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The amount you're comfortable borrowing will define what practices are in your price range. Things that will be covered later in due diligence. Historically, medical and dental practices have some of the lowest default rates in the nation. See 8 Things to Ask a Practice Owner During an Interview. How much revenue is based upon insurance reimbursements? Questions to ask when buying dental practice without. "We needed a bigger space for our current practice, " he said, "but we also wanted to expand our patient base and look ahead to future growth. " Buyers frequently charge an "administrative fee" for collecting the seller's receivables. How invested are you in maintaining and keeping the system running? That's great news; a star employee is worth his or her weight in gold.

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What is your confidentiality policy? A vision statement is not where you are today or even where you will be in the near future. However, it is also imperative to ask about hidden personal expenses such as auto, cell phone, insurance, 401k, and pension.

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At Dental and Medical Counsel we are proud to be one of the most trusted law firms for dentists. Questions to ask when buying dental practice act. Are you going to purchase the building the practice is in or rent it out? What are the details of the lease? Hygiene appointments booked out between 4 to 6 months is a good sign the practice's recare program is healthy. "We anticipated losing a percentage of patients, " he said, "but when we looked at the numbers we figured out we could sustain those losses.

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Similarly, look at the seller's options. With a proper transition, patient retention is in the mid- to high 90% range for transitions handled by experts, such as those at PTS. However, you wouldn't want a dentist who sells their practice and then sticks around too long. Total number of active patients and the number of new patients per month.

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To minimize your losses during and after a buyout, it's crucial to hire a few different professionals to help guide you. Flexibility with your willingness to work post-closing expands the number of DSOs that may purchase your practice. Whether you are a first-time buyer of a dental practice or have previously been involved in a purchase, there comes a time in the due diligence process for you to make an in-person visit to the seller. If the target practice is a specialty practice, a list of referring dentists would be extremely helpful. Buying a dental practice is one of the most exciting career milestones a dentist will ever achieve. While this can be the case, doctors need to look at the full picture to see if it is as great a deal as it may seem. So, as you get starting on purchasing dental practice software, here are a few things to think about: Do you want a cloud-based system or a legacy, on-site system? The more options you have, the more negotiating power you have. Buying a dental practice is a big decision, and, like any other big decision in your life or career, you want to make sure that you're handling it properly, taking the right factors into consideration and making sure that nothing is overlooked. If you lack the specialized skill required to deliver high quality dental care to children, you need to determine whether you will refer pediatric patients to a specialty provider at another practice or whether you will hire a consulting dentist to handle this segment of the business. Key Questions to Ask When Buying a Dental Practice, Part 1 | Professional Practice Transitions. Doing so helps keep fees in line with the local market and avoids big price increases that deter patients. From general dentistry to pediatric to endodontic to periodontic, it is important to know what type of dental work is performed at the practice you are interested in buying.

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It's crucial to review your profits and losses to ensure you can maintain good cash flow without patients, but it's also important to determine whether or not you're willing to ramp up marketing to attract new patients. Is there flexibility regarding repayment schedules? You should also be looking at the practice's gross revenues for areas of growth and decline, Stalcup said, as well as a practice's net income to see how profitable it is. How about the ratio of patients with dental insurance to fee-for-service patients? Questions to Ask Your CPA When Buying a Dental Practice. If additional due diligence dissuades the dentist from purchasing the practice, it is better to make that decision as early as practical. If you don't purchase a dental practice from this existing owner, what are your other options?

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Active listening is challenging in the best of times. If the practice has experienced substantial growth over a short period, is that growth organic and sustainable or manufactured by over-treating and marketing ploys that do not attract recall patients? This Part 1 article will answer some key questions concerning buying a dental practice and will continue in Part 2. This question is intended to smoke out one of the most dangerous risks of any dental transaction. If you are financing the acquisition with bank loans, the bank would require that the lease term is at least as long as the term of the bank loan. When you purchase a practice, you have to be willing to work hard, said Doublestein. Be alert to "red flag" responses. This question will greatly impact your tax liabilities. Questions to ask when buying dental practice in advance. "Five years gives a new buyer a pretty good idea of the history and recent growth — or decline — in the practice, " he said. The same principle is true for practices that are consistently growing, he said. A list of all active patients. Question 9: What marketing worked or didn't work in the past? Can you provide me with referrals? It's also smart to apply the same approach when considering the purchase of a dental practice.

