Mark Opperman
CVPM
Practice Smarter columnist Mark Opperman is the president and founder of Veterinary Management Consultation Inc., director of veterinary practice management at Mission Veterinary Partners, and founder of the Veterinary Hospital Managers Association. His column won first place in the Florida Magazine Association’s 2020 Charlie Awards.
Read Articles Written by Mark Opperman
Answer this: What are the two expense categories that practice managers or owners have the most control over and that have the most impact on profitability? If you said support staff costs and inventory costs, you would be correct. These two expense categories alone might account for 40 to 50 percent of a practice’s total expenses.
Inventory costs should range from 16 to 18 percent of a practice’s gross revenue. But suppose you calculate your inventory costs and find they are 20 percent or higher. Why would that be? Let’s examine what might be the causative reasons inventory costs are too high in your practice.
Extended Shelf Life
I have consulted with well over 1,500 veterinary practices and, by far, the No. 1 reason inventory costs are too high is shelf life. Shelf life is the time from when a product comes into a practice to when all that product is used or sold.
What is the optimum shelf life for any given inventory item? The answer is one minute or one second! You want to have only as much inventory as you need at any given point in time. In fact, companies that must deal with large inventories often use what is called “just in time inventory.” So, as an example, if I am making 200 cars today, then I might want to have 400 headlights in my inventory (or maybe a few more in case some get dropped).
Here is another question: Is inventory an investment? If your answer is “yes,” then ask yourself what inventory item have you ever purchased that appreciated in value? Inventory is not an investment. Inventory is a means of making money by using or selling that item. Inventory sitting on your shelf is only costing you money.
Let’s try another question: What is the realistic shelf life for an inventory item coming into your practice? The answer will normally be 30 to 60 days. Items such as pet food should turn over weekly. Of course, this is easier said than done, and some items you absolutely must have in stock you can’t get in smaller quantities. By necessity, these items will sit on your shelf for an extended period, but they should be the exception to the rule.
The best suggestion I have to help you determine your inventory’s actual shelf life is the red dot method. Have a team member apply a red dot to all your inventory items. I normally like to do this on the first of the month. So, if you do this on Dec. 1, go through your inventory on Jan. 1 to find which items still have red dots. Then look again in February and March. You will probably see dots for many months to come. These items are costing you money. Ideally, your inventory should have no red dots after 30 or 60 days.
Maintaining inventory items on shelves is like placing $100,000 in a desk drawer and waiting six months to take out the money. During this time, not only did you not use the money, but you also didn’t earn a return on it. Shelf life can be the top reason inventory costs might be out of line in your practice.
Too Many Choices
The second reason is duplication of product. Maybe you have three or four ear cleaners that basically do the same job, or maybe you have several lines of flea control or pet food. Now, if you are selling these products and they’re not sitting on the shelf, then that is fine. But if these products are not selling well, you need to look at streamlining your inventory. Cut back to one or two ear cleaners that you will promote and sell.
Something that might help you with this problem is to establish an online pharmacy for your practice. Every practice should have a shop site on its website. Internet pharmacies have become a $3 billion business. The primary reason for this is convenience.
I have had many a discussion with practice managers and owners on this topic. Some are reluctant for various reasons to establish a shop site, but the fact is that clients want to purchase products online. They wish to order an item, maybe at 3 a.m., and have it shipped to their front door. If you do not make your products available online, the client will find a company that does and you will lose the business.
I further argue that you can be more profitable selling products through your shop site. You do not have many of the costs of inventory, meaning you don’t have to pay someone to order a product, unpack it when it arrives, place it on the shelf, enter it into your inventory system and pay the bill. Instead, the client orders the product and it is shipped directly to them. Many times, the package arrives with your practice’s name and address on it, looking like it came from you when in fact it came from the distributor.
The charge for this might be 15 percent of the product’s cost. But you get to decide the price and which products you sell, and naturally, if it is a prescription item, you will have to approve it. If you don’t have a shop site on your website, you will continue to lose inventory sales.
Missing Markups
The third reason inventory costs could be out of line is inappropriate markups. I wish I could tell you how many times I looked at a practice’s inventory module in the computer and found no markups at all. In many cases, the inventory was not entered, either. Every time we receive inventory, it needs to be entered, and if the cost of the item has increased, the cost to the client must be adjusted. I think markups should be fixed on most inventory items. The normal markup will range from 100 to 150 percent.
I also wish veterinary software programs did a better job with bar code scanning. We should be able to receive inventory and scan it into the computer so that markups are done automatically. Some practices are doing that, but for now, make sure that your inventory is entered when it arrives and that items are being marked up correctly.
Blatant Thievery
A fourth reason inventory costs might be too high is embezzlement. According to recent studies, 1 in 10 veterinary practices is embezzled from every year. To be considered embezzlement, the amount taken has to be over $10,000, so these aren’t petty losses. I might be a cynic, but I think every practice has some inventory walking out the back door.
Inventory items most likely to “walk” are flea control, heartworm preventives and food. With that in mind, I would keep a close eye on these products. You can do a physical inventory on the first of the month. Next month, do another physical inventory, add any products you received during the month and subtract the items sold. The resulting number should equal your inventory on hand. It is not rocket science, but you will be amazed how many times we find that the numbers do not jibe and, yes, we find that products have been walking out the back door.
Another idea would be to consolidate your inventory into one or two locations and install a surveillance camera. Just the fact that you have a camera might prevent products from being stolen, but don’t bet on it.
Unwarranted Giveaways
The last major reason inventory costs might be out of line is lack of income. We found during a study conducted with a number of practices that the average full-time veterinarian gives away $64,050 a year. What we meant is that the product or service was sold or rendered but that no money was received.
It could be that the practice purposely did not charge for a service (think nail trim), or that the service was supposed to be invoiced but was not, or that the service could have been discounted (a dirty word in my vocabulary).
It is interesting that in times of economic downturn Fortune 500 companies are asked, “What did you do during the recession to protect your business?” The overwhelming response is, “Reduced my inventory.”
I don’t think we realize how big an impact inventory control can have on a practice’s profitability until we start to control the expenses within our own practice.
Mark Opperman is the founder and president of Veterinary Management Consultation Inc. of Evergreen, Colorado.