by Nathan Hayes | Nov 1, 2025 | Buying and Selling Practices, Leadership & Management, Practice Management
This week, a client asked me to review the financial statements for an optometry practice he was thinking about purchasing—an all–cash-pay, high-end optical boutique that averages nearly $1,000 per comprehensive exam. His gut feeling was that the practice’s...
by Nathan Hayes | Oct 25, 2025 | Financial Operations, Leadership & Management, Practice Management
As a “money guy” by profession, I completely understand that talking about finances, profits, or growing your personal income can sometimes feel a little icky or even selfish. After all, much of your day-to-day involves: Asking patients to pay for your...
by Nathan Hayes | Oct 18, 2025 | Financial Operations, Leadership & Management, Practice Management
I’ve recently spoken with a few practice owners who were disappointed with their financial results. Two of them had added staff in anticipation of growth, but it never came. Increasing expenses without a matching increase in revenue can quickly reduce profits and cash...
by Nathan Hayes | Sep 27, 2025 | Goal Setting, Leadership & Management, Practice Management
I recently met with the owner of a highly productive optometry practice. Looking at his numbers, it was clear that growth had hit a ceiling. Unless he moved into a larger space, growth was limited to adding more patient hours or gradually increasing Revenue Per Exam....
by Nathan Hayes | Aug 9, 2025 | Leadership & Management, Practice Management
Have you ever had the conversation below? “I’m thinking of offering a partnership to my associate.” “Why?” “Well, they’ve been here for three years, and it just seems like the right thing to do…” Any time you’re considering a major decision, like changing your...
by Nathan Hayes | Sep 28, 2024 | Financial Operations, Leadership & Management, Practice Management
At Books & Benchmarks, we believe in keeping financial processes simple. Our chart of accounts can roll a P&L up to just eight line items. We prefer to keep the number of bank accounts and credit cards to a minimum for simpler operations. We think having fewer...
