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20/20 MONEY

Adam Cmejlawww.integratedpwm.com
20/20 MONEY, hosted by Certified Financial Planner and experienced Wealth Adviser Adam Cmejla, aims to bring clarity to financial concepts and strategies that impact optometrists. For more information on the show and on Adam, please visit https://www.integratedpwm.com/
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Episodes

Why I feel ODs and Dave Ramsey don’t mix...

Today's episode talks about how I think about Dave Ramsey's baby steps towards financial independence as it pertains to optometrists. I share where I think the baby steps are great to follow and I also share some iterations on the baby steps that I believe are more relevant and applicable to ODs, specifically with regards to the journey as a practice owner. As a reminder, you can get all the information discussed in today’s conversation by visiting our website at integratedpwm.com and clicking o...

Dec 09, 202448 minEp. 318

The emotional & decision making journey of selling one's practice with Ashby Daniels, CFP®

Welcome to this episode of 20/20 Money! My guest on today’s show is my friend Ashby Daniels, CFP® and we have what I think is a very engaging and revealing conversation about the emotional and mental journey a business owner goes through when considering a sale of their business. We talk about getting over the fear of selling, how to think about regrets, the alternatives to selling, the importance of having something to retire to, and the surprising truth about what it feels like when the check ...

Dec 02, 202453 minEp. 317

Truly embracing "comprehensive care" with your patients: Part 2 conversation with Dr. Chris Wolfe, OD

Welcome to this episode of 20/20 Money! My guest on today’s show is Dr. Chris Wolfe, host of The Chris Wolfe Podcast, founder of the online billing & coding LMS EyeCode Education , and a partner in Exclusively Eye Care, a private practice in Omaha, NE. This is part 2 of my conversation with Chris and I’d really encourage you to check out Part 1 of our conversation over on Chris’s podcast The Chris Wolfe Podcast (links in the show notes of this episode). Part 1 will really give some context b...

Nov 25, 202432 minEp. 316

Another 20/20 Money Takeover - "Cold Start & Satellite Expansion Edition w/ Drs. Jeremy Ciano & Jennifer Stewart

Welcome to this episode of 20/20 Money! My guests on today’s show are Drs. Jeremy Ciano & Jennifer Stewart. This is another 20/20 Money takeover, so while I usually will spend the introduction giving you a glimpse into what we talk about on the show, your guess is as good as mine about what this episode is about…since I just gave them the platform to talk about whatever was top of mind for them around the topic of cold starting & satellite expansion. Enjoy!! As a reminder, you can get al...

Nov 18, 20241 hr 5 minEp. 315

Embezzlement in optometry practices: how it happens, who's likely to do it, and ways in which you can prevent it from happening w/ Dr. Bethany Fishbein, OD

Welcome to this episode of 20/20 Money! My guest on today’s show is Dr. Bethany Fishbein, OD, consultant and executive coach with Leaders of Vision. Bethany has been on the show many times in the past and today she joins us to talk about a topic that is admittedly harder and more distressing to talk about: embezzlement in optometry practices. In Bethany’s experience as a consultant having worked with many practices over the years, she’s unfortunately been privy to instances where embezzlement wa...

Nov 11, 20241 hr 4 minEp. 314

Rethinking your mindset around your team & delegation with Dr. Mike Neal, OD

Welcome to this episode of 20/20 Money! My guest on today’s show is Mike Neal, OD . Mike joins me on the show to talk about something that we’ve indirectly talked about on various episodes in the past: delegation. Specifically, we talk about the mindset shift that happened for Mike when he started looking at his team as an investment in the business and the opportunity cost of him hanging onto so many trivial and administrative tasks in the practice…and what happened to him and his business when...

Nov 04, 202458 minEp. 313

Five ways optometry practice owners could be myopic in their ownership journey with Erich Mattei from Akrinos

Welcome to this episode of 20/20 Money! My guest on today’s show is Erich Mattei, founder of Akrinos . In this conversation, Erich and I discuss five specific concepts and ways that optometrists can make prudent business decisions in their practice and reduce the chances of making a strategic wrong decision. 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 sub...

