

20/20 MONEY: The Business of Optometry
Adam Cmejla
20/20 Money is the top podcast for optometrists, private practice owners, and ODs who want to master optometry practice management, financial planning, and long-term business strategy. Hosted by Adam Cmejla, CFP®, the show delivers practical guidance on everything that affects the profitability, growth, and value of your optometry practice.
Episodes cover:
• Optometry practice management & operations
• Financial planning for optometrists
• Practice growth strategies & profitability tips
• Selling your practice & OD exit planning
• Private equity deals in optometry
• Hiring, leadership, and team development
• Tax planning, cash flow, and retirement readiness
• Student loan strategies for ODs
• Cold starts, acquisitions, and multi-location scaling
With expert interviews, case studies, and step-by-step breakdowns, you'll learn how to make smarter business decisions, build personal wealth, and create a thriving career inside and outside the exam room.
If you're an OD serious about elevating your practice and improving your financial future, 20/20 Money is your competitive advantage.
For more information on the show and on Adam, please visit https://www.integratedpwm.com/
Episodes cover:
• Optometry practice management & operations
• Financial planning for optometrists
• Practice growth strategies & profitability tips
• Selling your practice & OD exit planning
• Private equity deals in optometry
• Hiring, leadership, and team development
• Tax planning, cash flow, and retirement readiness
• Student loan strategies for ODs
• Cold starts, acquisitions, and multi-location scaling
With expert interviews, case studies, and step-by-step breakdowns, you'll learn how to make smarter business decisions, build personal wealth, and create a thriving career inside and outside the exam room.
If you're an OD serious about elevating your practice and improving your financial future, 20/20 Money is your competitive advantage.
For more information on the show and on Adam, please visit https://www.integratedpwm.com/
Episodes
Mentioned books

Jun 26, 2023 • 1h 5min
Buying into the family practice and modernizing it with Dr. Julie Helmus, OD Pt. 2
Welcome to this episode of 20/20 Money! My guest on today's show is Dr. Julie Helmus, OD. This is part 2 of my conversation with Julie and in this episode, we dive deeper into the deal structure of buyer her parent's practice, how it was funded, the current org chart of the practice, and some of the pieces of tech that they are using to manage a practice as large as theirs. Julie is also gracious in sharing some detailed numbers of her practice and we talk about the trajectory of the practice going forward. We wrap the conversation by talking about her passion with a new service that her practice is offering and her passion surrounding this type of care as well as thinking through the difference between a CEO and a business owner. As a reminder, you can get all the information discussed in today's conversation by visiting our website at integratedpwm.com and clicking on the Learning Center. While there, be sure to subscribe to our monthly "planning life on purpose" newsletter that's filled with tips and ideas to help you plan life on purpose. You can also set up a Triage conversation to learn a little bit more about how we serve in the capacity of a personal and professional CFO: helping OD practice owners around the country reduce their tax bill, proactively manage cash flow, and make prudent investment decisions both in and out of their practice to help them live their best life on purpose. You can also check out any number of additional free resources like our eBooks, blog posts, and on-demand webinars. Lastly, if you're interested in learning more about the upcoming launch of the 20/20 Money Membership, please check out the link in the Resources to learn more about what we have in store for you! And with that introduction, I hope you enjoy my conversation with Dr Julie Helmus, OD. Resources: 20/20 Money Community Information Weave Loom Crystal Helmus Optometry Avulux Lenses ————————————————————————————— Please rate and subscribe to 20/20 Money on these platforms Apple Podcasts Spotify Google Podcasts Stitcher ————————————————————————————— For past episodes of 20/20 Money with full companion show notes, please check out our episode archive here!

