Giving Back: Supporting Communities Near and Far
At Omni Practice Group, making a positive impact is at the heart of our mission. By partnering with incredible organizations across various causes, we strive to uplift communities, protect animals, and inspire positive change. Through financial contributions and hands-on involvement, we’re committed to fostering a brighter future.
Here’s how we give back:
Each Thanksgiving, we join the Eastside Basket Brigade in providing holiday meals to families in need. Since 2012, this initiative has grown from feeding 50 families to serving over 200 families annually, reaching up to 1,000 individuals. With 100% of donations going directly to families, the program ensures that every meal is a gesture of care and community spirit.
We proudly support Everyone for Veterans (E4V), a nonprofit empowering U.S. veterans through critical resources and free dental care. Founded by Dr. Theresa Cheng, E4V connects veterans and their spouses to a network of pro-bono dental professionals. Through this partnership, we contribute to improving the lives of those who have selflessly served our nation.
Atlas Free works to end sexual exploitation by supporting anti-trafficking initiatives worldwide. With over a decade of experience, they collaborate with local organizations to provide resources for aftercare, prevention, and intervention programs. Their efforts have positively impacted more than one million individuals.
Climb for Captives partners with Atlas Free to raise funds for the fight against human trafficking. This platform empowers individuals to turn outdoor adventures into fundraisers. Participants have raised over $1.5 million to support survivors.
Animal welfare remains close to our hearts. Our contributions to the American Society for the Prevention of Cruelty to Animals (ASPCA) and the Humane Society for Tacoma & Pierce County provide life-saving care for animals. These organizations rescue, rehabilitate, and rehome thousands of animals every year, fostering compassion within our communities.
In our own backyard, we support the Resilient Project, a nonprofit mentoring at-risk youth in Washington State. By empowering children to rise above adversity, this program helps them discover their potential and develop the confidence needed to succeed.
We’re passionate about protecting nature for future generations. Through the World Wildlife Fund, we sponsor an adopted elephant and support global efforts to conserve wildlife habitats, address climate change, and rebuild ecosystems.
The Oral Cancer Foundation is dedicated to reducing the incidence of oral and oropharyngeal cancers. By funding research, raising awareness, and supporting patients, they help improve health outcomes. Omni’s contributions align with their mission to promote early detection and treatment.
Homelessness is a growing crisis, and we’re proud to partner with Seattle’s Union Gospel Mission. Their programs address root causes and provide lasting solutions to homelessness by offering urgent care, long-term recovery services, and a message of hope and love.
Additional Causes We Support
Omni also extends support to local and state veterinary, dental, and chiropractic societies across our nation that enrich communities and address local needs. We are committed to fostering positive impacts and supporting initiatives that strengthen our professional communities.
Join Us in Making a Difference
At Omni, giving back is more than a responsibility- it’s a privilege. By standing with these remarkable organizations, we’re honored to play a small part in their transformative work.
Together, we can build stronger, more compassionate communities.
Read MoreGiving Back: Supporting Communities Near and Far
At Omni Practice Group, making a positive impact is at the heart of our mission. By partnering with incredible organizations across various causes, we strive to uplift communities, protect animals, and inspire positive change. Through financial contributions and hands-on involvement, we’re committed to fostering a brighter future.
Here’s how we give back:
Each Thanksgiving, we join the Eastside Basket Brigade in providing holiday meals to families in need. Since 2012, this initiative has grown from feeding 50 families to serving over 200 families annually, reaching up to 1,000 individuals. With 100% of donations going directly to families, the program ensures that every meal is a gesture of care and community spirit.
We proudly support Everyone for Veterans (E4V), a nonprofit empowering U.S. veterans through critical resources and free dental care. Founded by Dr. Theresa Cheng, E4V connects veterans and their spouses to a network of pro-bono dental professionals. Through this partnership, we contribute to improving the lives of those who have selflessly served our nation.
