Category Archives: Planning

Tell Your Story

Tell Your Story

The halfway point of the year is around the corner. Kids have completed another year of school and before you know it, they will be back to start the new school year. The peak quarter for most offices will follow and the end of the year will be upon us. Now is the time to re-energize and motivate your team.

I have conducted many on-site visits this year with more to come. I have seen some offices executing and delivering amazing patient interactions as you would all love to experience. Unfortunately, I have seen the opposite as well. Regardless, it is imperative you, the doctor of your practice, the manager, the optician who loves your career, an optometric technician, a billing and coding expert are passionate to care for your patients every day. You need to tell your story. What motivates you, what drove you to open your own practice? What makes you smile when you treat your patients? What excites you about the technology you have invested in your clinic? Don’t hold it in. Share the vision you had in the beginning and what excites you today! Teach your team to understand what you are about and what you want for your office and your team!

Opticians, what warms your heart? What excites you when you see a patient walk in the door to pick up their first pair of glasses? Is it a child with a -2.50 who has never seen before? You know you are making a difference in the child’s life today and they will remember this day for their lifetime! Parents will tear up and be excited for their child. You are making a difference. Are you excited for the new frame line you added to your optical? What makes it great? Why are you excited about it? Have you ever thought you would save lives? Well, you do. We have all seen a patient wearing old eyeglasses with less than acceptable acuities. That person is on the road driving in their new glasses able to see better today because of you. That driver will see pedestrians they may have missed before. You save lives.  Teach and tell the others on your team why this is your passion. Do not be shy, be loud and proud. You improve each individual patient’s quality of life with their sight. They see better today because of you.

To you Optometric Technicians, you are the right and sometimes the left hand of the Optometrist. Isn’t it amazing to see what you are able to do for your patients? Capture images of the patient’s retina, macula, optic nerve, blood vessels. You measure the pressure within the patient’s eye. You measure the patient’s blood pressure, visual acuities, capture an ultrasound of the eye, color blindness, stereo, and utilize the auto refractor to measure the curvature of the cornea of their eye and the starting point for their prescription. You are capturing necessary measurements and information to help your optometrist deliver a thorough comprehensive eye exam for your patients. You are in the position to learn about your patient’s lifestyle and interests. You are there to educate your patients to know what to discuss with the doctor their needs to improve their quality of life utilizing different types of lenses in their eyeglasses, dry eye treatment, myopia management, and other options pertinent to them. As an Optometric Technician, your career allows you to be a difference maker to each and every patient you care for.  Share your stories and situations to help the others on your team understand what a great opportunity they have here in your clinic with you to be a life-changing individual.

As a billing specialist, it is not just about collecting the money for the practice. For you it is helping the patient to maximize their medical insurance or vision plan benefit to help the patient receive the best care and services. The patients coming into your offices know or understand very little about their specific benefits. You teach them and educate them to understand their plan and guide them to maximize the benefit. You are an advocate for the patient to make certain their carrier is paying for the services delivered as it states in the description of benefits. This may be a challenging position, but you are a difference maker, and your success is not unnoticed. Share why you love to manage the billing processes. This too is a career opportunity for the team members within your office. You can never have too many billing people in a practice. But there needs to be a system.  Tell the team how great it is and how rewarding it is for and to you.

To every manager of an optometric practice, you are the face of ownership. Your passion needs to reflect that of the Optometrists in your office(s). More than likely you worked in one, two, or more of the positions mentioned earlier. Why do you love what you do? Is it seeing the patients smile as they leave with their new eyewear? Is it seeing the patients utilizing the new technology in your clinic? How about the new frame brands represented in your optical? How about seeing your billing specialist teach another person to help her/him out? Is it offering a new hire a position to begin their career with you? Is it about seeing a team member who is motivated by you to learn more and take on additional roles and responsibilities? The fire you have is contagious. Be excited to tell your team how great it is to be with them and work alongside them. Remind them you started in a position where they are today and have moved up through the ranks. Tell them about the employee who left. You know the one who decided they wanted to become an industry representative. Tell them about the employee who decided to leave and go to Optometry school to be a doctor. Tell your story and share your vision for what a great industry they are working within.

Whatever position/career you are working in, you are making a difference. Remember, your passion will be your team members passion. Tell your Story!



Rick Guinotte


Don’t Live on an Island

Don’t Live on an Island

The first quarter is already in the mirror but 75% of the year lies ahead. The first quarter was exciting and fast. You are going to see new vendors added to the Acquios Alliance and more coming down the road. I met with many business leaders of various vendors at Vision Expo East. They are ready, willing, and able to help us take Acquios Alliance to a new level. Keep an eye open for many exciting new events to make you and your team better.

