2015 medical & dental survey - kernutt...

2015 Medical & Dental Survey

1600 Executive Parkway | Suite 110 | Eugene, Oregon 97401

P: 541.687.1170 | F: 541.345.8540 | kernuttstokes.com

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Enclosed are the results of our 2015 Medical/Dental Survey. The survey respondents included a diverse group of practices throughout southern Willamette Valley. We trust this information will be useful to you in making strategic decisions for your practice.

In an effort to present the information in a manner that can be easily interpreted and utilized, we have provided the following:

• A description of the survey respondents, including practice size and type. • A summary of data for areas, including salary ranges and averages for various positions. • Graphic representations of each question posed within the original survey.

The industry reports referenced throughout the survey results were provided by First Research, a division of Hoover’s Inc.

We hope you find this information valuable and we appreciate your participation in our survey. If you have any questions regarding the information presented, please feel free to contact our office at 541.687.1170.

Sincerely,

Kernutt Stokes

John Mlynczyk, CPAPartner

B. Dean Huber, CPA, CPCPartner

Kernutt Stokes Healthcare & Employee Benefit SpecialistsA letter from your

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Description of Medical Survey Respondents ....................................................................................... 4

Medical Benefits

Health, Dental and Life Insurance .......................................................................................... 5

Retirement Plans ...................................................................................................................... 6

Vacation and Time Off ............................................................................................................ 7

Medical Compensation ......................................................................................................................... 8

Description of Dental Survey Respondents .......................................................................................... 9

Dental Benefits

Health, Dental and Life Insurance .......................................................................................... 10

Retirement Plans ...................................................................................................................... 11

Vacation and Time Off ............................................................................................................ 12

Dental Compensation ........................................................................................................................... 13-15

Table of Contents

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According to industry reports, there are about 220,000 physician offices in the U.S. with combined annual revenue of about $20 billion. About 75% of all physician offices are small with fewer than 10 employees, including doctors, while only 1,900 offices have more than 100 employees.

The images below illustrate 2015 survey respondent demographics. This year’s dominate practice profile includes specialty practices with 2-5 physicians and 16+ total staff members.

According to industry reports, many practices are under pressure to control health costs and are joining Group Practice Associations (GPAs) and Independent Practice Associations (IPAs). Some existing associations are looking to convert to Accountable Care Organizations (ACOs) under the new health reform laws.

Number of Full-Time Equivalent Non-Physician Staff

All of this years survey respondents reported not being a part of a larger organization.

Number of Physicians Number of Individuals

Number of Full-Time Equivalent Administrative & Clerical Staff

1-5

6-10

11-15

16-20

20+

0.0 0.5 1.0 1.5 2.0 2.5 3.0

6+

2 – 5

One

0.0 0.5 1.0 1.5 2.0 2.5 3.0

15+

11 – 15

6 – 10

1 – 5

25.0%

0.0%

75.0%

0.0%

75.0%

0.0%

0.0 0.5 1.0 1.5 2.0

15+

11 – 15

6 – 10

1 – 5

0.0%

0.0%

50.0%

50.0%

50.0%

50.0%

25.0%

Description of Medical Survey Respondents

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Industry reports reveal that because workers in the healthcare field are very knowledge about medical insurance plans, practitioners usually offer excellent fringe benefits. According to the 2015 survey data, 100% of practices offer health insurance coverage. All respondents pay for the entire individual expense. Half of this year’s survey respondents offer dental insurance coverage with 50% covering 50% of the individual expense. In addition, 50% of respondents offer life insurance coverage to their employees. Those that offer this coverage pay for the entire expense. All respondents reported that they do not offer short-term and long-term disability to their employees.

Dental Insurance

Health Insurance

Do you offer dental insurance coverage to your employees?

Yes

No

50.0% 50.0%

Individual PercentagePaid by Company

100%1 - 24%

50.0% 50.0%

All survey respondents offer health insurance coverage. In addition, 100% pay for the entire individual expense.

Medical Benefits — Health, Dental and Life Insurance

Do you offer life insurance coverage to your employees?

Yes

No

50.0%50.0%

Life Insurance

PercentagePaid by Company

100%

76 - 99%

0.0%

40.0%

60.0%

Do you offer short-term disability to your employees?

Yes

No

58.3%41.7%

Short-term Disability

PercentagePaid by Company

100%

76 - 99%

0.0%

50.0% 50.0%

Do you offer long-term disability to your employees?

