The Optometry Money Podcast

Finding the Bottlenecks Limiting Your Practice's Capacity with Kerry Reeves, OD

54 min · 24. juni 2026
episode Finding the Bottlenecks Limiting Your Practice's Capacity with Kerry Reeves, OD cover

Beskrivelse

Questions? Thoughts? Send a Text to The Optometry Money Podcast! We'll answer your question on the show. [https://www.buzzsprout.com/1970676/fan_mail/new] Episode Summary Most optometrists believe the path to a better bottom line runs through growth — more patients, more marketing, more demand. But what if that's the wrong problem to solve? In this episode, Evon sits down with Dr. Kerry Reeves, owner of Advanced Eye Care in North and South Carolina, to unpack a different way of thinking about practice performance. Drawing on 27 years in optometry — including five years rebuilding systems in post-earthquake Haiti — Kerry makes the case that optometry doesn't have a growth problem, it has a capacity problem.  We dig into how systems and bottlenecks shape everything from daily stress to the eventual value of your practice, and why simply adding more patients to a strained system creates pressure instead of progress. What You'll Learn * Why capacity, not growth, is the real constraint for most mature practices * How to find the "Herbie" — the bottleneck — in your practice * What happens when demand increases but your systems don't * Why handoffs are where practices break under pressure * How over-dependence on the owner creates fragility and lowers practice value * The four rungs of the "dependency ladder" * How a lack of capacity drives stress and burnout for both doctors and staff * Where AI can remove friction in a practice — and where it's overhyped Key Takeaways for Optometrists For most established practices, the instinct to chase growth misses the real issue. As Kerry puts it, growth without redesign becomes pressure, not progress. A system built to handle 14 patients a day doesn't simply stretch to 22 — it cracks, usually at the handoffs between staff, and the strain shows up as burnout, turnover, remakes, and a worse patient experience. Adding patients before fixing the system tends to surface problems you didn't know you had. There's a direct line between systems and practice value, too. The more a practice depends on the owner to solve every problem and make every decision, the more fragile — and less valuable — it becomes to any future buyer.  Building a practice that runs well without you isn't just about reducing daily stress; it's one of the most meaningful things you can do for both the value and the resilience of the business. The work is ongoing: as Kerry notes, the bottleneck never stays in one place, so finding and fixing "Herbie" is a continuous process, not a one-time fix. Resources for Optometrists * Connect with Dr. Kerry Reeves on LinkedIn [https://www.linkedin.com/in/kerryreevesod/] * EyeCoin Patient Interaction Platform [https://geteyecoin.com/] * The Goal by Eliyahu Goldratt [https://www.amazon.com/Goal-Process-Ongoing-Improvement/dp/0884271951]— the systems book referenced in the episode * Podcast Ep 160: How to Maximize Your Optometry Practice Value Before You Sell with Erich Mattei [https://optometrywealth.short.gy/ODmoney160] * Podcast Ep 157: The Location-Independent OD: Compensation, Licensing & the Future of Remote Care with Crystal Edison, OD [https://optometrywealth.short.gy/ODmoney157] * Podcast Ep 164: Planning Your Practice Exit – The Retirement Math That Sets the Floor [https://optometrywealth.short.gy/ODmoney164] Want a more proactive approach to your planning? You can schedule a no-commitment introductory call to discuss what's on your mind financially and learn how we help optometrists navigate those same decisions nationwide. 👉 Schedule an introductory call [https://optometrywealth.short.gy/contact] The Optometry Money Podcast is dedicated to helping optometrists make better decisions around their money, careers, and practices. The show is hosted by Evon Mendrin, CFP®, CSLP®, owner of Optometry Wealth Advisors, a financial planning firm just for optometrists nationwide.

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167 Episoder

episode (Rewind) Implementing a Strategic Planning Week To Level Up Your Optometry Practice with Dr. Chad Fleming cover

(Rewind) Implementing a Strategic Planning Week To Level Up Your Optometry Practice with Dr. Chad Fleming