Recently, I have seen many posts on social media sites asking others how to help with burnout and dissatisfaction. I responded a couple of times to some but not all. It made me scratch my head and ask a question. Why are people feeling this way? Yes, I think employees have become a key focus of every day. From speaking with various clients, it has been a challenge to get many to work their scheduled hours and more. Many basic  fundamental issues are causing many to be stressed. One simple but important rule of management is to always complain up. But what if you are the owner operator of a single doctor practice? This same rule applies to multi doctor practices as well. Each doctor must respect this rule and follow it to the letter. Failure to do so can cause significant drama and stress in the office should any OD in a single or multi doctor practice shares thoughts of any concern or negative thoughts to staff. Negativity causes doubt and concern within the office. This will force staff to talk and not in a good way. How to correct this?

Don’t live on an island. There are avenues for you to turn. First and foremost, lean on your advisor. Secondly, did you know Acquios Advisors is hosting ZOOM calls in the evening for doctors to participate? These calls are for you to share great times happening in your office as well as to look for support from your colleagues. This will help you to have a listening ear to share what is on your mind and learn from others who may have been in the same boat as you. Support is here and we are excited to offer this time to make your work life better. Watch for information about Cheers with Colleagues in our email announcements and more.

In addition to doctors’ meetings on ZOOM we are also going to begin to offer an open session to managers of active advising clients to join calls every six to eight weeks. Colleague to Colleague calls will be a great resource for managers seeking support and input from their equals in offices across the country. This too is going to help enhance your practice and your team.

There is no reason to go through your days, weeks, and months alone. Please know others have been where you are and worked through it. It is a great idea and plan to share with others what was exciting in your day and why you love what you do! You can make a difference in your colleagues’ day. At times you may need a “pick me up”, through communication and collaboration with us and your colleagues you will find a new avenue to make yourself happier and more successful.

Remind yourself why you became an optometrist. Share those great moments in your practice career where you made a significant difference in your patients’ lives. Tell the story about why you opened your new practice or purchased the location from another OD. Share your passion for why you became a practice owner with your team. They need to know; they will want to own. If you don’t share your vision, they will only think you do this for money. I have never heard a client say, “I want to open my own practice or buy this practice to make more money. It is typically about being in control of patient care, or being able to make the decisions for what is best for my patients and the team I will have. Tell them why you went into business for yourself. You will get their support by doing so.

If you have seen my YouTube video, then you know this. Review your CORE Values, your mission statement, with your team. Challenge your team, ask them, “are we living this mission?” If the answer is no or the staff is not engaged, it is time to say, okay team, let’s develop a new office mission, a new mission for ourselves. Develop a new mission the current staff has a voice in creating. Make certain they are part of the development and finalization of the statement. Why do you ask? If they create and finalize it with you, it is a team mission, one they created and own. When addressing team issues and challenges, the more you involve them when resolving the issue at hand, the more they play a role in the fix, the more they will own it and live it! Make this happen yesterday! It just might help your team to work better for one another, you, your practice, and of course your patients.

As you can see, we are always listening and looking to develop avenues to help each of you be the success you seek. Don’t let 2024 get away. Don’t live on an island. Join us for these sessions and make your days, weeks, and months better. The future is bright and there is no reason to go it alone. We are here and we welcome each of you to participate.



Rick Guinotte


Looking Forward to the Future

Looking Forward to the Future

The Holidays are upon us and 2024 will be here before we know it. As this year is coming to an end, it is always great to reflect on what went well and celebrate achievements. It is also a great opportunity for reflecting on experiences you were not satisfied with. Challenge yourself to celebrate exciting achievements in the new year when they happen. Be careful of not saying to yourself, I will tell the team tomorrow. While the situation is fresh in everyone’s mind, talk it through, take notes and learn from all, what could we have done to be better for the next time? You will find this to be helpful for your future and the future of your team. Live in your moment, take the time today to be happy and make the others around feel good for all they bring to you and your family, and your business. When the day does not go as expected and/or an event does not go as you had planned or expected, have a conversation sooner than you have in the past.

The new year is exciting and daunting all at the same time. There is so much opportunity presenting itself. Take the opportunities given to you for comradery, interaction, networking, and more. Here at Acquios Alliance, we have been working hard to provide you with events and connections that are detrimental to making this happen.

This past year we launched our Living Your Mission (LYM) event. It was a great success for all. In April we will host the next LYM in Kansas City, MO. We will have more to offer and deliver than many of you can imagine. Our team led by Scott Cline developed the Executive Management Program. The first class is on track to graduate in January and the second class is off to a thriving start. The next time this will be available is mid-year, June 2024. We look forward to seeing more doctors and managers attend. Additionally, Acquios Alliance and Advisors sponsored a virtual frame shopping event. Eighteen vendors participated; many are asking when the next one will occur. We have great news. January 2024 it will be happening. We are looking to make it easier for you who are working as associate ODs and balancing your time planning and executing all the steps necessary to open a new successful practice easier. Imagine taking a couple of hours out of your day to visit, learn, and understand what vendors have to offer you without making ten to fifteen appointment times to shop for product for your optical.