Yes

No

83.3%

16.7%

Long-term Disability

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According to this year’s survey respondents, 75% offer retirement plans to their employees. The majority of the respondents offer a profit sharing plan (80%) and are allowed to select their own investments (75%).

Medical Benefits — Retirement Plans

Do you offer a defined benefit plan?

Number of Days Received Per Year

If you offer employees a retirement plan, arethey allowed to select their own investments?

Type of 401(k) Benefits Offered

0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0

None

Match

Profit sharing

20.0%

Yes

No

No response

40.0%

40.0%20%Yes

No

No response

25.0%

75.0%

80.0%

0.0%

Do you offer a 401(k) plan to your employees?

Yes

No

25.0%

75.0%

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What benefits do you offer your part-time employees?

0.0 0.5 1.0 1.5 2.0

No Response

No Benefits Offered

Long-Term Disability

Pro-rated Vacation

Life Insurance

NO PT Employees

Short-term disability

Dental Insurance

Health Insurance 25.0%

0.0%

25.0%

25.0%

0.0%

0.0%

0.0%

50.0%

25.0%

Do you offer the following health benefit plans?

0.0 0.2 0.4 0.6 0.8 1.0

Deductible Contributed by Practice

Family Deductible Amount


Individual Deductible Amount

Medical Reimbursement Plan

Flexible Spending Account (Section 125/Cafeteria Plan)

0.0%

0.0%

0.0%

0.0%

50.0%

50.0%

Do you offer health benefit plans to your employees?

Yes

No

No response

50.0%

50.0%

Holidays Observed

0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0

OtherNew Year’s EveChristmas DayChristmas Eve

Day after ThanksgivingThanksgivingVeterans Day

Labor Day4th of July

Memorial DayGood Friday

New Year’s Day0.0%

0.0%

25.0%

75.0%75.0%75.0%

100.0%

100.0%

100.0%

75.0%

25.0%

50.0%

Medical Benefits — Vacation and Time Off

Do you offer a defined benefit plan?


If you offer employees a retirement plan, arethey allowed to select their own investments?

Type of 401(k) Benefits Offered

0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0

None

Match

Profit sharing

20.0%

Yes

No

No response

40.0%

40.0%20%Yes

No

No response

25.0%

75.0%

80.0%

0.0%


Yes

No

25.0%

75.0%

Vacation Range Average

Under 1 year N/A* 51 – 5 years N/A* 105 – 10 years N/A* 1511+ years N/A* 20

Sick Time Range Average

Under 1 year N/A* 41 – 5 years N/A* 85 – 10 years N/A* 811+ years N/A* 8

Combined Range Average

Under 1 year 5 - 10 71 – 5 years 14 - 15 155 – 10 years 20 - 21 2011+ years 20 - 28 24

*Indicates only one company listed time off for this amount.

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What is the basis for salary increases for your employees?

Does your practice offera bonus program?

Basis for Bonuses

YesNo

0.0 0.5 1.0 1.5 2.0

No response

Annual holiday bonus

Based on individual performance

Based on profitability

50.0%

25.0%

25.0%

75.0%

25.0%

0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0

Automatic annual

Cost of living

Merit based 50.0%

100.0%

0.0%

Full-time and Part-time Wages

0.0%

According to the Bureau of Labor Statistics, the average hourly wages of employees in United States medical offices increased from $27.68 in 2013 to $29.01 in 2014. The average medical wage has further increased to $29.53 in May 2015. The survey respondents reported average wages of $24.14.

All survey respondents reported their criteria for increasing employee salaries is cost of living. Half of respondents also consider merit based when it comes to increases. In addition, 50% of the respondents distribute annual holiday bonuses.

Average Range

Office Manager

FT Hourly Rate $31.85 $23.96 – $46.09

Years Experience 8.7 2.0 – 15.0

Practice Administrator

FT Hourly Rate $41.50 N/A*

Years Experience 35.0 N/A*

Business Manager



Front Office Supervisor



Bookkeeper(s)

FT Hourly Rate $27.79 $26.30 – $29.28


Transcription

FT Hourly Rate $18.32 $26.30 – $29.28

PT Hourly Rate $13.00 N/A*


Credits and Collections/Billing Supervisor/Insurance Clerk/Insurance Biller

FT Hourly Rate $22.18 $19.95 – $24.20

Years Experience 13.4 7.0 – 20

Insurance/Accounts Receivable Specialist

FT Hourly Rate $16.33 $15.00 – $17.65


Medical Record/File Clerk

FT Hourly Rate $14.66 $11.00 – $16.73


Administrative Assistant/Receptionist

FT Hourly Rate $15.09 $14.08 – $16.80


Other Office Clerks



Referral Coordinator

FT Hourly Rate $16.35 $14.14 – $18.00


Certified Medical Assistant, M.A.

