Thursday, October 18, 2012

THE OPTOMETRY OFFICE FINANCIAL “MAKE OR BREAK POINT”


Every practice has a financial make or break point.

This is the point, financially, where you are either making enough money to operate, pay yourself, your employees, all the basic operational cost, continuing education cost, the utilities, etc. Above this point you are making it. Below this point you are breaking it.

As a practice owner it is one of the most important tasks you have to work out what the financial “make/break point” is for the practice.

To do this take the following steps:

  1. Take the last 3 months average of spending (include any amounts that are suppose to be covered that may not have been necessarily paid) and determine what your bottom line income needs to be to pay your basic bills (which, includes doctor and staff pay, utilities, bills, etc).

  1. Compare this against the suggested ideal financial percentages of an optometry practice and determine where you are overspending.

It is important in managing the finances of your practice to monitor on a regular basis how much you are spending in your various expense categories.  Even more important than watching the gross amount of each cost is keeping an eye on each category as a percent of your collections.  Below are some guidelines to help you evaluate your key expense categories:
            Category                                              Percent of Income       

Cost of Goods Sold                                   27% - 33%

Staff Salaries and Benefits                          18% - 23%

Occupancy Costs                                        4% - 9%

Equipment                                                  3% - 5%

Marketing/Advertising                                2% - 5%

General Office Overhead                            6% - 9%

Doctor’s Compensation                             30% - 35%


These ranges can vary depending on the peculiarities of your practice.  But these are ranges that work for many successful practices.


In evaluating these percentages, you must realize, of course, that the higher the production level of a practice, the lower some of these percentages will go.  A smaller practice will have higher percentages because there is a minimum requirement to these costs just to open your doors.  As the practice expands, these percentages can come down.

Monitoring these costs and percentages on a monthly basis will help you confront and stay in control of your financial planning. 

  1. While you work to increase your practice’s income, start planning, using an executive meeting (which I have laid out in a previous blog post), your weekly and monthly spending so that it is kept within your budget and the ideal percentages.

The office manager should be included in the basic financial planning so they understand the financial needs of the practice and can manage the practice with viability in mind.

(Note: If there is a concern on giving to much financial information to someone that is not an owner, they should at least be familiar with the percentages of the practices finances.)

  1. Once you have your “make/break point” financial target figured out implement a bonus system (profit sharing, which I have posted about earlier) that awards the staff a certain percentage of the income that is above the “make/break point”. The percentage would be set-a-side and paid out quarterly to help motivate your staff to make your “make/break point” financial targets and would give them great responsibility to increase their own income by increasing the practices income.

Doing the above steps and using the suggested percentages as benchmarks for your practices financial wellbeing will give you much greater control of your finances and assist you achieving financial stability for the practice.

Good luck!

THE DENTAL OFFICE FINANCIAL “MAKE OR BREAK POINT”


Every practice has a financial make or break point.

This is the point, financially, where you are either making enough money to operate, pay yourself, your employees, all the basic operational cost, continuing education cost, the utilities, etc. Above this point you are making it. Below this point you are breaking it.

As a practice owner it is one of the most important tasks you have to work out what the financial “make/break point” is for the practice.

To do this take the following steps:

  1. Take the last 3 months average of spending (include any amounts that are suppose to be covered that may not have been necessarily paid) and determine what your bottom line income needs to be to pay your basic bills (which, includes doctor and staff pay, utilities, bills, etc).

  1. Compare this against the suggested ideal financial percentages of a dental practice and determine where you are overspending.

It is important in managing the finances of your practice to monitor on a regular basis how much you are spending in your various expense categories.  Even more important than watching the gross amount of each cost is keeping an eye on each category as a percent of your collections.  Below are some guidelines to help you evaluate your key expense categories:


Description
Percentage/Amount

Comments
Salaries (without Hygiene)
18 – 22%

Hygiene
Up to 33%
2.8 to 3.3 times actual payroll expense.  This translates to 30% to 35% of what she produces (billable).
Total Employee Expenses
26 – 31%
This includes salaries, benefits and taxes.



Laboratory
7.5 – 10.5%

Dental Supplies
5 – 7.5%
Use comparative shopping to keep in lower range.
Rent
5% max

Office Supplies
1 – 2%

Utilities
< 1%

Promotion
Up to 5%
This includes your Yellow Pages bill.
Equipment Repairs
< 1%

Continuing Education
3 – 5%
Includes transportation and expenses for doctor and staff.
Accounting
< 1%
Accounting costs depend on how much you have the accountant do.  Use of a bookkeeper and/or accounting software can greatly reduce this cost.

Legal

$400-1,000 a year
The percentage would depend on the income of the practice.
Doctor’s retirement and medical/hospitalization
3%

Staff benefits
3%


In evaluating these percentages, you must realize, of course, that the higher the production level of a practice, the lower some of these percentages will go.  A smaller practice will have higher percentages because there is a minimum requirement to these costs just to open your doors.  As the practice expands, these percentages can come down.

Monitoring these costs and percentages on a monthly basis will help you confront and stay in control of your financial planning. 

  1. While you work to increase your practice’s income, start planning, using an executive meeting (which I have laid out in a previous blog post), your weekly and monthly spending so that it is kept within your budget and the ideal percentages.