Building a team can be the most challenging step of being a business owner. I won’t say I am perfect and hit a homerun on every new hire….but I can say the team we have to work with each one of our clients is passionate and eager to help the clients we serve to exceed their expectations and goals. Changes in organizations need to be reviewed and happen for various reasons. There are businesses/practices/offices where a person currently in a leadership role needs to consider stepping aside to allow others to step up and take the business to the next level. This is not a negative action. It is what can be best for your practice. Invest in your team leaders. Do not be afraid to have a conversation to discuss opportunities. As you all know, I am all about communication and making sure everyone understands your mission, core values, and goals. From your Associate Optometrists, Receptionists, Managers, Optometric Technicians, Frame Stylists and Opticians, Claims Management Specialists to your advisors, they all need to know where you are going and learn how they can and will get you there.

The Optometric Industry is continuously evolving. Embrace the evolution. It is great for private practice. We are seeing more and more doctors supporting the independent optometrists. For those of you looking to exit your practice in the coming six to ten years, it is time to plan. There are many optometrists very interested in buying a private practice. It is time to plan and look ahead. Banks are ready willing and able to lend money. But as a seller, you can earn a little more money by doing seller financing.

Look at the technologies available for you to be more efficient in your practice while being more available to your patient base. From Optify, Optikam, Hello Rache, and new VR units for various services and tests for your patients, you can and will compete more with the online competitors. The ace card you are holding is you and your team. Your new year will be a successful one. Know we here at Acquios Alliance and Advisors are here to listen and collaboratively develop your plan to make you the success you seek no matter the goals.

Happy Holiday and Here is to a successful New Year and Beyond for All!


Rick Guinotte


Prepare for the New Year

Prepare for the New Year

Where does the time go? It is time to ask yourselves these questions. Where is my practice today? What is my vision for the future? Am I set for the end of year with tax planning? What are my goals for 2024? Am I prepared to grow in 2024? Is my staff ready, willing, and trained to deliver the care and service necessary to be as efficient and knowledgeable as possible to educate my patients about the lifestyle products and services we provide or plan to add in the New Year?

Those are a lot of questions to answer, but they need to be asked and you need to begin planning. We all know this is a great time to look for new instruments not only to enhance the practice, but also for tax benefits. We all know it is time to do a thorough inventory of frames, contact lenses, accessories, and other items you have inventoried for your dry eye spas and more. Remember, it is time to look at the eyewear, both contact lenses and eyeglasses waiting for patients to come pick up those orders. If they have balances owed, now is the time to collect that money and dispense the product.

Evaluate those frames in your optical. Have they turned over two and one half to three times in the past twelve months? If the answer is some brands are and some are not, now is the time to create a plan to sell those brands down and bring a new fresh independent frame brand into your office. Be different, offer your patients a product they don’t see in every chain location or other practices.

How many more years are left on your lease? Does the space you are in accommodate the business growth you are experiencing and into the future? Do you need to start to renegotiate your lease? This needs to be started eighteen to twenty-four months before the lease expires. If you wait too long the landlord knows you cannot move out overnight, plan it so you have time to negotiate and have options to consider. Do you plan to add an associate in the coming six to twenty-four months? Should you consider buying your own building? What would it cost, and can you afford such an investment? As you look at the current space, if you plan to stay, is it time to refurbish your practice? Does it need a fresh coat of paint and new flooring? Do you need a full remodel with new fixtures, lighting, and all? Investing in your space or relocating will help you grow your practice. Don’t put it off too long. If you are considering the addition of another doctor, a dry eye spa, a call center or other, I encourage you to explore these options. The investments you make in your practice will add value for yourself and your team. It will make your office more marketable to the new associate or partner and/or new owner when it is time for your exit strategy.

Speaking of exit strategy… Have you completed your estate planning in the event something unplanned occurs? You need to and must do this, not for yourself but for the wellbeing of your spouse, children, and the practice. Should you have a valuation completed for your office? Remember a valuation is based on the previous three years. The New Year, 2024 now means we will not have the challenges and adjustments to make in the calculations of the valuation because of the challenges the pandemic in 2020 brought us. All these items are your legacy, and you need to protect them, and yourself.

