Author: omniadmin

1. When should I start thinking about and preparing to sell my practice?
The earlier the better, but no later than 3 years prior to selling your practice in order to optimize your sales price and find a good buyer match.  Practice values are typically based on 3 to 5 years of financial information with the numbers weighted heavier towards the most recent years.  If you focus your last 3 years in your practice on maximizing collections, overhead and updating your practice, you will come out money and time ahead.2. Will I get a higher price if I ramp up production for another year?
Typically not.  Since values are based on up to 5 years of production and net income, simply ramping up numbers for one year will not increase the value a whole lot.  In fact, if it goes up too much in one year, a potential buyer and banks may even question why the production suddenly went up in one year.

3. Should I buy new equipment or remodel before I sell my practice?
If you are 5 to 10 years away from selling your practice and your practice is looking dated, then you should update the practice.  The updates can range from simply painting the practice and installing new carpet, up to replacing patient chairs, adding new x-rays and other technology.  If you spend a lot of money too close to the sale date, you will not get the depreciation write-off that you would be doing it much earlier.  The exception to this rule, there’s always an exception isn’t there, would be digital x-rays and computers.  If you are not digital, don’t have computers, or your computers are 10 years old, you should consider adding or updating those before selling.

4. What are buyers looking for in a practice?
Individual buyers like to see a well-run practice with a decent amount of production, typically over $500,000 per year, average to low overhead (below 65% is good), somewhat up to date look and feel to the practice and a good location.
Group practice or DSO (Dental Service Organization) buyers like to see similar things, but also want the seller to stay on and work in the practice for another 1 to 3 years depending on which Group or DSO buyer.  They prefer larger practices collecting over $1 million.  Larger group or DSO buyers want the seller to carry-back approximately 20% or more of the purchase price of the practice.  This means you get 80% of the purchase price upfront and then you receive the other 20% after you’ve completed your 1 to 3-year work requirement and have met established production and other targets in the practice.  If you don’t reach those targets, you may not receive the final 20%.

5. I have an offer from a DSO or Group Practice buyer, why do I need a broker?
It’s been said that “the man who represents himself has a fool for a client”.  A broker wears many hats in a transition.  Finding a buyer is only one small role they play.  The broker also looks at the offer and looks out for the clients’ best interest.  DSO and Group practice offers are all not alike, so brokers must also play the role of analyst and look at each offer.  They have to understand accounting, finance, the law, contracts, and even human resources.  If you try to do this all yourself, you will end up costing yourself, your family, your staff and patients more time, money and grief than if you just hired a broker in the beginning.   We have case studies where we have caught things in the offer that would have cost clients hundreds of thousands of dollars.  We have helped negotiate and solicit more offers that have put much more money in client’s pocket than what the clients first offer was.  Or, saved them a major headache and/or time.

6. The person representing a Group or DSO buyer told us they prefer us (seller) to not work with a broker.  Why is that?
They don’t want you to use a broker because it weighs the negotiations in their favor and gives them an upper hand. They have powerful attorneys, CPAs, and professional negotiators to pit against you. They may first knock on your door with a friendly neighborhood dentist as their representative, but behind that friendly representative lurks the professionals hoping you don’t have anyone helping you out.  They’re able to get lower prices, better terms and buyer favored contracts if the seller doesn’t have a broker.

7. I own my building, should I keep it as a rental for future retirement income?
In the current real estate market, the short answer is “no”.  Especially if you’re considering a DSO or Group buyer.  We have pictures and case studies of sellers who kept their building only to have the buyer move out of the building two years later to a new building they built down the street.  Or, they acquire another practice in the area and merge yours into their practice.  The seller is left with an empty building that was a dental practice and will be difficult to find a tenant.  The exception might be if you have a beautiful building in a fantastic location on a busy street with great visibility and the building is in pristine condition. These buildings make up less than 10% of dental buildings.

8. I want to do an associate to own transition.  Can you help me with that?
Absolutely.  We can help with pretty much any type of sale. Whether you want to do an associate to own transition, a straight sale to an individual, a group or DSO sale, or anything in between, we can help.  We will show you all the options and scenarios to help you make the right decision.  Often, doctors think they want an associate to own transition and not sell to a Group/DSO. But when we start talking to them and asking a lot of questions of both them and the potential associate, we find that associate to own isn’t the best type of transition for them.  The ADA says 70% of associate to own transitions fail before they make it to closing.  We’ll help walk you through each scenario to do what’s best for you and your family.

9. I want to continue working in the practice after I sell, is that possible?
It depends.  If you sell to an individual and your practice isn’t large enough to support multiple doctors, then the answer is probably not.  But we can help identify the right buyer for you who will allow you to do what you want to do.  In fact, one of the questions we ask of the seller is “What is your dream transition scenario?”  We then go from there and do our best to make your dreams come true.
​
10. I want to make sure my staff and clients are taken care of.  How do we make sure that happens?
We like to call ourselves matchmakers.  We spend time getting to know you as a dentist, practice owner, family person, etc.  We ask a lot of questions to find out what your needs, wants, and dreams are in a transition.  We then go out and find a perfect match whether it’s an associate, individual buyer, or even small Groups and DSO buyers have their own unique personality, culture, philosophy, and terms.  We make sure that the buyers we present to you, who will want to buy your practice are a good match for you and your practice.

You have been out of dental school for over a year now, working as an associate, or a GPR assignment.  You’re getting antsy as the owner keeps giving you the new patient exams, fillings, and the mean, nasty patients they don’t want to see.  You’ve got the itch for a change, either to do a startup or buy your first dental practice.   But, how do you know you’re ready?  Here are a couple of questions to ask yourself:

1.  Are you confident in your clinical skills?
2.  Do you have savings to live on for 6 months, just in case of emergencies?
3.  You have a part-time associate position that will keep the bills paid.
4.  You have good chair-side skills and can get patients to accept treatment.
5.  You know, at least the elementary aspects of running a practice.

If you answer yes to these questions, you’re ready to buy your first practice.  You should start taking courses on practice management.  The county associations often have courses on various aspects of running a practice.  There are also Dentaltown podcasts, courses at your community college, etc., which will help you get ready.

So, if you’re on the sidelines, not sure if you’re ready to own your practice and can answer yes to these questions, jump on in, you’re ready.  Give us a call if you’re still not sure.

-Rod Johnston, MBA. CMA

Whether you have owned your practice for 40 years, or owned it for 5 years, selling your dental practice does not mean you are done practicing.  We often meet with doctors who are sick and tired of managing their staff, doing the bookkeeping, playing games with the government agencies, dealing with the ups and downs of the economy, the changing environment of the profession, and on and on.  The doctors are about to crack but think they cannot yet sell their practice as, according to their CPA or financial advisor, are not yet financially ready to retire.  We counter this by asking them “who said you need to retire?”  You can “harvest your equity” and either work back in the practice or go work for another practice.  What the CPAs and financial advisors may not see is that your practice collections numbers are going down.  Or, your blood pressure is skyrocketing due to the above-mentioned challenges of managing your practice to the point of a heart attack coming right around the corner.  If you have a good amount of equity in your dental practice, we can sell your practice and you can put the cash in the bank and work as an employee until you are ready to retire in 5, 10, 20 years, or as long as your heart desires.  Transitioning out of your practice may be the way to enjoy your profession again.