Medical. Surgical. Allergy. Audiology. Four businesses, one confused P&L.
ENT practices run multiple revenue streams that each have different economics. We separate them so you can actually manage them.
A 4-minute test your accountant hopes you skip.
At a glance
Is This Right for You?
This service is for ENT practice owners who recognize these problems:
Need strategic financial leadership? Our Fractional CFO service for ENT practices may be a better fit.
What's Included
How We Work With ENT Practices
ENT-specific accounting that goes beyond reconciliation.
Multi-Service Line P&Ls
- •Separate P&Ls for medical, surgical, allergy, audiology, and hearing aid retail
- •Overhead allocation by department
- •Staff cost tracking by service line
- •Cross-department patient flow economics
Hearing Aid & Retail Economics
- •Per-unit hearing aid margin tracking
- •Vendor rebate and purchasing incentive tracking
- •Warranty and return cost analysis
- •Audiologist productivity and revenue per hour
Allergy Program Financials
- •Serum cost and preparation expense tracking
- •Shot administration revenue and staffing cost
- •Allergy testing revenue per patient
Surgical Revenue Tracking
- •Per-case surgical revenue and cost analysis
- •In-office vs facility-based procedure comparison
- •Implant and device cost tracking
Results
What ENT Practices Experience
| Metric | Typical Outcome |
|---|---|
| Surgical coding corrections | $131,000 in recovered revenue annually |
| Allergy program expansion | $83,000 in additional annual revenue from adding one allergy nurse |
| Audiology restructuring | Department moved from -$82K to +$34K through staffing adjustment and hearing aid pricing strategy |
Case Study
See The System In Action
4-physician ENT group with audiology department, allergy clinic, and in-office procedure capability. Revenue was $5.1M but margins had declined from 28% to 19% over three years. The partners blamed declining reimbursements but had not analyzed where margin was actually being lost.
What we found:
- •The audiology department was losing $82K per year when fully loaded costs (audiologist salary, equipment, space, support staff) were properly allocated. Hearing aid margins had compressed from 45% to 18% due to OTC competition
- •Sinus surgery cases were being under-coded. 34% of multi-procedure cases were billed as single-procedure, losing an estimated $131K annually
- •The allergy program was the practice's most profitable service line at 64% margin but was being understaffed and turning away 8 to 10 patients per week
- •In-office balloon sinuplasty was billed at non-facility rates only 60% of the time. The remaining 40% were incorrectly coded at lower facility rates, losing $47K per year
The results
$131,000 in recovered revenue annually
Surgical coding corrections
$83,000 in additional annual revenue from adding one allergy nurse
Allergy program expansion
Department moved from -$82K to +$34K through staffing adjustment and hearing aid pricing strategy
Audiology restructuring
“Our most profitable service was understaffed and our least profitable was overstaffed. We had the data all along — we just were not looking at it the right way.”
— Managing Partner, Southeast
Common Questions About Accounting for ENT Practices
Don't pay for reports. Pay for progress.
Take the 4-minute financial assessment—and find out if your books are helping or hurting your ENT practice.
The test your accountant hopes you skip.