The exam fills the chair. The attach rate and the cataract pipeline fill the P&L.

SUBJECTIVE

"Online retailers took our contacts revenue." · "Patients take the Rx and buy frames somewhere else." · "We refer cataracts out and never see what happens next."

OBJECTIVE — typical intake

Frame attach 25—45% and falling · cataract-age patients 30%+ of the panel, pipeline untracked · exam demand bought on discount terms that select for the wrong patient · recall discipline inconsistent by location

ASSESSMENT

The discount exam is a filter that keeps the wrong patients. Premium and medical intent can be targeted; attach can be instrumented; the cataract pipeline — the compounding asset in an aging panel — can be managed like one.

PLAN

Acquisition re-targeted to premium + medical intent · attach-rate instrumentation per location · cataract co-management pipeline with recall discipline · pre-exit readout built for consolidators