I just read your blog regarding your suggestion that a dispensing OD should spend no more than 50% of his collected gross revenues on total staff expenses and Cost of Goods.
I get it. But, I have a question about my overhead structure. 60% of the patients I see have VSP and most of those are on a plan that does not allow me to supply the frames or do the lab work.
That got me thinking as my total COGS — which includes: contact lenses, frames and ophthalmic lenses — is only 23% of collected gross revenues. This seems to be much lower than the 30% number I see from Hayes Consulting, the AOA and the Ciba Vision Essilor MBA statistics.
I guess my COGS would be higher if I had more private pay patients and fewer people on VSP. Am I missing something here?
Benjamin Franks, OD, FAAO (name changed)
You are very astute to recognize a financial scenario not well understood by many practice owners.
Even though vision plans may pay you a discounted fee, good or bad, any plan that does not allow you to provide the eyewear to your patient will actually cause your COGS to decrease.
For an illustration of why, let's look at the practice of Dr. Seemore who had collected gross revenues of $800,000 in 2011.