Yeah, No. They Don’t Get it.

I saw this image on LinkedIn and laughed. As an employed physician, I remember all the ways we family doctors were told we were losing money. In fact, we had to be “subsidized” in order to make up for it. In other words, we should get on our hands and knees and thank them for even employing us.
One time, I was able to get a peek at our budget. I saw names on there that didn’t even work in the office. They were administrators. Huh? I wanted to dig deeper, but couldn’t get a closer look. It didn’t matter. I knew what they were doing. The whole thing was a shell game, but they used it against us in contract time. Oh, and why would a hospital system even hire family doctors if we were losing money? That sounds fiscally stupid. The answer is that they fudged the budget, and they also made tons of money when we referred patients into the system.
Back then, I didn’t care. Now I do.
After starting my DPC practice years ago and helping others in their journey, I now understand what things cost. And that image above is total bullsh%t. It’s just another DPC Myth as in “you can’t afford to start your own practice.”
I believe you all would agree, but I am asking for your help to help others.
SO I NEED A FAVOR
Please list (estimate) your monthly: rent, staff cost, supplies, billing and admin, EHR/IT, and malpractice in the comments. I will try to average them out and share in another post.
Thank you!!






Rent: $3000
Staff: $6000
IT/Software/EMR/Billing $400
Supplies $150
Malpractice $600
Who is getting that $6K per month staff? how many?
Staff is one MA and one office manager.
When working for a hospital system 25 years ago, we were told that each of us PCPs was a net loss to the system of about $100K. When we asked to count all the referrals, inpatient revenue, labs, x-rays, etc against that total, we got crickets.
In fact, they quoted MGMA stats saying that our productivity needed to increase by at least 25% in order to justify our salaries. I then quoted the MGMA stat that in order for each PCP to get to that productivity level, each doc had at least 4 support staff. We had about 1.8. They responded that if we all worked really hard and brought in more money, they would think about hiring more staff.
I resigned shortly after that.
Rent: $2,400
Staff: 8,400
EMR: 350
Supplies: 150
Malpractice: 400
Does the staff cost include the doctor?
Rent: $3000
Staff: $9300 (including PCP, 3 staff members)
IT/Software/EMR/Billing $350
Supplies $200
Malpractice $415
Rent: $2300
EmR: $664 including billing
VmA: $ 320
MA/manager: $3200
Supplies: $250
Utilities: $350
Malpractice: $500
Website/voip: $75
rent: $5500 (2 locations)
Staff: 60K (includes 2 full time docs, 1 FT nurse practitioner, 2 nurses, 3 MA’s, 1 office manager
IT/EMR :$1100
Supplies: $500
Malpractice: $2000
MONTHLY EXPENSES
Rent $3000
Staff $7000 ( 2 LPNs )
EMR $600 ( 2 users)
Malpractice $450 ( ~5k annually for 1 doc)
Supplies $300
I need to figure out my costs. I know it works, but I don’t have the numbers off the top of my head. I’ll let my operations fellow, Teresa, look and post for me. Teresa, please respond with the information requested!
Alright she did some maths for me:
Rent: $1,830
Staff Cost (doctor and operations fellow): $6,200
Supplies: $200
Billing & Admin: $75
EHR / IT: $60
Malpractice: $245
TOTAL: $8,610
thanks!!
Monthly Expenses:
Rent $850 (LOVE our rural Alexander County, NC!)
Staff $3,200 (1 MA)
Supplies $200
EMR/Billing $1,000 (2 MD users)
Malpractice $500 (2 MDs)
Thank you