The Many Different Types of Veterinary Practice Transitions
By planning your transition carefully and working with a trusted broker in the Veterinary practice marketplace, practice sellers can ensure each element of the process is completed smoothly. But first, it’s important to learn more about the types of Veterinary practice transitions available for those considering a sale. In this article, the team at OMNI Practice Group explains the processes involved in several types of Veterinary practice transitions.
Partnership
Selling a portion of your practice via a partnership has its own pros and cons. One of the pros is that if you can find a partner with similar interests and philosophies as well as a set of skills that enhances your practice and you get along well, you’ve found a winner. The cons are that those types are difficult to find. The ADA states that 70% of partnerships fail. However, if done right using experts in partnerships, you can have a successful and happy partnership transition.
Walk Away Sale
A walk away sale involves the seller removing themselves and their business interests from the practice the moment the sale is completed. This could be ideal for those in the process of retiring or relocating to a new area across the country. But sellers must analyze whether they truly want to walk away from the business they helped create. To complete a walk away sale effectively, sellers must tie up all loose ends many weeks before the buyer completes their transaction. This ensures a seamless handover process and allows the buyer to immediately enter the business with a fresh start.
Sell and Work Back
This can often be very gratifying. The seller sells 100% of the practice but stays to work as an employee in the practice. The seller may cut back their hours or may keep up the pace. The seller and buyer work together, and the seller may even mentor the buyer. The seller no longer has any management responsibility or ownership. He simply does clinical veterinary medicine. As long as the two get along, this can work wonders.
Customized Transition
Working with a Veterinary practice transaction broker can help sellers customize the sale according to their unique requirements. Brokers are experts in managing the transition process, from organizing the timing of asset sales to implementing buy back procedures once the sale has been completed. It’s important the company the seller works with has a full understanding of their business plans before they begin the transition process, as this will help reduce potential issues as the transaction is completed.
By having a clear understanding of the available Veterinary practice transition options, owners can ensure the right model is found for their sale process. To learn more, contact us today!
FAQ’s by Dentists Who Are Thinking About Selling Their 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.
Questions Frequently Asked by Veterinarians Who Are Thinking About Selling Their Practice
By Rod Johnston & Jim Vander Mey
- 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. - Will I get a higher price if I ramp up production for another year?
Typically, no. 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 all of a sudden went up in one year. - 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. That can range from simply painting the practice and installing new carpet, up to replacing tables, adding new x-rays and other technology. If you spend a lot of money too close to the sale, you will not get the depreciation write-off that you would get if you had done 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 those before selling. - 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 75% is good), somewhat up to date look and feel to the practice and a good location.Corporate 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 (depends on which corporate buyer). They also 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 rest of it – 20% after you’ve completed your 1 to 3-years 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%. - I have an offer from several corporate buyers, 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 takes a look at the offer and looks out for the clients’ best interest. Corporate offers are all not alike, so brokers also play the role of analyst by looking 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 hundreds of thousands and even one million dollars more than what the clients first offer was. - The person representing a corporate 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 veterinarian as their representative, but behind that friendly veterinarian lurks the professionals hoping you don’t have anyone helping you out. They’re able to get lower prices, better terms and corporate favored contracts if the seller doesn’t have a broker. - 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 corporate buyer. We have pictures and case studies of sellers who kept their building only to have the veterinary corporate buyer move out of the building two years later to a new building they built down the street. The seller is left with an empty building that was a veterinary practice and will be difficult to find a tenant. The exception could be if you have an extraordinary building in a fantastic location on a busy street with great visibility and the building is in pristine condition – these practices make up less than 10% of all veterinary buildings. - 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 corporate 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 times, doctors think they want an associate to own transition and not sell to a corporate. But, when we show them that they can make $500,000, $1,000,000, or more by selling to a corporate, they change their mind. We’ll help walk you through each scenario to do what’s best for you and your family. - 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 is “What is your dream transition scenario?” We then go from there and do our best to make your dreams come true. - 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 veterinarian, 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 a corporate. Even corporate buyers have their own unique personality, culture, philosophy, and terms. We make sure that the buyers who will want to buy your practice are a good match for both you and your practice.
Do you have more questions? Attend one of our upcoming Practice Transition Seminars this fall, where we will go into all of the above in more detail, and you’ll get a chance to discuss your situation with a panel of experts – broker, banker, attorney, CPA, etc. – all in one place.
Top Pitfalls To Avoid When Buying a Veterianry Practice
There are a number of things to look out for when buying a veterinary practice. If you’re not careful, you could end up with a bag of tricks. Here are some of the top pitfalls to avoid when buying a practice:
1. Not understanding the numbers. Be sure and know what normal veterinary expenses are and what may be extraneous.
2. Assume the staff are all on board and will be staying with the practice. Know who the staff is and what their relationship is with the seller, and how good they are…
3. Embezzlement – hire an accountant to look for any irregularities. Statistics show there are a high number of practices that are embezzled by their employees each year. Are courtesy credits high? How about patient refunds?
4. Does the procedures the selling doctor perform match the procedures that you do? Make sure a large amount of the procedures you don’t do are not currently being performed by the seller. You don’t want to have an immediate drop in production right from the start.
5. Understand the lease. How many years are there left on the lease? Are there more options to extend? Is there a loan form the landlord build into the lease? Which expenses are covered in the lease? Is it triple new or a gross lease?
These are only a few of the pitfalls to make sure you don’t get tricked. Spend as much time in due diligence as you need and bring on experts to help you along the journey.
-Jim Vander Mey, CPA. ABI
When Do You Know You’re Ready for Your First Dental 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