05/29/2026
For every independent practice owner who has quietly skipped their own paycheck to make the numbers work this month:
When margins tighten, most owners cut things in this order. Their own pay first. Then profit. Then tax savings. And only as a last resort, operating expenses.
The person carrying all the risk gets paid last. The vendor contracts and software subscriptions get cut last, if at all.
Cutting your own draw feels responsible. It feels like leadership. So owners absorb the shortfall month after month and call it sacrifice. But it isnโt sacrifice. Itโs a slow erosion of the one person the practice canโt replace. And itโs one of the most common reasons private practice owners burn out.
Part 3 of my cash flow visibility series is about flipping that order, and what it really means when a practice canโt pay its owner a fair wage.
https://prowisefinancial.com/post/specialty-optometrist-practice-9402-3749-8839