People see the top-line revenue and think the practice is thriving. The reality is very different.
Being treated as “international” means we pay 3x more for equipment and supplies. Add a gross receipts tax on every dollar, and our expense ratio hits 85%—pharmacy-level margins in a specialty practice.
That means I’m working 27 days a month just to cover expenses before I earn a dime.
Revenue looks good on paper.
But expenses tell the real story.