Everyone loves a discount and your clients are surely no exception. But when it comes to the health of your practice, are
you and your team members giving away too much? I've been looking at recent financial data for a number of practices and,
indeed, veterinarians and team members alike are giving away a lot.
In the clinics I've been working with, the range for discounts has been around 4 percent to 6 percent of the practice's gross
income. This probably doesn't sound like a great deal of money. But 4 percent of a $1.2 million dollar practice is $48,000,
and that's not chump change. In fact, trimming discounts might save your practice the equivalent of one or two salaries a
year.
Get a number
So take a moment now (yes, right now) to run a report on your practice management software to find out how much your practice
has been discounting. To do this correctly, make sure you understand how your software accounts for discounts. Some programs
show the total dollar amount given away to a certain class of clients, like senior citizens, military members, or clients
with multiple pets. If your discounts are coded—meaning you have a specific line item called discount—you can run a sales report on this code alone. Most software lets you run a report that tells you where any services or products
have been adjusted, so if you or one of your teammates charges $60 for a radiograph instead of $100, that will show up.
Depending on how you've decided to give your services away—and the profession as a whole gives away a lot—you may have to
run more than one search on your software to discover the true total. Remember too that these reports only show what you enter
into the system. Dont' forget to estimate the amount of all the other discounts or freebies your practice might be giving
clients. Add this to the figures you get from your reports and you'll see how much money your practice is losing to discounts.
Identify the sources
Just what products and services are you discounting? There are the things that practices just plain give away: the hundreds
of nail trims and anal gland expressions that we consider too inconsequential to add to the invoice. There are the discounts
we give to the elderly, clients who rescue pets, clients with multiple pets, military members, police and firehouse dogs,
and the practice's "frequent fliers." We discount spays and neuters so our prices will be competitive and, if the pet is rescued,
we discount them twice more. We discount the patients that stay in the practice too long and run up too high of a bill, and
we discount the patients that need too many radiographs taken, too many in-house laboratories performed, another catheter
placed, and another E-collar strapped on because they chewed up the last one.
Discounting bugs me (in case you can't tell) for several reasons. For starters, if you and your staff give away money as if
it's obligatory to do so, how will clients ever understand the value of the discount? Second, many practices don't pay attention
to what they're discounting. Sometimes, this means we're giving away products or services at or below cost. Third, why does
everyone in the practice get to decide if services and products should be discounted? I'm betting not everyone understands
the practice's finances well enough to make those decisions. Fourth, do we ever track discounts and measure their success?
Are they business-building tools or are we just being charitable? Finally, are teams discounting because they don't believe
that what they do is worth the price?
Of course, all veterinary team members want to give back to our communities, and we want to build our businesses. But let's
be thoughtful about the process. If we're not, we could discount someone right out of a job or discount the practice right
out of business. Here's how to make discounting work for your clients and your practice.
Check the prices you charge. Do they cover your costs? Do they include an adequate markup? There are many tools out there to help practice managers with
this. Some programs, including Fair Fees and Profit Solver, even do the math for you. Additionally, many veterinary accountants
and economists have written how-to articles about building pricing calculators. Read these articles. Using the information
published by the NCVEI is another great way to find out if your pricing is on the wall, if not the dartboard itself.
Take your prices to the team. Do team members see the value in the prices your practice charges for a service? Get everyone on your team on board with your
pricing. Try holding a meeting where you discuss your prices frankly. You'll find the discussion can be a boon for ideas on
how to improve your practice. I recently held a meeting where we introduced early-detection blood tests for patients under
7 years of age. I had determined what I thought was a fair price, but once I talked to my team, they recommended a much higher
price. After this meeting, team members were able to make hearty recommendations for a service they believed in.