service revenue 18 $637.71 $241.90 $206.82 $498.52 $610.43 $799.26 $946.32 Net other medical revenue 11 $36.96 $41.67 $.22 $1.78 $13.44 $69.60 $114.49 Total medical revenue after operating cost 18 $362.07 $360.95 -$80.20 $128.94 $333.41 $466.16 $930.28 Total medical revenue after operating & NPP cost 6 * * * * * * * Total support staff cost 18 $149.31 $81.75 $47.35 $104.32 $140.23 $174.68 $282.50 Total general operating cost 18 $213.56 $129.44 $90.18 $131.40 $180.92 $256.62 $421.90 Total operating cost 18 $362.88 $182.03 $187.14 $239.26 $331.54 $448.17 $737.71 Total operating & NPP cost 6 * * * * * * * Total provider cost 6 * * * * * * * Total nonphysician provider cost 6 * * * * * * * Total physician cost 18 $655.52 $338.52 $240.23 $427.71 $551.05 $914.35 $1,176.77 Total physician compensation 14 $617.24 $306.11 $271.50 $370.01 $543.34 $826.01 $1,171.58 Total physician benefit cost 14 $65.33 $27.07 $25.84 $46.33 $62.89 $88.34 $104.71 Total cost 18 $1,041.90 $423.53 $427.56 $696.62 $1,152.89 $1,370.09 $1,611.56 Net nonmedical revenue 1 * * * * * * * Net income, excluding financial support (all practices) 16 -$248.95 $190.33 -$544.09 -$393.00 -$247.68 -$48.90 -$3.91 Total RVUs 15 17.59 6.50 6.26 14.65 17.44 20.00 28.02 Physician work RVUs 18 8.95 3.03 5.33 7.18 8.91 10.55 12.35 Total procedures 6 * * * * * * * Square feet 2 * * * * * * *

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Surgery: Cardiovascular, All Practices

14.1: Staffing and Practice Data

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total provider FTE 16 18.15 23.06 3.40 6.88 10.98 14.76 72.68 Total physician FTE 40 5.25 8.89 .68 1.00 2.75 5.79 10.35 Total nonphysician provider FTE 16 8.34 10.62 1.56 3.00 4.74 7.57 35.00 Total support staff FTE 40 14.72 30.49 1.08 3.03 5.78 11.94 41.65 Number of branch clinics 4 * * * * * * * Square footage of all facilities 4 * * * * * * *

14.2: Accounts Receivable Data, Collection Percentages, and Financial Ratios

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total AR/physician 31 $627,872 $443,454 $181,268 $298,889 $493,568 $812,452 $1,323,501 Total AR/provider 9 * * * * * * * 0-30 days in AR 31 35.12% 13.17% 21.37% 26.29% 32.20% 43.93% 55.18% 31-60 days in AR 31 13.37% 8.18% 6.98% 7.86% 11.88% 14.95% 31.74% 61-90 days in AR 31 10.10% 5.54% 4.22% 6.02% 9.06% 11.64% 18.38% 91-120 days in AR 31 5.51% 2.81% 2.28% 3.35% 5.54% 6.72% 8.91% 120+ days in AR 31 35.90% 15.87% 10.09% 28.15% 39.45% 49.56% 52.49% Re-aged: 0-30 days in AR 5 * * * * * * * Re-aged: 31-60 days in AR 5 * * * * * * * Re-aged: 61-90 days in AR 5 * * * * * * * Re-aged: 91-120 days in AR 5 * * * * * * * Re-aged: 120+ days in AR 5 * * * * * * * Not re-aged: 0-30 days in AR 1 * * * * * * * Not re-aged: 31-60 days in AR 1 * * * * * * * Not re-aged: 61-90 days in AR 1 * * * * * * * Not re-aged: 91-120 days in AR 1 * * * * * * * Not re-aged: 120+ days in AR 1 * * * * * * * Months gross FFS charges in AR 30 2.64 2.07 .83 1.63 2.22 2.95 3.52 Months adjusted FFS charges in AR 31 11.23 10.50 2.56 5.52 9.98 12.27 20.00 Days gross FFS charges in AR 30 80.17 62.96 25.20 49.50 67.60 89.65 106.95 Days adjusted FFS charges in AR 31 341.45 319.45 77.80 168.01 303.59 373.14 608.25 Gross FFS collection % 35 26.64% 9.39% 15.40% 19.40% 24.99% 32.34% 42.54% Adjusted FFS collection % 34 87.55% 9.22% 76.03% 82.91% 87.01% 94.43% 97.76% Gross FFS + cap collection % 1 * * * * * * * Net cap rev % of gross cap chrg 1 * * * * * * *

14.3: Breakout of Total Gross Charges by Type of Payer

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Medicare 12 54.37% 10.42% 32.47% 49.62% 56.48% 60.23% 64.78% Medicaid 12 5.79% 3.49% 1.72% 3.35% 5.15% 7.52% 12.77% Commercial 12 35.53% 12.71% 23.48% 26.93% 32.31% 41.25% 62.53% Workers' compensation 12 .15% .19% .00% .00% .07% .28% .50% Charity care and prof courtesy 12 .24% .42% .00% .00% .00% .43% 1.11% Self-pay 12 2.92% 2.11% .44% 1.01% 2.75% 4.37% 6.62% Other government payers 12 1.01% 1.51% .00% .00% .25% 1.76% 4.21%

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Surgery: Cardiovascular, All Practices

(per FTE Physician)

14.4a: Staffing, RVUs, Patients, Procedures, and Square Footage Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile

Nonsurgical specialty physicians 2 * * * * * * * Surgical specialty physicians 33 .98 .13 1.00 1.00 1.00 1.00 1.00 Total nonphysician providers 16 .97 .41 .44 .68 .94 1.27 1.66 Total providers 16 1.96 .42 1.44 1.62 1.94 2.27 2.66 General administrative 9 * * * * * * * Patient accounting 6 * * * * * * * General accounting 2 * * * * * * * Total business operations staff 13 .67 .44 .11 .25 .52 1.00 1.40 Medical receptionists 10 .71 .53 .11 .37 .51 .98 1.89 Medical secretaries, transcribers 3 * * * * * * * Medical records 3 * * * * * * * Other administrative support 3 * * * * * * * Total front office support staff 38 1.85 1.26 .38 .95 1.56 2.71 3.81 Registered nurses 7 * * * * * * * Licensed practical nurses 4 * * * * * * * Medical assistants, nurse aides 5 * * * * * * * Total clinical support staff 13 .80 .72 .14 .28 .50 1.23 2.19 Clinical laboratory 1 * * * * * * * Other medical support services 3 * * * * * * * Total ancillary support staff 6 * * * * * * * Total employed support staff 39 2.37 1.22 .97 1.46 2.20 3.37 4.24 Total contracted support staff 4 * * * * * * * Total support staff 40 2.45 1.17 1.04 1.54 2.28 3.30 4.23 Total RVUs 28 108,271 458,958 8,384 12,608 21,144 31,224 36,658 Physician work RVUs 32 43,616 179,110 5,177 7,642 11,654 16,298 21,621 Patients 11 1,081 952 233 371 522 2,146 2,620 Total procedures 4 * * * * * * * Square feet 4 * * * * * * *

14.4b: Charges and Revenue

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Net fee-for-service revenue 40 $710,892 $346,712 $425,232 $485,858 $629,276 $879,695 $1,124,818 Gross FFS charges 35 $2,879,214 $1,672,380 $1,065,597 $1,789,567 $2,379,812 $3,794,887 $5,538,671 Adjustments to FFS charges 35 $2,095,980 $1,387,910 $660,460 $1,171,887 $1,751,594 $2,804,091 $4,113,051 Adjusted FFS charges 35 $783,234 $381,639 $407,996 $544,871 $735,955 $945,274 $1,354,196 Bad debts due to FFS

activity 11 $46,916 $25,820 $13,255 $26,488 $37,810 $69,817 $85,202

Net capitation revenue 1 * * * * * * * Gross capitation charges 1 * * * * * * * Capitation revenue 1 * * * * * * * Net other medical revenue 9 * * * * * * * Gross revenue from other

medical activities 9 * * * * * * *

Other medical revenue 6 * * * * * * * Revenue from hospital 5 * * * * * * * Revenue from sale of

goods/services 2 * * * * * * *

Cost of sales 1 * * * * * * * Total gross charges 33 $2,776,986 $1,608,590 $1,032,814 $1,732,916 $2,333,455 $3,601,322 $4,982,987 Total medical revenue 40 $828,606 $412,954 $441,524 $542,510 $748,825 $1,127,391 $1,316,921

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Surgery: Cardiovascular, All Practices

