Pueblo Orthopedics, PC

Dr. Jan Davis

719-564-0390

Laurie Berry – Office Manager

 

The office has 5 FTEs (full time equivalents)

Rose – Receptionist

Anita – X-ray tech

Molly – Nurse practitioner – has admitting and discharge privileges. 

Patty – Billing

The staff has worked together for more than a year now and functions as a team.

 

There is 3400 sq. ft. of space that includes 2 physician offices; 1 – cast room; 1 – x-ray room; 6 – exam rooms.  The office is located on the 3rd floor of a large medical office building on the campus of St. Mary-Corwin Medical Center.  The cost of the space is very low. 

 

The office hours are from 8a – 530p.  Dr. Davis sees patients in the clinic (25/day) Tuesdays and Thursdays.  He has two full days of surgery Mondays and Wednesdays with a ½ of clinic on Fridays.  Friday is also used to follow on overflow from surgery or for minor surgical cases.  He has block time available at Parkview.  Dr. Davis estimates that 95% of his cases are performed at St. Mary-Corwin.

 

Jan G. Davis, MD is 47 years of age and soon to be married.  Most days he rides his bicycle or BMW motorcycle to work.  He has practiced in Pueblo since 1993.  Prior to Pueblo Dr. Davis practiced in Denver and Salt Lake City.  His undergrad was at University of Nebraska.  His MD was obtained at University of Nebraska as well.  He conducted his internship and residency at Creighton University.  He did his fellowship in  spine at Tulane University-Elmwood Medical Center and Northwestern University-Northwestern Memorial Hospital.  Dr. Davis is board certified by the American Board of Orthopedic Surgery.

 

Dr. Davis’ practice consists most of orthopedic spine and total joints.  He is skilled and capable at most aspects of orthopedic surgery with the exception of arthroscopic procedures.  These he will refer to his new partner.  The ratio of spine to tj is 1:2 in terms of case volume.  Dr. Davis generates 3-4 sports related surgical referrals each week without ever having focused on this aspect of orthopedic surgery.  He told me he spreads the referrals around but will immediate give all of these to his new partner – obviously.

 

Dr. Davis is personally booked out for surgery a minimum of 6 weeks.  His approach is “conservative” and he has chosen to limit his practice to patients with chronic pain or most worker’s comp. cases unless they referrals come to him already worked up. 

Dr. Davis is paying approximately $7600 each quarter for malpractice insurance including coverage for his Nurse Practitioner.  He has $1m/$3m claims made coverage through the Doctor’s Company.

 

Call coverage is a minimum of 1-5.  there are 10 orthopedic surgeons practicing in Pueblo.  They are broken into 2 distinct call groups.  On any given month one group covers St. Mary-Corwin and the other group covers Parkview.  Call is paid $600 and $1000 per day at St. Mary-Corwin and Parkview respectively.  Additionally each of the surgeons bill for their cases in the ED.  In total, after hours call pay will result in over $50,000/yr in income provided the surgeon takes the minimum of call (1-5).

 

According to Dr. Davis Anesthesia, Radiology, Physiatry- (the best he has ever worked with) and the OR crews are all very good.   Dr. Davis also shared with me that both hospitals have excellent Critical care physicians, general internal medicine, nephrology and cardiology.

 

Dr. Davis had a previous partner Dr. Stark who was with him for 7 years (1996-2003 Aug.) and now practices in Washington.  The separation was amicable and Dr. Stark left to be closer to family in WA.

 

Payor Mix

 

PAYOR YTD 2004

%

 

2003

Auto Ins.

0.2

 

0.4

Blue Cross Blue Sh

12.5

 

10.7

HMO

10.9

 

16

Medicaid

10.7

 

10.2

Medicare B

35.5

 

33.5

PPO

14.7

 

17.5

Private Pay Comm.

14.1

 

10.1

Workers Comp.