Atlas Free works to end sexual exploitation by supporting anti-trafficking initiatives worldwide. With over a decade of experience, they collaborate with local organizations to provide resources for aftercare, prevention, and intervention programs. Their efforts have positively impacted more than one million individuals.
Climb for Captives partners with Atlas Free to raise funds for the fight against human trafficking. This platform empowers individuals to turn outdoor adventures into fundraisers. Participants have raised over $1.5 million to support survivors.
Animal welfare remains close to our hearts. Our contributions to the American Society for the Prevention of Cruelty to Animals (ASPCA) and the Humane Society for Tacoma & Pierce County provide life-saving care for animals. These organizations rescue, rehabilitate, and rehome thousands of animals every year, fostering compassion within our communities.
In our own backyard, we support the Resilient Project, a nonprofit mentoring at-risk youth in Washington State. By empowering children to rise above adversity, this program helps them discover their potential and develop the confidence needed to succeed.
We’re passionate about protecting nature for future generations. Through the World Wildlife Fund, we sponsor an adopted elephant and support global efforts to conserve wildlife habitats, address climate change, and rebuild ecosystems.
The Oral Cancer Foundation is dedicated to reducing the incidence of oral and oropharyngeal cancers. By funding research, raising awareness, and supporting patients, they help improve health outcomes. Omni’s contributions align with their mission to promote early detection and treatment.
Homelessness is a growing crisis, and we’re proud to partner with Seattle’s Union Gospel Mission. Their programs address root causes and provide lasting solutions to homelessness by offering urgent care, long-term recovery services, and a message of hope and love.
Additional Causes We Support
Omni also extends support to local and state dental, veterinary, and chiropractic societies across our nation that enrich communities and address local needs. We are committed to fostering positive impacts and supporting initiatives that strengthen our professional communities.
Join Us in Making a Difference
At Omni, giving back is more than a responsibility- it’s a privilege. By standing with these remarkable organizations, we’re honored to play a small part in their transformative work.
Together, we can build stronger, more compassionate communities.
Read More5 Points to Ponder About a Transition in the New Year
We have been involved in practice transitions since the mid-1990’s. Our company has sold over 500 practices in 12 different states. Doctors have sold their practices for numerous reasons ranging from just being tired of owning and managing a practice to severe health issues forcing them to sell.
In all these years and transactions we have performed, not one doctor has come up to us and said “I wish I wouldn’t have sold my practice so soon”, or “I wish I still could own my practice”. In fact, most doctors whom we talk with months, or even years after selling their practice say “selling was one of the smartest decisions I made, I wish I would have sold much earlier”.
So, how do you know when is a good time to sell? Here are a few things to consider:
- The Current Sales Market – Is it a buyer’s or seller’s market? A buyer’s market is when there are a lot of practices for sale, interest rates are average to high and there is low demand. Currently, as of today, we are in a seller’s market. Interest rates are quite low. The economy is doing well. The demand for practices is high. Doctors and groups looking for practices producing over $1,000,000 per year is very high. That is attributed to the number of corporate buyers in the marketplace. The demand by corporate and other buyers is driving up the price of practices. In a few years, this will change, and prices will drop, possibly significantly. You want to sell your practice in a hot seller’s market versus a buyer’s market. Even if you sell 5 too early, you will make it up in the sales price you are going to receive versus the income you would make as an owner.
- Being Forced to Sell – There are certain things that are inevitable in life. Getting older is one of them. And that includes all the aches, pains and other health issues that go along with it. We have seen doctor after doctor, every year, sell their practice because of back, neck, hand, or eye site issues to name a few. We have also seen more serious health issues that forced a doctor to sell. Cancer in all its’ forms and other diseases can happen when you least expect it. There have been several doctors who every year told me they were ready to sell. Only when they were diagnosed with cancer did they decide to sell. One of them sold their practice and then passed away the next day. We have story after story of doctors who sold their practice expecting to enjoy retirement with their family only to report back that they or their spouse got sick, or worse yet, passed away. Enjoying retirement and life is something we should all have the opportunity to do. Selling when it’s the right time ensures us of this.