The office manager should be included in the basic financial planning so they understand the financial needs of the practice and can manage the practice with viability in mind.

(Note: If there is a concern on giving to much financial information to someone that is not an owner, they should at least be familiar with the percentages of the practices finances.)

  1. Once you have your “make/break point” financial target figured out implement a bonus system (profit sharing, which I have posted about earlier) that awards the staff a certain percentage of the income that is above the “make/break point”. The percentage would be set-a-side and paid out quarterly to help motivate your staff to make your “make/break point” financial targets and would give them great responsibility to increase their own income by increasing the practices income.

Doing the above steps and using the suggested percentages as benchmarks for your practices financial wellbeing will give you much greater control of your finances and assist you achieving financial stability for the practice.

Good luck!

THE FINANCIAL "MAKE OR BREAK POINT" OF A VETERINARY PRACTICE


Every veterinary hospital has a financial make or break point.

This is the point, financially, where you are either making enough money to operate, pay yourself, your employees, all the basic operational cost, continuing education cost, and the utilities. Above this point you are making it. Below this point you are breaking it.

As a hospital owner it is one of the most important tasks you have to work out what the financial “make/break point” is for the hospital.

To do this take the following steps:

  1. Take the last 3 months average of spending (include any amounts that are suppose to be covered that may not have been necessarily paid) and determine what your bottom line income needs to be to pay your basic bills (which, includes doctor and staff pay, utilities, bills, etc).

  1. Compare this against the suggested ideal financial percentages of a veterinary hospital and determine where you are overspending.

It is important in managing the finances of your hospital to monitor on a regular basis how much you are spending in your various expense categories.  Even more important than watching the gross amount of each cost is keeping an eye on each category as a percent of your collections.  Below is a list of the main expense categories in a veterinary hospital and percentage ranges to provide some guidelines to help you evaluate your key expense categories:


Description
Percentage/Amount

Comments
Staff compensation
15-18%%
Excluding benefits and taxes.
Associate Salary
18-22 % of what he/she produces.
If you are paying medical insurance, malpractice and CE, then the percentage comes down.
Drugs and Professional Supplies
17-20%
Use comparative shopping to keep in lower range.
Laboratory
5%
Inhse 2.5 / outsourced 2.5
Office Supplies
1 – 2%

Rent
5-10 %

Utilities
 1%

Promotion
 2%
This includes your Yellow Pages bill.
Maintenance
 1%
Includes any bld’g repairs
Continuing Education
2– 4%
Includes transportation and expenses for doctor and staff.
Accounting
< 1%
Accounting costs depend on how much you have the accountant do.  Use of a bookkeeper and/or accounting software helps keep this cost low.
Legal
$400-1,000 a year
The percentage would depend on the income of the hospital.
Doctor’s retirement and medical/hospitalization
3%





Heartworm Expense                 3.5% (minimum)

Flea/Tick                                  3.5% (minimum)

Pet Food                                  70% of what sold; at least 3.5% of total expenses or you’re not selling enough.

Medical Supplies, Other           12%

Office Expenses                        3%

In evaluating these percentages, you must realize, of course, that the higher the production level of a hospital, the lower some of these percentages will go.  A smaller hospital will have higher percentages because there is a minimum requirement to these costs just to open your doors.  As the hospital expands, these percentages can come down.

Monitoring these costs and percentages on a monthly basis will help you confront and stay in control of your financial planning.

  1. While you work to increase your practice’s income, start planning, using an executive meeting (which I have laid out in a previous blog post), your weekly and monthly spending so that it is kept within your budget and the ideal percentages.

The office manager should be included so they understand the financial needs of the practice and can manage the practice correctly.

  1. Once you have your “make/break point” financial target figured out implement a bonus system (profit sharing, which I have posted about earlier) that awards the staff a certain percentage of the income that is above the “make/break point”. The percentage would be set a side and paid out quarterly to help motivate your staff to make your “make/break point” financial targets and would give them great responsibility to increase their own income by increasing the practices income. 

Doing the above steps and using the suggested percentages as benchmarks for your practices financial health, will give you much greater control of your finances and assist you in achieving financial stability for your hospital.

Good luck!

Friday, October 12, 2012

HOW TO INTEGRATE SOCIAL MEDIA INTO YOUR PRACTICE MARKETING




You have to have a social media marketing program set up that drives interested patients and/or clients to your website and if you have a good website hopefully drives them into action - scheduling an appointment.

To make this possible you should have an internal employee who is internet savvy handle the social media for your practice. They can work on one of the forms of social media daily. This way you don’t have to assign a full time person to your social media marketing. The employee responsible for your social media would make your Facebook (and other forms of social media) entertaining for your clients and useful - not selling your practice, but providing useful information and building a community around your practice's social media and driving in clients on your website. 

Another method is to have each employee participate in some form of social media marketing. Different people are in charge of different platforms -- Twitter, Linkedin, Pinterest, Facebook, Website. Multiple staff members have different tasks they perform to keep your social media fresh and very active. This allows your staff to do their jobs, but also have a very current social media presence while not requiring a full-time social media person.

Clients and patients really enjoy being able to interact with the staff this way and it will act to make your practice very much part of your patients and/or clients lives.