Business

Even if you're planning to build a new, bigger facility, you need to make the most of your space. These tips from Tony L. Cochrane, AIA, a principal with Gates Hafen Cochrane Architects PC in Boulder, Colo., can help:

After 25 years of traveling to Garberville, Calif., to visit her family members, Dr. Judy Horvath and her husband, Steve Horvath, decided to simplify their lives and settle in the northern California village. Back in 1991, just two years after Dr. Horvath graduated from the University of California-Davis, the couple bought the only veterinary practice in the 1,200-person town.

You'd probably like to own an ultrasound machine, but before spending your hard-earned money, take time to determine whether you really need and will use one. "Ultrasound is to soft tissues what radiographs are to the bone, and we certainly see more soft tissue injuries than we do bone injuries," says Dr. Tracy Turner, Professor of Large Animal Surgery at the University of Minnesota in St. Paul, Minn. "You can't live without an ultrasound machine if you do lots of reproduction and lameness work. And it's also useful for visualizing the heart, lungs, pleural cavity, intestines, and other internal organs."

"It doesn't make any difference. I'll soon be out of business anyway."?This statement came in response to a suggestion I made to a client while still in practice. I was surprised. The person speaking was a friend as well as a client, and I knew he ran a profitable operation. He was usually upbeat and optimistic, but this morning there was irritation in his voice.

It is time to go to work. You have been in school for nearly eight years and within a few months you will receive your veterinary degree and become a licensed veterinarian. Naturally you are eager to find a job. After all, you have devoted most of your time and effort toward reaching this goal.

When veterinarians opt to leave private practice, they often cite frustrations dealing with staff training and retention.

Q. My old exam rooms contain tile floors and rubber baseboards. Waxing maintains the tile, but the baseboards attract dirt and cat hair, and the seam between the floor and boards gets very grimy. What can I do?

The premise of the TV show "Ed" isn't original: lawyer Ed opens a professional practice in a bowling alley. Dr. Kovacic beat NBC to the punch in 1988 when he moved Animal Emergency Center in Milwaukee into a leased space in a bowling alley. Dr. Rebecca Kirby, Dipl. ACVIM, Dipl. ACVECC, once a partner and now sole shareholder, remembers the location fondly: "We couldn't tell if it was thundering or someone made a strike," she says.

I waited politely while the two young men seated next to me finished their conversation.

Q. After 23 years in the same location, my veterinary practice is landlocked. Parking space is almost nonexistent, and traffic is so heavy clients sometimes struggle to even enter the lot. My wife suggested we move into an area where housing is booming. But our practice is still growing where we are, and I don't want to move too far from this location. In a city with 80,000 people and nine other clinics, how far can I move without losing my client base?

If you think constant barking is maddening, add the steady pounding of jackhammers. Then work under those conditions for a year. Partners Drs. Scott Griffin, Ann Allen Salter, and Bill VanHooser sacrificed quiet to add 6,613 square feet to their 7,295-square-foot Carriage Hills Animal Hospital and Pet Resort in Montgomery, Ala.

Dr. Timothy J. Thompson wanted to own a practice so much, he says he would've bought a lemonade stand with a dog run attached. So he and his wife, Dr. Shannon A. Thompson, both 1994 Texas A&M University graduates, only spent a year as associates before buying Hope Animal Clinic in Marble Falls, Texas. They leased the 850-square-foot building and within a year bought land to build the mixed animal facility of their dreams.

There's strength in numbers, the saying goes. But for the veterinarians at Findlay Animal Hospital in Findlay, Ohio, strength comes not only from the number of doctors but also from the number of hospitals they own around town.

Congratulations! Your dog is about to become a mother. Here are some things to keep in mind while caring for your pregnant dog.