Many of you Acquios Alliance members are also part of other groups and organizations. I see many of our members active in as many as two to five different organizations. I say this all the time, each one may bring different values to different practices. It is time to review each of them. You need to measure what the Return on Investment is for the vendors you pay. Are you seeing any ROI in the vendors you are associated with and work with? From buying groups to businesses where you purchase accessory items, they all need to be reviewed. The organizations and vendors you order contact lenses, frames, labs for your ophthalmic lenses, office supplies, and all. You need to divide these vendors among your staff and assign them to review the prices you are paying now and look at other vendors to consider changing. Just because you have done business with one company for the past years does not mean you should not look for something different and new. Make this an action plan for and with your team. You won’t be disappointed.

Do not overlook yourself. Yes you, your professional fees. Do you need to increase the fees? Is it time to evaluate the third party plans you accept? What is the ROI on the plans paying you for the time you are with your patients. If you never analyze them, you will never know. Look at them, question them and ask yourself, does this plan benefit or hurt me or my practice and cause unnecessary chaos for my team? Act and you will be happy!

What about those annual tools we all need to review and in all honesty are not exciting or fun.; HIPAA acknowledgement forms and compliance. Your employee handbook manual, when was the last time you read your manual? Have you revised it to be current with the times? Do you make sure your staff has signed off on it this year? Start the new year out with everyone reading it once you have it updated by December 1, 2023 to know and understand the policies you have in place for the coming year. Dress code, attendance, the definition of a workday, vacation and bonus structures are just a few items you need to review and update. Make it happen! As I said it is not exciting, but it will make the new year easier and better for all. Policies and rules are necessary for a successful business. Again, in the words of Nike, Just Do It!

As you look at your year-to-date numbers and see where your top line growth is today, begin to ask yourself where you want to be next month and at the end of the year. Begin to look at the number of days you are working in the clinic. Are you looking to work less and make more money? Are you going to add another doctor to help with the patient’s demands and increase your practice. What will you need to add another doctor? Will it be an additional exam lane? Will you add a “specialty” to the practice? What will the out-of-pocket expense look like and what will the investment generate? Be conservative on the projections.

Never overlook your most important assets which are your employees, your work family, and your team. Do you have enough hours staffed and scheduled to care for your patients to exceed the expectations outlined in your practice mission statement, your core values and to meet your personal expectations? Do they know your why? Do they know why you became an Optometrist? Do they know why you started your own practice? Do they think it is because you wanted to make larger amounts of money for yourself? If the answer to that is maybe or yes, you need to share with them your why! Did you open your practice because you did not want to be told how and when to care for your patients? Are you in a better place because you can select and make all sorts of decisions and recommendations on how you run your independent business and clinic? You need to educate your employees about you and how the organization you came from operated. Many of your employees have no idea about the benefits of an independent practice. It is not easy at all! You could be employed in a large organization, arrive at work, see patients, and leave. None of the other items listed before now would you have to be concerned about, and we know there is more. You operate a private practice for your patients to deliver better care, you do this for your staff, so they have a fun place to come to each day and build relationships with their fellow team members, you do this because it is fun. Here at Acquios Alliance and Advisors we are thrilled to be a part of every practice we are associated with.

As you read through your edition of this newsletter, please consider the vendors within and throughout as all of them have been carefully vetted and are only added when we know with certainty that they are on your side. They are here to help you make your practice more efficient and better with you tomorrow and beyond!

Thank you all and here is to productive close to the 2023 fiscal year to each and every one of you. Whether you are an owner, an associate OD, Optometric Technician, Optician/Apprentice/Frame stylist, receptionist billing and coding specialist or other, you are all appreciated. Remember the patient you helped who never wore glasses and you dispensed the glasses with a -2.00 OU and the smile on his or her face. That is why you do what you do. Never forget it. You make a difference in each of your patients’ lives.


Rick Guinotte


Social Media Empowering Confidence

People are braver today than ever. They are confident when there is not a face in front of them and they don’t have to worry about an immediate response from others when they are asking a question, making a statement, or asking for guidance. The number of platforms available for people to share their questions, thoughts, concerns, praises, complaints, and ideas are expanding and growing every month. From Neighborhood, industry specific, review sites such as Google, Yelp, and other apps is exponentially increasing. People are sharing, and willing to share, from an electronic device from the comfort of their own homes. They share at any time of the day or night. Possibly when they have had a bad day or a little too much fun after a long week. Today, in this article, I want to focus on information shared on Optometrist specific sites.

You might ask yourself, what is Rick talking about? I will be the first to say, I participate in many of the ODs on……. Pages. There are many times I need to stop myself from responding because the nature of the question or questions being asked requires more information from the person asking to give proper directions. We have said since January of 2015, here at Acquios Advisors, every client’s office is unique and there is no one answer for all offices. Don’t get me wrong, I think these platforms are a great   resource for people to learn but we need to be careful of expecting to get each answer we need to make the right impact on your office. What is right for one office is going to be different than what is right for another. As the newest round of ODs completing their education and passing their board exams enter the market for hire, I see numerous questions about what a fair compensation for an Optometrist in an office generating a specific amount of money. I love the collaboration and thoughts being shared. It is great to see the community coming together to help guide one and all to be better. But I will say, there are a few factors to consider when looking at what is necessary in a compensation package for an associate in a practice.

