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http://veterinarybusiness.org
John Sheridan BVetMed CVPM DMS MRCVS
It’s all in the Numbers
http://veterinarybusiness.org
The Numbers - The third of your ‘hidden practice treasures’
“Not everything that counts can be counted, and not everything that can be counted counts” ― Albert Einstein
"In God we trust, all others bring data.“ - Dr W. Edwards Deming
There may be some performance issues which can’t easily be measured but the likelihood is that if there are any significant problems
which impact on service to clients, professional standards, patient care, staff morale or financial performance; they will show up in the
numbers somewhere.
http://veterinarybusiness.org
So we need to know what key performance indicators influence profitability and what numbers
to monitor:
• every practice owner, manager, consultant, accountant or advisor will recommend different KPI’s
• only you can decide what KPI’s are most appropriate for your practice
• but these are some suggestions
http://veterinarybusiness.org
Some key numbers to review current financial performance
• From your management accounts – just three cost headings and ‘real’ net profit as % of revenue – how much profit did you really make last year and what’s your target for this/next year?
• Top line growth• Revenue per ‘vet team’ FTE• ATV (ACT)• Working capital numbers• Business value – ‘goodwill’
http://veterinarybusiness.org
So how much profit did you really make last year?
• Where can I find out?• Not from your practice financial accounts – why?• International Benchmark service online or seek advice
• it’s quick, easy and it’s free• http://veterinarybusiness.org/international-online-benchmark-service/
• Now decide what margin you will make – this/next year• We will consider in some detail in the next session
http://veterinarybusiness.org
Working Capital Ratios– are you using your working capital efficiently?
Liquidity cash is king!
current assets (less stock?) / current
liabilities
should be greater than 1
Stock days (current stock/purchases) * 365
aim for 3 weeks or less but categorise
rationalise your stock
short term benefit of a parsimonious
month!
Debtor days (debtors/revenue)*365 what should it be? categorise small animal / large animal / equine prevention is better than cure
Gearing total liabilities/total assets who owns your business?
http://veterinarybusiness.org
Business Value– it’s never too early to plan for retirement
• value always linked to profit• is there a healthy market for buying/selling
practices in Hungary?• what is your business worth now?• multiple of net earnings (EBITDA)• do you need a professional valuation• do your own sums every year
http://veterinarybusiness.org
Some key numbers to review your team performance
Consulting Room Occupancy and Veterinary Productivity• the objective is to monitor the available consulting slots, surgical and
other procedures and the availability of veterinarians in your practice in order to review consulting room occupancy and veterinary productivity
• make some assumptions about the working hours per day and the average hours taken in your practice for a house call and a minor, intermediate and major surgical operation or other procedure
• use a simple spreadsheet tool such as this one:
http://veterinarybusiness.org
http://veterinarybusiness.org/occupancy-and-productivity-tool-2/
http://veterinarybusiness.org
Compliance – record and review data from 100 consecutive consultations on a spreadsheet
• consulting charge• procedures recommended• procedures completed in subsequent four week• re-examinations recommended• re-examinations completed in subsequent four weeks
http://veterinarybusiness.org/100-consultations-review-tool/
http://veterinarybusiness.org
Here are some results
Procedures – compliance only 17/35 = 48% - Can you see the potential for growth?
Re-examinations – compliance only 28/46 = 61% - Can you see the potential for growth?
So monitor these numbers!!
http://veterinarybusiness.org
Here’s an example: General anaesthetic 8 Surgery 3 Dental 4 Lab tests12 Diagnostic imaging 3 Others 2
Consider the impact of increasing dentals from 4 to 6 or diagnostic imaging from 3 to 5 – just do the sums – we will consider specific examples in a later session
Procedures achieved per 100 consultations
http://veterinarybusiness.org
Just 3 key numbers to control the costs
• the cost of drugs and supplies• the cost of all your people• the establishment and overhead costs• that’s it!!
http://veterinarybusiness.org
Here they are:
‘model practice’ %
Revenue 100.0
Less costs
Drugs and supplies 20.0
The vets (inc owner) 20.0
The support staff 20.0
The rest – establishment and overheads costs
20.0
Profit % 20.0
40.0%
How do these compare with your practice?
http://veterinarybusiness.org
Net Promoter Score - a question for your clients
How likely is it that you would recommend our practice to your friend or colleague?
• Clients respond on scale 0 to 10• Promoters (score 9 to 10) - loyal enthusiasts who will positively refer• Passives (score 7-8 satisfied but not enthusiastic)• Detractors (score 0 to 6) broadly unhappy –likely to be detractors
Score – ignore the passives – take the percentage of clients who are promoters score and subtract the detractor score
http://veterinarybusiness.org
John Sheridan BVetMed CVPM DMS MRCVS
Thank you