FT Hourly Rate $18.05 $15.16 – $19.92


Physician's Assistant, P.A.



Average Range

Ultrasound Tech

FT Hourly Rate $38.60 N/A*PT Hourly Rate $34.00 N/A*

Years Experience 6.0 N/A*Registered Nurse, R.N.

FT Hourly Rate $28.25 $26.00 – $30.50 Years Experience 5.0 3.0 – 7.0

Licensed Practical Nurse, LPN

FT Hourly Rate $18.50 N/A*Years Experience 3.5 N/A*

Non-certified Medical Office Assistant, MOA


Scheduler

FT Hourly Rate $18.27 $15.61 – $23.00 Years Experience 7.4 2.0 – 12.0

IT Coordinator


Sterile Tech

PT Hourly Rate $19.00 N/A*Opthalmic Technician


Esthetician

PT Hourly Rate $21.50 N/A*Years Experience 15.0 N/A*

Write-ins

*Indicates only one company listed wages for this position.

Medical Compensation

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According to national industry reports, demand for dental services is driven largely by demographics. Children ages five to 19 and audits over the age of 55 require the most dental work.

According to industry reports, roughly 130,000 dentist offices and clinics operate in the United States, most of which are comprised of sole practitioners, but group practices are growing. The 2015 survey respondents echoed this by responding with 60% operating with one practitioner. According to industry reports, there are fewer incoming dentists, leading to a projected shortage. This decline in practitioners is giving dental hygienists increased responsibility in their roles and, therefore, performing more tasks without dentist supervision. Based on this year’s survey respondents, 40% reported having more than one hygienist in their office.

Number of Dentists

Sole Practitioner

2-4

60.0%

40.0%

Number of Hygienists

2-4 hygienists

1 hygienist

None

40.0% 40.0%

20.0%

Number of Dentists

Sole Practitioner

2-4

60.0%

40.0%


2-4 hygienists

1 hygienist

None

40.0% 40.0%

20.0%

Description of Dental Survey Respondents

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According to the 2015 survey data, 60% of dental practices offer health insurance with 33% paying for the entire individual expense. Based on this year’s results, 40% reported providing dental insurance coverage to their employees. Those that offered dental insurance pay for all individual expenses. Only 20% offer life insurance. Very few survey respondents offer short-term (40%) and long-term (20%) disability coverage.

Dental Benefits — Health, Dental and Life Insurance

Do you offer dental insurance coverage to your employees?

Yes

No

No Response40.0%

20.0%

40.0%

Do you offer health insurance coverage to your employees?

Yes

No

40.0%60.0%

Individual PercentagePaid by Company

100%50 – 75%0 - 24%

34.0%

33.0%33.0%

Health Insurance

Dental Insurance

Do you offer life insurance coverage to your employees?

Yes

No

20.0%

80.0%

Life Insurance and Disability Coverage

Do you offer short-term disability to your employees?

0.0 0.5 1.0 1.5 2.0 2.5 3.0

100%

0%

No

20.0%

20.0%

60.0%

Do you offer long-term disability to your employees?

0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0

100%

0%

No

0.0%

20.0%

80.0%

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Do you offer a defined benefit plan?If you offer employees a retirement plan, arethey allowed to select their own investments?


Yes

No

Yes

No

60.0%

40.0%

Yes

No

N/A

40.0%

60.0%

Do you offer the following pension plans?

0.0 0.5 1.0 1.5 2.0

None

Match

Profit sharing 40.0%

40.0%

20.0%

60.0%

40.0%

Dental Benefits — Retirement Plans

Beyond health insurance coverage, some respondents also offer additional benefits to their employees. According to this year’s survey respondents, 60% reported they offer retirement plans to their employees with 40% offering a profit sharing program.

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Do you offer health benefits to your employees?

Yes

No

20.0%

Do you offer the following health benefits?

