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Pricing and it’s effect on
Your Bottom Line
Robert P. Magnus DVM, MBA
2017 NZEVA Conference, Queenstown, NZ
www.slideshare.net/OculusInsights
www.OculusInsights.net
The Oculus Learning Opportunities
• 4 Day Immersion programs at different locations in
the worldBusiness Summits
• One-Day, Topic Driven programs not species specificBusiness Workshops
• 3 Year Educational Certificate program not species
specific at MBA levelBusiness School
Business Consulting • Customized solutions and speaking engagements
Today
•Pricing Models
•What Works in Equine Practice
•Pricing Strategy
•Pricing Analysis
•Client Loyalty
What is Good Pricing?
Doing the same, or less, but
giving more value to a customer
and more profit to a business
What is Good Pricing?
Encourages client behavior
that benefits the client,
business, and the horse
What is your Biggest Challenge with
Pricing your Services and Medication?
What is your Brand?
How are you Perceived?
Pricing Challenges
ABC Equine Clinic
1% Price Increase
$5,000 Gain
10% Price Decrease (discount)
$50,000 Loss
Pricing Models in Business
Loss Leader Model
Penetration Pricing
Dynamic Pricing
Loyalty Programs
Variable Pricing
Fortune.com April 29, 2014
Monthly Fees / Subscription
$99/Year
2 day free shipping
Video, song and book access
Unlimited photo storage
Shop More
Spend More
Memberships are Increasing
Why??
uk.businessinsider.com 10/21/15
Pay for Performance
Full Price Transparency
What Works in Equine Practice?
Dentistry Promotion Example
No Call Fee
February only
164% increase in dentistry
45% increase in extras
93% increase in billing
9% Discount
6% New Clients
10% increase in dentistry over
next 3 months
Practice Strategy Example
Dispensed medication & supply sales
1. Retail Price
2. Competitive Pricing
3. Best Pricing
Tiered Pricing Example
Result…
• Practice Turnover Increased
• Dispensed Medication/Supply Turnover Increased
• Positive Shift in Professional Service to Product Mix
62%/38% to 70%/30%
Net Profit Increased
Client Feedback Positive
Price Change Process - Example
First Operations Cost Assessment
• How much or little are Costs Changing
• What is our breakeven number or percent change
Next, Review Top 100 Services &
Top 100 Medications/Supplies Sold
Test price changes dollar and volume impact
Test the impact of individual fee increases on
total procedure costs
Finally review market pressures, then implement fee changes
IMPACT $98,004 $163,340 $261,343
Qty New Price 3.0% 5.0% 8.0%
Services
Code Description Current Price 3% 5% 8%
GAIN
PRICE CHANGE %
PRICE CHANGE $
Access the Impact On Procedures
(pick the top 25 procedures)
• Arthroscopy
• Lameness Exam
• Hock Injections
• Embryo Transfer
• Eye Exam
• Preventive Health Care Visit
• Colic Surgery
• Neonatal ICU Cases
• Etc…
Price Sensitivity
Elasticity or Inelastic
Current Research
• 89% of horse owners would tolerate 10%
price increase
• 77% would tolerate 20%
• 73% feel fees are low compared to value of
horses
Comparative Pricing
Let’s Take a Step Back
What is Strategy?
A description of how we can
identify what our clients value
and how we can deliver it
What is Value?
Value = Benefit to Client - Cost
Clients
The Loyalty Effect
What is a Loyal Client?
•Engages the practice frequently
•Has a positive attitude about the practice
•Recommends the practice to friends and
colleagues
More Profitable
Probability of Buying
Loyal Clients 60% - 70%
Lost Clients 20% - 40%
Prospective Client 5% - 20%
Source: The Loyalty Effect and Loyalty Rules by Frederick Reichheld
Drivers of Client Loyalty
4
1. Attitude
Brand
Quality
Customer focus
2. Brand Image
Industry Leader
Trustworthy
Innovative
3. Perceived Value
Product
Service
4. Customer Experience
Perceived quality
Purchasing process
Supportive & caring staff
Pricing & Customer Loyalty
Lost Leaders?
Penetration Pricing?
Client Loyalty
Build Emotional Relationship
Hard Benefits
Soft Benefits
Intangible Benefits
Bundled & Program Pricing
What Do We Sell?
Knowledge in Units of Time
TDABC
Time Driven
Activity Based Costing
TDABC – dig into the details of a
transaction
•Labor
•Fixed Costs
•Variable Costs
•Cost of Equipment
TDABC – examples of 2
procedures in mobile practice
•Cost per minute of labor
•Cost per X-ray
•All the costs associated with the
transaction
ABC Equine Clinic
Cost of Goods Sold
Variable Cost
Only sell with a transaction
Payroll
Labor
Payroll & Benefits
Cost per Minute
Operating Expenses
Operating Expenses & Vehicle
Digital Radiographs
Digital Radiographs
Digital Radiographs
Total Costs
Example Client Type
•New
•Single horse
•Multi horse
•CC on file
•Bad Payer
Client Type Time
New 10 Min
Existing 5 Min
Single Horse Same Drive
Multi Horse Same Drive
CC on File 10 Min
Bad Payer 60 Min
Example #1
• New single horse owner
• Rides for pleasure
• A veterinary assistant travels with you
• CC on file
• 30 minute drive
• 20 miles one way
• 30 min exam for “Swollen Eye”
What would you Charge this
Client?