Jun 19, 2023 • 57min
Buying into the family practice and modernizing it with Dr. Julie Helmus, OD Pt. 1
Welcome to this episode of 20/20 Money! My guest on today's show is Dr. Julie Helmus, OD. Julie joins me on the show to share her journey into practice ownership as the G2 owner of Helmus Optometry (IOW, buying her parent's practice). She shares the journey that she went through as a partial owner, navigating perceived nepotism in the practice during the acquisition process, her decision to keep it a "super single" as opposed to growing into multiple locations, and the importance of having an experienced attorney look over your shareholder agreements. We finish our conversation with a discussion about business ownership and how hard it can be to take time out of the business...but why it's so important to intentionally manage your time and take breaks from the business. As a reminder, you can get all the information discussed in today's conversation by visiting our website at integratedpwm.com and clicking on the Learning Center. While there, be sure to subscribe to our monthly "planning life on purpose" newsletter that's filled with tips and ideas to help you plan life on purpose. You can also set up a Triage conversation to learn a little bit more about how we serve in the capacity of a personal and professional CFO: helping OD practice owners around the country reduce their tax bill, proactively manage cash flow, and make prudent investment decisions both in and out of their practice to help them live their best life on purpose. You can also check out any number of additional free resources like our eBooks, blog posts, and on-demand webinars. Lastly, if you're interested in learning more about the upcoming launch of the 20/20 Money Membership, please check out the link in the Resources to learn more about what we have in store for you! And with that introduction, I hope you enjoy my conversation with Dr. Julie Helmus, OD. Resources: 20/20 Money Community Information ————————————————————————————— Please rate and subscribe to 20/20 Money on these platforms Apple Podcasts Spotify Google Podcasts Stitcher ————————————————————————————— For past episodes of 20/20 Money with full companion show notes, please check out our episode archive here!

Jun 12, 2023 • 52min
Understanding and setting pricing in your practice that are fair and profitable with Dr. Chris Wolfe, OD
Welcome to this episode of 20/20 Money! My guest on today's show is Dr. Chris Wolfe, OD. Chris joins me on the show to share in a conversation about how ODs can think about pricing the different services provided in the practice and how to frame that conversation with your patients, how ODs can think about researching their pricing on medical procedures, how to think about scheduling in your practice to be as efficient with OD hours as possible, 4 questions to consider asking every pt as it relates to dry eye, the 5 steps needed to introduce change in your practice, and how practice owners can think about setting their fees in relationship to the different 3rd party payors. As a reminder, you can get all the information discussed in today's conversation by visiting our website at integratedpwm.com and clicking on the Learning Center. While there, be sure to subscribe to our monthly "planning life on purpose" newsletter that's filled with tips and ideas to help you plan life on purpose. You can also set up a Triage conversation to learn a little bit more about how we serve in the capacity of a personal and professional CFO: helping OD practice owners around the country reduce their tax bill, proactively manage cash flow, and make prudent investment decisions both in and out of their practice to help them live their best life on purpose. You can also check out any number of additional free resources like our eBooks, blog posts, and on-demand webinars. Lastly, if you're interested in learning more about the upcoming launch of the 20/20 Money Membership, please check out the link in the Resources to learn more about what we have in store for you! And with that introduction, I hope you enjoy my conversation with Dr. Chris Wolfe, OD. Resources: 20/20 Money Community Information CodeSafePlus EyeCode Education EyeCode Media Podcast Adam's in-flight conversation with Chris ————————————————————————————— Please rate and subscribe to 20/20 Money on these platforms Apple Podcasts Spotify Google Podcasts Stitcher ————————————————————————————— For past episodes of 20/20 Money with full companion show notes, please check out our episode archive here!

Jun 5, 2023 • 1h 15min
Establishing, building, and nurturing culture in your practice (and why it's so important!) with Matt Curts
Welcome to this episode of 20/20 Money! My guest on today's show is Matt Curts. Matt has a long and storied career. As a long-time CFO, he has a lot of experience working on businesses through the numbers. But, as Matt continued to lean into his passion and purpose, he realized that purpose and the pursuit of purpose is not limited to just a few but should be possible for everyone. He made the decision to leave corporate life and move into a ministry position within his church for four years, which ultimately led him on the path to co-found his current company Switchback. He's passionate about giving away friendships and developing pathways for both leaders and team members to discover their whole life's purpose. In this conversation, Matt and I talk about the importance of culture in an organization, how practice owners should think about something as "intangible" but important as culture, some of the limitations he's observed with personality profiles, the importance of nurturing a team member in their career to increase productivity, and what tools they can consider using to intentionally work on the culture in their organization. He also shares what it was like for him and his wife Stephanie (who is the OD) to take over a long-and-solo-owned, small-town based private practice and what that experience meant to both he and Stephanie as well as the team and former owner. He also talks about a process they use called "Life-mapping" to help team members better connect with their purpose and thus increase their connectedness to the practice, which thus increases their efficiency and ultimately the profitability of the practice. He also talks about why it's important to stop looking for what's wrong and start looking for what's right in team members and within the practice. As a reminder, you can get all the information discussed in today's conversation by visiting our website at integratedpwm.com and clicking on the Learning Center. While there, be sure to subscribe to our monthly "planning life on purpose" newsletter that's filled with tips and ideas to help you plan life on purpose. You can also set up a Triage conversation to learn a little bit more about how we serve in the capacity of a personal and professional CFO: helping OD practice owners around the country reduce their tax bill, proactively manage cash flow, and make prudent investment decisions both in and out of their practice to ultimately help them live their best life on purpose. You can also check out any number of additional free resources like our eBooks, blog posts, and on-demand webinars. Lastly, if you're interested in learning more about the upcoming launch of the 20/20 Money Membership, please check out the link in the Resources to learn more about what we have in store for you! And with that introduction, I hope you enjoy my conversation with Matt Curts. Resources: 20/20 Money Community Information Top Strategies for Employee Retention Switchback website ————————————————————————————— Please rate and subscribe to 20/20 Money on these platforms Apple Podcasts Spotify Google Podcasts Stitcher ————————————————————————————— For past episodes of 20/20 Money with full companion show notes, please check out our episode archive here!