- Harvesting the Equity in Your Practice – This is one of our favorite strategies in selling a practice. And, selling in a seller’s market with higher practice values make it even a smarter decision. When you started or bought your practice, you probably took out a loan with the bank. As you have been in practice, you have paid your loan down and have built up your practice. The difference between the potential sales price of your practice and any debt you may have on your practice is called equity. Many doctors may have hundreds of thousands of dollars, if not millions of dollars, in equity. This equity does not do anything for you while you still have the practice. You cannot receive this money unless you harvest the equity. You do this by selling your practice. You put the hundreds of thousands, or million dollars into the bank, invest it, or pay off your house. Whatever you would like to do. You can then work back in the practice you just sold, or work in another practice. Or, you can even go buy a new practice, build it up and harvest even more equity. It’s a beautiful thing.
- And now for Something Completely Different – That was for the Monty Python fans out there. At times we all get tired of doing the same old thing, day in and day out. We are just tired of the monotony, tired of staff, tired of the patients and just ready to do something completely different. We have doctors who are ready to change course completely. We have had doctors sell and tell me they want to be a real estate agent, a barista, or they are going to run a surf shop in Hawaii. If you have reached that point and are tired of the same old routine, life is short, it is time to take action and do something different. You can always come back years later if you decide you have had a long enough break and are ready to return back to practice.
- Annual Production is Decreasing – For fun, go back and take a look at your last five years profit and loss statement or tax returns. Have your annual revenues gone down year after year over the past 5 years? How’s your income? Has it also gone done year after year? We frequently see this as practice owners start to get a bit tired towards the end of their career. They slow down their production, but the overhead stays the same, so their income goes down even faster. They then decide to sell and think that the price should be based on what the practice used to do, before the slide in production. It does not work that way. A practice’s value is what it is doing today, not five years ago when it was double the revenue. Using the Equity Harvesting strategy in number 3 above, would have given these doctors hundreds of thousands of additional dollars.
We are imparting this knowledge to you, not to get you to sell your practice as soon as possible. We are simply giving you some things to think about and passing on to you some wisdom from prior experiences of other doctors. Thinking about these five things in addition to taking action may provide you more time with your family if you sell a few years earlier. It may also give you more money to have a happy retirement.
Look at each one of the five items above and ask yourself if you want to sell your practice when you have to, or when you want to? As always, call us if you would like a free consultation.
Read MoreInterest Rates Affect on Practice Values – Why now is a good time to sell
By Rod Johnston, MBA, CMA
Some of you may remember that in October of 1981, interest rates on home loans were 18.91%. Over the years, interest rates have gone up and they have gone down. In the early 2020’s, we saw some home mortgage rates go as low as 2.81%. If you were wise, you borrowed as much as you could at that time and bought a house, even though you may already have one. Coincidentally, home prices typically don’t follow interest rates. In fact, there have been periods of time over the past fifty years where interest rates have gone up and the average house price also went up. The same isn’t true for the value of practices.
When I first got into helping doctors sell their practices in the early 2000’s, interest rates for practice loans were about 7.5%. Most of the terms on those loans were 7-year terms. Meaning you had 7 years to pay off or amortize the loan. What does that mean for practice values? Banks determine how much they will lend based on cash flow after debt service. Debt service is the amount of your monthly loan payments.
To calculate cash flow, you start with the net income on last years’ tax return. Banks typically use 2-years tax returns, brokers when valuing a practice use 3 years of tax returns. I’m using one year’s tax return to keep it simple. You take the last year’s net income and then add back the non-operational expenses in the business. Those expenses are those that may not be necessary to run the business. Expenses could include gifts to employees, a continuing education class you took in Hawaii to get a vacation along with the CE, or meals you expensed for business. You can stop those expenses and still run your practice.