I see repeatedly, on sites, the going rate for an OD is $600.00 per day. I am not saying that is not accurate in some states, but does it work for every office? The per diem will vary in areas of the US and Canada. Before making such a bold statement, does the office offer other benefits? Is there a bonus, reimbursement for CE, vacation days, PTO, cell phone service, retirement plan, maternity leave and more? How many patients will the office expect the associate to see per day, per hour? What is the office’s break-even point per OD day? How many patients does the associate need to care for to achieve and exceed the break-even? All items the owners know about their office or should know about their office. If you do not, please let us know. We have a tool for that.

New grads are asking for larger than ever guarantees to start their new career and what a great career they have selected to be a part of. We must make sure we are looking at your situation and not because we see the post on this group or that group stating we need to pay this or that amount of money to hire an associate.

To you younger ODs and new grads, ask more questions as you interview with various private practices, commercial companies, chains and more. Learn what will be expected of you in the practice. How many patients are you expecting me to see per hour and per day? Will I be required to deliver care using new technology such as Tele optometric lanes? Are you comfortable doing this? Can you deliver full scope optometric care in this practice? Can you prescribe specialty contact lenses? Offer Myopia management to patients who would benefit?  How about Dry eye treatments and such?

The compensation package being presented will always be tied to expectations. Again, no two offices are identical and can offer the same compensation packages. The offices hiring need to share what they offer for quality care and what makes this office special and different from others. Remember, fixed expenses in California will be and are higher than most every other state in the US. Rent in Brooklyn NY will be higher than what we see people negotiating in Wyoming. The cost of doing business per square foot is going to vary, therefore the compensation packages will fluctuate as well. Social media posts FAIL to be 100% accurate because one never knows. Bonus structures are there to bring balance to the owner and the employee.

Social media is making people braver, and, in many cases, I have seen new grads be too demanding asking far too much for their initial contracts or even at renewal time. Be careful as some of these organizations offering very handsome packages are going to force you to make sacrifices in how you practice. I am not saying they will compromise your quality, but they will more than likely narrow your scope of practice. You invested four plus years in your professional education and deserve to be happy. Take time to learn more and understand the practice you are considering for employment. Be careful. You cannot teach the same trading emails or texts. Schedule time to be face to face and conduct a healthy conversation.

Another fact to consider is the plan for the existing OD or ODs in the office. He or she may be close to exiting the practice. Don’t just look at the here and now! Look three years forward and see where the office will be and what opportunities will you be presented? All owners reading this will nod their heads as you read this next sentence. When I started this practice, I did not get a vacation day for a period, I did not get a paycheck until X months after opening or acquiring my practice.

I am not suggesting any doctor works without pay but there needs to be growth, commitment to network oneself in the community and prescribe what is best for the patients’ needs and lifestyle. This is where the bonus piece comes in. The bonus is an equalizer. This is the tool to reward the associate for their contribution to the success of the practice. For those of you I worked with associate agreements, you know I am all for taking care of those that take care of you.

Not only is social media encouraging people to ask for higher compensation, better retirement plans and more, but it is also some of the guidance being given by the Optometric Schools. Advice being given by the schools by people unaware of the rising costs of doing business. It is up to each and every one of us to help educate students and newer grads on just how great your practice is for the patients, your team, and how great it will be for them as a professional. We have a tool to teach people to budget their personal finances. Please request it from us. Email us at for this tool. It will help people to see just how good they can live on $100K per year with their student loans and other monthly expenses. It is all about teaching people to live within their means.

Yes, I focused on associate compensation in this article. The same questions and direction apply to your other team members. It is interesting. The other day I was reading an article about why a company generating $18 Million dollars per year should pay significant fines to improve the safety of the industry it is in. Well, just because a business generates 18 million dollars per year does not mean it has large amounts of money to pay to invest more in the safety of that industry. They have their Cost of Goods, fixed, staff and variable expenses, just like you. Top line dollars don’t tell the whole story, neither do social media posts. Do your homework and be aware of the opportunity you can present. Be confident and be proud. Choose the right office for yourself as a professional. Hire the right professional for your office and your opportunity. The right position is out there, and the right professionals will be there for you.


Thank you all,

Rick Guinotte

Living Our Mission

Our Mission Statement: We listen with Compassion and Collaboratively work to Develop and Implement a plan to help You and Your Team!

