1. Dean Dorton Salary Survey Results – Kentucky
Adam Shewmaker, FHFMA
Director of Healthcare Consulting Services
Meagan Parker, MHA, CMA
Manager of Healthcare Consulting Services
Patti Bingham, CMM, CMPM Practice Administrator, All Children Pediatrics

3. Introductions Adam Shewmaker, FHFMA Meagan Parker, MHA, CMA
Director of Healthcare Consulting | Dean Dorton
Adam Shewmaker, FHFMA
Manager of Healthcare Consulting | Dean Dorton
Meagan Parker, MHA, CMA
Practice Administrator | All Children Pediatrics
Patti Bingham, CMM, CMPM

4. Objectives National and regional trends What employees value
2019 salary survey results
All Children Pediatrics – a practice perspective

5. Detailed Summary: Five-Year Period Through Jan 2018
Measure
July 2012
January 2018
% Increase
Number of hospital-employed physicians
94,700
168,800
78.2%
% of hospital-employed physicians
25.8%
44.0%
70.8%
Number of hospital-owned practices
35,700
80,000
124.4%
% of hospital-owned practices
13.6%
31.2%
128.7%
National Trends
Measure
Region
July 2012
January 2018
% Increase
% of hospital-employed physicians
Northeast
South
Midwest
West
AK & HI
22.1%
21.0%
34.3%
25.0%
18.3%
45.7%
39.2%
55.1%
41.2%
34.1%
107.0%
86.8%
60.7%
64.8%
86.1%
% of hospital-owned practices
13.2%
12.2%
20.1%
11.3%
7.3%
31.6%
28.5%
38.4%
28.0%
29.4%
139.4%
133.6%
91.0%
147.8%
302.7%
Regional Trends

6. Number of Hospital-Employed Physicians
From July 2016 to January 2018, the number of physicians employed by hospitals increased by 14,000 nationwide
After a small decrease in July 2016 due to a reduction in total number of physicians, the number of employed physicians rose to nearly 170,000 by 2018
| Avalere analysis of SK&A hospital/health system ownership of physician practice locations data with Medicare Standard Analytic Files

7. National Trends July 2016 through January 2018: Measure July 2016
% Increase
Number of hospital-employed physicians
154,900
168,800
9.0%
% of hospital-employed physicians
41.7%
44.0%
5.7%
Number of hospital-owned practices
72,100
80,000
11.1%
% of hospital-owned practices
29.7%
31.2%
5.0%
July 2016 through January 2018:
An additional 14,000 physicians were employed by hospitals
An additional 8,000 practices were acquired by hospitals

8. Regional Trends Measure Region July 2016 January 2018 % Increase
% of hospital-employed physicians
Northeast
South
Midwest
West
AK & HI
44.3%
37.4%
52.8%
38.7%
34.4%
45.7%
39.2%
55.1%
41.2%
34.1%
3.3%
5.0%
4.3%
6.6%
-0.9%
% of hospital-owned practices
30.6%
26.9%
37.0%
25.9%
29.0%
31.6%
28.5%
38.4%
28.0%
29.4%
6.0%
3.8%
8.1%
1.4%

9. Hospital-Employed Physicians by Region
Between July 2016 and January 2018, the percentage of hospital-employed physicians increased between 3% and 7% in most regions
| Avalere analysis of SK&A hospital/health system ownership of physician practice locations data with Medicare Standard Analytic Files

10. Other Trends Physician Pay (AMGA Consulting)
Overall increased by a median of 2.92% in 2018
Primary care increased by 4.91%
Specialists increased 3.39%
Nurse Practitioners in primary care increased 2.92%
Physician Assistants in primary care increased 2.50%

11. Other Trends Physician Age and compensation (2018)
Older specialists (ages 40-69) made $72,000 more than younger specialists
Older PCPs made $32,000 more in annual salary
More women physicians
45% of younger physicians are female (up from 41%)
34% of older physicians (40-69) are female (up from 31%)
2017: first-time females enrolling in medical school surpassed males

12. Other Trends Employed vs. independent
58% of recently surveyed physicians do not think hospital employment will enhance quality or care or decrease costs (Continuumhealth.net)
Hospital financial losses per physician
Average loss of $200,000 per employed physician per year

13. Be a doctor, not a business person Reimbursement changes
Decision Points
Lifestyle and burnout
Administrative tasks
Be a doctor, not a business person
Overhead costs
Reimbursement changes
Patient workload
Call rotation

14. Growth and continued education
Employees
Recognition
Flexibility
Culture
Growth and continued education
Giving back

15. Survey Results
History and approach

16. Demographics
Urban: majority of the population, which the practice serves, is located in a city of 50,000 or more
Suburban: located in a residential area adjacent to an urban area of 50,000 or more
Small City: located in a city with a population greater than 2,500 but less than 50,000
Rural: located in a town of less than 2,500

17. Primary Specialty
Other: Cardiology, anesthesiology/pain management, behavioral health, dermatology, emergency, endrocrinology, ENT, OB-GYN, radiology

18. Number of Full-Time Equivalents
Medical providers: NP, PA
Medical physicians: MD, DO
Staff (non-providers)

19. Patient Revenue Collected in Last Fiscal Year

20. Patients Seen Per Day

21. Employee Salary

22. Executive Leadership: Practice Administrator
$97,500
$87,269
$78,068

23. Mid-Level Management

24. Mid-Level Management: Deeper Dive
Clinic/Office Manager
Front Office Supervisor
$87,269
$78,068
$66,250
$61,873
$61,555

25. Front Line Staff $23.73 $19.99 $19.26 $18.00 $15.51 $14.88 $14.26
$13.48

26. Clinical Support: Mid-Level Providers
Mid-Level Provider (includes NP and PA)
Nurse Practitioner
Physician Assistant
$120,506
$120,371
$111,688
$105,470
$96,104

27. Clinical Support: RN
$32.49
$31.29
$28.92

28. Clinical Support Staff
$24.10
$23.67
$21.97
$18.90
$17.62
$16.62

29. Clinical Support: Deeper Dive
X-Ray
Lab
$33.44
30.89
$26.43
$25.81
$24.10
$23.67

30. Billing Manager
$62,500

31. Billing Staff
$19.50
$18.55
$18.23
$16.62
$13.48

32. All Children Pediatrics: A Practice Perspective
Q&A with Patti Bingham
All Children Pediatrics: A Practice Perspective

34. Adam Shewmaker, FHFMA Meagan Parker, MHA, CMA Patti Bingham, CMM, CMPM|
Meagan Parker, MHA, CMA |
Patti Bingham, CMM, CMPM |