(per FTE Physician) 14.4c: Operating Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile General administrative 8 * * * * * * * Patient accounting 6 * * * * * * * General accounting 1 * * * * * * * Total business operations staff 13 $42,611 $27,723 $9,900 $19,500 $41,242 $56,926 $93,384 Medical receptionists 9 * * * * * * * Medical secretaries, transcribers 3 * * * * * * * Medical records 2 * * * * * * * Other administrative support 2 * * * * * * * Total front office support staff 38 $77,188 $58,164 $14,470 $32,141 $63,430 $110,058 $172,932 Registered nurses 6 * * * * * * * Licensed practical nurses 3 * * * * * * * Medical assistants, nurse aides 4 * * * * * * * Total clinical support staff 13 $40,082 $35,360 $9,354 $13,784 $21,743 $64,317 $107,900 Clinical laboratory 1 * * * * * * * Other medical support services 2 * * * * * * * Total ancillary support staff 6 * * * * * * * Total employed support staff 39 $115,693 $71,768 $31,789 $65,053 $108,983 $166,103 $181,989 Total employed support staff benefits 38 $35,460 $21,528 $9,641 $20,865 $32,212 $44,467 $64,299 Total contracted support staff 5 * * * * * * * Total support staff 40 $157,904 $87,840 $61,847 $92,860 $149,414 $213,106 $234,293 Information technology 8 * * * * * * * Drug supply 3 * * * * * * * Medical and surgical supply 9 * * * * * * * Building and occupancy 10 $33,617 $15,377 $16,806 $21,296 $25,668 $49,073 $57,527 Building/occupancy depreciation 3 * * * * * * * Furniture and equipment 5 * * * * * * * Furniture/equipment depreciation 6 * * * * * * * Administrative supplies and services 9 * * * * * * * Professional liability insurance 9 * * * * * * * Other insurance premiums 6 * * * * * * * Legal fees 6 * * * * * * * Consulting fees 2 * * * * * * * Outside professional fees 6 * * * * * * * Promotion and marketing 9 * * * * * * * Radiology and imaging 1 * * * * * * * Billing/collections purchased services 7 * * * * * * * Management fees paid to MSO 3 * * * * * * * Miscellaneous operating cost 9 * * * * * * * Cost allocated to practice from parent 3 * * * * * * * Total general operating cost 40 $343,393 $194,360 $105,867 $187,189 $346,738 $461,661 $584,410 Total operating cost 40 $499,469 $201,139 $251,175 $338,981 $510,642 $612,035 $747,869 Total operating & NPP cost 16 $590,796 $247,332 $304,069 $390,060 $529,176 $784,874 $1,013,802

14.4d: Provider Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total medical revenue after operating cost 40 $295,219 $409,311 -$156,414 $24,650 $178,454 $635,574 $844,589 Total medical revenue after operating & NPP cost 16 $371,315 $561,074 -$502,457 $51,715 $550,730 $690,450 $1,046,361 Total provider cost 16 $945,576 $227,750 $691,185 $762,233 $872,340 $1,118,570 $1,310,512 Total nonphysician provider cost 16 $166,725 $114,521 $57,534 $98,612 $143,904 $185,084 $419,953 Nonphysician provider compensation 12 $121,157 $84,342 $32,250 $68,031 $117,398 $126,229 $302,202 Nonphysician provider benefit cost 32 $25,639 $11,770 $6,658 $18,932 $27,267 $32,617 $41,008 Total physician cost 40 $810,379 $276,924 $539,019 $617,706 $737,843 $1,001,535 $1,172,609 Total physician compensation 37 $753,185 $276,905 $489,912 $566,607 $682,321 $883,213 $1,142,582 Total physician benefit cost 36 $63,914 $43,595 $32,548 $38,622 $43,857 $79,221 $122,956

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

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Surgery: Cardiovascular, All Practices

(per FTE Physician) 14.4e: Net Income or Loss

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total cost 40 $1,376,538 $411,074 $883,175 $1,117,642 $1,339,274 $1,598,493 $1,899,336 Net nonmedical revenue 10 $164,798 $378,666 $160 $443 $1,491 $123,874 $1,084,721 Nonmedical revenue 8 * * * * * * * Financial support for operating

costs 1 * * * * * * *

Net income, practices with financial support 1 * * * * * * *

Net income, practices without financial support 39 -$360,828 $335,491 -$814,637 -$524,498 -$410,049 -$64,057 $29,125

Net income, excluding financial support (all practices) 40 -$363,805 $331,696 -$810,462 -$523,904 -$415,740 -$73,240 $27,899

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Surgery: Cardiovascular, All Practices

(as a Percentage of Total Medical Revenue) 14.5a: Charges and Revenue

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Net fee-for-service revenue 40 90.53% 19.50% 49.57% 95.91% 100.00% 100.00% 100.00% Net capitation revenue 1 * * * * * * * Net other medical revenue 9 * * * * * * * Total gross charges 33 397.82% 174.76% 129.40% 264.41% 400.09% 533.30% 652.13%

14.5b: Operating Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile General administrative 8 * * * * * * * Patient accounting 6 * * * * * * * General accounting 1 * * * * * * * Total business operations staff 13 4.15% 3.56% .61% 1.76% 3.87% 4.88% 11.09% Medical receptionists 9 * * * * * * * Medical secretaries, transcribers 3 * * * * * * * Medical records 2 * * * * * * * Other administrative support 2 * * * * * * * Total front office support staff 38 12.24% 10.50% 1.53% 3.39% 11.33% 17.41% 27.29% Registered nurses 6 * * * * * * * Licensed practical nurses 3 * * * * * * * Medical assistants, nurse aides 4 * * * * * * * Total clinical support staff 13 3.26% 2.13% .89% 1.08% 3.03% 5.28% 6.62% Clinical laboratory 1 * * * * * * * Other medical support services 2 * * * * * * * Total ancillary support staff 6 * * * * * * * Total employed support staff 39 16.26% 11.69% 5.27% 8.15% 15.02% 18.65% 28.21% Total employed support staff benefits 38 5.04% 3.70% 1.62% 2.70% 3.81% 5.90% 9.64% Total contracted support staff 5 * * * * * * * Total support staff 40 22.13% 14.66% 7.97% 12.00% 18.98% 30.00% 38.72% Information technology 8 * * * * * * * Drug supply 3 * * * * * * * Medical and surgical supply 9 * * * * * * * Building and occupancy 10 3.24% 1.92% 1.44% 1.84% 2.66% 4.22% 7.56% Building/occupancy depreciation 3 * * * * * * * Furniture and equipment 5 * * * * * * * Furniture/equipment depreciation 6 * * * * * * * Administrative supplies and services 9 * * * * * * * Professional liability insurance 9 * * * * * * * Other insurance premiums 6 * * * * * * * Legal fees 6 * * * * * * * Consulting fees 2 * * * * * * * Outside professional fees 6 * * * * * * * Promotion and marketing 9 * * * * * * * Radiology and imaging 1 * * * * * * *

Billing/collections purchased services 7 * * * * * * *

Management fees paid to MSO 3 * * * * * * * Miscellaneous operating cost 9 * * * * * * * Cost allocated to practice from

parent 3 * * * * * * *

Total general operating cost 40 54.83% 54.18% 11.92% 19.90% 48.33% 65.68% 81.50% Total operating cost 40 76.73% 57.65% 29.51% 41.83% 68.27% 86.59% 114.19% Total operating & NPP cost 16 63.08% 37.28% 30.48% 39.02% 49.21% 78.45% 140.66%

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Surgery: Cardiovascular, All Practices

(as a Percentage of Total Medical Revenue) 14.5c: Provider Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total medical revenue after operating cost 40 18.85% 60.52% -35.91% 3.84% 27.80% 56.69% 70.36% Total medical revenue after operating & NPP cost 16 25.39% 61.52% -75.41% 8.62% 48.65% 60.98% 69.52% Total provider cost 16 102.21% 48.00% 62.13% 65.60% 73.86% 146.02% 183.14% Total nonphysician provider cost 16 19.57% 18.82% 3.04% 8.89% 13.72% 20.99% 59.21% Nonphysician provider compensation 12 13.38% 12.02% 2.30% 5.90% 10.47% 18.30% 38.90% Nonphysician provider benefit cost 32 3.84% 2.78% .49% 2.15% 3.19% 5.19% 8.64% Total physician cost 40 125.08% 90.11% 52.45% 67.54% 101.77% 141.77% 197.49% Total physician compensation 37 115.45% 85.92% 48.19% 64.71% 92.66% 127.87% 194.03% Total physician benefit cost 36 10.57% 11.42% 3.69% 4.36% 6.16% 9.15% 24.01%

14.5d: Net Income or Loss

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total cost 40 209.63% 142.53% 98.98% 117.10% 179.24% 238.60% 323.39% Net nonmedical revenue 10 19.25% 40.54% .01% .05% .10% 21.97% 102.99% Nonmedical revenue 8 * * * * * * * Financial support for operating costs 1 * * * * * * * Net income, practices with financial support 1 * * * * * * * Net income, practices without financial support 39 -62.34% 61.07% -141.31% -97.94% -59.56% -5.36% 1.74%

Net income, excluding financial support (all practices) 40 -61.68% 60.42% -138.35% -97.58% -58.24% -5.81% 1.71%

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Surgery: Neurological, All Practices

15.1: Staffing and Practice Data

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total provider FTE 18 8.69 8.57 .48 2.33 7.90 11.27 18.05 Total physician FTE 41 3.18 4.91 .61 1.00 1.25 4.00 7.72 Total nonphysician provider FTE 18 3.29 2.68 .09 1.00 2.25 6.42 7.55 Total support staff FTE 41 11.83 25.17 1.83 2.92 4.46 11.32 23.70 Number of branch clinics 4 * * * * * * * Square footage of all facilities 7 * * * * * * *