Questions? Thoughts? Send a Text to The Optometry Money Podcast! We'll answer your question on the show. [https://www.buzzsprout.com/1970676/fan_mail/new] In this rewind of a popular episode, Evon welcomes Dr. Chad Fleming back to The Optometry Money Podcast. Dr. Fleming shares his experiences with strategic planning and explains how setting aside time to work on the business through a strategic planning week has helped him scale his practice operations. They discuss how private practice owners can improve leadership, reduce chaos, and increase profitability through intentional planning. Evon and Dr. Fleming dive into the nuts and bolts of what a strategic planning week entails, how to execute it, and why it’s essential to long-term business success. In This Episode: * What’s the difference between growth and scale for optometry practices? * The concept of working on vs. in your business and why stepping away is crucial. * What happens to a practice and the owner when there's no intentional planning time. * How Dr. Fleming’s annual strategic week helped him plan, lead, and reduce turnover. * Practical advice on creating a productive planning getaway—from choosing a location to preparing resources. * Measuring and implementing your strategic ideas when you return to the practice. Episode Highlights: * [00:04:40] Scaling vs. growth: defining both for practice owners * [00:06:10] Working on your business versus working in it: practical examples * [00:18:22] Dr. Fleming’s annual strategic planning getaway explained * [00:23:05] How to prepare and gather your thoughts for a productive planning session * [00:35:00] Tracking key performance indicators (KPIs) to measure success * [00:40:06] Exciting opportunities in the future of private practice optometry Resources: * Contact Dr. Chad Fleming: Email him at chad@pipgpo.com * LinkedIn: Connect with Dr. Fleming on LinkedIn [https://www.linkedin.com/in/chadfleming-od/] * Past Podcast Episodes: Check out more episodes with Dr. Fleming in our podcast archive: * Ep. 118: Adding Private Label to Improve Margins Without Compromising Quality with Dr. Chad Fleming [https://optometrywealth.com/podcast/the-optometry-money-podcast-ep-118-adding-private-label-to-improve-margins-without-compromising-quality-with-dr-chad-fleming/] * Ep. 17: Assessing the Health of Your Optometry Practice with Dr. Chad Fleming [https://optometrywealth.com/podcast/the-optometry-money-podcast-ep-17-assessing-the-health-of-your-optometry-practice-with-dr-chad-fleming/] * Ep. 6: Navigating Associate Contracts, Practice Ownership, and Partnerships with Dr. Chad Fleming [https://optometrywealth.com/podcast/navigating-associate-contracts-practice-ownership-partnerships-with-dr-chad-fleming/] Connect With Us: * For more podcast episodes, blog articles, and optometry-specific financial resources, visit www.optometrywealth.com [https://www.optometrywealth.com/]. * To learn more about working with Evon and the team at Optometry Wealth Advisors, CLICK HERE to schedule a free consultation [https://optometrywealth.com/contact/]. The Optometry Money Podcast is dedicated to helping optometrists make better decisions around their money, careers, and practices. The show is hosted by Evon Mendrin, CFP®, CSLP®, owner of Optometry Wealth Advisors, a financial planning firm just for optometrists nationwide.

I går42 min
episode Mid-Year Tax Check-In: 4 Questions Every Optometrist Should Be Asking cover

