Transcript Document
10 Ways to Increase Profitability
Mark R. Wright, OD, FCOVD
[email protected]
This power point presentation was created by
Mark R. Wright, OD, FCOVD
Copyright 2014 – Progressive Publishing Company – All rights reserved
Mark Wright, OD, FCOVD
• President: Pathways to Success
• Editor: Review of Optometric Business
www.reviewofoptometricbusiness.com
• Author: Coding, Reimbursement and
Contracting for Optometry
• Faculty coordinator of the OSU College of
Optometry Business Management Program
• 2006 Benedict Professor: University of
Houston
• 1980 – 2007 founder: Professional
VisionCare, Westerville, Ohio
• The attendee will be able to ...
1) Define and calculate profitability
2) Identify the 10 ways to increase profitability
3) Create a system for managing the trends
4) Utilize staff to help in management
5) Create a reporting plan
6) Create a system to maximize profitability
Define and
calculate
profitability
Definition of 'Profit‘
Investopedia
• “A financial benefit that is realized when the
amount of revenue gained from a business
activity exceeds the expenses, costs and
taxes needed to sustain the activity. Any profit
that is gained goes to the business's owners,
who may or may not decide to spend it on the
business.”
Money IN
Money OUT
Money LEFT OVER
CATEGORIES
DEFINITION
MONEY IN
Revenue
Money actually collected
CLINICAL SERVICES
MATERIALS
OTHER
MONEY OUT
COGS
MATERIALS
Lab bills + In-house lab
OTHER
Staff Payroll All costs for having staff
Occupancy Occupying your space
Equipment Clinical equipment
Marketing Internal and external marketing
Overhead
Everything not covered above
MONEY LEFT
Dr Payroll
Costs for doctors
Net
What is left over
RANGE
YOUR BUDGET
$640 - $1.4M
$800K/FTE OD
23.9% - 34.2%
26%
15.5% - 24.2%
4.4% - 8.9%
0.2% - 3.4%
0.6% - 2.3%
3.3% - 10.3%
20%
6%
1%
1%
6%
20%
20%
Identify the 10 ways to
increase profitability
10 ways to increase profitability
1. Stop sorting sand – increase your personal productivity
2. Increase income
3. Increase your ROI on marketing
4. Decrease COG expenses
5. Decrease Payroll expenses
6. Decrease Overhead expenses
7. Create Profit Centers
8. Actively manage by the numbers
9. Manage risk
10. Understand and manage money
Stop sorting sand
Make a master list
ROCKS
SAND
Educator
Husband
CEO
Editor
Parent
Investor
CEO
Future
planning
Fiscal
health
Practice
administration
Risk
management
CEO – Practice Administration
• Human relations
– Hiring and Training
– HR Reporting and Management
– Firing
• Procurement
– Equipment
– Clinic Supplies
– Inventory
• Information Technology
– Computer System
– Telephone System
– E-Mail and Website Management
• Operations
– Scheduling
– Examination
– Treatment and Dispensing
• Finance
– Revenue
– Expenses
– Tax Reporting
• Quality Control
– Staff Proficiency Testing, Education
and Discipline
– Patient Quality Control
– Laboratory Quality Control
• Public Relations
– Internal Marketing
– External Marketing
– Success Stories
1. Once a week for 30
minutes
– Schedule your big
rocks
– Prioritize your master
list (sand)
2. Daily, spend 10
minutes to plan your
day
Increase income
1. Increase fees
2. Increase income/pat
3. Increase new pats
4. Increase visit freq
Increase your ROI on marketing
1. Create projects
2. Tips for Tracking
3. Measure
4. Most effective
Decrease COG expenses
1. Buy in bulk
2. Buy stock lenses
3. Merchandise
4. Manage inventory
5. Manage shrinkage
Decrease Payroll expenses
• Have the correct number of staff
• Each staff member is productive
• Manage the schedule
Create Profit Centers
Clinic
Money IN
- Money OUT
Money REMAINING
Optical
Money IN
- Money OUT
Money REMAINING
Actively manage by the numbers
1. Yearly goals
2. Weekly review
3. Daily tracking
Manage risk
• Disability Insurance
• Exit Strategy
– Vertical
– Horizontal
• 25 documents everyone
MUST have
Marriage and Divorce
Bank Accounts
•
•
•
•
•
Marriage license
Divorce papers
Life Insurance and Retirement
•
•
•
•
•
Life insurance policies
Individual retirement accounts
401(k) accounts
Pension documents
Annuity contracts
Healthcare
•
•
•
•
•
Personal and family medical history
Durable healthcare power of attorney
Authorization to release healthcare
information
Living will
Do not resuscitate order
List of bank accounts
List of all user names and passwords
List of safe deposit boxes
Proof of Ownership
•
•
•
•
•
•
•
Housing, land and cemetery deeds
Escrow mortgage accounts
Proof of loans made and debts owed
Vehicle titles
Stock certificates, saving bonds and
brokerage accounts
Partnership and corporate operating
agreements
Tax returns
Essential Documents
•
•
•
Will
Letter of instruction
Trust documents
Understand and manage money
Rich Dad, Poor Dad … E-Myth
• Passive Income vs Active
Income
1. Active Income
2. Passive Income
• 4 Different Type of Money
1. Income
•
2.
3. Financial Freedom
Most or Least important?
Profit
•
3.
(Active)
(Passive)
Intentional or Accidental?
Flow
•
4.
How $ moves through practice
Equity
•
(Passive)
2nd most important asset
Create a system for
managing the trends
Utilize staff to help in management
Create a reporting plan
Create a system to
maximize profitability
Mark Wright, OD, FCOVD
Pathways to Success
[email protected]
Thank you !