1.4

 

1.3

 

As a result of Dr. Stark beginning to phase out of his practice in June 2003, many of the payor categories have shifted.  Dr. Davis believes in seeing all payors and has chosen not to restrict his practice to certain payors. 

 

Gross Charges 2004 YTD (1/04-6/14/04)

$799k or annualized $1.475m

 

2003 including Dr. Stark

$2.1m

 

Collection rate

~61%

 

Overhead

~30%

 

Dr. Davis is looking for a similarly minded partner.  Similarly minded in terms of patient care and business management.  Dr. Davis is not at all ostentatious.  The office is not opulent and he and his staff are frugal.  He shared with me that he truly appreciates his staff and tells them so every week.  He said they are not the best paid personnel in town but they are far from the worse paid.  He rewards them frequently with an extra week of pay and cash bonuses.  He believes that this has contributed to better patient satisfaction and a higher rate of collections both from primary payment and co-pays.  Dr. Davis also would like a partner that will compliment his practice.  He does not prefer to do arthroscopy.  He does spine, lower back and neck surgery, total knees and hips along with fractures, some basic hand and foot and ankle work.  Ideally his partner will want to do all the sports related cases.  Dr. Davis welcomes his partner to do total joint work as well.

 

St. Mary-Corwin will guarantee a net income and cover a portion of the new physician’s practice related expenses.  It is projected that a new surgeon will require a limited amount of income support from the practice given the established practice of Dr. Davis and the ability to assume what is left of Dr. Stark’s practice. 

 

Dr. Davis is offering partnership within 12 months, potentially sooner.  Partnership will consist of joint ownership in the hard assets of the practice.  At present this is estimated to be less than $20,000. 

 

Dr. Davis and Dr. Stark compensated them selves with a salary, bonuses each month based on direct physician expenses and % contribution to net revenue.  Practice expenses that are not specific to either physician such as payroll for general office personnel and lease space are divided equally. 

 

Consultants Notes

 

Pueblo is without a doubt a city about to be discovered.  Consider that the city is large enough to support performing arts, two regional medical centers, fine dinning and is just 30 minutes south of the already discovered Colorado Springs.  Because Pueblo has yet to be discovered by erveryone else it is still affordable and offers a myriad of opportunities for families and professionals alike.  In 2000 the Pueblo was named one of the most livable cities in the country by the Partnership for Livable Communities (see attached). 

 

 

Some of the other cool things about Pueblo:

Loft apartments, green-space, a riverwalk, unique architectural style reflecting local environment and heritage, down town interlocking plazas, public art including a street gallery for regional artists, pedestrian friendly, new $20m public library.

Spanish Peaks, Pikes Peak, San Isabel National Forest, Sangre de Criso Mountains - The Sangre de Cristo Mountains are one of the longest mountain chains on Earth. They stretch from Poncha Pass, Colorado, in the north to Glorieta Pass, New Mexico, in the south. There are ten peaks over 14,000' high in the range, more than two dozen over 13,000'.

 

Pueblo’s 10 largest employers:

 

School Dist. No. 60 -  2600

Parkview Medical Center – 1731

Convergys –telemarketing service– 1400

Colorado Institute of Mental Health – 1300

St. Mary-Corwin Medical Center – 1245

Colorado State UniversityPueblo – 1200

Loaf’n Jug – Convenience Stores – 1100

Pueblo County – 1030

Trane Co. – commercial airconditioning – 950

Rocky Mountain Steel – 825

 

Other large employers include:

 

City of Pueblo - 725

Target Distribution – 715

Qwest Communications – 450

Bene Sight – health insurance - 400

Mission Foods – 300

American Association of Railroads – 269

Boeing – Delta rocket assembly - 265

BF Goodrich-Carbon Products - 246



Parkview Medical Center
By the numbers

400 West 16th Street
Pueblo, CO 81003-2781
(719) 584--4000

www.parkviewmc.org

Activity (7/1/01–7/1/02)
Admissions: 12,289
Inpatient surgeries: 4,487
Outpatient visits: 138,660
Outpatient surgeries: 5,665
Emergency room visits: 40,602
Births: 1,452

