Compensation is not keeping pace with physician productivity, while patient demand continues to rise and the proportion of advanced practice providers expands across the workforce.

The median investment/subsidy per provider plateaued this quarter, however the distribution between higher and lower performing practices is wide.

Net patient revenue per provider increased overall, and physician productivity continues to rise.

In the fourth quarter of 2024, the median investment/subsidy per physician was $306,792, an increase of 5% compared to Q4 2023.

In the third quarter of this year, the median investment/subsidy per physician was $304,312—rising above $300,000 for the first time. Other expense metrics such as the total direct expense per provider FTE and labor as a percentage of total expenses increased.

Health systems are confronting a new normal of shrinking revenue and rising labor costs. In the second quarter of 2024, increased labor expenses accounted for 83.9% of total expenses. Additionally, the median investment/subsidy per provider rose 3% since Q2 2023.

Overall labor expenses and revenue continue to rise, and Q1 2024 data show that labor represented 84% of total expenses. The median investment/subsidy per provider increased 2% compared to Q1 2023.

America's providers are more productive and seeing more patients than ever—particularly in primary care settings—resulting in an increase in revenue in the last quarter of 2022. However, increased expenses outweighed improved revenue.

Physician practices continued a trend of increased productivity in the third quarter of 2022. However, despite higher volumes and increased productivity, investments/subsidies increased...