We are seeing and hearing great things from across the country. More of you are staffed to the levels you need, training is being worked on, and more people are sharing their resumes for work in offices. I have said it many times and will continue to repeat this; your staff is your most important asset. For this reason, over the past months Scott Cline along with others on our team collaborated to develop our new Executive Management Program. We are excited to share the first days of the event that took place on June 2nd and June 3rd. Thank you to those that attended and are currently working through this 6-month development program.

Yes, you read that correctly. This event started over two days and will have over a total time of 45 hours for the attendees. We are guiding the management/leadership of offices to become better leaders for the practice owners, the team, and of course themselves. Over my years of Advising, I have seen some very good managers. I have seen many that needed some mentoring as well. We now have the tool to help your office grow and help the manager to learn from us as well as the other 19 people in their class. We have limited the number of attendees per class to 20. Why limit attendees? We want to let voices be heard, questions to be asked, and experiences shared. The sessions are interactive and informative. The first month was about the attendees personal Mission statement, what they expect to deliver as the business leader, being in control of the day as opposed to the day controlling them, delegating, follow through, and how to navigate challenging times. This next month we will conduct a ZOOM meeting to discuss questions and implementation of the actions discussed in early June. We will be moving into HR management along with motivating staff, accountability, budgeting, managing the trends of the business, and more.

I am thrilled to share the next session is open for registration. It will begin on September 15th and 16th here in Omaha Nebraska for the next class to join and participate. Sign up fast as this truly is an amazing program!

We Deliver Insight that Inspires.



Rick Guinotte,

President Acquios Alliance and Advisors INC.


What is new in 2023

As Acquios Advisors enters our ninth year in business and the Acquios Alliance continues to grow and add more vendors, we are excited to be able to challenge you to review the list of businesses now associated with the Acquios Alliance and see how they can help you to run a better more independent practice.

We have some new vendors to mention; Optical Vantage, an independent lab with an amazing owner/operator, Review Wave and HIPAAmate. Believe it or not, it makes HIPAA fun. Ask us more, we will get you introduced. New frame vendors are coming on soon as well.

From the operations side, not only do we offer you a great option for a team retreat to a great city, Nashville, Tennessee will be host to the second Living your Mission event. We look forward to seeing doctors and staff in person to energize your team to deliver an amazing patient experience while building appreciation of each and every one of your team members and the roles they play! This is a new year, and the past is behind. Please join us in Nashville for this event on April 14th and 15th. It is going to be invaluable.

You spoke, we listened and have acted. We are launching our Leadership workshop in the coming weeks. This program is going to guide managers and owners on how to manage your practices. This multi month program will be interactive, insightful, and full of valuable knowledge. Learn to manage and guide your team to be the best in your business’s history.  Stay tuned on our FB pages for more details to register and join the program.

2023 is going to be filled with success for all. Choose to be successful, write down your goals, track your progress, and be the catalyst you want, and your team needs. We are here to support and drive each and every one of you.

Make it the year you want; utilize the resources you see here within this newsletter. Together we will succeed!



Rick Guinotte, CEO and Co-Founder


Draw your line in the concrete

This will not come as a surprise to any of you. Every office we work with has office hours. You have the hours posted on your website, your front door, in your employee handbook, on business cards, and possibly many other places as well.  You have your employees’ hours to be worked on a schedule. The schedule is written to be efficient for your practice. It is also created and produced to make certain you have the right people in the office at the times you need them to deliver amazing service to each and every one of your patients. Whether it is the first appointment in the door in the morning, the person coming in to pick up their new eyeglasses, an adjustment, a repair, or the last appointment of the day, your patients expect the best service on every visit they make to your office.

Remember you have both external customers as well as your internal customers. I have just outlined what you do to care for your external customer. But your internal customer, the people you met, interviewed, and discussed an agreement for them to provide a service to your practice and your patients in return for a product, their paycheck. They agreed in the interview to work with you and your fellow team members to deliver excellent patient care throughout the entire patient production cycle and their visits when necessary. The internal customer made the commitment to work collaboratively with others employed to deliver this patient care during their scheduled hours and when necessary, additional hours.

Over the past few years, because of the pandemic, we had to become extremely relaxed and flexible to accommodate people when not feeling well. If a person they cared for, a relative, their child, or other, wasn’t feeling well, the person needed to be out of the office for an extended period of time to care for themselves and those around them. This left offices short-staffed, and in some cases, they had to close their doors.  We saw high school students, mid-way through their senior years, told to stay home. Proms were canceled, their composite photos were not taken to display in their high schools, graduations canceled or held virtually, and classes were recorded and accessed when it was convenient for them to watch and attend. College students saw much of the same as high school students. Schedules became optional. Study and take your tests when you want but have it done by a specific date and time for your grade. For three years this went on. My daughter who is a junior in college did not have her first in-person college class until the Spring semester of 2022. From midway through her senior year of high school, to the early start of her junior year in college, classes were online and recorded. Imagine those who were in their junior years of college and finished their education in 2022.

