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Hi, --

Yes. Not knowing the nature of your business, I'd suggest that your

facility's finance people may have a policy on what they calculate as

" direct cost " . Or, if you're a private practice, I assume that you have an

attorney, an accountant, and a PT practice consultant. They should each be

able to develop this for your practice.

The total costs of your business are made up of:

Direct costs -- the cost of actitivies actually attributable to producing

the service, and

Indirect costs -- the cost of organizational activities not directly

attributable to producing the service.

In general, the direct cost of producing your PT services consists of 1)

Facilty cost: the PT building (rent, lease, or depreciation), the utilities,

and perhaps housekeeping. 2) The cost of the PT equipment spread over its

productive lifetime, 3) The cost of any supplies consumed in providing the

PT treatments, and 4) The wage associated cost of the PTs, PTAs, and any PT

techs, including the taxes attributable to their wages. The key is that

these are all the costs which are directly traceable to performing a PT

treatment.

INdirect costs, while valuable and still very necessary, may include

marketing, receptionists and clerical staff, billing staff, legal,

accounting, and consulting services, printing costs, postage, staff

development, travel, organizational taxes, owner's compensation (unless part

of it is directly attributable to performing treatments).

If one is REALLY looking for detailed cost analysis and allocation, there is

something called a DuPont Analysis which might be done for you by an

accountant or MBA, but that is better applied to manufacturing processes.

Japanese management principles would suggest that it's preferable to

minimize direct cost, then maximize volume.

Hope this is of value to you!

Dr. Dick Hillyer, PT,DPT,MBA,MSM

_____

From: PTManager [mailto:PTManager ] On Behalf

Of pristinehealth

Sent: Tuesday, March 22, 2011 10:47 AM

To: PTManager

Subject: Direct cost of sales

Does anyone have info on figuring direct cost of sales for a service

business such as physical therapy?

Thanks

D. Cothern

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Dick makes excellent points that work well and are used in many industries.

Specifically for Private Practice PT I've taken a Management Accounting

approach and split costs into three key areas: Labor, Variable and Fixed.

As a service business labor is our largest expense and I believe it requires

careful analysis and to be split out by job type.

Labor costs including all wages (split by job category PT, PTA, Aide/Tech,

Office, Owner), taxes, key benefits of health + insurance, retirement plan

contributions, shared services (if part of a group), outside billing

services (if used since otherwise you would need more office staff) & any

per diem labor.

Variable costs are those things that tend to vary with volume or are

relatively easy to change including advertising, marketing, promotion,

con-ed, travel, postage, laundry, consulting, clinical supplies & office

supplies.

Fixed expenses are those costs that tend to remain relatively stable with

volume or are longer term commitments difficult to change based on short

term variations in volume or are essential to your business. These costs

include professional services, bank charges, dues, subscriptions, licenses,

permits, equipment rental, small equipment purchases, business &

professional liability insurance, workers compensation insurance, facility

expenses (janitorial, rent & utilities), repairs, maintenance and

telephone/communication.

During the PT Benchmark studies over the last 9 years, in my teaching and

consulting work I've found this type of approach really helps an

owner/manager get a solid handle on the financial aspects of a practice. In

this day and age of declining and more difficult payment, every PT needs to

be aware of the cost of providing care and its relationship to productivity.

While measuring it in terms of visits, I find looking at it in terms of

income and expense per hour to be the more valuable measure.

For further information follow this link:

http://www.hcsconsulting.com/benchmark11.html

Contact me with any questions.

Chuck

R. Felder, PT, SCS, MBA

HCS Consulting, Inc.

2275 S Main St, Ste 102 (New address effective 1/3/2011)

Corona, CA 92882

Mobile: (Pacific Time Zone)

Personal Fax:

Office:

EM: CFelder@...

<http://www.HCSconsulting.com> www.HCSconsulting.com

This message is personal & confidential.

From: PTManager [mailto:PTManager ] On Behalf

Of Dick Hillyer

Sent: Tuesday, March 22, 2011 4:08 PM

To: PTManager

Subject: RE: Direct cost of sales

Hi, --

Yes. Not knowing the nature of your business, I'd suggest that your

facility's finance people may have a policy on what they calculate as

" direct cost " . Or, if you're a private practice, I assume that you have an

attorney, an accountant, and a PT practice consultant. They should each be

able to develop this for your practice.

The total costs of your business are made up of:

Direct costs -- the cost of actitivies actually attributable to producing

the service, and

Indirect costs -- the cost of organizational activities not directly

attributable to producing the service.

In general, the direct cost of producing your PT services consists of 1)

Facilty cost: the PT building (rent, lease, or depreciation), the utilities,

and perhaps housekeeping. 2) The cost of the PT equipment spread over its

productive lifetime, 3) The cost of any supplies consumed in providing the

PT treatments, and 4) The wage associated cost of the PTs, PTAs, and any PT

techs, including the taxes attributable to their wages. The key is that

these are all the costs which are directly traceable to performing a PT

treatment.

INdirect costs, while valuable and still very necessary, may include

marketing, receptionists and clerical staff, billing staff, legal,

accounting, and consulting services, printing costs, postage, staff

development, travel, organizational taxes, owner's compensation (unless part

of it is directly attributable to performing treatments).

If one is REALLY looking for detailed cost analysis and allocation, there is

something called a DuPont Analysis which might be done for you by an

accountant or MBA, but that is better applied to manufacturing processes.

Japanese management principles would suggest that it's preferable to

minimize direct cost, then maximize volume.

Hope this is of value to you!

Dr. Dick Hillyer, PT,DPT,MBA,MSM

_____

From: PTManager <mailto:PTManager%40yahoogroups.com>

[mailto:PTManager <mailto:PTManager%40yahoogroups.com> ] On

Behalf

Of pristinehealth

Sent: Tuesday, March 22, 2011 10:47 AM

To: PTManager <mailto:PTManager%40yahoogroups.com>

Subject: Direct cost of sales

Does anyone have info on figuring direct cost of sales for a service

business such as physical therapy?

Thanks

D. Cothern

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