Orthotown October 2013 - (Page 37)

feature // practice management by Roger K. Hill, MSK The very word “overhead” brings fear and dread to most doctors’ hearts. It is universally viewed as the impediment between top-line income and bottom-line profit, something never really tamed, simply an ongoing battle. It does not have to be this way. Viewed from the proper perspective, it can be a useful tool in 1) the delivery of care to patients, 2) providing an income and 3) building wealth. We need to consider the true purpose of overhead. The purpose of overhead is to generate income. Consider this: Even a doctor with the most excellent clinical skills and an endless stream of patients will never realize the potential without spending money on overhead. Imagine arriving at your office on Monday morning to find a full schedule awaiting you. However, the office is dark and the staff are missing. All the potential for success exists, but it cannot be achieved without spending money on overhead – in this case, staff salaries. Another way to view overhead is that it is the mirror image of profitability. In other words, all of the income received by a practice will ultimately be divisible into one of the following categories: normalized overhead or profit items/benefits. The sum of the two (whether expressed in dollars or percentages) equals all of the income. We will discuss the concept of profitability and its relationship to overhead, but before getting to that, it is necessary to define the term “normalized overhead.” Normalized overhead is the amount of money that must be spent in order to generate the income before there is any financial benefit available to the doctor (in the form of salary, pension contribution, discretionary expenses, debt services, etc.). Doctors often believe their normalized overhead is a higher percentage than is actually the case. Normalized overhead does include staff salaries, rent, dental supplies, laboratory expenses continued on page 38 orthotown.com \\ OCTOBER 2013 37 http://www.orthotown.com

Table of Contents for the Digital Edition of Orthotown October 2013

Wired for Success: New Patient Workflow in the Digital “Paperless” Office
Orthotown.com Highlights
Lean and Mean Ortho: Cost-saving Measures in an Orthodontic Practice
Phase I Expansion/Retention
Corporate Profile: Ortho Organizers
New Products
Continuing Education: Treatment by Twelves
A Common Sense Approach to Six Percent
Overhead – Friend or Foe?
Ad Index
In Memoriam: Tribute to Dr. Craig Andreiko

Orthotown October 2013

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