15.2: Accounts Receivable Data, Collection Percentages, and Financial Ratios

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total AR/physician 20 $354,322 $198,590 $90,650 $244,348 $305,834 $405,878 $644,284 Total AR/provider 9 * * * * * * * 0-30 days in AR 27 35.79% 21.68% 13.61% 21.85% 28.38% 46.67% 69.56% 31-60 days in AR 27 13.50% 5.06% 7.14% 10.91% 14.12% 17.02% 19.65% 61-90 days in AR 27 6.78% 3.86% .59% 4.35% 7.66% 9.51% 10.25% 91-120 days in AR 27 5.47% 3.50% .73% 2.34% 5.08% 8.44% 10.03% 120+ days in AR 27 38.46% 24.87% 3.45% 12.97% 42.04% 50.77% 64.31% Re-aged: 0-30 days in AR 2 * * * * * * * Re-aged: 31-60 days in AR 2 * * * * * * * Re-aged: 61-90 days in AR 2 * * * * * * * Re-aged: 91-120 days in AR 2 * * * * * * * Re-aged: 120+ days in AR 2 * * * * * * * Not re-aged: 0-30 days in AR 7 * * * * * * * Not re-aged: 31-60 days in AR 7 * * * * * * * Not re-aged: 61-90 days in AR 7 * * * * * * * Not re-aged: 91-120 days in AR 7 * * * * * * * Not re-aged: 120+ days in AR 7 * * * * * * * Months gross FFS charges in AR 27 2.53 2.11 .86 1.38 2.11 2.75 4.04 Months adjusted FFS charges in AR 27 8.27 7.68 2.97 4.46 7.24 10.44 13.15 Days gross FFS charges in AR 27 76.93 64.07 26.24 41.84 64.20 83.69 122.92 Days adjusted FFS charges in AR 27 251.57 233.71 90.47 135.63 220.35 317.64 399.94 Gross FFS collection % 32 30.61% 7.20% 23.41% 26.24% 30.28% 33.37% 41.25% Adjusted FFS collection % 32 92.23% 8.10% 79.60% 87.01% 92.06% 96.69% 102.80%

15.3: Breakout of Total Gross Charges by Type of Payer

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Medicare 13 36.07% 7.61% 24.38% 30.50% 36.28% 41.58% 47.73% Medicaid 13 6.92% 4.40% .06% 3.45% 7.30% 9.45% 14.02% Commercial 13 50.82% 10.09% 37.74% 44.59% 48.04% 59.00% 68.68% Workers' compensation 13 1.88% 2.63% .00% .45% 1.00% 2.28% 7.33% Charity care and prof courtesy 13 .49% 1.38% .00% .00% .00% .32% 3.28% Self-pay 13 2.21% 2.14% .34% .94% 1.35% 2.65% 6.80% Other government payers 13 1.61% 2.86% .00% .00% .00% 2.49% 7.60%

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

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Surgery: Neurological, All Practices

(per FTE Physician) 15.4a: Staffing, RVUs, Patients, Procedures, and Square Footage

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Nonsurgical specialty physicians 2 * * * * * * * Surgical specialty physicians 30 .97 .12 1.00 1.00 1.00 1.00 1.00 Total nonphysician providers 18 .81 .45 .18 .46 .85 1.00 1.48 Total providers 18 1.81 .45 1.18 1.46 1.85 2.00 2.48 General administrative 12 .74 .45 .28 .38 .56 1.06 1.57 Patient accounting 7 * * * * * * * General accounting 6 * * * * * * * Information technology 4 * * * * * * * Housekeeping, maintenance, security 3 * * * * * * * Total business operations staff 14 1.07 .59 .29 .62 1.06 1.32 2.08 Medical receptionists 10 1.01 .75 .26 .33 .97 1.35 2.63 Medical secretaries, transcribers 6 * * * * * * * Medical records 6 * * * * * * * Other administrative support 5 * * * * * * * Total front office support staff 32 2.49 1.66 .94 1.29 2.14 3.53 4.62 Registered nurses 7 * * * * * * * Licensed practical nurses 4 * * * * * * * Medical assistants, nurse aides 9 * * * * * * * Total clinical support staff 15 1.25 .95 .03 .60 1.13 1.87 2.78 Radiology and imaging 1 * * * * * * * Other medical support services 4 * * * * * * * Total ancillary support staff 6 * * * * * * * Total employed support staff 37 3.70 2.55 1.79 2.26 2.96 4.47 5.72 Total contracted support staff 5 * * * * * * * Total support staff 41 3.69 2.43 1.84 2.26 3.13 4.47 5.49 Total RVUs 31 23,842 14,090 8,109 15,273 20,965 29,329 45,610 Physician work RVUs 33 10,551 4,572 4,247 7,746 9,652 13,417 16,746 Patients 13 1,103 606 510 638 905 1,523 2,222 Total procedures 7 * * * * * * * Square feet 7 * * * * * * *

15.4b: Charges and Revenue

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Net fee-for-service revenue 41 $867,029 $385,492 $413,872 $509,712 $964,147 $1,081,226 $1,335,691 Gross FFS charges 32 $2,946,093 $1,697,460 $1,261,991 $1,602,505 $2,460,237 $3,776,300 $5,292,588 Adjustments to FFS charges 32 $2,016,882 $1,289,140 $787,682 $1,005,155 $1,545,293 $2,581,213 $3,993,603 Adjusted FFS charges 32 $929,212 $467,054 $433,681 $573,848 $893,461 $1,215,186 $1,383,600 Bad debts due to FFS

activity 12 $37,858 $25,331 $6,373 $13,817 $39,108 $50,547 $83,757

Capitation revenue 1 * * * * * * * Purchased services for

capitation patients 1 * * * * * * *

Net other medical revenue 10 $229,304 $236,649 $1,029 $36,168 $134,077 $523,825 $588,172 Gross revenue from other

medical activities 10 $234,408 $244,392 $1,029 $36,168 $134,077 $536,584 $593,275

Other medical revenue 11 $102,368 $117,757 $572 $6,093 $57,549 $233,410 $314,774 Revenue from hospital 4 * * * * * * * Revenue from sale of

goods/services 3 * * * * * * *

Cost of sales 1 * * * * * * * Total gross charges 31 $2,859,006 $1,726,120 $1,082,008 $1,524,116 $2,367,283 $3,644,477 $5,294,074 Total medical revenue 41 $941,782 $444,663 $427,043 $547,992 $972,548 $1,147,032 $1,575,019

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Surgery: Neurological, All Practices

(per FTE Physician) 15.4c: Operating Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile General administrative 12 $51,015 $29,417 $20,955 $32,025 $43,515 $65,528 $109,201 Patient accounting 7 * * * * * * * General accounting 6 * * * * * * * Information technology 4 * * * * * * * Housekeeping, maintenance, security 3 * * * * * * * Total business operations staff 14 $66,768 $37,945 $17,016 $48,097 $58,320 $76,350 $138,390 Medical receptionists 10 $35,175 $27,865 $6,717 $10,434 $30,325 $50,232 $94,384 Medical secretaries, transcribers 6 * * * * * * * Medical records 6 * * * * * * * Other administrative support 5 * * * * * * * Total front office support staff 32 $101,516 $75,072 $29,171 $46,257 $91,019 $119,972 $224,527 Registered nurses 7 * * * * * * * Licensed practical nurses 4 * * * * * * * Medical assistants, nurse aides 9 * * * * * * * Total clinical support staff 15 $52,895 $36,907 $1,917 $19,475 $47,320 $92,415 $103,774 Clinical laboratory 1 * * * * * * * Radiology and imaging 4 * * * * * * * Other medical support services 6 * * * * * * * Total ancillary support staff 36 $177,437 $133,948 $79,888 $97,750 $133,369 $181,647 $315,093 Total employed support staff 36 $54,574 $52,316 $12,518 $29,171 $43,499 $55,357 $124,224 Total employed support staff benefits 5 * * * * * * * Total contracted support staff 38 $188,087 $86,353 $88,574 $126,270 $165,876 $223,817 $327,460 Total support staff 12 $15,086 $12,521 $1,186 $4,329 $13,809 $21,677 $39,085 Information technology 7 * * * * * * * Drug supply 13 $5,616 $13,796 $184 $320 $1,175 $3,864 $33,460 Medical and surgical supply 14 $53,442 $16,025 $31,334 $37,254 $54,129 $66,813 $78,327 Building and occupancy 7 * * * * * * * Building/occupancy depreciation 11 $2,495 $2,376 $96 $496 $2,292 $3,455 $7,027 Furniture and equipment 9 * * * * * * * Furniture/equipment depreciation 14 $18,970 $33,181 $1,234 $2,810 $8,087 $20,026 $80,116 Administrative supplies and services 14 $47,670 $29,085 $11,172 $24,304 $46,386 $62,574 $96,256 Professional liability insurance 6 * * * * * * * Other insurance premiums 5 * * * * * * * Legal fees 4 * * * * * * * Consulting fees 8 * * * * * * * Outside professional fees 10 $3,845 $3,935 $443 $899 $3,156 $5,048 $12,192 Promotion and marketing 1 * * * * * * * Radiology and imaging 1 * * * * * * * Other ancillary services 8 * * * * * * * Billing/collections purchased services 5 * * * * * * * Management fees paid to MSO 12 $14,340 $15,147 $1,110 $4,892 $10,385 $19,009 $47,213 Miscellaneous operating cost 2 * * * * * * * Cost allocated to practice from parent 41 $289,978 $173,193 $117,317 $199,626 $244,293 $372,446 $529,996 Total general operating cost 41 $536,146 $267,759 $277,508 $360,679 $450,571 $711,286 $867,871 Total operating cost 16 $617,894 $375,041 $353,522 $398,085 $538,123 $699,576 $1,094,758 Total operating & NPP cost 12 $51,015 $29,417 $20,955 $32,025 $43,515 $65,528 $109,201

