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It's not what you make, it's what you keep," is an old but accurate business adage. According to a recent compensation survey of nearly 3000 US medical practices, it has a great bearing on today's practicing physicians. While their pay seems to be handsome in many regards, when you consider the annual cost of office expenses (which averages about 58% of total receipts for primary care doctors) it remains clear that financial times for doctors are hard. Following is a breakdown for several specialties: