Direct+ Product Documentation
The samples provided are representative of what may be returned in responses. In order to provide comprehensive samples, some values were added where the actual response had null or no values.
In addition, values in both requests and responses have been "faked" or modified to protect potentially private data (e.g., phone number) where applicable. Therefore, using requests exactly as is may not return any results.
GET https://plus.dnb.com/v1/industryprofile?productId=indsum&versionId=v1&naics=711410
{
"transactionDetail": {
"transactionID": "rrt-0477926aacd7e56cd-b-ea-26248-121869601-1",
"transactionTimestamp": "2018-03-19T14:34:23.083Z",
"inLanguage": "en-US"
},
"inquiryDetail": {
"productID": "indsum",
"versionID": "v1",
"naics": "711410"
},
"naics": "711410",
"profiles": [
{
"profileName": "Talent & Modeling Agencies",
"industryOverview": {
"contents": [
{
"title": "Talent Agencies",
"text": "Companies in this industry represent or manage creative and performing artists, athletes, entertainers, models, and other public figures. Major companies include the US-based Creative Talent Agency.",
"referenceURL": "www.someurl.com"
}
],
"subChapters": [
{
"name": "Industry Overview - Competitive Landscape",
"contents": [
{
"title": "Competition",
"text": "Demand is driven by spending on talent in the performing arts, sports, and advertising industries. The profitability of individual agencies depends on the success of agents' talent in winning auditions, leading to a steady stream of contracts. Large agencies have advantages in relationships with major studios, fashion designers, and cosmetic companies. Small agencies can compete successfully by specializing in a particular medium or location and developing niche customer relationships. The US industry is fragmented: the top 50 companies account for slightly less than half of industry revenue.",
"referenceURL": "http://www.someurl.com"
}
]
},
{
"name": "Industry Overview - Products, Operations & Technology",
"contents": [
{
"title": "Recruitment",
"text": "Major services are finding auditions for clients and negotiating contracts. Other services include finding photographers, arranging acting teachers, satisfying other support needs, and securing endorsement deals. In addition, services such as brand management and consulting are seeing increased demand.",
"referenceURL": "http://www.someurl.com"
},
{
"title": "Promotions",
"text": "Agents promote their talent and models to buyers based on required gender, age, race, looks, and talent the buyer needs for a project. Agents submit the talent's head shot, composite card, or portfolio to arrange for an audition or, in the case of modeling agencies, "look-sees." Successful auditions lead to bookings. Modeling agencies also have open calls where they advertise for potential talent to interview on a particular day; hundreds of candidates may attend open calls. ",
"referenceURL": "http://www.someurl.com"
}
]
}
]
}
}
]
}
GET https://plus.dnb.com/v1/industryprofile?productId=inddet&versionId=v1&usSICV4=8011
{
"transactionDetail": {
"transactionID": "rrt-06cc8896db6b2b8d7-d-ea-16999-147785133-4",
"transactionTimestamp": "2018-03-19T14:38:42.657Z",
"inLanguage": "en-US"
},
"inquiryDetail": {
"productID": "inddet",
"versionID": "v1",
"usSicV4": "8011"
},
"usSicV4": "8011",
"profiles": [
{
"profileName": "Outpatient Surgical Centers",
"industryOverview": {
"contents": [
{
"title": "Surgical Industry Companies",
"text": "Companies in this industry provide surgical and emergency care services for ambulatory patients in standalone facilities that are outfitted with operating and recovery rooms; they do not offer overnight or long-term hospital care or care for minor ailments. ",
"referenceURL": "http://www.someurl.com"
},
{
"title": "Demand",
"text": "Demand for outpatient centers, also known as ambulatory surgery centers (ASCs), is growing in Europe, the Americas, the Asia/Pacific region, and other parts of the world. Since many countries have national health care systems, outpatient surgery is usually offered by the country's hospital system.",
"referenceURL": "http://www.someurl.com"
}
],
"subChapters": [
{
"name": "Industry Overview - Competitive Landscape",
"contents": [
{
"title": "Competition",
"text": "Demand is linked to the number of people receiving medical care and the cost of hospital-based care. The profitability of individual centers depends on efficient operations and effective marketing. Companies that operate multiple locations may enjoy some economies of scale in purchasing, administration, and marketing. Smaller companies can compete by providing superior or niche services. The US industry is fragmented: the 50 largest companies generate about 35% of revenue.",
"referenceURL": "http://www.someurl.com"
}
]
},
{
"name": "Industry Overview - Products, Operations & Technology",
"contents": [
{
"title": "Surgical Centers",
"text": "Outpatient surgical centers, otherwise known as ambulatory surgical centers (ASCs), are used by doctors to perform a variety of surgical procedures that don't require patients to stay overnight in a hospital. ",
"referenceURL": "http://www.someurl.com"
},
{
"title": "Affordable Centers",
"text": "Outpatient surgical centers are a lower cost and more convenient alternative to hospitals. Hospitals generally have a higher cost structure, are often located downtown rather than in the suburbs, have limited availability of operating rooms, and can't always guarantee schedules because of possible preemption by emergency surgery. Most centers are between 3,000 and 12,000 square feet and have two to six operating rooms. Centers typically lease space. The cost of developing a typical surgery center is about $3.5 million.",
"referenceURL": "http://www.someurl.com"
},
{
"title": "Staffing",
"text": "The staff includes nurses, technicians, and administrative personnel. Aside from anesthesiologists, doctors usually aren't part of the working staff. Surgeons and anesthesiologists typically arrange to meet patients at the center, perform the procedures, and leave. The daily operations of a center involve mainly personnel management, scheduling, and billing.",
"referenceURL": "http://www.someurl.com"
},
{
"title": "Data Systems",
"text": "Clinical data systems are used to track quality outcomes, which help facilities comply with accreditation regulations. Tracking metrics related to staffing, surgery timing, and supply expenses facilitates cost analysis, case mix monitoring, and accounts receivable management.",
"referenceURL": "http://www.someurl.com"
},
{
"title": "Technology",
"text": "Advances in medical technologies are also important to ASC operations. New laser, endoscopic, and fiber optic devices allow for less-invasive surgical procedures that can reduce trauma and speed recovery times. Research and development in anesthesiology can further reduce postoperative side effects. However, advances in surgical technologies also allow physicians to complete a growing number of procedures in their own offices, which can take business away from surgery centers.",
"referenceURL": "http://www.someurl.com"
}
]
},
{
"name": "Industry Overview - Sales & Marketing",
"contents": [
{
"title": "Marketers",
"text": "ASCs market their services to doctors who refer patients, directly to patients, and to third-party payers, such as insurers and employers, usually through individual sales calls. Marketers solicit business from individual surgeons or physician groups that perform a large volume of procedures, and centers gear their equipment and personnel to support the procedures these groups perform. Companies also promote services through public awareness campaigns and community or workplace health fairs and screenings.",
"referenceURL": "http://www.someurl.com"
},
{
"title": "Billing",
"text": "Surgical centers bill a "facility fee" for their services according to the type of procedure performed. ",
"referenceURL": "http://www.someurl.com"
},
{
"title": "Sales",
"text": "A selling point of ASCs is that they charge less per procedure than hospitals do, but Medicare also reimburses these facilities at a lower rate. Medicare typically pays ASCs about 60% of the amount paid to hospital outpatient departments for performing the same services.",
"referenceURL": "http://www.someurl.com"
}
]
},
{
"name": "Industry Overview - Regional & International Issues",
"contents": [
{
"title": "Outpatient Care",
"text": "Demand for outpatient or ambulatory surgery centers (ASCs) is growing in Europe, the Americas, the Asia/Pacific region, and other parts of the world. Since many countries have national health care systems, outpatient surgery is usually offered by the country's hospital system. ",
"referenceURL": "http://www.someurl.com"
},
{
"title": "Gloabl Comparison",
"text": "Many countries look to the success of outpatient surgery in the US as proof of concept. More than 60% of all surgeries in the US are done on an outpatient basis, compared to 50% in Spain and less than 40% in France. ",
"referenceURL": "http://www.someurl.com"
},
{
"title": "Challanges",
"text": "Challenges facing companies interested in developing outpatient surgery centers internationally in countries without national health care systems could include the possible reluctance by personnel to adopt new practices as well as the lack proper facilities for outpatient procedures. ",
"referenceURL": "http://www.someurl.com"
},
{
"title": "National Impact",
"text": "In the US ASCs tend to proliferate in states with favorable demographics and favorable regulatory climates. More than 40 states have regulations pertaining to ASCs.",
"referenceURL": "http://www.someurl.com"
}
]
}
]
},
"quarterlyIndustryUpdate": {
"contents": [
{
"title": "Challenge: Stricter Standards for Hand Hygiene",
"text": "Ambulatory surgery centers face stricter penalties for poor hand hygiene practices after the Commission issued a new zero-tolerance policy. A facility will be cited for observation of one staff member not washing hands in the process of direct patient care; previously facilities were cited only after a pattern of hand hygiene noncompliance was observed.",
"referenceURL": "http://www.someurl.com"
}
],
"subChapters": [
{
"name": "Quarterly Industry Update - 11/27/2017",
"contents": [
{
"title": "Industry Impact",
"text": "Surgery centers will need to ensure that staff members are complying 100% with hand hygiene protocols or risk being cited by the Commission.",
"referenceURL": "http://www.someurl.com"
}
]
}
]
},
"previousQuarterlyIndustryUpdate": {
"contents": [
{
"title": "Industry Impact",
"text": "Ambulatory surgery centers that gain certification in specialty surgical fields such as knee and hip replacements could gain credibility over other ASCs.",
"referenceURL": "http://www.someurl.com"
}
],
"subChapters": [
{
"name": "Quarterly Industry Update - 11/27/2017",
"contents": [
{
"title": "Opportunity: New Orthopedic Certifications Could Enhance ASCs",
"text": "As the number of orthopedic procedures performed in outpatient surgical settings increases, ambulatory surgery centers (ASCs) can now gain certification for specializing in orthopedics. Requirement standards relate to provider credentials and privileges, rigorous prescreening practices for optimal patient outcomes, and following current evidence-based guidelines. The number of total hip or knee replacement procedures could increase from 620,000 to 3.5 million per year between 2010 and 2030. The rise is due to the growing baby boomer population and increased conditions that lead to orthopedic problems such as arthritis and obesity. ",
"referenceURL": "http://www.someurl.com"
}
]
},
{
"name": "Quarterly Industry Update - 8/28/2017",
"contents": [
{
"title": "Trend: Evaluating Return on Investment in Technology",
"text": "Eye surgery centers increasingly must balance the value of technology upgrades against the impact on margins. About half of eye center administrators have purchased cataract surgery lasers, for instance, but sales are tapering off as remaining managers don't plan to make such purchases in the immediate future, according to a recent survey from <em>Outpatient Surgery</em>. Although lasers are found to produce more accurate surgical outcomes, facilities must charge higher fees and meet benchmarks for volume to break even on costs. Cataract surgeries typically have thin profit margins. Areas of positive spending growth for eye centers include offering multifocal and toric intraocular lenses, which improve post-operative visual results for patients, and surgical microscopes with oculars, which help surgeons avoid neck and back strains.",
"referenceURL": "http://www.someurl.com"
},
{
"title": "Industry Impact",
"text": "Surgery centers are under pressure to bring in new devices to improve surgical success and increase surgeon and patient satisfaction, but they must buy strategically to maximize financial benefit.",
"referenceURL": "http://www.someurl.com"
}
]
},
{
"name": "Quarterly Industry Update - 5/29/2017",
"contents": [
{
"title": "Opportunity: Concierge Medicine Reaches Outpatient Surgery Centers",
"text": "A growing number of general physicians and specialists in the US are operating on a cash-only basis, and the trend has now extended to include ambulatory surgery centers (ASCs). Concierge physician practices typically charge patients a monthly fee and do not accept any insurance payments. Cash-only ASCs, such as the Surgery Center of Oklahoma, don't charge a monthly fee but instead offer transparent pricing by including a set list of procedure costs on its website. ",
"referenceURL": "http://www.someurl.com"
},
{
"title": "Industry Impact",
"text": "By converting to cash-only practices, ambulatory surgery centers could improve profit margins.",
"referenceURL": "http://www.someurl.com"
}
]
}
]
},
"industryIndicators": {
"contents": [
{
"title": "Consumer Prices",
"text": "US consumer prices for medical care commodities, which may impact outpatient surgical centers' operational costs for equipment and supplies, increased 1.8% in January 2018 compared to the same period in 2017.",
"referenceURL": "http://www.someurl.com"
},
{
"title": "National Average",
"text": "US consumer prices for medical care services, an indicator of profitability for outpatient surgical centers, rose 2.0% in January 2018 compared to the same month in 2017.",
"referenceURL": "http://www.someurl.com"
}
],
"subChapters": [
{
"name": "Business Trends",
"contents": [
{
"title": "Revenue",
"text": "Total US revenue for outpatient care centers, which includes outpatient surgical centers, rose 2.3% in the third quarter of 2017 compared to the previous year.",
"referenceURL": "http://www.someurl.com"
}
]
}
]
},
"businessChallenges": {
"contents": [
{
"title": "Health Care Reform",
"text": "ASCs are impacted by efforts to control skyrocketing health care costs and improve quality of care. Surgery centers are seen as cost-efficient compared to hospitals, and ASCs may see higher patient volumes from newly insured patients under reform laws. However, reform-induced reductions in reimbursement rates will also affect revenue for ASCs. ",
"referenceURL": "http://www.someurl.com"
}
],
"subChapters": [
{
"name": "Critical Issues",
"contents": [
{
"title": "Recruiting and Retaining Doctors",
"text": "Managing relationships with doctors and hospitals is crucial to an ASC’s success. Many new ambulatory surgical centers fail unless they can recruit enough doctors and other providers to commit to the facility. Some markets in which ASCs operate have shortages of physicians in targeted specialties. Some ASCs face competition from hospitals that actively recruit physicians. Hospitals may restrict those physicians' ability to refer patients to physicians and facilities not affiliated with the hospital. ",
"referenceURL": "http://www.someurl.com"
}
]
},
{
"name": "Other Business Challenges",
"contents": [
{
"title": "Dependence on Reimbursement Rates",
"text": "If medical insurers reduce payments as ASC costs increase, a provider's operating margins and profitability would be adversely affected. Medicare, the largest payer, may be pressured politically to respond to rising health care costs by reducing the reimbursement schedule or limiting future increases. Commercial payers often follow suit. Because future changes to the Medicare payment system are difficult to predict, ASCs would benefit from developing new revenue sources to prepare for the possibility of lower reimbursement rates.",
"referenceURL": "http://www.someurl.com"
},
{
"title": "Malpractice Risk",
"text": "ASCs may put their physician partners at higher risk for malpractice lawsuits than their hospital counterparts. Many physicians are protected by the best practices policies and procedures established by the hospital where they have privileges. Unless outpatient surgery centers establish their own safety and operational policies, they could put their physicians and staff at risk for lawsuits. ",
"referenceURL": "http://www.someurl.com"
},
{
"title": "High Accounts Receivable ",
"text": "The revenue of ambulatory surgical centers is mainly in the form of reimbursements from commercial insurance, managed care plans, and Medicare. Because of delays inherent in many reimbursement systems, accounts receivable can be high. Financing receivables can be expensive, and the quality of receivables below-average, especially if a substantial portion is due from individuals. At times, insurers challenge bills because of disputed billing codes, thereby delaying or reducing payments.",
"referenceURL": "http://www.someurl.com"
},
{
"title": "Certificate of Need Requirements",
"text": "Many states have certificates of need (CON) restrictions on new construction of hospitals or surgical centers. CONs are an attempt to more evenly distribute health care facilities and prevent overbuilding in some areas. A center may not be able to build or expand in certain areas unless they can establish a need for their services. This could potentially limit revenues.",
"referenceURL": "http://www.someurl.com"
}
]
}
]
},
"trendsAndOpportunities": {
"contents": [
{
"title": "Provider Partnerships",
"text": "Even as freestanding surgical centers offer an alternative to hospitals, hospitals are investing in these facilities and operating their own outpatient surgical centers as well as partnering with existing ASCs. Additionally, ASCs are also forming ventures with acute-care and nursing facilities. One of the limiting factors of ASCs is that they can’t keep patients for long recovery periods. Partnerships with acute care providers can allow them to offer longer recovery times.",
"referenceURL": "http://www.someurl.com"
}
],
"subChapters": [
{
"name": "Business Trends",
"contents": [
{
"title": "Industry Growth ",
"text": "Because Medicare and other health insurance programs recognize that freestanding surgical centers are more cost-effective for outpatient surgery than hospitals, insurers are beginning to encourage use of ASCs. Health care reform, with its emphasis on cutting costs, also encourages the change in mindset from hospital to outpatient. As a result, the industry is seeing growth.",
"referenceURL": "http://www.someurl.com"
}
]
}
]
},
"executiveInsight": {
"contents": [
{
"title": "Managing Owner Relations",
"text": "More and more, ASCs form partnerships with hospitals, which may also be their chief competition. ASC managers must be politically adept at working with owners and partners while navigating regulatory and competitive challenges.",
"referenceURL": "http://www.someurl.com"
}
],
"subChapters": [
{
"name": "Chief Executive Officer - CEO",
"contents": [
{
"title": "Negotiating Managed Care Contracts",
"text": "Ambulatory, or outpatient, surgery centers receive a large portion of their revenue from contracts with managed care companies. These contracts offer discounts from established charges and typically have terms of one to three years. The profitability of an ASC’s services depends on successful negotiation of discount levels and provision for annual cost adjustments. ",
"referenceURL": "http://www.someurl.com"
}
]
}
]
},
"callPreparationQuestions": {
"contents": [
{
"title": "What challenges and opportunities does health care reform legislation present? ",
"text": "ASCs are impacted by efforts to control skyrocketing health care costs and improve quality of care.",
"referenceURL": "http://www.someurl.com"
}
],
"subChapters": [
{
"name": "Call Preparation Questions - Conversation Starters",
"contents": [
{
"title": "How does the center determine the number of physicians, nurses, and other staff it needs to be successful? ",
"text": "Managing relationships with doctors and hospitals is crucial to an ASC’s success.",
"referenceURL": "http://www.someurl.com"
}
]
}
]
},
"financialInformation": {
"contents": [
{
"title": "Turnover Ratio",
"text": "<table width="500"cellspacing="0" border="0" bgcolor="#f0f0ee"><tr><td><p><br /><strong>Working Capital Turnover by Company Size</strong><br /><br />The working capital turnover ratio, also known as working capital to sales, is a measure of how efficiently a company uses its capital to generate sales. Companies should be compared to others in their industry.</p></td></tr><tr class="tabletext"><td> </td></tr><tr><td align="center"><img src="http://www.firstresearch.com/Customers/reports/includes01/OUSC/OUSC-wct.jpg"></td></tr><tr><td> </td></tr><tr><td><p><span class="tag">Financial industry data provided by Gorman Corporation collected from 32 different data sources and represents financial performance of over 4.5 million privately held businesses and detailed industry financial benchmarks of companies in over 900 industries (SIC and NAICS). More data available at <a href="http://www.microbilt.com/category/business-credentialing" title="http://www.microbilt.com/category/business-credentialing" target="_blank">www.microbilt.com</a>.</span></p></td></tr></table>\r",
"referenceURL": "http://www.someurl.com"
}
],
"subChapters": [
{
"name": "COMPANY BENCHMARK TRENDS",
"contents": [
{
"title": "Quick Ratio",
"text": "<table width="500"cellspacing="0" border="0" bgcolor="#f0f0ee"><tr><td><p><br /><strong>Quick Ratio by Company Size</strong><br /><br />The quick ratio, also known as the acid test ratio, measures a company's ability to meet short-term obligations with liquid assets. The higher the ratio, the better; a number below 1 signals financial distress. Use the quick ratio to determine if companies in an industry are typically able to pay off their current liabilities.</p></td></tr><tr class="tabletext"><td> </td></tr><tr><td align="center"><img src="http://www.firstresearch.com/Customers/reports/includes01/OUSC/OUSC-cbiqr.jpg"></td></tr><tr><td> </td></tr><tr><td><p><span class="tag">Financial industry data provided by MicroBilt Corporation collected from 32 different data sources and represents financial performance of over 4.5 million privately held businesses and detailed industry financial benchmarks of companies in over 900 industries (SIC and NAICS). More data available at <a href="http://www.microbilt.com/category/business-credentialing" title="http://www.microbilt.com/category/business-credentialing" target="_blank">www.microbilt.com</a>.</span></p></td></tr></table>\r",
"referenceURL": "http://www.someurl.com"
}
]
}
]
},
"industryForecast": {
"contents": [
{
"title": "Industry Comsumption",
"text": "US personal consumption expenditures on ambulatory surgical and emergency centers, which include outpatient surgical centers, are forecast to grow at an annual compounded rate of 6% between 2018 and 2022. Data Published: January 2018",
"referenceURL": "http://www.someurl.com"
}
],
"subChapters": [
{
"name": "Industry Sites",
"contents": [
{
"title": "First Research Industry Growth Rating",
"text": "Reflects snapshot of industry performance vs. industry risk over the next 12 to 24 months relative to other U.S. industries, along with short descriptions of vital demand and risk factors influencing the industry. Use to quickly determine the overall projected health of an industry.",
"referenceURL": "http://www.someurl.com"
}
]
}
]
},
"industryWebsites": {
"contents": [
{
"title": "Ambulatory Surgery Center Association",
"text": "Regulatory developments.",
"referenceURL": "http://www.someurl.com"
}
],
"subChapters": [
{
"name": "Industry Sites",
"contents": [
{
"title": "Accreditation Association for Ambulatory Health Care",
"text": "Industry issues. ",
"referenceURL": "http://www.someurl.com"
}
]
}
]
},
"acronyms": {
"contents": [
{
"title": "ACA",
"text": "Affordable Care Act",
"referenceURL": "http://www.someurl.com"
}
],
"subChapters": [
{
"name": "ABC",
"contents": [
{
"title": "ABC",
"text": "ABC. ",
"referenceURL": "http://www.someurl.com"
}
]
}
]
}
}
}