Oct 28, 20241 hrEp. 312

"Things that make you go 'What?!?" as a practice consultant w/ Jennifer Stewart

Welcome to this episode of 20/20 Money! My guest on today’s show is Dr. Jennifer Stewart, founder of the private practice Look New Canaan and OD Perspectives . In this episode, we talk about two major themes that she’s observed over the years as she has consulted with both friends and colleagues. Whether it be an OD launching a cold start or trying to make decisions inside of an established practice, there are two reoccurring themes that she’s observed ODs doing that is causing them to make mist...

Oct 21, 20241 hr 5 minEp. 311

Creating a StoryBrand framework for an optometry practice with Daniel Palmer

Welcome to this episode of 20/20 Money! My guest on today’s show is Daniel Palmer, founder of Morether Creative, a Fractional CMO for optometrists nationwide. In this conversation, we talk through and explain the Story Brand process and the SB7 framework. We talk about the common marketing mistakes that biz owners (not just ODs) make when it comes to marketing their brand, how to think of the SB7 framework through the patient experience, and some of the Next Best Steps that ODs can take based on...

Oct 14, 202459 minEp. 310

How leadership impacts practice success (and ways to improve your leadership skills) with Bethany Fishbein

Welcome to this episode of 20/20 Money! My guest on today’s show is Dr. Bethany Fishbein, OD, Consultant & Executive Coach with Leaders of Vision . Bethany and I talk about a topic that an OD might not think about directly correlating to the financials of a practice: leadership skills. However, I believe that we quickly illustrate in our conversation how the things that negatively impact a practice’s profitability—staff turnover, patients not returning, and an overworked/overwhelmed owner ju...

Oct 07, 20241 hr 9 minEp. 309

Bonus structures that work for non-OD team members w/ Dr. Michael Neal, OD

Welcome to this episode of 20/20 Money! My guest on today’s show is Dr. Michael Neal, OD. Michael joins me back on the show to discuss bonus structures that work for non-producing members of your team, and how they can be put together in a way that is advantageous to both the team member and the overall growth of 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 th...

Sep 30, 20241 hr 2 minEp. 308

What an interest rate cut means for optometry practices (and strategies for practices in changing economic times)

In this episode, we break down why the Federal Reserve decided to cut interest rates by 0.5% (50 basis points) and what it signals about the economy. More importantly, we dive into actionable steps that optometry practice owners can take to benefit from these lower rates while preparing for potential economic shifts. Resources: 20/20 Money Community Information CS Eye Optometric Billing Consultants ————————————————————————————— Please rate and subscribe to 20/20 Money on these platforms Apple Po...

Sep 23, 202440 minEp. 307

20/20 REWIND: A pay structure that works for optometry partnerships with Kurt Steele, OD

Welcome to this episode of 20/20 Money! My guest on today’s show is Dr. Kurt Steele, OD. Kurt joins me back on the show to talk in further detail how he and his partners have structured their compensation structure in a way that works for everyone in the practice while also ensuring that there is parity in comp based on the amount of revenue that each of them collect for the work they do clinically in the practice. He shares the details and formula he uses and we run a couple of hypothetical exa...

Sep 16, 202456 minEp. 306

Why focusing on “profit” in your optometry practice might not be the most effective owner metric to measure (and which ones you SHOULD focus on) with Nathan Hayes of Books & Benchmarks

Welcome to this episode of 20/20 Money! My guest on today’s show is Nathan Hayes from Books & Benchmarks . Nathan joins me back on the show to talk all things business financials and how owners should be thinking about actual profit in a business—and where to look in your business financials to learn how much money the practice has actually provided to you on the personal side. Nathan & I have a great back-and-forth discussion, trading stories and experiences we’ve both had in our respec...

Sep 09, 20241 hrEp. 305

How to lead Millennials, the importance of asking good questions, and building relationships with your team: a conversation with Chris Tuff

Welcome to this episode of 20/20 Money! My guest on today’s show is Chris Tuff. Chris is the author of the book The Millennial Whisperer and in this conversation we talk about all things related to leading a team. As one might expect, a lot of the conversation that we had is applicable to leading all team members—not just Millennials. We talk about the importance of understanding your employees’ purpose and what they want out of their career…not just their purpose in your organization. Chris sha...