15.4d: Provider Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total medical revenue after operating cost 40 $402,325 $413,853 -$124,070 $107,337 $385,794 $716,882 $1,036,420 Total medical revenue after operating & NPP cost 16 $423,161 $562,313 -$331,082 $148,352 $463,596 $884,228 $1,105,992 Total provider cost 15 $1,050,455 $368,374 $525,857 $813,519 $1,029,720 $1,246,199 $1,658,791 Total nonphysician provider cost 15 $107,241 $66,768 $12,663 $61,903 $105,278 $137,904 $211,862 Nonphysician provider

compensation 12 $98,982 $57,985 $21,232 $54,628 $98,753 $124,228 $206,459

Nonphysician provider benefit cost 20 $18,503 $11,679 $2,334 $10,754 $18,945 $27,958 $36,392

Total physician cost 39 $925,066 $357,744 $499,917 $642,151 $881,217 $1,087,246 $1,519,926 Total physician compensation 33 $818,312 $339,109 $455,069 $554,905 $760,035 $995,044 $1,382,281 Total physician benefit cost 28 $53,696 $27,173 $24,269 $37,150 $45,853 $76,721 $91,170

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Surgery: Neurological, All Practices

(per FTE Physician) 15.4e: Net Income or Loss

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total cost 39 $1,498,322 $571,767 $920,573 $1,009,679 $1,406,666 $1,739,315 $2,109,182 Net nonmedical revenue 7 * * * * * * * Nonmedical revenue 6 * * * * * * * Net income, practices without financial support 40 -$313,001 $390,452 -$942,694 -$489,575 -$189,917 -$30,534 $1,638

Net income, excluding financial support (all practices) 40 -$313,001 $390,452 -$942,694 -$489,575 -$189,917 -$30,534 $1,638

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

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Surgery: Neurological, All Practices

(as a Percentage of Total Medical Revenue) 15.5a: Charges and Revenue

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Net fee-for-service revenue 41 94.01% 11.50% 70.84% 92.70% 100.00% 100.00% 100.00% Net other medical revenue 10 18.05% 15.62% .11% 5.63% 13.12% 31.57% 42.55% Total gross charges 31 320.53% 92.09% 189.40% 256.69% 321.74% 381.75% 415.89%

15.5b: Operating Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile General administrative 12 5.21% 3.33% 1.47% 2.30% 4.90% 7.29% 11.41% Patient accounting 7 * * * * * * * General accounting 6 * * * * * * * Information technology 4 * * * * * * * Housekeeping, maintenance, security 3 * * * * * * * Total business operations staff 14 6.44% 3.09% 1.56% 4.66% 6.28% 8.57% 11.27% Medical receptionists 10 3.81% 3.58% .46% .75% 3.90% 5.11% 11.71% Medical secretaries, transcribers 6 * * * * * * * Medical records 6 * * * * * * * Other administrative support 5 * * * * * * * Total front office support staff 32 15.73% 18.59% 2.62% 4.31% 12.13% 19.26% 34.83% Registered nurses 7 * * * * * * * Licensed practical nurses 4 * * * * * * * Medical assistants, nurse aides 9 * * * * * * * Total clinical support staff 15 4.59% 3.19% .27% 2.06% 4.81% 7.20% 10.16% Radiology and imaging 1 * * * * * * * Other medical support services 4 * * * * * * * Total ancillary support staff 6 * * * * * * * Total employed support staff 37 28.58% 43.17% 10.39% 12.20% 15.95% 21.66% 67.59% Total employed support staff benefits 36 8.16% 11.89% 2.22% 2.92% 4.20% 7.66% 22.40% Total contracted support staff 5 * * * * * * * Total support staff 41 34.58% 52.26% 12.85% 15.14% 20.11% 27.10% 83.44% Information technology 12 1.26% .92% .17% .44% 1.08% 2.05% 2.84% Drug supply 7 * * * * * * * Medical and surgical supply 13 .37% .77% .02% .03% .12% .34% 1.92% Building and occupancy 14 5.24% 1.66% 3.45% 3.77% 5.19% 5.78% 8.53% Building/occupancy depreciation 7 * * * * * * * Furniture and equipment 11 .27% .22% .01% .08% .23% .51% .63% Furniture/equipment depreciation 9 * * * * * * * Administrative supplies and services 14 1.55% 1.87% .13% .43% .65% 2.75% 5.21% Professional liability insurance 14 5.36% 5.27% .83% 2.16% 4.06% 5.70% 15.79% Other insurance premiums 6 * * * * * * * Legal fees 5 * * * * * * * Outside professional fees 4 * * * * * * * Promotion and marketing 8 * * * * * * * Clinical laboratory 10 .28% .21% .06% .10% .26% .41% .68% Radiology and imaging 1 * * * * * * * Other ancillary services 1 * * * * * * *

Billing/collections purchased services 8 * * * * * * * Management fees paid to MSO 5 * * * * * * * Miscellaneous operating cost 12 1.26% .84% .18% .66% 1.20% 1.61% 2.91% Cost allocated to practice from parent 2 * * * * * * * Total general operating cost 41 38.69% 34.11% 11.02% 17.15% 30.42% 52.45% 76.79% Total operating cost 41 73.01% 66.31% 27.61% 36.34% 52.40% 82.25% 123.21% Total operating & NPP cost 16 57.95% 27.00% 37.48% 39.13% 45.81% 71.18% 108.00%

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

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Surgery: Neurological, All Practices

(per FTE Physician) 15.5c: Provider Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total medical revenue after operating cost 41 20.36% 82.00% -30.18% 14.40% 39.30% 63.66% 72.39% Total medical revenue after operating & NPP cost 18 -372.61% 1357.32% -2114.96% 3.87% 42.81% 59.98% 62.38% Total provider cost 16 110.72% 52.19% 57.25% 69.22% 104.99% 137.94% 200.84% Total nonphysician provider cost 15 11.20% 7.25% .99% 6.50% 9.96% 16.47% 22.83% Nonphysician provider compensation 12 10.52% 6.28% 1.96% 7.33% 8.42% 17.56% 20.01% Nonphysician provider benefit cost 20 2.26% 1.60% .16% .88% 2.08% 2.91% 4.84% Total physician cost 41 239.24% 793.47% 62.42% 76.32% 102.81% 129.33% 212.13% Total physician compensation 33 103.63% 64.72% 54.75% 66.33% 94.28% 119.11% 153.39% Total physician benefit cost 33 9.88% 9.19% 3.57% 4.74% 6.55% 11.02% 23.65%

15.5d: Net Income or Loss

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total cost 39 182.80% 109.47% 100.00% 125.98% 159.80% 204.61% 281.17% Net nonmedical revenue 7 * * * * * * * Nonmedical revenue 6 * * * * * * * Net income, practices without financial support 40 -36.46% 40.67% -96.80% -57.11% -28.44% -4.44% .14%

Net income, excluding financial support (all practices) 39 -36.08% 41.13% -97.41% -57.69% -27.15% -3.85% .14%

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Urology, All Practices

16.1: Staffing and Practice Data

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total provider FTE 21 9.02 7.63 1.75 3.75 7.00 12.90 21.70 Total physician FTE 46 4.34 5.75 .75 1.00 2.00 4.99 11.28 Total nonphysician provider FTE 21 2.15 1.82 .46 .96 1.27 2.90 5.80 Total support staff FTE 44 21.74 34.71 1.73 3.99 6.36 19.38 81.27 Number of branch clinics 9 * * * * * * * Square footage of all facilities 11 43,398 66,696 3,244 4,682 17,830 46,717 200,708

16.2: Accounts Receivable Data, Collection Percentages, and Financial Ratios

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total AR/physician 17 $199,523 $94,248 $82,172 $135,187 $173,551 $256,167 $350,904 Total AR/provider 9 * * * * * * * 0-30 days in AR 19 53.39% 26.48% .00% 32.90% 61.39% 73.93% 80.02% 31-60 days in AR 19 10.98% 6.27% .00% 8.00% 10.50% 14.01% 17.11% 61-90 days in AR 19 5.81% 3.43% 1.57% 3.50% 4.36% 9.45% 10.50% 91-120 days in AR 19 5.90% 4.94% 1.96% 2.32% 3.69% 8.58% 13.49% 120+ days in AR 19 23.92% 27.55% 3.17% 4.55% 9.86% 35.64% 85.33% Re-aged: 0-30 days in AR 1 * * * * * * * Re-aged: 31-60 days in AR 1 * * * * * * * Re-aged: 61-90 days in AR 1 * * * * * * * Re-aged: 91-120 days in AR 1 * * * * * * * Re-aged: 120+ days in AR 1 * * * * * * * Not re-aged: 0-30 days in AR 11 68.08% 10.49% 52.22% 58.54% 68.00% 79.99% 81.89% Not re-aged: 31-60 days in AR 11 12.43% 2.95% 8.36% 9.85% 12.51% 14.46% 16.93% Not re-aged: 61-90 days in AR 11 5.94% 3.16% 1.88% 3.50% 4.36% 9.45% 10.39% Not re-aged: 91-120 days in AR 11 5.16% 4.67% 1.97% 2.20% 3.69% 6.13% 16.03% Not re-aged: 120+ days in AR 11 8.39% 7.20% .63% 3.97% 6.57% 9.86% 22.76% Months gross FFS charges in AR 18 1.96 2.41 .72 .89 1.18 1.52 4.83 Months adjusted FFS charges in AR 15 2.50 .92 1.32 1.79 2.50 2.85 4.26 Days gross FFS charges in AR 17 44.06 31.67 21.77 26.84 35.47 40.05 123.85 Days adjusted FFS charges in AR 15 76.09 28.06 40.06 54.41 76.09 86.70 129.64 Gross FFS collection % 23 40.39% 10.81% 24.82% 33.31% 41.70% 47.54% 55.19% Adjusted FFS collection % 22 92.33% 12.96% 68.23% 91.04% 97.01% 98.29% 100.00%

