Forecasting Practice Results: A Tool for Planning

Posted on January 20, 2009

We are entering the last of 2007 and the early part of 2008.  Most practices are trying to decide the next step in their progression for growth and improved margins.  The following outline has been developed for the practice to use as a forecasting model.

1.  Are you planning on adding any new services (ancillary)?

If so what are they and can you project the volume?

2.  Do you have plans to add a new associate?

If so, when and how will they be compensated?

3.  Do you anticipate hiring any new employees?

If so, how many, when and how much?

4.  Do you plan on replacing or adding any equipment?

Will it generate additional revenue or will it upgrade the existing equipment?

5.  Do you plan on relocating the practice? (moving to a new office)

If so, when, where and how much is the rent anticipated to change?

6.  Do you plan any major renovations to your existing space?

If so, will the cost be included in the renewal of the lease or completely out of pocket?

77. Do you have a plan for continuing to grow your practice?

If so, will you have new cost to fund the continued growth in revenue?

8. Do you anticipate changes in your supplies in the coming year?

More or less of certain high cost products.

9. Will you add services that will require additional supply cost?

If so, can the cost be estimated?   If not, should you add the product?

10. How will changes in your local market affect your practice?

Consolidation of practices, hospital mergers, health plan changes?

11.  Do you anticipate working more, less or about the same in the coming year?
12.  Will your rent increase in the coming year, if so how much?
13.  What is the economic outlook for your market?

The planning process is important for your practice to evaluate its options.  The following table will assist in developing an impact analysis for your plans.

Practice Name:
Forecast Year

2006 Tax Return

2007 Annualized

2008 Projected

Inputs:
Collections
Less:
Salaries & Wages
Repairs & Maintenance
Rents
Taxes & Licenses
Interest
Depreciation
Advertising
Pension, profit-sharing
Employee benefit programs
Auto & Truck Expenses
Bank Charges
Dues & Subscriptions
Insurance
Legal & Professional
Medical Waste
Office Expense
Outside Services
Postage
Printing
Seminars & Education
Supplies
Telephone
Travel
Uniforms
Utilities
Gifts
Total Expenses
Net Income

To complete:  Input the 2006 information from the 2006 tax return for the practice.  Input the 2007 information from your practice financials either generated by your Quicken program or by your account.  Forecast the 2008 information based on your plan for 2008.

Ask the following questions:

1.    Do I plan to have as many patient visits in 2008 as 2007 and/or 2006?

2.    Will I give my staff pay raises?  If so, how much?

3.    Will my supply cost continue to increase?

4.    If I add an associate, how much should I expect to make in the year they come on board?

5.    Can I estimate how much impact my plan will have on my practice?

These questions will allow you to focus your attention on the key areas that will impact your practice.

In addition, the following table will serve as a starting point for evaluating your visits.

Volume Analysis

2006

2007

Projected 2008

Total Charges (a)
Total Collections (b)
Total Visits (c)
Charge per Visit  (a/c)
Collections Per Visit (b/c)
New Patients

This information is available from your CPT or Practice Analysis.

The volume analysis will provide you insight to your revenue per visit and will aid in the projection of collections for 2008.

The key to your success and retaining value of your practice in the future will be your plan for how to maintain and grow your profit margin.  Planning is the first step.

For more information, contact Mike Crosby, president of Provider Resources, LLC at (888) 776-2430 ext. 2042.

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mcrosby@providerresources.com
888.776.2430
skype: provider.res1


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