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However, depending on the practice, you may have to make significant changes to the staff, facility, and operational systems to be successful. Banks continue to be willing to lend to dental professionals. Leases are one of the biggest deal killers in this business. What is your preferred way for me to initiate contact? 20 Questions to Ask a Dental Practice Broker. Your conversation should flow easily, and you should feel comfortable working with this person in the future. Expect a rebrand to happen within the first 12 months. At a minimum, the items listed below should be reviewed by a professional who understands the economics and practicalities of a dental practice acquisition. Paige Smith is a content marketing writer who specializes in writing about the intersection of business, finance, and tech. They are ready to settle down and enjoy life. Before you commit to a purchase, ask the seller if he or she would be willing to help introduce you to current patients. The goal of any practice purchase is to eliminate as many risks of losing patients as possible.

You wouldn't head to the car dealership without knowing what you want. They handle the updates and security so you don't have to worry about it. Is it the right location? Are you going to purchase 100 percent of the practice in the first year, or are you going to buy a smaller percentage each year over time. Clear your mind and know exactly why you are asking the question and what response you want to hear. In most cases, selling dentists will be willing to stay on for a certain period of time to assist with the transition, introducing you to patients and referring doctors, and helping you understand the current processes of the office. Naturally, there are some compelling reasons why individuals choose not to own their own practice. The exact income of the practice for the last three years matters. Does the practice have valid associate/employee agreements in place? The first meeting is a time for you to figure out whether you feel good about moving forward. Ben, a veteran healthcare banker of more than 12 years, is recognized in the industry as an expert in financing and banking for dentists (including associated specialties pediatric, orthodontics, oral surgery, endodontics, periodontics, prosthodontics and others) as well as financing/banking for veterinarians and financing/banking for optometrists. What percentage of your practice is dedicated to dental practices? "Not only are you producing revenue with cleanings, X-rays, and exams, " he explained, "you're diagnosing all the needed work during those appointments. Having the right representative on your side frees you up to focus on the clinical aspects of the transition (what you know best) while knowing your representative is focusing on the business and transition plan.

This one is more targeted, less open-ended. For many, that starts with the purchase of a dental practice. Your patients will be better off, and so will you. Put simply, an existing practice delivers instant cash flow which can be used to pay debt associated with the purchase, while still leaving ample funds in your pocket. It is no secret that the hygiene department is the beating heart of any dental practice.

In particular, you need to assess whether the practice has the potential to grow and evolve into the practice you hope to own five to ten years from now. When should I tell my staff and patients that I am considering a transition? What short-term and long-term changes can I expect to see? This is a great open-ended question that gives the seller a chance to go in a direction they choose. For example: Don't forget that if an otherwise-perfect practice has fewer operatories than you think you need, optimizing the schedule can help fill that gap. Plus, with COVID's more extensive cleaning and PPE protocols, it can be more efficient – and cost effective – to work out of a single operatory rather than constantly switching rooms. What is the dentist-to-population ratio? Your neighbor's aunt's father-in-law's second cousin may be a fine general CPA, but you need a skilled dental CPA who works primarily, if not exclusively, with dentists. For a transition to be successful, it is important the new dentist replicates the previous owner's practice style, at least initially. It is an open-ended question which gives the seller a chance to tout the benefits of owning the practice and perhaps volunteer some red flags. This is where a buyer's representative becomes invaluable. The option you go for depends on your credit score, as well as the amount of time you have.

Where associates are involved in the practice being purchased, check to see if there are associate agreements in place. A description of any contractual relationships of the patients, employers or, insurance companies including HMOs, PPOs, DMOs, and capitation plans. Yet, many new dentists get so focused on clinical care that they ignore the business complexities of running a practice.