16.3: Breakout of Total Gross Charges by Type of Payer

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Medicare 21 47.47% 8.34% 38.13% 43.00% 46.52% 51.41% 58.09% Medicaid 21 6.60% 5.80% .65% 1.23% 5.30% 10.80% 16.57% Commercial 21 43.61% 8.46% 34.22% 36.88% 45.30% 49.00% 52.33% Workers' compensation 21 .04% .05% .00% .00% .00% .07% .13% Charity care and prof courtesy 21 .24% .53% .00% .00% .00% .35% .60% Self-pay 21 1.32% 1.08% .00% .66% 1.00% 1.95% 2.76% Other government payers 21 .72% 1.27% .00% .00% .26% .70% 2.99%

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Urology, All Practices (per FTE Physician)

16.4a: Staffing, RVUs, Patients, Procedures, and Square Footage

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Primary care physicians 1 * * * * * * * Nonsurgical specialty physicians 4 * * * * * * * Surgical specialty physicians 18 .99 .03 .91 1.00 1.00 1.00 1.00 Total nonphysician providers 21 .43 .29 .10 .18 .33 .63 .92 Total providers 21 1.43 .29 1.10 1.18 1.33 1.63 1.92 General administrative 17 .51 .50 .12 .22 .40 .57 1.25 Patient accounting 11 .63 .19 .31 .50 .64 .77 .89 General accounting 9 * * * * * * * Managed care administrative 1 * * * * * * * Information technology 6 * * * * * * * Housekeeping, maintenance, security 1 * * * * * * * Total business operations staff 19 1.01 .59 .21 .52 1.00 1.38 1.84 Medical receptionists 14 1.16 .45 .52 .78 1.10 1.41 1.90 Medical secretaries, transcribers 5 * * * * * * * Medical records 7 * * * * * * * Other administrative support 6 * * * * * * * Total front office support staff 24 1.97 .82 .90 1.50 1.77 2.64 3.08 Registered nurses 16 .39 .32 .04 .12 .27 .59 .98 Licensed practical nurses 12 .54 .57 .04 .14 .34 .76 1.74 Medical assistants, nurse aides 18 .87 .59 .11 .37 .83 1.14 1.90 Total clinical support staff 24 1.62 .74 .65 1.17 1.41 2.33 2.73 Clinical laboratory 7 * * * * * * * Radiology and imaging 6 * * * * * * * Other medical support services 10 .40 .33 .01 .11 .33 .72 .98 Total ancillary support staff 14 .69 .44 .08 .29 .72 1.02 1.38 Total employed support staff 36 3.78 1.69 1.62 2.60 4.00 4.72 5.76 Total contracted support staff 3 * * * * * * * Total support staff 44 3.87 1.64 1.78 2.66 4.00 4.86 5.85 Total RVUs 29 22,031 17,045 10,942 14,020 18,713 24,898 30,832 Physician work RVUs 32 10,340 7,653 5,068 7,119 9,038 11,397 15,113 Patients 19 2,045 800 1,056 1,439 2,043 2,571 3,218 Total procedures 10 9,994 7,433 1,470 4,297 7,695 15,049 24,069 Square feet 10 2,216 832 1,138 1,624 1,880 3,101 3,272

16.4b: Charges and Revenue

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Net fee-for-service revenue 46 $827,927 $379,145 $334,305 $543,843 $795,115 $1,034,755 $1,382,320 Gross FFS charges 23 $2,219,693 $1,185,340 $964,865 $1,390,599 $1,671,036 $3,109,779 $4,294,694 Adjustments to FFS charges 22 $1,287,474 $882,826 $525,542 $713,913 $927,722 $1,690,001 $2,837,723 Adjusted FFS charges 22 $921,118 $420,875 $348,171 $575,850 $864,119 $1,292,714 $1,616,774 Bad debts due to FFS activity 13 $24,346 $11,814 $9,710 $14,334 $23,810 $32,311 $45,169 Gross capitation charges 1 * * * * * * * Purchased services for

capitation patients 1 * * * * * * *

Net other medical revenue 16 $69,794 $106,290 $3,112 $13,471 $39,162 $63,564 $269,072 Gross revenue from other

medical activities 15 $83,914 $114,503 $3,034 $20,986 $42,995 $75,689 $298,584

Other medical revenue 17 $34,304 $48,323 $1,173 $3,838 $20,986 $43,447 $100,898 Revenue from hospital 2 * * * * * * * Revenue from sale of

goods/services 5 * * * * * * *

Cost of sales 2 * * * * * * * Total gross charges 22 $2,292,235 $1,188,070 $958,002 $1,403,483 $1,808,597 $3,151,697 $4,361,753 Total medical revenue 46 $862,806 $390,678 $402,496 $543,843 $795,115 $1,059,724 $1,476,646

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Urology, All Practices (per FTE Physician)

16.4c: Operating Cost Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile

General administrative 17 $35,755 $25,352 $13,372 $20,526 $28,992 $39,111 $75,976 Patient accounting 11 $28,366 $7,959 $17,521 $20,979 $29,038 $35,111 $40,817 General accounting 9 * * * * * * * Managed care administrative 1 * * * * * * * Information technology 6 * * * * * * * Housekeeping, maintenance, security 2 * * * * * * * Total business operations staff 19 $58,326 $35,625 $14,911 $28,366 $54,749 $78,603 $130,806 Medical receptionists 14 $37,711 $15,109 $15,703 $26,030 $39,512 $51,099 $59,389 Medical secretaries, transcribers 5 * * * * * * * Medical records 7 * * * * * * * Other administrative support 7 * * * * * * * Total front office support staff 24 $72,179 $38,936 $23,958 $48,118 $63,507 $90,644 $139,025 Registered nurses 16 $21,982 $16,404 $1,781 $8,137 $19,389 $32,061 $52,905 Licensed practical nurses 12 $23,270 $26,754 $1,675 $5,839 $13,990 $28,927 $81,453 Medical assistants, nurse aides 18 $29,406 $20,125 $3,428 $15,862 $25,382 $44,624 $61,473 Total clinical support staff 25 $64,137 $32,635 $22,796 $49,298 $56,775 $76,793 $114,363 Clinical laboratory 7 * * * * * * * Radiology and imaging 6 * * * * * * * Other medical support services 10 $19,151 $14,959 $265 $7,183 $16,363 $37,514 $39,654 Total ancillary support staff 14 $30,441 $22,303 $4,980 $13,921 $23,154 $40,588 $73,332 Total employed support staff 35 $188,925 $116,555 $77,430 $109,841 $163,759 $221,694 $314,485 Total employed support staff benefits 33 $48,563 $32,042 $14,781 $26,155 $42,959 $60,913 $89,773 Total contracted support staff 7 * * * * * * * Total support staff 41 $214,995 $84,682 $102,184 $147,000 $223,697 $267,926 $298,926 Information technology 15 $17,379 $12,412 $1,645 $4,449 $12,082 $31,256 $34,945 Drug supply 17 $115,753 $110,519 $18,570 $42,628 $94,812 $138,326 $347,366 Medical and surgical supply 16 $28,965 $16,601 $13,900 $19,905 $24,153 $30,874 $64,456 Building and occupancy 17 $76,133 $39,152 $36,148 $53,045 $64,532 $95,713 $150,859 Building/occupancy depreciation 5 * * * * * * * Furniture and equipment 12 $7,101 $8,036 $663 $1,619 $3,171 $12,895 $22,357 Furniture/equipment depreciation 12 $16,201 $11,722 $2,843 $8,158 $12,004 $23,227 $37,884 Administrative supplies and services 16 $13,177 $11,924 $2,884 $5,253 $8,290 $21,497 $34,328 Professional liability insurance 16 $17,027 $20,321 $5,878 $7,593 $10,103 $15,397 $56,463 Other insurance premiums 10 $2,508 $2,169 $129 $1,339 $1,540 $3,676 $7,262 Legal fees 8 * * * * * * * Consulting fees 6 * * * * * * * Outside professional fees 13 $11,042 $17,535 $87 $2,550 $6,405 $11,387 $47,779 Promotion and marketing 13 $3,610 $4,809 $83 $413 $1,806 $5,059 $13,808 Clinical laboratory 10 $12,330 $11,305 $866 $1,609 $9,249 $23,539 $31,493 Radiology and imaging 6 * * * * * * * Other ancillary services 5 * * * * * * * Billing/collections purchased services 8 * * * * * * * Management fees paid to MSO 5 * * * * * * * Miscellaneous operating cost 14 $26,826 $65,936 $932 $2,974 $8,922 $15,025 $140,637 Cost allocated to practice from parent 6 * * * * * * * Total general operating cost 44 $279,981 $172,827 $45,376 $166,172 $273,828 $342,413 $505,886 Total operating cost 44 $525,433 $234,862 $228,955 $337,375 $494,326 $680,247 $826,197 Total operating & NPP cost 19 $723,699 $237,312 $449,136 $541,976 $729,617 $851,022 $1,109,772