Sep 02, 202457 minEp. 304

The difference between satisfied & engaged employees, why you should care about a performance management strategy, MAGIC, and how all of this matters to your profitability with Dr. David Mason, Ph.D.

Welcome to this episode of 20/20 Money! My guest on today’s show is David Mason, Ph.D. David joins me on the show to talk about a seemingly abstract but important distinction that you should consider when thinking about your team: do you have satisfied team members or engaged team members? Our conversation spills over into multiple different topics, ranging from the importance of acknowledging impact in your practice, the three levels of an engaged employee, and tools that you can use to better ...

Aug 26, 20241 hr 6 minEp. 303

Revisiting the customer experience journey in a post-COVID economy with Dennis Moseley Williams

Welcome to this episode of 20/20 Money! My guest on today’s show is Dennis Moseley Williams . Dennis joins me to revisit the importance of the customer experience on the success of your practice. He shares the five phases of the patient experience and how to think differently about the way you engage your patients in your practice. I really love having these conversations because of how important the patient experience is to the financial success of a practice. When we talk with our clients or o...

Aug 19, 202458 minEp. 302

IT'S (A)LIVE!! IT'S (A)LIVE!! The 20/20 Money Membership™ is LIVE!! (plus, thinking through the math of buying into a practice)

Today's episode is a bit special because I'm FINALLY able to announce that the 20/20 Money Membership is live! The beginning of the show is a walk-through of the membership, the offering, who it's for, and why I created it. One IMPORTANT item that I didn't share in the episode: join the Membership by September 30th using promo code FOUNDER and get $200 off the annual membership (use FOUNDERMONTHLY if you're opting for the monthly subscription to get a $20/mo discount)! As a founding member, you'...

Aug 12, 202446 minEp. 301

Why embracing myopia control makes sense for both your business and your patients with Dr. Justin Kwan, OD, FAAO

Welcome to this episode of 20/20 Money! My guest on today’s show is Dr. Justin Kwon, OD. Justin joins me on the show to talk all things myopia control. Justin’s passion for this topic is very evident and I found our conversation very informative. While there’s the obvious clinical angle that is a deeper and separate discussion than what we had here on the show, Justin does a great job illustrating the mutual benefits that exploring the implementation of myopia control in a practice can have on b...

Aug 05, 20241 hr 3 minEp. 300

What associate ODs REALLY value in their role in a private practice, alignment of expectations between owner and associate ODs, and how to ask good interview questions with Dr. Chris Lopez, OD

Welcome to this episode of 20/20 Money! My guest on today’s show is Dr. Chris Lopez. Chris joined me back on the show to talk about all things related to the associate OD/owner OD relationships. As the career consultant at ODs on Finance, Chris has a unique perspective and gives us insight on the conversations he has been having with both associate ODs and owners looking to hire associates. We touch on the importance of communication in any relationship, managing and setting expectations from bo...

Jul 29, 20241 hr 3 minEp. 299

Lessons learned when natural disasters shut down your practice with Pete Kehoe, OD

Welcome to this episode of 20/20 Money! My guest on today’s show is Pete Kehoe, OD. Pete joins me back on the show to discuss all the hard lessons he and his team have recently learned while they navigated their practice being shut down due to a massive ice storm that destroyed a large portion of the building's roof. Pete shares more about the headaches endured when he learned his practice wasn't adequately insured due to a clerical error, how he kept his team afloat during their time closed, an...

Jul 22, 202452 minEp. 298

Thoughts and opinions on the state & future of private practice optometry from the president of a $110 million optometry organization: a conversation with John Marvin, President of Texas State Optical

Welcome to this episode of 20/20 Money! My guest on today’s show is John Marvin President of Texas State Optical. As one of the country’s oldest optometry business models, TSO has seen many different headwinds and tailwinds that have impacted optometry. As President of TSO over the past 20 years, John has seen TSO grow into one of the top 10 retail optical organizations in the country, doing over $110 million in annual sales across nearly 100 locations. Our conversation is wide reaching, includi...