May 29, 2023 • 47min
Partnerships and the importance of a good buy/sell agreement with Ali Oromchian
Welcome to this episode of 20/20 Money! My guest on today's show is Ali Oromchian. Ali joins me back on the show to talk about a not-too-common but very important part of any partnership: the terms and conditions of the buy/sell agreement that essentially is a part of every partnership. The extent to which the terms of the buy/sell are explicitly documented, however, can be wide-ranging. In this conversation, Ali and I define a buy/sell, how they work, some of the key elements of a buy sell, who needs one, and valuation ideas for quantifying the value of the practice. We also talk about pros and cons of a 51/49 partnership agreement, different triggering events of a buy/sell, and how one should protect themselves against financial decisions of their partner should financial insolvency become an issue. As a reminder, you can get all the information discussed in today's conversation by visiting our website at integratedpwm.com and clicking on the Learning Center. While there, be sure to subscribe to our monthly "planning life on purpose" newsletter that's filled with tips and ideas to help you plan life on purpose. You can also set up a Triage conversation to learn a little bit more about how we serve in the capacity of a personal and professional CFO: helping OD practice owners around the country reduce their tax bill, proactively manage cash flow, and make prudent investment decisions both in and out of their practice to help them ultimately live their best life on purpose. You can also check out any number of additional free resources like our eBooks, blog posts, and on-demand webinars. Lastly, if you're interested in learning more about the upcoming launch of the 20/20 Money Membership, please check out the link in the Resources to learn more about what we have in store for you! And with that introduction, I hope you enjoy my conversation with Ali Oromchian. Resources: 20/20 Money Community Information ————————————————————————————— Please rate and subscribe to 20/20 Money on these platforms Apple Podcasts Spotify Google Podcasts Stitcher ————————————————————————————— For past episodes of 20/20 Money with full companion show notes, please check out our episode archive here!

May 22, 2023 • 52min
Buy vs Build Convo #2: purchasing a low-revenue optometric practice vs cold starting with Nathan Hayes of IDOC
Welcome to this episode of 20/20 Money! My guest on today's show is Nathan Hayes with IDOC. Nathan joins me back on the show to give another perspective around the question I asked Erich on last week's episode: how should a potential buyer/future owner look at lower-revenue private practices and whether it's better to buy a "fixer upper" vs cold starting their own practice. This was another spirited conversation filled with anecdotal examples of what can go right and wrong when purchasing practices and planning for the eventual succession of a private practice. We touch on a variety of topics, ranging from financing options, how valuations are determined and when they can be more harm than good in the succession of a practice, and another reminder about how all of these decisions still emphasize the importance of having a plan and understanding the role that your practice plays in your overall financial plan. As a reminder, you can get all the information discussed in today's conversation by visiting our website at integratedpwm.com and clicking on the Learning Center. While there, be sure to subscribe to our monthly "planning life on purpose" newsletter that's filled with tips and ideas to help you plan life on purpose. You can also set up a Triage conversation to learn a little bit more about how we serve in the capacity of a personal and professional CFO: helping OD practice owners around the country reduce their tax bill, proactively manage cash flow, and make prudent investment decisions both in and out of their practice to help them live their best life on purpose. You can also check out any number of additional free resources like our eBooks, blog posts, and on-demand webinars. Lastly, if you're interested in learning more about the upcoming launch of the 20/20 Money Membership, please check out the link in the Resources to learn more about what we have in store for you! And with that introduction, I hope you enjoy my conversation with Nathan Hayes. Resources: 20/20 Money Community Information IDOC ————————————————————————————— Please rate and subscribe to 20/20 Money on these platforms Apple Podcasts Spotify Google Podcasts Stitcher ————————————————————————————— For past episodes of 20/20 Money with full companion show notes, please check out our episode archive here!

