The Twelve Days of Christmas
Christmas bonuses are very ineffective.
Don’t look so shocked. Sure they might briefly make your staff happier and motivate
them just a little bit more for maybe a few weeks but what about the summer
months, or even the autumn months? What’s motivating your staff then? If motivating
your staff is your primary reason for handing out bonuses, why not do it
monthly? After all, you and your staff pay bills monthly, not annually, so perhaps
offering monthly bonuses are far more motivating to get people to work a little
harder and smarter to hit your office goal each month, rather than wait until the end
of the year.
Before making monthly bonuses available, your staff needs to know what goals
need to be reached. Make reaching the monthly goal a team effort. The staff should
all be working together to meet the office goal anyway, so why not make it a blatant
and cohesive task. This being said, I do
not recommend having a separate bonus for
production and one for collection. This will only separate your staff into two factions – “front and back” – the front being those who are responsible for collections and
the back being those who handle production. If you keep your team focused on the
practice’s monthly goal, not only will they achieve it, but they will become stronger
team players in the process. Bring your daily and weekly production status to the
morning huddle. Talk about where you are at and where you need to be in terms of
meeting your goals. Try to put the goal into realistic terms: Six more crowns, 10 more
FMXs, four more wisdom teeth extractions! Don’t wait until the end of the month
to start looking for the necessary treatment in your existing patients’ treatment
plans… keep your staff aware and motivated from the first day of each month. For
example, you can make sure that any staff member is able to print the production
from your practice management system at any time so they can see the updated
numbers for each month.
Encourage your staff to utilize the tools you already own, such as the intra-oral
camera. Take a new photo of that crown that has been in the treatment plan since
last year and review your charts the day before to know which patients have existing
unscheduled treatment. You should also know the day before which patients need to
schedule their recall appointments and who is due for X-rays. Your goals can very
well be met and exceeded from your existing patient base if everyone diligently works
together, educating the patients and filling the schedule.
Once the goals are attained, then it’s time to dole out the well-earned bonuses.
Here is how the bonus system works at Today’s Dental:
The bonus dollars are allocated to patient services (front-office staff ), treatment
assistants, hygienists and dentists. Only full-time staff members who have passed
their probationary period are eligible. The bonus monies are issued on the 10th of
each month, based on the previous month’s adjusted production. Adjusted production
is your net production calculated by your gross production minus all adjustments.
Some examples of production adjustments are insurance write-offs and
with-holds, courtesy and professional adjustments, senior citizen and payment-infull
discounts, employee discounts and any coupons you are currently honoring. The
management team sets the goals each year based on the previous years’
The Twelve Days of Christmas…
Bonuses
Howard Farran, DDS,
MBA, MAGD
Publisher,
Dentaltown Magazine
continued on page 8
8 February 2007 ■ dentaltown.com
howard speaks
production/collection numbers along with the monthly production/collection and
net income goals, keeping in mind your breakeven number. You always want to
make sure the lowest goal amount is higher than your breakeven number. The bonus
system is based on three goal levels that increase in $5,000 increments. The bonus
distributions we use for each goal level are:
First Goal = $100 to each staff member
Second Goal = $200 to each staff member
Third Goal = $300 to each staff member
Typically when I talk about the bonus plan, dentists come back with questions
on how to calculate the breakeven number or how to establish the goal amounts for
their practice. Below is an example of the Excel document we use to calculate the
breakeven number as well as set the yearly goals.
Step 1 (Monthly Average from P&L Statements): Fill in your monthly average
numbers for collections, total wages, lab fees, sundries, and all other overhead
expenses (lines 1, 2, 3, 4 and 6). The values for total variable expenses (line 5), total
fixed expenses (line 7) and net income (line 8) will automatically calculate the totals
for you. The values for lines 5, 7 and 8 are set up with a formula in an Excel document,
which you can download from the link below.
Step 2 (Breakeven Calculation): Copy the same numbers from Step 1 into lines
1, 2, 3, 4 and 6 to figure out your breakeven calculation. Adjust the collection number
in Line 1 until your net income number in Line 8 is at zero. This shows you what
your breakeven number is, based on your overhead, each month.
Next using the information you entered into the spreadsheet, you can now
decide what your three production goals for the year should be. Remember to keep
them realistic, but be sure to increase them on an annual basis to ensure practice
growth. Keep in mind unattainable goals are demoralizing to the staff, defeating the
purpose of implementing a bonus system.
Here is a link to the goal calculation spreadsheet that can be downloaded to your
computer from www.dentaltown.com. You will need Excel on your computer in
order to open and use the document after you have downloaded it:
http://www.docere.com/Downloads/GoalCalculationTemplate.xls Taking the time to set goals each year will not only motivate your staff, but it will
empower them to “know the score.” They will feel more like a partner than an
employee, and the rewards will be two-fold, benefiting the practice as well as the
entire staff. Having everyone on the same page by knowing what you are producing
each day of every month is a winning equation for a successful practice.
Goal Calculations |
Step 1: Monthly Avg from P&L Statements
1. Collections:
2. Total Wages (this includes all Staff & Doctors + all Benefits)
3. Lab Fees
4. Sundries
5. Total Variable Expenses
6. All Other Overhead Expenses (Rent, facilities costs, marketing, and misc.)
7. Total Fixed Expenses
8. Net Income |
$100,000
$50,000
$8,000
$7,000
$15,000
$10,000
$10,000
$25,000 |
% 50%
8%
7% 15%
10%
10% 25% |
Step 2: Breakeven Calculation
1. Collections:
2. Total Wages
(this includes all Staff & Doctors + all Benefits)
3. Lab Fees
4. Sundries
5. Total Variable Expenses
6. All Other Overhead Expenses
(Rent, facilities costs, marketing, and misc.)
7. Total Fixed Expenses
8. Net Income |
$75,000
$50,000
$8,000
$7,000
$15,000
$10,000
$10,000
$0 |
% 67%
11%
9% 20%
13% 13%
0% |