16.4d: Provider Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total medical revenue after operating cost 45 $233,458 $355,131 -$299,261 -$36,374 $276,693 $499,965 $644,599 Total medical revenue after operating & NPP cost 20 $81,848 $876,409 -$1,140,243 $82,581 $439,830 $528,776 $605,321 Total provider cost 17 $563,212 $73,013 $442,234 $513,474 $566,302 $629,748 $663,949 Total nonphysician provider cost 19 $95,665 $181,746 $10,896 $23,335 $30,533 $61,671 $598,731 Nonphysician provider compensation 12 $32,000 $20,512 $5,330 $14,580 $27,573 $53,375 $64,427 Nonphysician provider benefit cost 12 $6,805 $6,560 $344 $2,039 $4,746 $11,151 $19,709 Total physician cost 46 $666,393 $590,100 $412,896 $444,128 $529,541 $586,289 $850,730 Total physician compensation 25 $449,040 $84,742 $364,428 $382,914 $461,892 $503,861 $566,286 Total physician benefit cost 25 $58,871 $31,334 $29,914 $39,721 $55,047 $68,122 $93,566

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Urology, All Practices (per FTE Physician)

16.4e: Net Income or Loss Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total cost 42 $1,103,198 $303,246 $763,418 $878,549 $1,061,205 $1,347,449 $1,484,527 Net nonmedical revenue 10 $12,183 $18,512 $126 $224 $3,146 $22,883 $53,934 Nonmedical revenue 9 * * * * * * * Financial support for operating costs 1 * * * * * * *

Goodwill amortization 1 * * * * * * * Net income, practices with financial support 1 * * * * * * *

Net income, practices without financial support 44 -$159,572 $205,588 -$481,118 -$280,342 -$92,922 -$2 $45,108

Net income, excluding financial support (all practices) 45 -$166,449 $208,408 -$480,865 -$289,439 -$96,632 -$4 $44,932

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Urology, All Practices

(as a Percentage of Total Medical Revenue) 16.5a: Charges and Revenue

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Net fee-for-service revenue 46 95.98% 10.18% 87.77% 95.96% 99.96% 100.00% 100.00% Net other medical revenue 16 6.00% 8.15% .34% 1.50% 3.79% 5.54% 19.05% Total gross charges 22 264.28% 107.58% 158.51% 198.79% 237.37% 306.86% 415.95%

16.5b: Operating Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile General administrative 17 3.82% 2.78% 1.75% 2.00% 2.48% 4.50% 9.55% Patient accounting 11 2.71% 1.57% 1.20% 1.90% 2.00% 3.14% 6.22% General accounting 9 * * * * * * * Managed care administrative 1 * * * * * * * Information technology 6 * * * * * * * Housekeeping, maintenance,

security 2 * * * * * * *

Total business operations staff 19 5.97% 4.11% 2.22% 3.25% 5.17% 7.76% 10.97% Medical receptionists 14 3.98% 2.01% 1.50% 2.68% 3.46% 5.34% 7.51% Medical secretaries, transcribers 5 * * * * * * * Medical records 7 * * * * * * * Other administrative support 7 * * * * * * * Total front office support staff 24 11.07% 12.48% 2.81% 4.31% 6.82% 10.20% 35.42% Registered nurses 16 2.31% 1.87% .26% .57% 1.96% 3.81% 5.31% Licensed practical nurses 12 2.10% 2.05% .19% .62% 1.22% 3.82% 6.07% Medical assistants, nurse aides 18 3.46% 3.94% .34% 1.41% 2.81% 4.02% 6.72% Total clinical support staff 25 7.34% 4.78% 3.08% 4.18% 5.76% 9.72% 14.96% Clinical laboratory 7 * * * * * * * Radiology and imaging 6 * * * * * * * Other medical support services 10 2.52% 2.99% .03% .64% 1.33% 3.55% 9.13% Total ancillary support staff 14 3.13% 2.45% .54% 1.36% 2.67% 4.41% 7.73% Total employed support staff 34 22.37% 12.51% 9.80% 15.10% 18.36% 25.07% 49.10% Total employed support staff benefits 33 6.44% 5.54% 2.15% 3.11% 5.24% 7.27% 11.78% Total contracted support staff 7 * * * * * * * Total support staff 42 28.05% 14.33% 13.55% 18.41% 22.91% 33.08% 54.28% Information technology 15 1.59% 1.07% .13% .77% 1.30% 2.49% 3.25% Drug supply 17 9.09% 5.67% 3.66% 5.53% 7.86% 10.84% 20.28% Medical and surgical supply 16 2.68% .96% 1.64% 1.84% 2.45% 3.32% 4.24% Building and occupancy 17 7.26% 4.43% 3.61% 4.95% 6.53% 8.15% 12.07% Building/occupancy depreciation 5 * * * * * * * Furniture and equipment 12 .70% .83% .09% .18% .31% .98% 2.45% Furniture/equipment depreciation 12 1.79% 1.59% .26% .65% 1.27% 2.96% 4.97% Administrative supplies and services 16 1.18% .91% .32% .59% .94% 1.61% 3.01% Professional liability insurance 16 1.71% 1.90% .55% .70% 1.00% 1.69% 6.10% Other insurance premiums 10 .19% .16% .01% .10% .15% .28% .48% Legal fees 8 * * * * * * * Consulting fees 6 * * * * * * * Outside professional fees 13 1.34% 2.76% .01% .18% .52% 1.30% 6.88% Promotion and marketing 13 .30% .45% .01% .04% .18% .41% 1.23% Clinical laboratory 10 .89% .69% .12% .20% .72% 1.64% 1.80% Radiology and imaging 6 * * * * * * * Other ancillary services 5 * * * * * * *

Billing/collections purchased services 8 * * * * * * *

Management fees paid to MSO 5 * * * * * * * Miscellaneous operating cost 14 2.07% 4.17% .14% .22% .88% 1.75% 9.48% Cost allocated to practice from

parent 6 * * * * * * *

Total general operating cost 46 48.80% 91.14% 5.95% 24.59% 33.42% 43.71% 77.33% Total operating cost 44 66.59% 31.99% 37.38% 47.37% 58.22% 71.55% 114.74% Total operating & NPP cost 21 100.90% 96.66% 46.41% 54.08% 62.82% 84.27% 276.14%

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

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Urology, All Practices

(as a Percentage of Total Medical Revenue) 16.5c: Provider Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total medical revenue after operating cost 46 6.92% 93.84% -49.79% -11.98% 35.97% 49.69% 57.12% Total medical revenue after operating & NPP cost 16 37.76% 13.17% 18.85% 27.02% 40.07% 46.14% 55.43% Total provider cost 18 57.11% 22.39% 33.41% 41.89% 51.05% 69.60% 99.62% Total nonphysician provider cost 18 6.06% 12.08% .84% 1.87% 3.53% 4.46% 11.67% Nonphysician provider compensation 12 2.71% 1.76% .48% 1.05% 2.63% 4.07% 5.78% Nonphysician provider benefit cost 12 .82% 1.25% .03% .17% .39% .94% 3.57% Total physician cost 46 94.23% 104.29% 35.54% 47.62% 59.52% 103.10% 146.74% Total physician compensation 25 62.83% 33.53% 26.35% 32.82% 46.91% 89.61% 112.72% Total physician benefit cost 25 7.64% 4.19% 3.09% 5.10% 7.10% 9.26% 13.40%

16.5d: Net Income or Loss

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total cost 45 180.48% 144.45% 96.47% 100.32% 122.80% 207.38% 353.86% Net nonmedical revenue 12 11.43% 31.12% .01% .05% .41% 3.17% 81.95% Nonmedical revenue 9 * * * * * * * Financial support for operating costs 1 * * * * * * * Goodwill amortization 1 * * * * * * * Net income, practices with financial support 1 * * * * * * * Net income, practices without financial support 44 -26.54% 37.45% -96.91% -40.61% -17.59% .00% 4.13%

Net income, excluding financial support (all practices) 45 -27.50% 37.58% -93.85% -44.99% -17.64% .00% 4.12%

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

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Urology, All Practices

(per FTE Provider) 16.6a: Staffing, RVUs, Patients, Procedures, and Square Footage

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total nonphysician providers 21 .27 .14 .09 .15 .25 .38 .48 Total physicians 21 .73 .14 .52 .62 .75 .85 .91 General administrative 14 .41 .49 .14 .18 .27 .42 1.31 Patient accounting 9 * * * * * * * General accounting 7 * * * * * * * Information technology 5 * * * * * * * Housekeeping, maintenance, security 1 * * * * * * * Total business operations staff 14 .85 .55 .22 .44 .73 1.13 1.87 Medical receptionists 11 .98 .34 .49 .77 .86 1.31 1.53 Medical secretaries, transcribers 5 * * * * * * * Medical records 7 * * * * * * * Other administrative support 6 * * * * * * * Total front office support staff 14 1.42 .47 .90 1.05 1.35 1.59 2.34 Registered nurses 13 .30 .24 .05 .10 .24 .48 .75 Licensed practical nurses 11 .44 .40 .03 .13 .29 .70 1.18 Medical assistants, nurse aides 14 .68 .41 .16 .35 .63 .98 1.41 Total clinical support staff 17 1.32 .60 .61 .90 1.12 1.62 2.37 Clinical laboratory 7 * * * * * * * Radiology and imaging 6 * * * * * * * Other medical support services 8 * * * * * * * Total ancillary support staff 12 .49 .37 .05 .17 .45 .71 1.16 Total employed support staff 21 3.32 1.34 1.60 2.51 3.01 3.75 6.09 Total contracted support staff 3 * * * * * * * Total support staff 21 3.34 1.35 1.60 2.51 3.01 3.84 6.09 Total RVUs 17 16,463 5,139 9,924 12,263 15,937 20,032 24,739 Physician work RVUs 19 7,926 2,589 5,509 5,900 7,680 8,993 12,703 Patients 15 1,736 687 978 1,194 1,724 2,188 2,953 Total procedures 7 * * * * * * * Square feet 9 * * * * * * *