May 15, 2023 • 37min
Buy vs Build Convo #1: purchasing a low-revenue optometric practice vs cold starting with Erich Mattai
Welcome to another episode of 20/20 Money. My guest on today's show is Erich Mattai with Akrinos. My conversation with Erich is essentially one of two conversations that I had with two different guests (the second guest/conversation will be next week's episode), all focused around one question: what should someone do if they're considering buying (or selling) a low-revenue private practice. To put context around this number, we're talking about private practices that are grossing somewhere between $400-700k in collections. The question that I posited to Erich was how a future owner should think about the decision matrix of whether to buy a "fixer upper" practice with possible latent potential or whether they should forego that practice and just strike out and cold-start on their own. We discuss financing the purchase of an existing practice compared to a cold started. We also have a spirited discussion around this topic as well as how an owner can evaluate the ROI of an established practice vs a cold start over the long term. As a reminder, you can get all the information discussed in today's conversation by visiting our website at integratedpwm.com and clicking on the Learning Center. While there, be sure to subscribe to our newsletter and you can also set up a 20-30min Triage conversation to learn a little bit more about how we serve in the capacity of a personal and professional CFO: helping OD practice owners around the country reduce their tax bill, proactively manage cash flow, and make prudent investment decisions both in and out of their practice to help them live their best life on purpose. You can also check out any number of additional free resources like our eBooks, blog posts, and on-demand webinars. Lastly, if you're interested in learning more about the upcoming launch of the 20/20 Money Membership, please check out the link in the Resources to learn more about what we have in store for you! And with that introduction, I hope you enjoy my conversation with Erich Mattai. Resources: 20/20 Money Community Information Akrinos ————————————————————————————— Please rate and subscribe to 20/20 Money on these platforms Apple Podcasts Spotify Google Podcasts Stitcher ————————————————————————————— For past episodes of 20/20 Money with full companion show notes, please check out our episode archive here!

May 8, 2023 • 46min
The 3.5 tools of leadership for optometric practice owners with Dr. Ted McElroy, OD
Welcome to this episode of 20/20 Money. My guest on today's show is Dr. Ted McElroy, OD. Ted's become a good friend and collaborator over the years and there are few individuals that I've met that are more vocal and passionate about communicating the importance of developing leadership skills to private practice owners. In today's conversation, Ted and I go through an abridged version of the presentation that he presented at Vision Expo East titled "The 3.5 tools of leadership." Ted also walks us through a great, 4-level hierarchy of delegation that he uses when thinking about how he can free up his time to focus on only the best and highest impact projects and initiatives in his practice. As a reminder, you can get all the information discussed in today's conversation by visiting our website at integratedpwm.com and clicking on the Learning Center. While there, be sure to subscribe to our newsletter and you can also set up a Triage conversation to learn a little bit more about how we serve in the capacity of a personal and professional CFO: helping OD practice owners around the country reduce their tax bill, proactively manage cash flow, and make prudent investment decisions both in and out of their practice to help them live their best life on purpose. You can also check out any number of additional free resources like our eBooks, blog posts, and on-demand webinars. Lastly, if you're interested in learning more about the upcoming launch of the 20/20 Money Membership, please check out the link in the Resources to learn more about what we have in store for you! And with that introduction, I hope you enjoy my conversation with Dr. Ted McElroy, OD. Resources: 20/20 Money Community Information Patrick Lencioni's Working Genius Assessment Patrick Lencioni Strategic Coach Impact Filter Vision Source Vision Expo East ————————————————————————————— Please rate and subscribe to 20/20 Money on these platforms Apple Podcasts Spotify Google Podcasts Stitcher ————————————————————————————— For past episodes of 20/20 Money with full companion show notes, please check out our episode archive here!