This gives you an adjusted net income. You then subtract your annual debt service to get the cash flow number. The banks then divide the cash flow after debt service by the annual debt service to get a debt service ratio number which should be above 1.2 times the debt service. So, if your cash flow is $120,000 and your debt service is $100,000, your debt service ratio is $120,000/$100,000 = 1.2 times your cash flow. Anything lower than that and the loan would be rejected, or you would need to figure out how to make the numbers work to get the debt service ratio up.
What does this have to do with practice values? Well, if interest rates go up, that’s going to cause a buyers debt service payments to go up. An increase in debt service will result in a decrease in cash flow after debt service. This will result in the debt service ratio going down and possibly dropping below the threshold of 1.2 times cash flow after debt service. The same goes for the term of the loan. Some banks now have 15- or 20-year terms on their practice loans. This reduces the debt service payments as the loan is spread out over more years. The result is a decrease in annual debt service payments which improves cash flow. A bank with a 7-year term may not get the loan approved, but a bank with a 15-year term may be able to do it.
Brokers know all this stuff. When good brokers do their valuations, they’ll do a check to make sure the bank will be able to finance the practice at a certain value. So, they’ll do a debt service ratio calculation and if it falls below 1.2 times debt service, then they should lower the value to price it correctly.
The good news is that there was a recent drop in practice loan interest rates. Interest rates on practice loans are between 5% and 5.5% at the moment. As a seller, this means values can be pushed a bit as the cash flow after debt service is improved with lower interest rates. A practice valued at $950,000, may now be worth over $1 million or even more. Because the lower interest rate resulted in lower debt service payments which helped increase the debt service ratio.
It’s good news for the buyers as well. Lower interest rates can lower their monthly payments as well. This may help them get into a practice that they may not have been able to purchase in the past as the ratio now works. This can be especially good in a startup scenario or in larger practices.
In summary, just remember that when interest rates are low, which they are at the moment, it’s a good time to have your practice valued and put on the market. It’s also a good time to be a buyer as your payments could be reduced.
If you would like a free consultation on the value of your practice, or to discuss a possible transition in the future, please reach out to one of the Omni brokers. We are always glad to help. Phone calls are always free and if you do a valuation with us today, we will update them for free in the future.
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Why Practices Don’t Sell
By Rod Johnston and Jim Vander Mey
Your practice has successfully worked for you for many years so why isn’t it selling? It could be the transition consultant (broker) you are using, or it could be your practice.
Working with an experienced transition consultant is important. We know where and how to advertise. It doesn’t work to simply advertise on a website. You will want marketing and advertising in schools across the country, veterinary journals, and county/state societies. An experienced consultant already has a list of potential buyers for your area or type and may have other creative grassroots ideas to find the right buyer.
The right consultant cares about you, your team, practice, and goals. It shouldn’t be just about the commission money. Your consultant should be responsive and professional to potential buyers and you.
A comprehensive valuation and prospectus are important. If you or your consultant price your practice too high, it can be offensive to potential buyers, and they won’t feel comfortable offering a lower price. Even if you find a buyer willing to overpay for your practice, the bank will not finance 100%, which means you have to become a bank for a specific amount of the purchase price.
Sometimes even when you have the right consultant your practice may have other reasons for not selling. Sometimes it’s simply not finding the right veterinarian at the right time. Often it is because your location is not desirable to new buyers and their families. Sometimes it’s the size of the practice. We all know practices with two exam rooms can be very efficient and profitable, but many buyers want 3 rooms or more.
Declining collections the last 3 years or simply low collections can be a deterrent to potential buyers and banks. They understand reasons such as more time off due to vacation or health issues.
Most buyers understand they may need to update style or equipment and technology, but if it’s a lot of cost and effort, they may keep looking for a better practice.
If your practice falls into any of these areas of concern, it will take more time than the average to sell. Lowering the price may help, but if there is no interest, it’s not the price that’s the problem. Don’t give up or get mad, just understand that while your practice may have been perfect for you, it can be a while to find the right buyer.
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