Number of beds: 289

Staffing (employed, on payroll)
Registered nurses
     Full-time: 328
     Part-time: 37

Licensed practical nurses
     Full-time: 57
     Part-time: 9

Total facility personnel
     Full-time: 1,338
     Part-time: 167

St. Mary-Corwin Medical Center

1008 Minnequa Avenue
Pueblo, CO 81004-3798
(719) 560--4000

www.centura.org

Hospital type: General medical and surgical
Operated by: Religiously operated
Total beds: 254

Administrator: Mr. Thomas E Anderson, Administrator

Parent system: Catholic Health Initiatives

Key services:
General medical and surgical care
General intensive care
Neurology department
Pediatric medical and surgical care
Physical rehabilitation
Obstetrics
Orthopedics department
Emergency department

Selected accreditations/memberships:
Accredited, Joint Commission on Accreditation of Health Care Organizations (JCAHO)

Specialized services
Inpatient:
Birthing room
Elderly/disabled–

Skilled nursing care

End-of-life services–

Pain management

Psychiatric care–

Partial hospitalization
Psychiatric emergency services

Outpatient:
Angioplasty
Breast cancer screening/mammograms
Cardiac catheterization laboratory
Certified trauma center
Chemotherapy
Dental services
Extracorporeal shock lithotripter
Fitness center
Home health services*
Physical rehabilitation
Psychiatric services–

Consultation

Radiation therapy
Sleep center
Smoking cessation program
Wound management services

Patient/family support services:
Chaplaincy/pastoral care services
Patient support groups
Patient representative/ombusdman

Community outreach:
Health screenings

Imaging services
CT scanner
Diagnostic radioisotope facility
Magnetic resonance imaging (MRI)
Positron emission tomography (PET)
Single photon emission computerized tomography (SPECT)
Ultrasound

Activity (7/1/01–7/1/02)
Admissions: 9,654
Inpatient surgeries: 2,804
Outpatient visits: 193,550
Outpatient surgeries: 3,114
Emergency room visits: 32,143
Births: 776

Number of beds: 254

Staffing (employed, on payroll)
Registered nurses
     Full-time: 263
     Part-time: 77

Licensed practical nurses
     Full-time: 31
     Part-time: 7

Total facility personnel
     Full-time: 1,190
     Part-time: 235

Pueblo Colorado

 

 

 

 

Bestplaces.net

PEOPLE

Pueblo

Colorado Springs

US Avg.

Population

108685

369703

48,662

Pop. density

3,027.3

2,018.2

3,043.9

Pop. change

4.9%

23.7%

11.6%

Median age

37.90

34.29

35.50

Household size

2.59

2.40

2.55

RACE

White

85.9%

84.4%

81.8%

Black

3.0%

8.0%

10.4%

Asian

1.1%

3.6%

11.6%

Amer. Indian

1.0%

0.9%

0.8%

Other

9.0%

3.2%

3.5%

Hispanic

43.6%

12.3%

11.0%

FAMILY

Married, w/chld

20.5%

26.3%

24.7%

Married, no chld

27.6%

26.9%

27.7%

Single, w/chld

14.4%

11.2%

11.3%

Single, no chld

37.5%

35.5%

36.2%

Divorced

11.8%

11.2%

9.4%

Separated

3.8%

3.8%

3.3%

Widowed

9.1%

5.3%

7.9%

Now married

50.3%

55.8%

51.8%

Never married

25.0%

24.0%

27.6%

PROFESSIONS

Executive

9.5%

13.5%

12.6%

Professional

14.0%

17.5%

14.7%

Technical

3.9%

4.4%

3.6%

Sales

12.4%

12.9%

12.5%

Clerical

16.3%

17.0%

15.9%

Blue-collar

44.0%

34.7%

40.7%

 

HOUSING

Pueblo

Colorado Springs

US Avg.

