Page 47 - 2015 Key Metrics-Assessing ECP Practice Performance
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Net Income % of Gross Revenue by Practice Size
         The unweighted average net income % of gross revenue for all MBA practices is 30.7%. Larger practices enjoy somewhat higher net
         returns, on average, but there is wide variation in profitability within each size group.  Smaller practices achieved lower net profit
         ratios, primarily because they did not enjoy the economies of scale in facilities and general overhead expenses.



                         Net Income % of Gross Revenue by Practice Size


               60%

               50%
             % of Gross Revenue  40%  26.6%  29.6%  27.6%  30.7%  31.8%  30.3%  32.2%  32.0%  33.2%  35.0%



               30%
               20%

               10%                                                  Total MBA Practices: 30.7%

                    <$493  $493-  $642-  $767   $883-   $1,026-  $1,200-  $1,432-  $1,695-  $2,133+
                           $642   $767   $833   $1,026  $1,200  $1,432  $1,695  $2,133
                                           Annual Gross Revenue ($000)






         Annual Marketing Spending per Complete Exam
         Independent ODs spend a median of $4.11 annually for marketing per complete exam they conduct. Marketing investment per exam
         varies widely across practices, but in nearly all practices marketing spending per patient is less than 5% of revenue collected per patient.


                          Annual Marketing Spending per Complete Exam





                Low                                Median                                High
                 $0.25  $1.18  $2.05  $2.62  $3.54  $4.11  $4.76  $5.94  $7.82  $10.91  $21.92


                    5th              15th              25th             35th              45th             50th              55th             65th             75th              85th             95th
                                                  percentile ranking
                                                  AVERAGE=$5.65
























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