Mid-Year Tax Check-In: 4 Questions Every Optometrist Should Be Asking

Questions? Thoughts? Send a Text to The Optometry Money Podcast! We'll answer your question on the show. [https://www.buzzsprout.com/1970676/fan_mail/new] Episode Summary It's July — half the year is gone, but you still have half a year to make an impact on your tax result. That makes right now the ideal time to sit back and ask: where do things actually stand? In this episode, Evon walks through four questions every optometrist should be asking as a mid-year tax check-in. This is the same work Evon's team is doing this time of year for practice-owner clients — projecting out the practice's profit and loss and running initial tax projections while there's still time to act.  The goal is simple: fewer April surprises, and a clear view of the opportunities still on the table before the year closes. What You'll Learn * Four tax planning questions you and your professional team should be asking this time of year * Where your income is likely to land this year — and why type of income matters as much as amount * How to tell whether you're paying enough as you go (and avoiding under-withholding penalties) * The AGI and taxable-income thresholds that phase you in and out of key credits, deductions, and extra taxes * Which tax planning levers you can still pull with half a year left — and their deadlines Key Takeaways for Optometrists Good tax planning starts early and proactively — not in April when the bill is already due. The four questions to work through with your professional team: Where will my income land this year? Am I paying enough as I go? Am I near a threshold that changes things? And what levers do I still have to pull? The thresholds are where the real opportunities hide. Your AGI drives eligibility for the child tax credit, Roth IRA contributions, the higher state and local tax deduction cap, ACA premium tax credits, and your student loan payments if you're on an income-driven plan. Your taxable income drives your marginal rate and your QBI deduction. When several of these phase out together at higher income levels, a well-timed deduction or deferral can be worth far more than your marginal rate alone would suggest. The two biggest levers for practice owners tend to be retirement plan contributions and depreciation. But don't buy equipment just for the write-off — you're spending a full dollar to save thirty cents. Invest in the practice because there's a return on it, then decide how to handle the depreciation. And remember that some levers have a hard December 31 deadline while others (like 401(k) contributions or a cost segregation study) run to your tax filing deadline. Resources for Optometrists * Ep 159: How to Stop Scrambling at Tax Time – An Optometrist’s Guide to Quarterly Tax Payments [https://optometrywealth.short.gy/ODmoney159] * Ep 153: How to Invest Tax-Efficiently and Keep More of Your Returns (After-tax) [https://optometrywealth.short.gy/ODmoney153] * Ep 148: Profit Sharing Demystified – How Optometry Practice Owners Can Maximize Their 401(k) with Matt Ruttenberg [https://optometrywealth.short.gy/ODmoney148] * Ep 51: An Optometrist’s Guide to the Qualified Business Income Deduction [https://optometrywealth.short.gy/ODmoney51] * Ep 47: An Optometrist’s Guide to How Taxes Work [https://optometrywealth.short.gy/ODmoney47] * Ep 37: Tax Planning For Charitable Giving [https://optometrywealth.short.gy/ODmoney37] Want a more proactive approach to your planning? You can schedule a no-commitment introductory call to discuss what's on your mind financially and learn how we help optometrists navigate those same decisions nationwide. 👉 Schedule an introductory call [https://optometrywealth.short.gy/contact] The Optometry Money Podcast is dedicated to helping optometrists make better decisions around their money, careers, and practices. The show is hosted by Evon Mendrin, CFP®, CSLP®, owner of Optometry Wealth Advisors, a financial planning firm just for optometrists nationwide.

10. juli 202628 min
episode Finding the Bottlenecks Limiting Your Practice's Capacity with Kerry Reeves, OD cover

Finding the Bottlenecks Limiting Your Practice's Capacity with Kerry Reeves, OD

Questions? Thoughts? Send a Text to The Optometry Money Podcast! We'll answer your question on the show. [https://www.buzzsprout.com/1970676/fan_mail/new] Episode Summary Most optometrists believe the path to a better bottom line runs through growth — more patients, more marketing, more demand. But what if that's the wrong problem to solve? In this episode, Evon sits down with Dr. Kerry Reeves, owner of Advanced Eye Care in North and South Carolina, to unpack a different way of thinking about practice performance. Drawing on 27 years in optometry — including five years rebuilding systems in post-earthquake Haiti — Kerry makes the case that optometry doesn't have a growth problem, it has a capacity problem.  We dig into how systems and bottlenecks shape everything from daily stress to the eventual value of your practice, and why simply adding more patients to a strained system creates pressure instead of progress. What You'll Learn * Why capacity, not growth, is the real constraint for most mature practices * How to find the "Herbie" — the bottleneck — in your practice * What happens when demand increases but your systems don't * Why handoffs are where practices break under pressure * How over-dependence on the owner creates fragility and lowers practice value * The four rungs of the "dependency ladder" * How a lack of capacity drives stress and burnout for both doctors and staff * Where AI can remove friction in a practice — and where it's overhyped Key Takeaways for Optometrists For most established practices, the instinct to chase growth misses the real issue. As Kerry puts it, growth without redesign becomes pressure, not progress. A system built to handle 14 patients a day doesn't simply stretch to 22 — it cracks, usually at the handoffs between staff, and the strain shows up as burnout, turnover, remakes, and a worse patient experience. Adding patients before fixing the system tends to surface problems you didn't know you had. There's a direct line between systems and practice value, too. The more a practice depends on the owner to solve every problem and make every decision, the more fragile — and less valuable — it becomes to any future buyer.  Building a practice that runs well without you isn't just about reducing daily stress; it's one of the most meaningful things you can do for both the value and the resilience of the business. The work is ongoing: as Kerry notes, the bottleneck never stays in one place, so finding and fixing "Herbie" is a continuous process, not a one-time fix. Resources for Optometrists * Connect with Dr. Kerry Reeves on LinkedIn [https://www.linkedin.com/in/kerryreevesod/] * EyeCoin Patient Interaction Platform [https://geteyecoin.com/] * The Goal by Eliyahu Goldratt [https://www.amazon.com/Goal-Process-Ongoing-Improvement/dp/0884271951]— the systems book referenced in the episode * Podcast Ep 160: How to Maximize Your Optometry Practice Value Before You Sell with Erich Mattei [https://optometrywealth.short.gy/ODmoney160] * Podcast Ep 157: The Location-Independent OD: Compensation, Licensing & the Future of Remote Care with Crystal Edison, OD [https://optometrywealth.short.gy/ODmoney157] * Podcast Ep 164: Planning Your Practice Exit – The Retirement Math That Sets the Floor [https://optometrywealth.short.gy/ODmoney164] Want a more proactive approach to your planning? You can schedule a no-commitment introductory call to discuss what's on your mind financially and learn how we help optometrists navigate those same decisions nationwide. 👉 Schedule an introductory call [https://optometrywealth.short.gy/contact] The Optometry Money Podcast is dedicated to helping optometrists make better decisions around their money, careers, and practices. The show is hosted by Evon Mendrin, CFP®, CSLP®, owner of Optometry Wealth Advisors, a financial planning firm just for optometrists nationwide.