These are your future internal customers, your future team members. It is imperative to set the tone and expectations with your current team and future employees and make certain they understand what and who you and your practice is about.  You need to tell the story about what made your practice successful. You need to reignite the fire and culture you had in your practice pre-pandemic. Share the history of your practice, where it was and where it is today! Share with your team the vision you have for your future. Remind them they are the most important asset in the practice. Without them, your practice would not and will not be the success for your patients as it is.  Share with them the fact you need them in the office at their scheduled hours. They need to respect the vacation and PTO policies you have in your practice and not to exceed the planned days off.  We need them in the office to support one another, to care for the patients scheduled, coming to pick up products, adjustments, repairs, or just stopping in to learn about your services to make your practice successful.

It is time to set the tone for the new year, 2023 is here. Now is the time to review all that has been said in this article. Set the tone for 2023. Help them to see you want them here, but we need them here for the hours per year they agreed to work. You don’t want to say these words in 2023, “They’re a great employee when they’re here.”

It is time to draw the line in the concrete. As of January 1, 2023. You must follow through and be accountable to your employee handbook attendance policy. Everyone has been very lenient and patient with each employee through the pandemic. We work in a profession where flex schedules are NOT effective for our patients or fellow team members. They need to be here when scheduled and you must work that schedule to maintain full-time status and retain benefits. Your team is here to care for patients and one another on your team and you cannot continue to have people out of the office for days beyond what we have planned in the employee handbook.  It puts unnecessary stress and work on your team members when people go beyond the days allowed. It is not about the paid or unpaid days off, it is about managing and caring for each one of you to make certain your workload is where it should be. You do not want to burn out or overwork your employees, so enforce the policies. Set a standard. If a person is tardy X times, they are ineligible for a bonus. Coach, counsel, and guide them to improve. Set the standard you want in 2023 now while we are in 2022. Help them to know now the line is drawn and you are going to expect the best from your team. Reteach those that had to be educated during challenging times. Make 2023 the turning point we all want to see. Know not every employee will make the change. The good news is, we are seeing more and more offices collecting more quality resumes over the past 2 months. There are people that want to work. And why not work in what I see as the greatest industry out there. Combine that with your practice and who would not be prouder than to say they work with you and all on your team?

Happy Holidays and Happy New Year!


Rick Guinotte, CEO and Co-Founder

Easier Is Not Always Better

Easier Is Not Always Better

It is amazing to see that August is already here and the fourth quarter is coming fast. Owning and managing a business in these past couple of years has been anything but boring. We have all faced challenges with staffing levels, availability, illness, changes in the industry, making investments to better grow your business, and of course managing the processes within the office to make certain the patient care is at a level we all want, and they expect. When speaking with many of our clients, discussing appointment book management, inventory management, vision plans, cash flow, and more, one thing we try to find is the easiest solution to the challenges we face.

For example, appointment book management has been a conversation with many. We need to make certain we have the right number of comprehensive exams with the balance of the medical encounters along with understating the ROI of the various vision plans accepted in offices. It is easier to sign up with many vision plans to fill your books but is easier better? Reducing the dependency on the vision plans will require work, time, and marketing efforts. Will it be better for your practice? The short answer is yes. Is it worth the time and work you need to put forth? The short answer, again, is yes.

Eliminating some or all of your vision plans will increase your receipts per patient. You will work more efficiently and increase your net profits. Most all vision plans have changed their direction from what they once were to what they have become today. Their policies have evolved to benefit them while keeping reimbursements to you at statis quo. They have evolved. Should you and your practice evolve?  Acquios Advisors has tools to help you with this.

Your lease, I am certain you have recently reviewed and began to plan for negotiating better terms for the next 5 or so years. Have you explored other options? It is easier to delay or even ignore this important exercise because it is expensive, scary, and unknown. Plan and review your current lease for the renewals now. It is easier to delay and put it off and sign what the landlord presents. But it may not be best for you and your practice. Easier is not always better.

Many offices have been enticed by various labs and their inventory services. There are some optometrists out there who have managed optical departments and know how to do it properly. That number is far fewer than the number of Optometrists that own their own practice. Various labs now suggest specific branded product for optical to make it easier to manage the frame expenses and order the job complete through the lab while reducing the distraction of frame representatives. The labs also say the turnaround time will be shorter. Is a shorter turnaround time important to your patients? Survey them. You will find most patients will say, I just want them done right so I can see properly.