16.6b: Charges, Revenue, and Cost

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total gross charges 12 $2,190,573 $678,682 $1,237,419 $1,595,559 $2,141,740 $2,681,609 $3,343,475 Total medical revenue 21 $797,990 $318,989 $386,926 $577,206 $789,119 $1,034,547 $1,349,125 Net fee-for-service revenue 21 $756,930 $295,439 $379,328 $551,200 $745,538 $992,187 $1,214,801 Net other medical revenue 12 $29,145 $20,574 $2,761 $10,047 $24,595 $46,965 $58,914 Total medical revenue after operating cost 21 $229,899 $285,470 -$248,940 -$5,909 $369,009 $438,409 $519,539 Total medical revenue after operating & NPP cost 16 $343,239 $141,880 $117,207 $236,033 $365,488 $425,976 $537,555 Total support staff cost 21 $189,664 $73,076 $112,375 $128,240 $178,429 $244,936 $303,068 Total general operating cost 21 $267,394 $181,043 $28,969 $122,872 $238,964 $386,787 $554,234 Total operating cost 21 $457,057 $225,194 $142,160 $332,906 $410,769 $626,857 $785,732 Total operating & NPP cost 21 $661,679 $444,309 $368,519 $419,575 $457,802 $716,035 $1,667,267 Total provider cost 19 $449,500 $81,615 $354,615 $380,569 $438,371 $476,962 $598,740 Total nonphysician provider cost 19 $56,635 $93,997 $9,867 $15,276 $25,608 $40,454 $309,484 Total physician cost 21 $480,226 $306,348 $294,455 $332,360 $402,097 $450,455 $870,891 Total physician compensation 14 $364,059 $74,656 $242,946 $326,210 $366,355 $392,210 $486,035 Total physician benefit cost 14 $49,752 $21,014 $22,099 $35,429 $47,809 $58,791 $87,328 Total cost 21 $1,141,905 $723,581 $707,023 $763,180 $849,139 $1,160,590 $2,509,374 Net nonmedical revenue 11 $18,611 $34,325 $98 $212 $2,973 $21,882 $99,878 Net income, excluding financial support (all practices) 21 -$106,340 $159,165 -$382,092 -$253,914 -$36,172 $3,511 $39,102

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

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Urology, All Practices

(per Square Foot) 16.7a: Staffing per 10,000 Square Feet

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total physicians 11 4.74 2.47 .81 3.11 5.05 5.69 8.72 Total nonphysician providers 9 * * * * * * * Total providers 9 * * * * * * * General administrative 9 * * * * * * * Patient accounting 8 * * * * * * * General accounting 6 * * * * * * * Information technology 4 * * * * * * * Housekeeping, maintenance, security 1 * * * * * * * Total business operations staff 10 4.79 1.22 2.63 4.05 4.72 6.05 6.23 Medical receptionists 9 * * * * * * * Medical secretaries, transcribers 3 * * * * * * * Medical records 7 * * * * * * * Other administrative support 3 * * * * * * * Total front office support staff 10 6.10 3.02 .52 3.94 7.03 8.40 9.50 Registered nurses 9 * * * * * * * Licensed practical nurses 7 * * * * * * * Medical assistants, nurse aides 10 3.95 3.38 .39 1.36 3.52 5.47 11.23 Total clinical support staff 11 7.79 4.00 1.09 4.59 7.93 11.81 13.06 Clinical laboratory 4 * * * * * * * Radiology and imaging 4 * * * * * * * Other medical support services 4 * * * * * * * Total ancillary support staff 5 * * * * * * * Total employed support staff 11 19.43 8.41 3.49 15.02 17.20 26.27 30.26 Total contracted support staff 2 * * * * * * * Total support staff 11 19.58 8.51 3.49 15.02 17.22 26.27 30.93

16.7b: Charges, Revenue, Cost, and Productivity per Square Foot

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total gross charges 11 $1,250.72 $665.09 $152.00 $738.36 $1,370.52 $1,654.35 $2,186.70 Total medical revenue 11 $531.52 $235.04 $81.89 $341.00 $581.94 $727.16 $817.01 Net fee-for-service revenue 11 $517.60 $233.81 $81.66 $331.86 $557.23 $725.14 $810.51 Net other medical revenue 8 * * * * * * * Total medical revenue after operating cost 11 $209.20 $119.97 $24.68 $128.10 $199.83 $331.73 $362.46 Total medical revenue after operating & NPP cost 9 * * * * * * * Total support staff cost 11 $106.99 $47.68 $14.47 $82.73 $117.87 $145.26 $164.00 Building and occupancy 10 $30.82 $13.26 $3.66 $25.63 $33.78 $36.76 $51.85 Total general operating cost 11 $213.50 $155.26 $28.38 $113.17 $191.85 $246.28 $553.55 Total operating cost 11 $320.49 $186.07 $42.85 $212.89 $304.09 $414.52 $688.54 Total operating & NPP cost 9 * * * * * * * Total provider cost 9 * * * * * * * Total nonphysician provider cost 9 * * * * * * * Total physician cost 11 $247.18 $130.82 $39.15 $158.88 $255.96 $346.78 $458.45 Total physician compensation 10 $201.46 $113.62 $22.13 $145.31 $175.70 $285.09 $411.46 Total physician benefit cost 10 $31.04 $25.64 $1.88 $12.95 $26.31 $46.89 $84.70 Total cost 11 $581.28 $287.73 $92.15 $437.80 $593.87 $750.92 $1,095.59 Net nonmedical revenue 8 * * * * * * * Net income, excluding financial support (all practices) 11 -$46.37 $110.78 -$289.75 -$112.61 -$.42 $25.85 $44.15 Total RVUs 9 * * * * * * * Physician work RVUs 10 4.68 2.47 .47 3.47 4.37 6.54 8.90 Patients 8 * * * * * * * Total procedures 7 * * * * * * *

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Urology, All Practices

(per Total RVU) 16.8a: Staffing per 10,000 Total RVUs

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total physicians 29 .60 .34 .32 .40 .53 .71 .91 Total nonphysician providers 17 .20 .16 .03 .09 .16 .26 .46 Total providers 17 .68 .26 .41 .50 .63 .82 1.04 General administrative 14 .28 .19 .09 .13 .21 .38 .64 Patient accounting 9 * * * * * * * General accounting 8 * * * * * * * Managed care administrative 1 * * * * * * * Information technology 6 * * * * * * * Housekeeping, maintenance, security 1 * * * * * * * Total business operations staff 15 .52 .28 .16 .26 .50 .79 .97 Medical receptionists 11 .59 .31 .21 .37 .42 .85 1.11 Medical secretaries, transcribers 3 * * * * * * * Medical records 5 * * * * * * * Other administrative support 6 * * * * * * * Total front office support staff 18 1.11 .79 .28 .69 .88 1.25 2.38 Registered nurses 13 .18 .15 .02 .05 .12 .32 .44 Licensed practical nurses 9 * * * * * * * Medical assistants, nurse aides 15 .48 .38 .04 .23 .42 .65 1.12 Total clinical support staff 18 .81 .42 .34 .49 .70 1.06 1.62 Clinical laboratory 5 * * * * * * * Radiology and imaging 5 * * * * * * * Other medical support services 9 * * * * * * * Total ancillary support staff 11 .38 .25 .02 .13 .40 .54 .75 Total employed support staff 29 1.94 .76 1.10 1.38 1.90 2.28 3.32 Total contracted support staff 2 * * * * * * * Total support staff 29 1.95 .77 1.10 1.38 1.90 2.31 3.32

16.8b: Charges, Revenue, Cost, and Productivity per Total RVU

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total gross charges 18 $108.56 $36.90 $61.29 $84.66 $97.36 $133.80 $168.12 Total medical revenue 29 $44.46 $20.32 $25.70 $31.22 $39.27 $55.41 $67.80 Net fee-for-service revenue 29 $40.99 $16.71 $25.70 $31.22 $35.97 $51.91 $61.67 Net other medical revenue 13 $2.62 $2.28 $.29 $1.11 $2.16 $3.86 $7.05 Total medical revenue after operating cost 29 $6.15 $23.68 -$35.56 -$12.22 $13.99 $25.33 $33.93 Total medical revenue after operating & NPP cost 17 -$3.80 $47.13 -$99.31 -$22.67 $15.72 $24.61 $37.01 Total support staff cost 28 $10.90 $4.84 $5.15 $7.51 $10.39 $15.35 $17.19 Total general operating cost 29 $16.64 $12.28 $2.06 $9.09 $13.95 $25.52 $31.11 Total operating cost 29 $32.50 $27.13 $12.96 $18.08 $25.40 $41.32 $51.83 Total operating & NPP cost 17 $44.32 $25.56 $23.04 $25.69 $38.57 $54.04 $98.69 Total provider cost 14 $28.14 $8.50 $16.16 $22.00 $26.72 $34.18 $41.79 Total nonphysician provider cost 14 $2.79 $4.86 $.26 $.83 $1.59 $2.39 $11.20 Total physician cost 29 $35.33 $25.87 $17.33 $22.63 $29.20 $39.52 $50.15 Total physician compensation 20 $25.50 $10.30 $12.51 $20.10 $24.46 $32.15 $41.99 Total physician benefit cost 20 $2.85 $1.49 $.85 $2.03 $2.76 $3.17 $5.79 Total cost 29 $76.86 $54.53 $42.35 $48.63 $63.78 $76.75 $146.67 Net nonmedical revenue 7 * * * * * * * Net income, excluding financial support (all practices) 29 -$9.33 $18.10 -$35.69 -$17.48 -$6.93 $.10 $6.59 Physician work RVUs 29 .48 .08 .42 .44 .47 .50 .62 Patients 16 .10 .03 .07 .08 .10 .13 .15 Total procedures 8 * * * * * * * Square feet 9 * * * * * * *