24. juni 202654 min
episode Planning Your Practice Exit: The Retirement Math That Sets the Floor cover

Planning Your Practice Exit: The Retirement Math That Sets the Floor

Questions? Thoughts? Send a Text to The Optometry Money Podcast! We'll answer your question on the show. [https://www.buzzsprout.com/1970676/fan_mail/new] Episode Summary Most practice owners spend close to two decades building their business — and too often only a few months planning how they exit it. That imbalance shows up in the outcomes. This episode kicks off a new series on planning for the sale of your practice, built around five questions worth answering long before a sale shows up on your calendar. We start with the first and most important one: not "what is my practice worth?" but "what does this sale actually need to do for my retirement to work?" Because those are two completely different questions — and the gap between what you assume the practice is worth and what you actually need it to do is where a lot of the regret lives. We walk through why your retirement gap sets the floor for every other exit decision, how to actually build that number, and why the earlier you start, the more flexibility you'll have on your way out. What You'll Learn * The five questions to answer when planning to exit your practice (and why this one comes first) * Why your practice valuation only matters in relation to your retirement gap * How two identical practices can lead to two completely different sale strategies * Why earlier owners have far more flexibility — and how to "pre-fund" your future buyout * How to build your retirement gap: lifestyle spending, guaranteed income, existing assets, and the gap that remains * How that gap becomes your negotiating floor — shaping timeline, buyer type, and payment structure * The what-if scenarios worth testing before you ever sell Key Takeaways for Optometrists Your practice valuation is only meaningful in context. The number that actually matters is the gap between what you've already built outside the practice and what your retirement plan needs to succeed. Until you know that gap, every conversation about price, structure, and buyer is theoretical — you have nothing to measure an offer against. Figure out that number first, and it becomes your negotiating floor. It tells you whether you can wait for the right buyer, whether you can sell to an associate at a friendly price or need to chase a higher multiple, and whether work is truly optional afterward. Too many owners step into a sale unsure of what their family actually needs — and let the deal determine their retirement plan rather than the other way around. Resources for Optometrists * Podcast Ep 160: How to Maximize Your Optometry Practice Value Before You Sell with Erich Mattei [https://optometrywealth.short.gy/ODmoney160] * Podcast Ep 50: Guide to Due Diligence on Practice Purchases with Erich Mattei [https://optometrywealth.short.gy/ODmoney50] * Podcast Ep 80: Intro to Optometry Practice Valuations with Erich Mattei [https://optometrywealth.short.gy/ODmoney80] * Podcast Ep 70: Financial Planning Considerations for Owners of Established Optometry Practices [https://optometrywealth.short.gy/ODmoney70] Want a more proactive approach to your planning? You can schedule a no-commitment introductory call to discuss what's on your mind financially and learn how we help optometrists navigate those same decisions nationwide. 👉 Schedule an introductory call [https://optometrywealth.short.gy/contact] The Optometry Money Podcast is dedicated to helping optometrists make better decisions around their money, careers, and practices. The show is hosted by Evon Mendrin, CFP®, CSLP®, owner of Optometry Wealth Advisors, a financial planning firm just for optometrists nationwide.

19. juni 202620 min
episode The Biggest IPOs in History Are Here - Should Optometrists Invest? cover

The Biggest IPOs in History Are Here - Should Optometrists Invest?

