"A corporation will only be more efficient than a family business if it can amalgamate small disparate holdings, achieve economies of scale in purchasing power or marketing power, and lower the cost of production."
There is some research on the company - albeit optimistic in their website. It is dated 2007. Margins do seem to be good on its surgical side, but its consulting side is far less lucrative.
I am now actually working in this area, and I can confirm that VGH has a shocking reputation amongst the small opthalmology community. They ask for 4% productivity increases every year of its doctor staff (or so I have heard) ...
This is not financial advice etc etc
VGH Price at posting:
42.5¢ Sentiment: Hold Disclosure: Held