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This guide is split into six sections:

  • Introduction
  • Key Metrics 
  • Financial Levers & Positive Change 
  • Understanding ROI
  • Setting Up your New Practice 
  •  Download our Free Video Lecture! 

1. Introduction

You must have ROBUST financial structures within your business to maintain stable finances. 

As healthcare practitioners, financial distress will affect our judgement. If you find that you are treating patients and providing treatment plans for them to protect your finances and financial management, it will have a seriously detrimental impact on your business and the trust of your patients and customers. 

 

"Your work exists to give you the life that you want." 

 

As you set up your financial model, it is essential to consider how much you expect to be paid (be realistic), how much you want to be paid, how much you want to pay your team and what you want your business to make. 

The financial model is part of the structure of everything else we do. It ties in, particularly with your business's 'why,' so you can frame it against the financial model you set when setting your 'why'. 

 

Establishing your financial model

 

Dental practice finance is NOT accountancy. You cannot rely on balance sheets and profit and loss statements to measure your financial health daily—you need a separate system that will feed that more extensive system, but it is NOT that system. 

Profit is the oxygen of your business (Essential for life but not the meaning of life). Profit is not the meaning of your business, but is necessary for its continued life. Once you see profit as a tool for reinvestment and development, it changes and frames how your finances are built.

Understand the difference (and importance of) retrospective analysis, prospective analysis, and forecasting. Retrospective analysis is historical; you must never celebrate retrospective analysis; it's done. The prospective analysis is what's happening today; seeing what is happening in real-time is much more critical. Forecasting is future scoping. It's never accurate, but improving your ability to forecast is essential

Turnover is vanity; profit is sanity. You are safe if your turnover drops but your profit increases in real terms. If your turnover increases exponentially and you make no money, your business will die.

Profit is NOT yours… it's the businesses. Designate your salary (realistically). Set your salary realistically as part of your business model.

Do we have enough money? Setting up a financial dashboard is the fundamental basis of a good business. It lets you make the right decisions for your patients, team, and investments.

 

Download our Free Video Lecture At the bottom of this page, you'll find an option to download a free video lecture taken from The Campbell Academy's ITI Digital Dental Entrepreneurial Program, detailing:

✅ The Key Financial Metrics and Definitions for Dental Business Owners

✅ How to Influence these Financial Metrics

✅ How to Forecast your Financial Future

2. Key Metrics - Terms and Definition in Finance

Key metrics are based on accurate data and provide a true picture of your business performance. If you fail to measure and track these key metrics, you are operating mindlessly without the benefit of early warning signs or indications of declining business performance. 

The key metrics discussed here are in your Chart of Accounts, where your business's financial transactions are recorded in your Profit and Loss sheet.

 

Revenue

Revenue is the total income generated by the sale of goods and services.

Key Metrics

 

Sometimes, revenue is mistaken for profit, but that correlation is inaccurate. It is best to think of revenue as 'sales.' 

 

There are other terms sometimes used for revenue, such as income, sales, and turnover. 

Sales: All the money collected for the dentistry we provide. 

 

Expenditure 

Expenditure is all costs the business incurs.

Businesses incur two types of costs: 

  1. Fixed Costs - Any expenses within the business that remain the same - Rent, Payroll, Insurance.
  2. Variable Costs -  Any expenses that change based on how much the company sells, such as material costs, associate fees, implants, and laboratory costs.

 

Cash Flow

Cash flow is the money that flows in and out of your business. 

Cash refers to the amount of money currently or soon to be available. It's the money coming into the business which serves as the resource to pay expenses.

A positive cash flow enables the company to settle debts, reinvest in its business, pay expenses and provide a buffer against future financial challenges.

 

Profit 

Profit is the amount left over after all expenses have been paid, the difference between the amount earned and the amount spent. 

Key Metrics

Capacity 

Capacity is the hours available for the delivery of fee-earning work. 

At The Campbell Clinic, we measure capacity by: 

Number of operating hours available - Facility Capacity.

Clinicians hours available to deliver work - Clinician Capacity.

 

Example of Capacity per Week: 

 

Key Metrics

 

Occupancy 

Occupancy measures how much capacity (work diary) was utilised to generate sales.

 

Key Metrics

 

Forecast 

Financial forecasting is predicting a company's financial future. It is essential as it informs business decision-making regarding hiring, budgeting, sales forecasting, and strategic planning. It also helps maintain a forward-focused mindset.

