Finance

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For too long, practitioners undervalued their services, charged too little and often gave away care for free. Though this may still be true for some, others digested the message about a healthy business supporting good medicine and raised their fees. But to make this equation work, you need to raise the level of service, too.

Use this budgeting tool to capture your revenue, expenses, and amount available for compensation and reinvestment.

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The first time I painted the interior of my bungalow, I got it all wrong. First, I picked bone white-a classy name, but a boring off-white just the same. Second, I used an old, wide, flat paint brush that looked like it'd been stuck in an electric socket.

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This practice improved scheduling and compliance, established a solid staff management team, developed written standards of care, and more. Not only is Loving Hands Animal Clinic stronger- and ready to move into a new facility-but it made money along the way.

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I heard that a veterinarian was audited and fined more than $30,000 in back taxes for not claiming discounted pet care as taxable income on his employees' paychecks. I've been offering $300 in pet care per year per full-time employee (and half that for part-timers). If an employee goes over the $300 limit, he or she gets a 50 percent discount on additional care. Have I been doing it wrong all these years?

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Higher building costs coupled with clients' higher expectations for care put you in a challenging position. Adopt these forward-thinking strategies to position your new practice for success.

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Too often practitioners who thought they were on the doorstep of retirement are finding they need to work three to five years longer than they thought-or even more. The problem: When they have the practice valued, they find a gap between the retirement they envision and what they can actually afford.

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Should we charge separately for blood pressure evaluations or incorporate these fees into our annual exam fees for pets 5 and older and ill pets?

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When our owner's out of the building and the technicians perform dentals, does our part-time associate receive credit even if the owner scheduled it and already performed a physical exam?

Dr. Suzanne Miller Hogue, who owns Dr. S.B. Hogue DVM Inc., in Farmdale, Ohio, doesn't accept postdated checks because if something should happen, for example, if the client dies, the check would no longer be good. Instead, she has clients date the check for that day's date and attaches a sticky note with the date clearly marked when the client wants it to go through the bank.

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Opening your own practice takes courage and vision. And keeping it open requires profits. Tilt the odds for financial success in your favor by answering these six key questions about your new venture.

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In "Feeling Squeezed by Expenses?" (December 2005), the author discusses categories for expenses. What category does after-hours emergency work fit into, and what is the current pay recommendation for those services?

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Rent or own?

For most doctors, owning the facility offers the most benefits. Yet there are circumstances when renting may be smarter, especially if you're starting from scratch. Consider these issues to decide what's right for you.

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Paying equally doesn't always make sense in a partnership, especially when doctors aren't contributing in the same ways. A tiered-compensation system can account for these variances.