Questions? Thoughts? Send a Text to The Optometry Money Podcast! We'll answer your question on the show. [https://www.buzzsprout.com/1970676/fan_mail/new] Episode Summary The largest IPO in history is here. SpaceX goes public this week with an expected total value of $1.77 trillion, and OpenAI and Anthropic have both announced plans to go public this year at valuations around $1 trillion each. In optometry forums and online communities everywhere, ODs are asking the same question: should I get in? In this episode, we look at 45 years of data and research on how IPOs have actually performed for investors - and then dig into the question that matters more for most listeners: how index funds and other passive funds will add these mega IPOs to their portfolios, and what that means for you. Have questions about your own investment approach? Reach out at podcast@optometrywealth.com [podcast@optometrywealth.com]. What You'll Learn * What an IPO is and why 2026's IPOs are historic in size * How IPOs have historically performed compared to the broad US stock market * Why the famous "first-day pop" doesn't benefit everyday investors * The distribution of individual IPO outcomes over 3 and 5 years — and why most lose money * Why periods of peak IPO hype tend to be followed by the worst returns * How the S&P 500, Russell, CRSP, and MSCI indexes decide when (and how much of) an IPO to include * What "float adjustment" means and why these trillion-dollar companies will enter index funds as tiny slivers * How the Nasdaq-100's approach to IPOs differs from broad market indexes * Whether index fund "front-running" around IPO inclusions should worry long-term investors * How factor-based funds like Dimensional handle newly public companies Key Takeaways for Optometrists Investing in IPOs right after they go public has historically been a poor strategy. IPOs as a group have trailed the broad market, and when you look at individual companies, roughly 60% lost money over their first three to five years - while a small sliver delivered lottery-like gains that lift the averages. Betting on IPOs means betting you can pick those rare winners. For index fund investors, these mega IPOs will eventually show up in your funds - but because indexes are float-adjusted, even a $1.77 trillion company may enter as a fraction of a percent of the index. The impact on your portfolio, good or bad, is small. The bigger lesson: when hype is at its highest, expected returns tend to be at their lowest. Staying broadly diversified, keeping costs low, and not chasing shiny objects continues to be the prudent approach - and if you do want a lottery ticket, be honest about what it is and size it accordingly. Related Episodes: * Ep 134: The Case for Index Funds – Why Optometrists Should Embrace Passive Investing [https://optometrywealth.short.gy/ODmoney134] * Ep 135: Beyond Indexing – An Optometrist’s Guide to Factor-Based Investing [https://optometrywealth.short.gy/ODmoney135] * Ep 58: Investing Fundamentals – Understanding Stocks, Bonds, Mutual Funds, and ETFs [https://optometrywealth.short.gy/ODmoney58] * Ep 153: How to Invest Tax-Efficiently and Keep More of Your Returns (After-tax) [https://optometrywealth.short.gy/ODmoney153] Resources for Optometrists * Loughran & Ritter (1995), "The New Issues Puzzle" — Journal of Finance [https://site.warrington.ufl.edu/ritter/files/2015/04/The-New-Issues-Puzzle-1995.pdf] * Dimensional Fund Advisors (2019), "What to Know About IPOs" research study [https://www.dimensional.com/us-en/insights/ipos-profiles-are-high-what-about-returns] * Dimensional Fund Advisors 2025 video: Do IPOs Have a Place in Your Portfolio? [https://www.dimensional.com/us-en/insights/do-ipos-have-a-place-in-your-portfolio] * Jay Ritter's Long-Run Returns on IPOs (University of Florida) [https://site.warrington.ufl.edu/ritter/files/IPOs-long-run-returns-on-IPOs.pdf] * 2025: Primary Capital Market Transactions and Index Funds [https://papers.ssrn.com/sol3/papers.cfm?abstract_id=4929872] * Cullen Roche's Article: Three Things – 100s, SpaceX, & Indexing [https://ria.disciplinefunds.com/2026/06/05/three-things-100s-spacex-indexing/] * Morningstar's Jeff Ptak: Lessons From a Private Markets Bust: Why This ETF’s Investors Missed Out on SpaceX Gains [https://www.morningstar.com/alternative-investments/lessons-private-markets-bust-why-this-etfs-investors-missed-out-spacex-gains] Want a more proactive approach to your planning? You can schedule a no-commitment introductory call to discuss what's on your mind financially and learn how we help optometrists navigate those same decisions nationwide. 👉 Schedule an introductory call [https://optometrywealth.short.gy/contact] The Optometry Money Podcast is dedicated to helping optometrists make better decisions around their money, careers, and practices. The show is hosted by Evon Mendrin, CFP®, CSLP®, owner of Optometry Wealth Advisors, a financial planning firm just for optometrists nationwide.

11. juni 202633 min