The financial forecasting process includes the analysis of past business performance, current business trends and other relevant factors. 

 

 

3. Pulling Financial Levers to Influence Positive Change

  • Influencing Financial Levers
  • Creating Profit

 

 

Which levers can we influence, and how will they impact business performance?

 

Sales

How to influence Sales:

  • Price increases (in patient fees).
  • Seeing more patients (creating space - shortening appointments or increasing opening hours). 

EXAMPLE: The Campbell Clinic March 2022

  • We have implemented a minimum of 5% price increase across all fees.
  • We ensured the honest communication of this decision with our existing patients.
  • We communicated this decision with our staff. Once we reach our forecasted profit margins, all staff will receive a wage increase (Bonuses). 

 

Fixed Costs 

How to influence Fixed Costs:

  • Identify from the Chart of Accounts which overheads you could reduce. 
  • Spread your costs out over the year to protect cash flow. 

EXAMPLE: The Campbell Clinic March 2022

  • We have installed smart metres and a programmed heating system to regulate the use of our heating system. 
  • We implemented comparison shopping versus shopping for convenience. 
  • We have restricted the number of staff that could spend on our accounts.  
  • We shared the numbers with our staff to ensure everyone treated the money as if it were theirs.

 

Demand

Waiting time for New Patient Appointments. 

How to influence Demand:

  • Reduce waiting times for NPs by creating more space.
  • Extend working hours.
  • Reduce appointment lengths. 

EXAMPLE: The Campbell Clinic March 2022

  • Zoned sessions for consultations—To protect the weekly diary, we only allocated appointment times for New Patient Consultations. 
  • Distributed consultations more widely across the Clinic whilst monitoring conversion rates carefully to ensure our uptake rate did not slip. 

 

Cost of Sales 

How to influence Cost of Sales:

  • Identify from the chart of accounts which cost of sale you can reduce.
  • Set budgets for materials and lab fees.
  • Build relationships with suppliers and negotiate discounts.

EXAMPLE: The Campbell Clinic March 2022

  • We empowered staff to set and work within new budgets. 
  • We have implemented comparison shopping versus shopping for convenience. 
  • We have restricted the number of staff that could spend on our accounts.
  • We shared the numbers with our team. 

 

Profit 

These levers—Sales, Fixed Costs, Demand, and Costs of Sales—can increase the profit margin.

An increase in sales and a new level of spending control can significantly impact overall profit. 

 

Why share the numbers?

Sharing your financial numbers with your staff allows the broader team within your business to feel valued that such a sensitive and “taboo” subject would be disclosed to them. 

Our team usually spends the money, so it is in our interest to share these financial numbers with them. If we do not, they may create their narrative about where and how they think the money is being spent. 

 

Sharing the finances with our team creates trust and engagement

 

Why share the numbers?

 

Here are some examples of how we’ve shared our finances with our team: 

  • Working with the spenders to identify unnecessary purchases (a cost-saving exercise).
  • Empowering the team to treat the money as they would their own.
  • Being upfront with how the business is performing financially.
  • Sharing information on profit and how it benefits everyone (bonuses, HR benefits, increases in charity contributions and future projects).

 

You get to decide how much or how little you share with your wider team

For example:

  • We keep associate fees confidential. 
  • We have transparent pay structures within the team, which show clear progression paths. 
  • We share budget boundaries - i.e. for marketing, implants and materials. 

 

Sharing your financial numbers with your team allows actual, shared ownership, which can lead to a noticeable reduction in unnecessary spending.

 

Download the Finance eBook

 

4. Understanding Return on Investment - Technological Investments

Understanding the Return on Investment (ROI) is crucial for any practice to enhance its operations and deliver better services.

Evaluating ROI through the continuously evolving world of technology and its advantages—from increased efficiency and reduced costs to improved quality and enhanced customer experiences—provides a clear picture of these investments' value.

 

Some of the possible advantages of technology:

  • Faster - Saves clinical time and, therefore, money.
  • Cheaper - Costs less to produce/brings in more profit from the same cost.
  • Better - Higher quality, more valuable?
  • Better customer/patient experience?
  • More interesting/exciting—Could this technology excite and enthuse the dentists/clinicians using this new technology and, therefore, create a better working environment?

 

 

Let's look at a real-life example: Purchasing an Intra-oral Scanner 

 

Intra-oral Scanner

We have four of these at The Campbell Clinic and, therefore, had to previously assess the worth of this investment against the above criteria.