Total Time = 90 minutes
Vet - 90 x $0.75 = $67.50
Tech - 90 x $0.42 = $37.80
CSR - 20 x $0.31 = $6.20
Total labor Cost = $111.50
Driving - 40 km x $0.41 = $16.40
Transaction Cost = $24.91
Total Cost = $152.81
Swollen Eye
Profit for basic eye exam
Our Fee = $125.00
Our Profit = -$27.81
Example #2 Lameness Exam
• 4 horses at trainer barn
• Absent owners
• 2 have credit cards
• 2 are new clients with no info
• 30 minute drive
• 20 km away
• 1.5 hour visit
• 8 X-rays total
What would you Charge this
Stable Visit?
Total Time = 150 minutes
Vet - 150 x $0.75 = $112.50
Tech - 150 x $0.42 = $63.00
CSR - 2 x 15 x $0.31 = $9.30
- 2 x 60 x $0.31= $34.10
Total Labor Cost = $218.90
Driving - 40 km x $0.41 = $16.40
Transactions - 4 x $24.91 = $99.64
X-Ray Cost - 8 x $25.28 = $202.24
Total Operational Cost = $537.18
Practice Cost – Activity Based
Costing
$219.90
$537.18
$756.08
Lameness Exams
Profit for 4 Lameness Exams
Client Cost = $1,020
$264
What is Good Pricing
Doing the same, or less, but
giving more value to customer
and more profit to business
What is Good Pricing?
Encourages client behavior
that benefits the client, the
business and the horse
Incentivize
through scheduling
What if….
Bundled 5 calls together
Reduce Call Fee by
50% ?
For Example
2 hour total drive time rather than 5
$70 x 5 hours = $350
$70 x 2 hours = $140
Saving $210
Reduced Call Fee Effect
Call fee = $60
5 calls x $60 = $300
5 reduced call fees = $150
$210 - $150 = $60 Profit
Reduced Call Fee Effect
3 extra hours in week @$192/hour
156 extra hours in year = $29,952
6% increase in sales
• Lowered vet & tech cost
• Lowered transaction cost
• Increased profit
• Happy & loyal clients
Work Flow Efficiencies
Client type
Better scheduling
Better use of HR
Opportunities for Other Services
Client Surveys
Past Customer Surveys
Useless
• Inconvenient
• Intrusive
• Annoying
• Nothing measurable
• <10% response rate
Measuring Client Loyalty
The NPS
• Promoters (9-10)
• Passives (7-8)
• Detractors (0-6)
Promoters – Detractors = NPS
The NPS
• Promoters (9-10) 30%
• Passives (7-8) 60%
• Detractors (0-6) 10%
Promoters – Detractors = NPS
30%(P) – 10%(D) = 20% NPS
The NPS
• 4 questions
• constantcontact.com
• Surveymonkey.com
• Target clients
• Results shared
McKee-Pownall Equine Services Customer Feedback
Survey
1.
How likely is it that you would recommend our company to a friend of
colleague?
0 - Not at all likely 1 2 3 4 5 - Neutral 6 7 8 9 10 - Extremely likely
2.
If you scored us above 8 on the above question, what is the primary reason for
the score you gave us?
350 characters left.
3.
If you scored us below 8 on the above question, what is the primary reason for
the score you have us? If you would like to discuss your recent visit and how
it impacted your score, please add your name and number.
350 characters left.
4.
How long have you been a client of McKee-Pownall?
1 year or less
1 - 3 years
3 - 5 years
5 + years
Finish
Sample Questions
Results
• Ave NPS score = 84%
• Ave response rate = 33%
Challenges
•Time
•Repeating clients
•No industry standard
Understanding the Cost of
Running an Equine Practice
The Staff
100 Pennies = 100% Turnover
What % of Turnover is Profit?
How Many Pennies?
Inventory Cost
Veterinary Salaries
• Inventory _____
• Vet/Tech Wages _____
• Office Wages _____
• Advertising _____
• Vehicles _____
• Benefits _____
• Insurance _____
• Accounting/Legal _____
• Facility _____
• Equipment Repair _____
• Telephones _____
• Etc….
Continue…Expense Catagoriea
How Much is Left Over = Profit?
Share Practice %’s
• Show seasonality
• Share cost of medical equipment
• Illustrate Owner Options
• Pay off debt
• Invest in new service or technology
Take Home Messages
•Develop a Pricing Strategy & Philosophy
•Build and Value Client Loyalty
•Educate & Train Your Staff
•Try ABC for 5 Common Procedures
•Measure and Compare
•Be Brave!
Questions!
www.OculusInsights.net
Thank You!

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Pricing strategies 2017 nz