We have some offices that have committed over 70% of their inventory to the brands the labs carry. This removes your opticians voice, your team’s input, what excites them, and what ownership they have in the operations of your optical. As a past frame representative, opticians sell the product they select, the styles they love and support the representatives they build a business relationship with. Yes, there are processes to reduce reps time with your team in the office, but there should be an evaluation of your frame inventory completed by you and your team to identify what is turning and what is not. Decisions need to be made to sell some product down and bring in other new brands. Your optical should represent you and the culture you have developed in your office. If the opticians have no voice in the product they offer, what makes your optical better than a chain location? Your inventory should be different. It should tell about the type of practice you are and will be for years to come. Limiting your selection of the brands you inventory and offer your patients to shop, does that meet your practice mission statement? Is easier better?

Is one frame vendor able to satisfy your patient wants and needs? The answer is no. Why do we focus on only one lab? There are labs that may offer better pricing on better lenses for one lens style or another. One lab may do better than your lab on specific types of prescriptions. We tend to focus on all work going to the same lab as much as possible. Is the product they turn out best for your patient? You have patients with different needs and diffident lifestyles. You have patients with vision plans and some without. Can an independent lab offer you better pricing because like private practice they try to serve too many plans that pay less?  Is there another lab that will represent your mission more closely and prove your office to be better than the other competition? The answer is yes. To only use one lab because you only pay one bill, have one box to send each day is easier. But is easier always better?

Automated answering services, press one for the receptionist, press two for the optical, press three for billing, sounds easier, doesn’t it? Unless you are the one calling in. Do people love those systems? I for one do not, are they easier? Some might say yes, are they best for your practice? In today’s world, people in general want great customer service. They want to hear a voice on the phone, saying “please” and “thank you” and “you’re welcome”. Can this be achieved by a robot? What makes your practice different, better, or unique? It is your team and the personality of your employees that make your practice. Embrace them, teach them, guide them to better. Any company can automate their phones, not everyone values the voice, but your patients will. Is easier better?

Contrary to many people’s beliefs, there are systems to be adapted to all practices to address the items mentioned above. We have shown people the way and improve the overall performance of their practices. Imagine if Ritz Carlton replaced their receptionists with kiosks, their cleaning staff with Rumbas and automated cleaning systems, their chefs and kitchen staff with vending machines. They would lose what has made them one of the brands with the highest of expectations. Review your mission statement and your core values, remind yourself of what you set out to accomplish when you became the owning doctor. Stay true why you became an optometrist and why you wanted to own your own location. I am certain it was to deliver the best service and care while offering the best products available in the industry to improve my patient’s quality of life. Do it with a team that is more like family.  Easier is not always better.



Rick Guinotte


20/20 Vision for the New Year

Reflection and Goals: Those are two things that come to mind when approaching the end of one year, and the beginning of another. They seem to have even more importance when entering the new decade. This is a chance to examine what has brought you success and what has brought challenges either within the last year or the last couple years. Reviewing your short and long-term goals can help decide the targets for the new year. Additionally, this is a time to examine how you want to grow your practice in the long term. You can set benchmarks for your practice to help drive growth into the new decade.

When looking at the objectives created for your practice, it is time to ask yourself whether they were met. By turning to your financial statements, you will be able to get a better image of the overall health of your practice, and these will help you determine where you are with your goals. They can demonstrate where there is strong growth in the office and where there is room for improvement. By identifying these areas, you will be able to more accurately establish short- and long-term targets. This will help to drive your practice and employees to newer and greater heights when you can see a clear picture of how the office is performing.

One of the most important tools available to help you and your practice is your business advisor, accountant or financial advisor. These professionals help you understand the financial statements. This allows you to more clearly and accurately establish targets for the new year and decade. A business advisor, accountant or financial advisor can help create an action plan so that these goals being set are achievable. This may include setting up a budget or cash flow document or having an accountability system set up. Meeting with the professional you set financial goals with, more than once a year besides just around tax time, will help you to stay on track to achieve, and plan accordingly to exceed your, objectives.

Taking the time to reflect on your previous goals and understanding which did well, and identify the areas of improvement, can help guide you to your 2020 goals. These targets and objectives can be broad or narrow. For example, they could be wanting to add another practice sometime within the next couple years or increase the number of multiple pairs sold this next year. These goals can be as simple as wanting to replace or improve office furniture or as complicated as figuring out the best manner to increase patient retention, when to add a full-time associate, or plan your exit strategy. All your goals do not have to be related to the practice’s financial health. They can relate back to the employees or patient care. Having goals that improve employee satisfaction and the culture of the office as well as patient satisfaction, will also affect the financial growth of a practice. Employees will want to stay, and patients will happily come back and refer their friends.

By reflecting on your previous goals to identify those you exceeded, and which are still a work in progress, you can set up objectives for the new year to help your practice move forward in a positive direction. As the new year approaches, these are some thoughts to keep in mind to start the new decade off strong!

For more information on preparing for the new year, check out our webinars on Planning for Year End and 20/20 Vision for 2020!