Investor Owned Urgent Care Center 2 Variance Variance Per Visit

MD's and 1 Nurse Practitioner 2016 2017 2016 to 2017 % 2016

Days Practice Open 250 250
Avg Visits/Day per Practitioner 22.01 22.39 0.38 1.7%

Office Visits by Payer

Medicare 5,920 5,865 (55.00) -0.9%
Medicaid 2,268 2,728 460.00 20.3%
Commercial Ins 8,125 7,949 (176.00) -2.2%
Private Pay 198 252 54.00 27.3%
Total Office Visits 16,511 16,794 283.00 1.7%

Revenues
Gross Patient Revenues $2,174,525 $2,095,216 ($79,309) -3.6% $131.7016
Total Adjustments to Income ($310,440) ($456,082) ($145,642) 46.9% -$18.8020
Net Patient Revenue $1,864,085 $1,639,134 ($224,951) -12.1% $112.8996

Expenses
Physician Fees/Bens (F) $420,796 $433,203 12,407.00 2.9% $25.4858
Nurse Practitioner Fees/Bens (F) $157,371 $155,971 (1,400.00) -0.9% $9.5313
Clinical Staff Salaries (F) $229,326 $241,500 12,174.00 5.3% $13.8893
Office Staff Salaries (60% V; 40% F) $187,728 $195,710 7,982.00 4.3% $11.3699
Staff Benefits (V) $102,745 $104,352 1,607.00 1.6% $6.2228
Contract Services (V) $19,122 $17,910 (1,212.00) -6.3% $1.1581
Auto (F) $23,791 $24,395 604.00 2.5% $1.4409
Insurance (F) $108,496 $109,181 685.00 0.6% $6.5711
Medical Supplies (V) $36,806 $39,022 2,216.00 6.0% $2.2292
Office Supplies/Printing/Postage (V) $20,089 $19,912 (177.00) -0.9% $1.2167
Ancillary Services (V) $10,857 $8,974 (1,883.00) -17.3% $0.6576
Medical Records (V) $8,398 $9,016 618.00 7.4% $0.5086
Collection Services (V) $129,940 $128,222 (1,718.00) -1.3% $7.8699
Equipment (F) $24,707 $26,385 1,678.00 6.8% $1.4964
Building(F) $122,956 $125,159 2,203.00 1.8% $7.4469
Maintenance, Cleaning, Security (F) $21,097 $21,687 590.00 2.8% $1.2778
Utilities (F) $18,770 $19,379 609.00 3.2% $1.1368
Telephone (F) $10,583 $11,517 934.00 8.8% $0.6410
Education (V) $1,982 $2,191 209.00 10.5% $0.1200
Travel /Entertainment (V) $2,316 $4,067 1,751.00 75.6% $0.1403
Dues and Subscriptions (F) $2,458 $2,695 237.00 9.6% $0.1489
Legal/Accounting (F) $16,055 $18,516 2,461.00 15.3% $0.9724
Marketing/Consulting (V) $4,675 $7,939 3,264.00 69.8% $0.2831
Bank Charges (F) $1,280 $1,626 346.00 27.0% $0.0775
Miscellaneous (V) $35,036 $33,155 (1,881.00) -5.4% $2.1220

Net Operating Expenses $1,717,380 $1,761,684 44,304.00 2.6% $104.0143

Net Profit (Loss) $146,705 -$122,550 -$269,255 -183.5% $8.8853

Net Profit (Loss) % 7.87% -7.48% (0.15) -195.0% $0.0000
Fixed Expenses $1,232,777 $1,269,498 36,720.80 3.0% $74.6640
Variable Expenses $484,603 $492,186 7,583.20 1.6% $29.3503
Cost Structure:
Fixed 71.8% 72.1% 0.00 0.4% $0.0000
Variable 28.2% 27.9% (0.00) -1.0% $0.0000

Net Revenue per Visit $112.9 $97.6 (15.30) -13.5% $0.0068

Fixed Expense per Visit $74.7 $75.6 0.93 1.2% $0.0045
Variable Expense per Visit $29.4 $29.3 (0.04) -0.1% $0.0018
Contribution Margin $83.5 $68.3 (15.25) -18.3% $0.0051
Break-Even # of visits 14755.09 18588.42 3,833.33 26.0% $0.8937

INSTRUCTIONS POINT VALUE

Sum Totals and Sub-Totals 3
Calculate Net Profit $ and % 2

Fixed, Variable Expenses (Total and per Visit) 3

Cost Structure (% F&V); Revenue per Visit &
Contribution Margin per Visit 4
Per Visit, Revenues and Total Expense 4
Variance & Benchmark 4
Assignment 1 20
 % of % of 2017 variance
Per Visit Revenues Expenses Benchmark from
2017 2017 2017 Benchmarks Unit Totals Benchmarks
300
22 Visits/Day/Doc 22 0.39

19,800 (3,006.00)

$124.7598 $ 155.00 per Visit $125 ($30)

-$27.1574
$97.6024 $ 120.00 per visit $98 $ (22)

$25.7951 26.4288% 24.5903%

$9.2873 9.5155% 8.8535%
$14.3801 14.7334% 13.7085%
$11.6536 11.9398% 11.1093% 35% Net Rev 11.9398% -23.0602%
$6.2136 6.3663% 5.9234%
$1.0665 1.0927% 1.0166%
$1.4526 1.4883% 1.3848%
$6.5012 6.6609% 6.1975% 6.00% Net Op Exp 6.1975% 0.1975%
$2.3236 2.3806% 2.2150% 2.5% Net Op Exp 2.2150% -0.2850%
$1.1857 1.2148% 1.1303%
$0.5344 0.5475% 0.5094% 2.1% Net Op Exp 0.5094% -1.5906%
$0.5369 0.5500% 0.5118%
$7.6350 7.8225% 7.2784%
$1.5711 1.6097% 1.4977%
$7.4526 7.6357% 7.1045%
$1.2914 1.3231% 1.2310%
$1.1539 1.1823% 1.1000%
$0.6858 0.7026% 0.6537%
$0.1305 0.1337% 0.1244%
$0.2422 0.2481% 0.2309%
$0.1605 0.1644% 0.1530%
$1.1025 1.1296% 1.0510%
$0.4727 0.4843% 0.4506%
$0.0968 0.0992% 0.0923%
 $1.9742 2.0227% 1.8820%

$104.8996 107.477% 100.0000% 86.0% Net Revenue 107.477% 21.4765%

-$7.2972 -7.4765% 14.0% Net Revenue -7.4765% -21.4765%

$0.0000 0.0000%
$75.5924 77.4493%
$29.3073 30.0272%

$0.0000
$0.0000

$0.0058
$0.0045
$0.0017
$0.0041
$1.1068