1. AAAAI Practice Management Financial Survey Results December 2009

8. Manpower Utilization Job Description % practices 2007 response Practice Administrator 39.5% 36.5 % Office Manager 61.8% 61.5 % (Employ both) 19.7% 18.7 % Clinical Supervisor 51.3% 47.1 % Asthma Educator 34.2% 20.2 % Billing Supervisor 55.3% 57.7 % Bookkeeper 47.4% 41.0 %

11. Who’s Giving Immunotherapy % of practices reporting uses this staffer Physicians 26.3 % (20/76 practices) RNs 69.7% (53/76 practices) LPNs 60.5% (46/76 practices) Medical Assistants 53.9% (41/76 practices) Physician Extenders 1.3% ( 1/76 practices)

12. Who’s Giving Immunotherapy 2007 results % of practices reporting uses this staffer Physicians 26.2 % (28/111 practices) RNs 67.3% (72/111 practices) LPNs 54.2% (58/111 practices) Medical Assistants 41.1% (44/111 practices) Physician Extenders 3.7% ( 4/111 practices)

14. Benefits given Personal time range from 1 to 30 days per year. Mean was 9.709 + 7.32 days per year. Median Value was 6 days. % responses Health Insurance 88.2% (67/76) Retirement plan contribution 88.2% (67/76) Continuing Educational 76.3% (58/76) Paid personal time 85.5% (65/76) Other: Life Insurance or Dental 5.3% (4/76)

15. Salary increases % responses Performance Based 76.3% (58/76) Cost of Living 67.1% (51/76) Attendance 46.1% (35/76) Seniority 32.9% (25/76) Other: regional wage level incentive/practice profit 5/76 2/76

18. Result Comparison 2006, 2007, & 2008 (median values) 2006 (n= 53 pract/139 phys) 2007 (n=89 pract/210 phys) 2008 (n= 57 pract/180 phys) Collections 695,101 736,930 714,896 Expenses 387,500 420,000 400,000 Profit 270,000 319,717 291,198

21. 2008 Group Versus Solo Breakdown (mean) Solo (n=29) Group 2 & 3 (23 for 52) Group > 4 (14 for 103) Charges 1,366,533 + 1,047,220 1,037,963 + 498,336 1,145,560 + 594,557 Collections 915,272 + 663,103 697,367 + 305,490 709,162 + 292,047 Expenses 588,484 + 461,142 359,282 + 147,234 446,052 + 283,956 Profit 394,332 + 332,168 338,086 + 225,595 326,140 + 255,344

22. Group Versus Solo Breakdown 2007 results (mean) Solo (n=50) Group 2 & 3 (21 for 47) Group > 4 (18 for 113) Charges 1,181,307 + 716,304 932,021 + 401,864 1,439,263 + 802,929 Collections 804,985 + 477,495 643,826 + 238,435 1,058,601 + 531,425 Expenses 469,028 + 255,987 355,371 + 176,239 576,726 + 293,626 Profit 354,063 + 232,213 301,390 + 111,952 404,012 + 164,298

23. Group Versus Solo Breakdown (median) Solo (n=29) Group 2 & 3 (23 for 52) Group > 4 (14 for 103) Charges 1,014,387 983,481 1,062,197 Collections 714,896 680,750 730,497 Expenses 441,860 344,743 454,220 Profit 297,480 331,827 255,771

24. Group Versus Solo Breakdown 2007 results (median) Solo (n=50) Group 2 & 3 (21 for 47) Group > 4 (18 for 113) Charges 951,319 888,306 1,156,002 Collections 692,551 675,000 874,060 Expenses 400,000 365,544 517,446 Profit 300,000 274,891 403,342

25. Breakdown by Region ( median ) Charges Collect Expense Profit Northeast (16 for 46) 852,793 664,954 395,145 242,787 South (8 for 16) 1,244,641 868,442 478,975 403,360 Central (12 for 60) 1,160,000 700,000 400,000 214,286 Mideast (13 for 30) 970,801 677,396 302,625 325,000 West (8 for 30) 1,066,189 792,910 419,089 289,604

26. 2007 Regional breakdown ( median ) Charges Collect Expense Profit Northeast (25 for 46) 866,829 604,263 400,000 335,539 South (23 for 58) 1,131,412 780,067 478,562 322,800 Central (16 for 54) 950,937 1,138,793 555,654 319,717 Mideast (16 for 32) 1,183,712 757,192 455,464 340,980 West (9 for 20) 900,000 675,000 257,350 252,800

27. Physician Extender Effect Practices with (27 of 111 phys) Practices without (39 of 83 phys) Charges (median/mean) 1,263,896 1,454,852 970,801 973,937 Collections (median/mean) 814,650 950,117 644,798 649,798 Expenses (median/mean) 459,372 572,709 350,000 384,155 Profit (median/mean) 323,579 428,054 247,809 302,999

28. Preliminary Results Immunotherapy % in Billing 2007 Mean results were 0.3524 + 15938 Median 0.32955 Mean 0.31000 St. Dev. + 0.15454 Range 0.01000 to 0.58148