Jul 15, 20241 hr 4 minEp. 297

Biggest regrets we hear from 50yo ODs with Tim Merrigan from Acquios Advisors

Welcome to this episode of 20/20 Money! My guest on today’s show is Tim Merrigan with Acquios Advisors . In the 16 years or so that I’ve been an advisor, I’ve noticed that there’s something “motivating” about turning 50: people start thinking about their lives differently and thus they start re-evaluating the way they’ve been investing and spending not only their money, but also their time. Tim joins me on the show to dialogue about some of the common questions, concerns, and opportunities that ...

Jul 08, 202449 minEp. 296

A commercial real estate update and the importance of the real estate when selling a practice with Mike Jorgenson of Carr Healthcare Realty

Welcome to this episode of 20/20 Money! My guest on today’s show is Mike Jorgenson with Carr Healthcare Realty. Mike joins me back on the show to give us an update on what he and his team around the country are seeing in the commercial real estate market. We also dive into some of the considerations, mistakes, and blind spots that both buyers and sellers find themselves in when selling a practice and the role that the real estate plays in the transaction. As a reminder, you can get all the infor...

Jul 01, 202458 minEp. 295

An optometry marketing conversation with Eugene Shatsman: the importance of the Google "snack pack" for your practice, why online scheduling is table stakes, why linking to your Google Biz Profile is a mistake, AI's influence on the future, and more!

Welcome to this episode of 20/20 Money! My guest on today’s show is Eugene Shatsman, Managing Partner of National Strategic Group and new host of The Power Hour Podcast . In this wide-reaching marketing conversation, Eugene shares a variety of “low hanging marketing fruit” mistakes and misconceptions that practice owners nationwide have about how marketing should be leveraged in their practice. We talk about a variety of topics, ranging from the importance of being able to measure your marketing...

Jun 24, 20241 hr 3 minEp. 294

Easy and conspicuous ways to avoid tax mistakes and penalties, how proactive conversations can smooth out your annual tax payment plan, and the intersection of tax and estate planning with Amber Morgan, CPA

Welcome to this episode of 20/20 Money! My guest on today’s show is Amber Morgan, CPA with Mohr CPAs. In the wake of tax season, Amber and I run through some of the easy and conspicuous action items that you can take proactively over the year that not only will have a positive impact on your overall tax planning, but also make for a happy and productive CPA-client advisor relationship. One additional PSA that Amber thought of post-recording as it pertains to extensions: filing an extension is no...

Jun 17, 202457 minEp. 293

Aligning staff and leadership expectations during the hiring process and building out your HR infrastructure with Amanda Bennett, founder of EyeHR

Welcome to this episode of 20/20 Money! My guest on today’s show is Amanda Bennett. Amanda joins me on the show to talk about a topic that we’ve discussed directly and indirectly on this show—human capital. Specifically, Amanda talks about a gap that she saw in the hiring process over the years and how she developed a platform to help automate part of the hiring process. We start out talking about how her journey and role in the practice has evolved over the years and why she felt compelled to c...

Jun 10, 202456 minEp. 292

Implementing equipment purchases and expanding scope of care with intentionality in your optometry practice with Dr. Ryan Gustus

Welcome to this episode of 20/20 Money! My guest on today’s show is Dr. Ryan Gustus, OD. Ryan joins me on the show live from Vision Expo East to discuss something that is very timely given the recording location: how practice owners can think about the implementation of various pieces of equipment in your practice to ensure that it's done with intention and leads to profitability. As an example, Ryan shares the personal experience and process that he went through when he and his partner made the...

Jun 03, 202450 minEp. 291

Phasing out: the four exit options for the seller of an optometry 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 coun...

May 27, 202447 minEp. 290

Evaluating VCPs in your practice to determine which ones to cut with Dr. Adam Ramsey, OD

Welcome to this episode of 20/20 Money! My guest on today’s show is Dr. Adam Ramsey, OD. Adam joins me back on the show to continue the conversation that we teased at the end of our first conversation which was how Adam evaluated the decision to go out of network with a variety of VCPs that he was taking in his practice. He shares how he came to the realization that he needed to do it, how he evaluated the different 3rd party payors to determine which ones to punt and which ones to keep, how he ...

May 20, 202457 minEp. 289
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