May 1, 2023 • 1h 7min
Nurturing culture in a practice when the seller stays on in the practice they just sold w/ Dr. Mick Kling, OD
Welcome to this episode of 20/20 Money! My guest on today's show is Dr. Mick Kling, OD (Mick's Practice, info on Mick's Impact Leadership business). Mick joins me on the show today to talk about the balance and "passing of the torch" from the seller to the buyer if the seller decides to stay in the practice and work post-sale and what that means for the culture of the practice. We talk about the idea of high power/low power positions of authority, the difference between direct and indirect communication styles, why it's likely inevitable that you'll have turnover in the practice post-close (and why that's not necessarily a bad thing), and that despite the perceived challenge of maintaining and understanding culture, we know that success isn't just possible, but probable from one generation of practice owners to the next. As a reminder, you can get all the information discussed in today's conversation by visiting our website at integratedpwm.com and clicking on the Learning Center. While there, be sure to subscribe to our monthly "planning life on purpose" newsletter that's filled with tips and ideas to help you plan life on purpose. You can also set up a Triage conversation to learn a little bit more about how we serve in the capacity of a personal and professional CFO: helping OD practice owners around the country reduce their tax bill, proactively manage cash flow, and make prudent investment decisions both in and out of their practice to help them live their best life on purpose. You can also check out any number of additional free resources like our eBooks, blog posts, and on-demand webinars. Lastly, if you're interested in learning more about the upcoming launch of the 20/20 Money Membership, please check out the link in the Resources to learn more about what we have in store for you! And with that introduction, I hope you enjoy my conversation with Dr. Mick Kling, OD. Register for our zoom webinar on May 3rd with Dr. Todd Cohan, OD: https://bit.ly/41zwaWA Resources: 20/20 Money Community Information A deep dive into practice transitions with Mick Kling (Part 1) A deep dive into practice transitions with Mick Kling (Part 2) Built to Sell by John Warrillow Social Contagion Theory ————————————————————————————— Please rate and subscribe to 20/20 Money on these platforms Apple Podcasts Spotify Google Podcasts Stitcher ————————————————————————————— For past episodes of 20/20 Money with full companion show notes, please check out our episode archive here!

Apr 24, 2023 • 1h
How tiny improvements compound your practice's financial success: a conversation with Dr. Bethany Fishbein from The Power Practice
Welcome to this episode of 20/20 Money! My guest on today's show is Dr. Bethany Fishbein, host of the Power Hour podcast and CEO of The Power Practice. Bethany joins me on the show to talk about how making tiny improvements in your practice and lead to remarkable financial results in your practice. This is another conversation had through the filter of what James Clear talks about in his book Atomic Habits, but this time Bethany shares ideas and concepts from the practice management point of view. From actually charging for retinal photos to changing your pt load on different days of the week and tweaking your schedule, Bethany shares a number of examples in this conversation from practices she's worked with that have made small changes and thus experienced remarkable results—financially and otherwise! Included in the show notes of this episode is a link to James Clear's website where you can sign up for a free 30 day course that James created to help guide you through habit building and stacking. (I have no affiliation, just a follower of his work and the impact that it can have on peoples' lives). As a reminder, you can get all the information discussed in today's conversation by visiting our website at integratedpwm.com and clicking on the Learning Center. While there, be sure to subscribe to our monthly "planning life on purpose" newsletter that's filled with tips and ideas to help you plan life on purpose. You can also set up a Triage conversation to learn a little bit more about how we serve in the capacity of a personal and professional CFO: helping OD practice owners around the country reduce their tax bill, proactively manage cash flow, and make prudent investment decisions both in and out of their practice to help them live their best life on purpose. You can also check out any number of additional free resources like our eBooks, blog posts, and on-demand webinars. Lastly, if you're interested in learning more about the upcoming launch of the 20/20 Money Membership, please check out the link in the Resources to learn more about what we have in store for you! And with that introduction, I hope you enjoy my conversation with Dr. Bethany Fishbein, OD. Register for our zoom webinar with Dr. Todd Cohan, OD: https://bit.ly/41zwaWA Resources: 20/20 Money Community Information James Clear Habit Journal James Clear Homepage with 30 days to better habits ————————————————————————————— Please rate and subscribe to 20/20 Money on these platforms Apple Podcasts Spotify Google Podcasts Stitcher ————————————————————————————— For past episodes of 20/20 Money with full companion show notes, please check out our episode archive here!