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Urology, All Practices

(per Work RVU) 16.9a: Staffing per 10,000 Work RVUs

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total physicians 32 1.26 .75 .66 .88 1.11 1.40 1.98 Total nonphysician providers 19 .40 .32 .06 .17 .33 .54 .78 Total providers 19 1.39 .48 .79 1.11 1.30 1.69 1.82 General administrative 16 .54 .40 .15 .22 .40 .80 1.21 Patient accounting 10 .66 .28 .21 .48 .65 .92 1.03 General accounting 9 * * * * * * * Managed care administrative 1 * * * * * * * Information technology 6 * * * * * * * Housekeeping, maintenance, security 1 * * * * * * * Total business operations staff 18 1.06 .63 .28 .55 1.01 1.61 1.96 Medical receptionists 13 1.25 .55 .52 .80 1.22 1.67 2.15 Medical secretaries, transcribers 4 * * * * * * * Medical records 6 * * * * * * * Other administrative support 6 * * * * * * * Total front office support staff 21 2.17 1.46 .66 1.60 1.81 2.14 4.55 Registered nurses 15 .43 .36 .06 .13 .26 .57 1.07 Licensed practical nurses 11 .39 .30 .03 .16 .31 .52 .96 Medical assistants, nurse aides 17 .99 .81 .09 .47 .97 1.25 2.02 Total clinical support staff 21 1.75 .89 .75 1.15 1.56 2.38 3.48 Clinical laboratory 6 * * * * * * * Radiology and imaging 5 * * * * * * * Other medical support services 9 * * * * * * * Total ancillary support staff 12 .75 .56 .05 .27 .63 1.29 1.57 Total employed support staff 32 4.14 1.52 2.15 3.03 4.19 4.71 6.79 Total contracted support staff 2 * * * * * * * Total support staff 32 4.16 1.53 2.15 3.03 4.19 4.71 6.87

16.9b: Charges, Revenue, Cost, and Productivity per Work RVU

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total gross charges 19 $233.55 $93.56 $132.91 $178.67 $201.84 $251.63 $396.38 Total medical revenue 32 $94.52 $43.05 $53.53 $67.03 $86.62 $115.64 $149.53 Net fee-for-service revenue 32 $87.50 $33.84 $53.53 $65.96 $80.90 $107.32 $132.54 Net other medical revenue 14 $4.73 $3.62 $.47 $1.93 $4.06 $7.28 $11.00 Total medical revenue after operating cost 32 $15.46 $49.31 -$61.05 -$22.11 $32.23 $54.09 $74.39 Total medical revenue after operating & NPP cost 19 -$5.96 $97.91 -$222.76 -$15.72 $33.55 $54.26 $68.39 Total support staff cost 31 $23.05 $10.17 $11.30 $15.54 $22.48 $31.48 $39.06 Total general operating cost 32 $33.75 $23.33 $4.59 $25.08 $31.95 $39.64 $71.13 Total operating cost 32 $67.72 $61.77 $30.08 $40.10 $55.79 $68.57 $110.46 Total operating & NPP cost 19 $89.68 $58.03 $50.34 $54.33 $62.41 $114.20 $217.84 Total provider cost 16 $58.00 $15.39 $33.20 $46.79 $58.94 $68.48 $80.02 Total nonphysician provider cost 17 $11.17 $24.00 $.69 $2.15 $2.93 $6.75 $52.98 Total physician cost 32 $74.50 $59.99 $34.11 $51.17 $60.46 $75.04 $112.28 Total physician compensation 22 $53.16 $20.07 $27.57 $44.61 $50.86 $64.86 $81.63 Total physician benefit cost 22 $6.20 $3.10 $1.83 $4.69 $5.90 $6.95 $11.10 Total cost 32 $160.70 $127.20 $88.61 $104.00 $120.68 $153.28 $296.44 Net nonmedical revenue 9 * * * * * * * Net income, excluding financial support (all practices) 32 -$19.55 $37.48 -$73.71 -$38.04 -$14.53 $.28 $8.62 Total RVUs 29 2.12 .30 1.61 2.00 2.13 2.27 2.40 Patients 19 .22 .08 .13 .16 .21 .27 .37 Total procedures 10 .99 .53 .19 .62 .84 1.56 1.71 Square feet 10 .63 1.29 .11 .15 .23 .30 3.89

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MGMA 2016 Cost and Revenue Report: Based on 2015 Survey Data

© 2016 MGMA. All rights reserved.

Urology, All Practices

(per Patient) 16.10a: Staffing per 10,000 Patients

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total physicians 19 5.83 2.93 3.11 3.89 4.90 6.95 9.47 Total nonphysician providers 15 1.47 1.01 .29 .55 1.30 1.87 3.34 Total providers 15 6.54 2.28 3.45 4.57 5.80 8.37 10.22 General administrative 15 2.69 2.17 .56 1.48 2.04 3.48 6.60 Patient accounting 9 * * * * * * * General accounting 9 * * * * * * * Managed care administrative 1 * * * * * * * Information technology 6 * * * * * * * Housekeeping, maintenance, security 1 * * * * * * * Total business operations staff 16 5.36 3.25 1.93 2.50 4.02 8.90 10.45 Medical receptionists 11 7.93 4.55 2.49 3.87 7.64 9.90 16.01 Medical secretaries, transcribers 4 * * * * * * * Medical records 6 * * * * * * * Other administrative support 6 * * * * * * * Total front office support staff 14 9.55 3.80 4.58 6.07 9.51 12.06 15.88 Registered nurses 13 1.92 1.59 .28 .61 1.20 3.29 4.62 Licensed practical nurses 11 1.99 1.13 .15 .98 2.08 2.95 3.70 Medical assistants, nurse aides 15 5.46 3.77 1.41 2.69 4.62 7.54 11.53 Total clinical support staff 19 8.57 4.16 3.95 4.95 7.32 12.59 15.64 Clinical laboratory 6 * * * * * * * Radiology and imaging 5 * * * * * * * Other medical support services 9 * * * * * * * Total ancillary support staff 12 4.43 3.25 .29 1.54 3.85 6.91 9.76 Total employed support staff 19 22.92 10.51 8.77 13.81 22.16 33.77 37.22 Total contracted support staff 2 * * * * * * * Total support staff 19 23.05 10.67 8.77 13.81 22.16 33.77 37.22

16.10b: Charges, Revenue, Cost, and Productivity per Patient

Count Mean Std Dev 10th %tile 25th %tile Median 75th %tile 90th %tile Total gross charges 12 $1,312.72 $545.10 $531.65 $968.17 $1,227.97 $1,624.27 $2,306.24 Total medical revenue 19 $533.53 $247.67 $292.28 $323.23 $496.82 $674.01 $820.52 Net fee-for-service revenue 19 $511.34 $233.38 $291.18 $321.02 $470.12 $655.91 $786.22 Net other medical revenue 14 $28.53 $27.51 $1.43 $6.58 $22.40 $38.30 $82.19 Total medical revenue after operating cost 19 $214.24 $138.29 $14.66 $157.20 $199.30 $334.89 $382.83 Total medical revenue after operating & NPP cost 15 $201.60 $134.98 -$16.85 $127.01 $186.19 $328.00 $386.35 Total support staff cost 19 $123.00 $59.44 $57.98 $70.18 $110.41 $166.97 $204.15 Total general operating cost 19 $196.30 $108.52 $87.80 $110.00 $179.49 $260.04 $376.49 Total operating cost 19 $319.30 $157.25 $152.36 $176.43 $291.61 $415.95 $580.64 Total operating & NPP cost 15 $359.11 $176.10 $152.95 $186.78 $343.05 $442.71 $677.78 Total provider cost 15 $289.39 $127.28 $144.71 $183.84 $259.07 $377.80 $516.04 Total nonphysician provider cost 15 $16.96 $12.76 $3.15 $6.89 $15.29 $20.43 $39.50 Total physician cost 19 $305.76 $154.56 $141.49 $173.07 $257.54 $366.15 $562.93 Total physician compensation 15 $294.41 $147.78 $110.10 $152.33 $305.73 $381.19 $551.74 Total physician benefit cost 15 $35.71 $19.50 $14.90 $24.89 $27.14 $48.48 $73.53 Total cost 19 $638.45 $257.94 $321.02 $379.93 $651.10 $822.17 $999.30 Net nonmedical revenue 9 * * * * * * * Net income, excluding financial support (all practices) 18 -$112.52 $159.64 -$413.77 -$199.36 -$23.10 $.60 $14.69 Total RVUs 16 10.55 3.14 6.46 7.91 10.29 12.51 15.24 Physician work RVUs 19 5.05 1.71 2.73 3.72 4.76 6.13 7.65 Total procedures 8 * * * * * * * Square feet 8 * * * * * * *