Leadership Team Changes: Growing from $1 to $3 to $10 Million in Annual Revenue

Vision Wellness vs Medical Exams: How to Handle Patient Pushback

We break down a real listener question around one of the most common frustrations in practice today: navigating vision wellness versus medical exams and the pushback that comes with it. We talk through how to communicate clearly with patients, set expectations early, and position yourself as part of their team rather than the source of the problem, all while reinforcing why medical eye care must take priority. We also dive into the operational side of making this model work, including how to structure your schedule, increase patient flow, and adapt to lower reimbursement per visit without sacrificing profitability. If you are struggling with patient confusion, insurance friction, or trying to transition into a more medical model, this episode gives you a practical framework to move forward with confidence. Have a question for us to address in a future episode? Submit it here [https://form.jotform.com/252526305103041]! Resources: Learn more about Partners in Profit [https://pipgpo.com/contact-us/] Download the Practice Owner's Financial Toolkit [https://integratedpwm.com/toolkit] 20/20 Money Ultimate Financial Success Masterclass [https://www.2020membership.com/] OD Mastermind Interest Form [https://www.jotform.com/form/250467795073062] Check out Adam's new book: How to Buy an Optometry Practice [https://a.co/d/0wv5uLn] Subscribe on Apple Podcasts: https://shorturl.at/Fq1Ro [https://shorturl.at/Fq1Ro] Subscribe on Spotify: https://shorturl.at/jCtsk [https://shorturl.at/jCtsk]

Designing a Fair Pay Structure for Multi OD Owners

In this episode, we tackle a listener question that comes up often in multi owner practices: how to fairly split pay when ownership, production, and management responsibilities are not equal. Chad and I walk through why a production only model usually creates resentment over time, why fair does not always mean equal, and how practices can think more intentionally about separating clinic compensation, management pay, and ownership distributions so each owner is rewarded for the value they actually bring. We also discuss how this kind of structure helps practices scale with less friction, more transparency, and better alignment among owners as the business grows. Have a question for us to address in a future episode? Submit it here [https://form.jotform.com/252526305103041]! Resources: Learn more about Partners in Profit [https://pipgpo.com/contact-us/] Download the Practice Owner's Financial Toolkit [https://integratedpwm.com/toolkit] 20/20 Money Ultimate Financial Success Masterclass [https://www.2020membership.com/] OD Mastermind Interest Form [https://www.jotform.com/form/250467795073062] Check out Adam's new book: How to Buy an Optometry Practice [https://a.co/d/0wv5uLn] Subscribe on Apple Podcasts: https://shorturl.at/Fq1Ro [https://shorturl.at/Fq1Ro] Subscribe on Spotify: https://shorturl.at/jCtsk [https://shorturl.at/jCtsk]

How to Evaluate an Optometry Practice Before You Buy In

In this episode recorded live at Vision Expo, we dive into a thoughtful question from a listener considering a move from the VA into private practice with the long term goal of buying in, and we walk through why the better place to start is not the buy in itself but evaluating whether the practice is actually healthy enough to support an associate in the first place. We talk through the importance of asking the right questions, both qualitative like understanding culture and how decisions are made, and quantitative like true schedule health and how a practice grows an associate's patient base, along with identifying whether an owner is truly running a business or simply owns a job. Chad shares practical insight on what strong mentorship and intentional associate integration looks like, including track record, compensation structure, and clarity around a potential path to ownership, while we also emphasize the importance of networking, vetting opportunities beyond just the owner's perspective, and keeping an open mind geographically to find the right long term fit. Have a question for us to address in a future episode? Submit it here [https://form.jotform.com/252526305103041]! Resources: Learn more about Partners in Profit [https://pipgpo.com/contact-us/] Download the Practice Owner's Financial Toolkit [https://integratedpwm.com/toolkit] 20/20 Money Ultimate Financial Success Masterclass [https://www.2020membership.com/] OD Mastermind Interest Form [https://www.jotform.com/form/250467795073062] Check out Adam's new book: How to Buy an Optometry Practice [https://a.co/d/0wv5uLn] Subscribe on Apple Podcasts: https://shorturl.at/Fq1Ro [https://shorturl.at/Fq1Ro] Subscribe on Spotify: https://shorturl.at/jCtsk [https://shorturl.at/jCtsk]

What should an office manager focus on in a multi-location practice

In this episode, we answer a listener question about what an office manager's responsibilities should look like in a multi location practice, and we unpack why the real issue is less about a fixed task list and more about creating clear leadership structure, accountability, and consistent communication. Chad shares how his practice approaches management across five locations by focusing managers on observation, training, patient flow, and 1:1 meetings rather than filling in for frontline staff, while we also discuss the importance of using data and tools to remove subjectivity, build culture intentionally, and help owners understand that investing time in leadership outside the exam lane is often what allows a practice to grow more profitably and sustainably. Have a question for us to address in a future episode? Submit it here [https://form.jotform.com/252526305103041]! Resources: Arlo Cameras [https://us.arlo.com/collections/security-cameras?gclsrc=aw.ds&gad_source=1&gad_campaignid=23429554536&gbraid=0AAAAAoz7jNHnRZ87o5djBKOao04ss5egL&gclid=CjwKCAjwyYPOBhBxEiwAgpT8PxqIsuPUTp_easnH-47fVovyhkhPCXtf150JiPzqXN0TBQul4LSE5RoCkxcQAvD_BwE] Learn more about Partners in Profit [https://pipgpo.com/contact-us/] Download the Practice Owner's Financial Toolkit [https://integratedpwm.com/toolkit] 20/20 Money Ultimate Financial Success Masterclass [https://www.2020membership.com/] OD Mastermind Interest Form [https://www.jotform.com/form/250467795073062] Check out Adam's new book: How to Buy an Optometry Practice [https://a.co/d/0wv5uLn] Subscribe on Apple Podcasts: https://shorturl.at/Fq1Ro [https://shorturl.at/Fq1Ro] Subscribe on Spotify: https://shorturl.at/jCtsk [https://shorturl.at/jCtsk]

Vision Wellness...Medical Dx? Reality is More Visits per Year, Here's How

In this episode Chad and I respond to a listener question about how to handle diabetic patients within the realities of managed vision care and medical insurance. We unpack the practical communication and workflow decisions that come up in the exam room when a patient presents with both wellness coverage and a medical condition that requires ongoing monitoring. Chad walks through how he scripts these conversations with patients, why separating wellness and medical visits can often be the cleanest path, and how clear communication at the start of the encounter helps prevent confusion later. If you have ever struggled with getting patients back for follow up care or explaining the difference between vision benefits and medical coverage, this episode offers practical language and a framework you can begin using in your exam room right away. Resources: Learn more about Partners in Profit [https://pipgpo.com/contact-us/] Download the Practice Owner's Financial Toolkit [https://integratedpwm.com/toolkit] 20/20 Money Ultimate Financial Success Masterclass [https://www.2020membership.com/] OD Mastermind Interest Form [https://www.jotform.com/form/250467795073062] Check out Adam's new book: How to Buy an Optometry Practice [https://a.co/d/0wv5uLn] Have a question for us to address in a future episode? Submit it here [https://form.jotform.com/252526305103041]! Subscribe on Apple Podcasts: https://shorturl.at/Fq1Ro [https://shorturl.at/Fq1Ro] Subscribe on Spotify: https://shorturl.at/jCtsk [https://shorturl.at/jCtsk]