0.0 0.5 1.0 1.5 2.0 2.5 3.0

No Benefits

Family Deductible Amount


Indevidual Deductible Amount

Medical Reimbursement Plan

Flexible Spending Account(Section 125/Cafeteria Plan)

0.0%

0.0%

0.0%

20.0%

20.0%

60.0%

80.0%

Holidays Observed

0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0

No ResponseOther

New Year’s EveChristmas DayChristmas Eve

Day after ThanksgivingThanksgivingVeterans Day

Labor Day4th of July

Memorial DayGood Friday

New Year’s Day 0.0%

0.0%

80.0%

0.0%

20.0%

60.0%

60.0%

60.0%

What benefits do you offer your part-time employees?

0.0 0.5 1.0 1.5 2.0 2.5 3.0

No Benefits offered

Long-term disability

Pro-rated vacation

Life Insurance

No PT employees

Short-term disability

Dental Insurance

Health Insurance

0.0%

0.0%

0.0%

0.0%

0.0%

40.0%

20.0%

60.0%

60.0%80.0%

80.0%0.0%

20.0%

All survey respondents reported they offer a uniform allowance for non-physican staff.

Vacation Range Average


Sick Time Range Average


Dental Benefits — Vacation and Time Off

The most common benefit offered to part-time employees is pro-rated vacation with a response rate of 40%.

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Does your practice offer a bonus program? Basis for Bonuses

Yes

No

40.0%

60.0%

0.0 0.5 1.0 1.5 2.0 2.5 3.0

No Response

N/A

Annual holiday bonus

Based on individual performance

Based on profitability

20.0%

40.0%

60.0%

20.0%

20.0%

0 1 2 3 4 5

Automatic annual

Cost of living

Merit based

What is the basis for salary increases for your employees?

100.0%

40.0%

0.0%

According to the Bureau of Labor Statistics, the average hourly wage of employees in United States dental offices increased from 23.16 in 2013 to $23.24 in 2014. Most recently, earnings increased to $23.64 in May 2015. The survey respondents reported average wages of $22.55.

The majority of 2015 survey respondents stated their employees’ salary increase are based primarily on the practice’s profitability. In addition, all survey respondents give salary increases based on merit with 40% consider cost of living.

Dental Compensation

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Average Wages Average Wages

3 hygienists

2 hygienists

1 hygienist33.3%

66.7%

Number of Dental Assistants

4 assistants

3 assistants

2 assistants

1 assistant

20.0%

20.0%

40.0%

20.0%

Employment Type of Hygienists

Full-time

Part-time57.1%

42.9%

Employment Type of Dental Assistants

Full-time

Part-time

20%

80%

Hygienist FT Hourly Rate $37.75 PT Hourly Rate $36.33

Years Experience 13.7

Dental Assistant FT Hourly Rate $19.15 PT Hourly Rate $18.17

Years Experience 8.8

Dental Compensation

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Full-time and Part-time Wages

Average Range

Office ManagerFT Hourly Rate $24.98 $14.42 – $33.00


Practice AdministratorFT Hourly Rate $33.00 N/A*


Business ManagerFT Hourly Rate $24.00 N/A*


Phone/Appointment OperatorFT Hourly Rate $15.16 N/A*


ReceptionistFT Hourly Rate $18.17 $16.50 – $21.50


Insurance ClerkFT Hourly Rate $15.50 N/A*


Medical Record/File ClerkPT Hourly Rate $13.75 N/A*


Checkout CoordinatorFT Hourly Rate $16.92 N/A*


Sterilization TechFT Hourly Rate $25.77 N/A*



Average Range

Hygenienist 1FT Hourly Rate $38.67 $37.00 – $40.00


Hygenienist 2FT Hourly Rate $35.00 N/A*

PT Hourly Rate $37.00 $36.00 – $38.00


Hygenienist 3PT Hourly Rate $35.00 N/A*

Dental Assistant 1FT Hourly Rate $21.25 $16.00 – $25.00







Dental Assistant 4FT Hourly Rate $19.00 N/A*



Write-insHygienists and Dental Assistants

*Indicates only one company listed wages for this position.

Dental Compensation

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1600 Executive Parkway | Suite 110 | Eugene, Oregon 97401

P: 541.687.1170 | F: 541.345.8540 | kernuttstokes.com

2015 medical & dental survey - kernutt...

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