Median home cost

102810

138520

$146,102

Home apprec.

8.7%

5.1%

7.8%

Prop. tax rate

$10

$8

$16.43

Home cost index

88.4

119.1

100.0

Homes owned

61.3%

49.9%

59.1%

Homes rented

32.3%

40.5%

32.6%

Homes vacant

6.4%

9.6%

8.3%

 

 

 

 

ECONOMY

Pueblo

Colorado Springs

US Avg.

Income per cap.

$13,268

$20,477

$21,658

Household inc.

$27,366

$38,189

$44,958

Unemp. rate

4.1%

3.0%

4.0%

Rec. job growth

1.2%

3.3%

2.6%

Future job growth

31.3%

17.9%

10.8%

Sales taxes

6.50%

6.10%

6.35%

Income taxes

5.00%

5.00%

4.60%

COST OF LIVING

Overall

94.0

103.7

100.0

Housing

88.4

119.1

100.0

Food

110.6

98.1

100.0

Transportation

92.6

99.3

100.0

Utilities

83.5

81.4

100.0

Health

103.5

117.4

100.0

Miscellaneous

91.7

92.9

100.0

 

HEALTH

Pueblo

Colorado Springs

US Avg.

Air quality
(100=best)

43

24

33

Watershed qual.
(100=best)

100

91

49

Superfund sites
(100=best)

90.0

80.0

53

Phys. per cap.

261

201

230

Health cost index

103.5

117.4

100.0

ILLNESSES (per 100,000 pop.)

Adult asthma

3,827.0

3,869.1

3,895.5

Pediatric asthma

1,629.2

1,694.9

1,609.3

Emphysema

836.8

578.7

723.5

Chronic bronchitis

5,448.7

5,297.4

5,363.2

Acute bronchitis

4,505.6

4,583.1

4,571.2

Common cold

23,080.0

23,824.9

23,305.0

Pneumonia

1,859.3

1,721.5

1,816.3

 

EDUCATION

Pueblo

Colorado Springs

US Avg.

High schl grad.

77.3%

85.3%

79.5%

2yr coll. grad.

7.6%

10.5%

7.6%

4yr coll. grad.

11.4%

20.0%

17.3%

PhD Graduates

6.2%

10.2%

8.5%

School expend.

$4,704%

$4,869%

$5,928

Pupl/tchr ratio

17.8

17.7

17.7

Achievment index
(10 = best)

2.1

6.2

5.1

 

CLIMATE

Pueblo

Colorado Springs

US Avg.

Rainfall (in.)

17.0

17.0

34.6

Snowfall (in.)

48.0

48.0

24.3

Precip. days

98

98

109

Sunny days

261

249

213

Days over 90

64

15

34

Freezing days

153

162

83

Avg. July high

85.0

85.0

85.9

Avg. Jan. low

17.0

17.0

26.8

Comfort index
(higher=better)

73

73

34

Elevation ft.

4662

6008

750

Area (sq. mi.)

35.9

183.2

20.2

HAZARDS (10=worst)

UV index

5.0

5.3

4.5

Earthquakes

1.0

1.0

2.7

Tornadoes

1.0

3.0

0.0

Hurricanes

0.0

0.0

1.7

 

 

CRIME

Pueblo

Colorado Springs

US Avg.

Violent crime

996.3

548.5

446.1

Property crime

5,138.6

4,825.4

4,162.2

CATEGORIES crimes per 100,000 pop.

Murder

5.5

7.1

3.9

Rape

91.2

71.5

32.8

Robbery

146.9

156.9

116.3

Assault

752.7

313.0

293.0

Burglary

864.0

832.3

761.4

Larceny

3,998.1

3,680.1

3,037.8

Auto theft

276.5

313.0

361.8