Looking at the 18,832-square-foot Veterinary Referral Center of Colorado in Englewood, Colo., it's hard to imagine the practice's humble beginnings. In 1991, Dr. Sam Romano's emergency practice merged with Dr. Steve Wheeler's internal medicine practice and Dr. Marlon Neely's mobile surgical practice in an 1,100-square-foot garage. Three years later they added oncologist Dr. Robyn Elmslie, Dipl. ACVIM, and moved into a 5,600-square-foot converted dental facility.

Q. We're packed into our hospital like sardines in a can, but we can't afford to rebuild or completely renovate. How can I find more space without undergoing major construction?

Good luck and support from her family made all the difference when Dr. Sue A. Stiff was building a new facility for Kiln Creek Animal Care in Newport News, Va. Most business owners in this seaside locale can't afford land. But fortune smiled when Dr. Stiff secured a 2.7-acre site in an exclusive golf community--for half its value. In addition, her husband, a local emergency veterinarian, kept an eye on the practice while she devoted her time to the building project.

When people shop for used cars, they kick the tires and check under the hood. When they shop for veterinary services, the evaluation is more subtle. But in both cases, they form lasting opinions based on first impressions. That's why it's critical to minimize noise and odor. Simply put, if your clinic stinks, clients may worry that your medical care stinks, too.

Q. I lease space for my hospital but want to purchase some land and build a facility when my lease expires in three years. My Individual Retirement Account (IRA) contains enough money to cover the down payment on the land. Is this a wise use of my IRA funds?

Do veterinarians and staff members constantly trip over each other's feet at your practice? Or maybe you round corners with caution to avoid taking out unsuspecting clients. Even remodeling or expanding your facility may not fix the problem if you don't develop an efficient floor plan.

You're finally ready to build your dream hospital or expand your existing facility. For years, you've read design articles in Veterinary Economics and carefully studied every floor plan. You've also planned to hire an award-winning veterinary architect. But one of your clients is an architect, and you like her work.

If you come to work every day, park in back, and hurry in the staff entrance, you may be missing out on the little things that detract from clients' impressions of your facility. To identify areas where your practice falls short, look at your hospital the way pet owners do. Here's a guide:

Your new computer is humming on your desk. So what do you do with the old one collecting dust in the corner?

Consulting with clients over a picnic table, housing patients in the restroom, and stacking portable cages to the ceiling may sound like a bad dream to most veterinarians. Dr. Neil Shaw and his team endured this daily reality for more than two years at Florida Veterinary Specialists, a 1,500-square-foot leasehold hospital in Tampa, Fla.

Q. I'm shopping for a new radiograph machine. Which offers greater tax advantages, buying or leasing?

Q. I want to move my veterinary practice from a strip-mall leasehold to an adjacent property that the mall owner recently bought to expand the shopping center. I can either rent a larger leasehold in the new shopping center or lease part of the land. Is it wise for me to lease the land while owning the freestanding building on it?

How often does a knock on the door make your dream come true? Once was enough for Drs. James McGill and Linda Miller, two veterinarians who worked in separate practices north of Seattle. Despite a virtually invisible location, Dr. McGill's 2,300-square-foot leasehold was growing 30 percent each year. And Dr. Miller wanted to offer 24-hour care, but a surgical hospital rented the facility during the day. Both doctors wanted new hospitals, but the cost held them back.

When you mention Colorado, most people picture spectacular views. But from their tiny strip-mall leasehold, staff members at Centennial Valley Animal Hospital in Louisville, Colo., could barely see the parking lot, much less the Rocky Mountains beyond.

Drivers passing East Lake Veterinary Hospital in Dallas do a doubletake when they see dogs running across the roof of the facility. To offer obedience training in her new practice, owner Dr. Karen Ann Fling added a 2,500-square-foot roof deck. This amenity garners plenty of attention, especially when training classes are in full swing.

You know the benefits of offering a complete in-house lab. You--and anxious pet owners--can get quick answers on complex cases, and you can begin treatment immediately rather than hospitalizing the patient until you receive test results the next morning. In addition, owning high-tech gadgets lets you practice high-quality medicine.