  1. Is it faster, and does it save clinical time? -  Yes.
  2. Is it cheaper? - Each scan is effectively free once the scanner is paid for and installed. 
  3. Is it better with higher quality? Once captured, digital images are secure and become more high-quality at each stage and beyond.
  4. Is it a better customer/patient experience? - It is a much better experience than impressions. 
  5. Is it more interesting/exciting? It is an exciting technology that has helped us expand in different areas within the practice.

 

Marginal Costs

  1. If you pay for the scanner in one upfront payment, say £25,000, each scan after this payment is essentially free.  

  2. If you decide to return the scanner's cost, you can do so by establishing its 'marginal cost.'

    - For example, if you take 2000 scans/year, returning the cost of the scanner over four years would only cost    £1.57/scan. 

    - If it becomes this low-cost, the marginal cost of taking a scan becomes virtually zero, and if the patient is charged for the scan, it becomes a highly profitable situation. 

 

In providing different aspects of care within our practices, we can look at this category of products we utilise and ask, "If we invest in the technology to provide these products, will it make money, and is it a reasonable option for us to undertake?"

 

We will not avoid the expansion of technology within our practices; it moves faster than we can imagine. Therefore, understanding the return on investment, when to invest, and what might come back is critical.

 

5. An Introduction to a New Practice Set Up

  • The Principle of the Financial J Curve in Startups 
  • Marketing 
  • HR/Leadership 
  • sales & Strategy 
  • Social Legacy and Who You Seek to Serve 

 

If you feel you are designing your business's systems and structures before opening a new practice, you would first want to explore your vision, values, and mission for the next three years.

 

Why

 

Going around the clock

Once your vision, values, and missions are set, you should start building your financial model based on what you want to achieve within your business.

At the start of your business, you can define your financial model—will it be subscription-based for patients every month? Will there be a fee per item as they pay for the treatment? Will it be a combination? 

 

The Principle of the Financial J Curve in Startups 

 

 

New practice set up

 

  1. Initial Personal Investment. 
  2. Maximum Leverage - Debt.
  3. Growth and Financial Freedom—Correctly establishing your financial model will allow you to catapult into the growth and financial freedom aspect of the J Curve.

 

Marketing 

At the highest level, what you are essentially trying to do with your startup is build a startup from the ground up. 

 

 

Marketing

Your brand then exists to be built both internally and externally, the external version of your brand is the promise that you make to your customers and you must know what those promises are. You will spend much more on marketing in the initial stage of your practice development to raise awareness and bring people to your business. 

Your brand then exists internally, as well as in your vision and in your team's behaviour, commitment, and attitude.   

 

HR/Leadership 

Building a team based on a vision that does not yet exist and that they cannot yet see can be one of the most challenging things to do. Finding the right people who match the vision and values you need to build your brand takes time, and you must sell your vision to them and reward them appropriately as you move forward. 

 

Sales and Strategy 

You need to embrace the concept that we are all selling all the time. 

Know your products inside out (their features, benefits, what materials you might need and how they will be sold) and create the opportunity to solve the problems of the people in your developing tribe.

 

Social Legacy and Who You Seek to Serve 

Decide where your business fits in the world and how it can contribute.

At The Campbell Clinic, we believe businesses have a greater purpose than money; they exist in society to build a better society.

You can decide how to do that through social legacy and engagement in your community, all of which will help you through the 'J Curve'.

6. Video Lecture: Financial Metrics & How to Influence Them

Please follow the link below to download our Free Video Lecture from The Campbell Academy's ITI Digital Dental Entrepreneurial Program. This Video details:

 

The Key Financial Metrics and Definitions for Dental Business Owners

How to Influence these Financial Metrics for effective management, strategic planning, and long-term success

✅ How to analyse past business performance and current business trends to Forecast your Financial Future 

 

Download the Video Lecture

 

 

Thank you

Thank you for reading our Guide!

In conclusion, developing a comprehensive financial model for your dental practice is about increasing profits and creating a sustainable model for financial growth alongside patient and team satisfaction. By establishing solid financial structures, setting transparent budgets, and keeping your staff and team members up to date with your business's financial position, you can foster an environment of trust and engagement. Remember to regularly assess your strategies, adapt to changes, and strive to improve patient care and experience.

If you have any questions, please just let us know 😀

Are you looking for help navigating the complexities of dental business ownership?

 

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