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ADS South Newsletters
May, 2008 "Just who are we, anyway?" and "What if something happens to your partner?"
 
Other Articles of interest.
The Need for an Appraisal - They're Not Just for Sales
Appraisals are obviously needed for purposes of establishing practice value at the time of a sale. However, there are many other benefits to be gained by commissioning an appraisal in advance of a sale. Read what one dentist says about the many ways an appraisal benefitted him and his practice, even when he was not considering a sale.
How to appraise a dental practice
I am often asked 'How do you appraise a dental practice' and 'What percent do you use to get the price?'. If the process were that simple, we wouldn't need experts in practice appraisals, just a calculator that can multiply two numbers.
Price and Value - A Lesson for the New Practice Buyer
I remember sitting in class in dental school back when the earth was cooling, thinking, "If I ever get out of here, I'm never coming back." Well, eventually I did get out of there and realized afterwards the incredible knowledge and skills I had somehow acquired. I also realized how ill-prepared I was to face the many financial decisions that were not based on my extensive knowledge of enamel rods or biochemistry.
How Is Business?
I have been hearing from more and more dentists that things are slowing down in their practice as the economy continues to unravel. Dentists who were booked for four weeks in advance are now only booked for two weeks or less. Patients are seeking more “needs” based treatment than “wants” based treatment. Cosmetic dentistry is waning as more patients are presenting for the most basic treatment.
The Value of Locum Tenens
Locum tenens has been around dentistry for many years, although not always known by its formal Latin name. Locum tenens literally means “hold the place down” and that is what we are doing when a dentist fills in for another dentist who is on vacation, disabled, given “time out” by the dental board, or who has died. Our physician brethren have used this concept for many years, as their practice needs are more acute than in dentistry and keeping a practice open is more critical.
I'm Losing Money On My Associate!
Recently I structured an Equity Development Plan, our safer alternative to partnerships, for a practice owner and an associate dentist. I assumed that they were happy and doing well until I received a call from the owner that the associate was making too much money and that the owner was losing money. Apparently, while still less than six months into the relationship, the associate was producing $50,000 per month and increasing.
Women and Practice Transitions
The emergence of women in dentistry has been a slow but steady phenomenon that has challenged many of us to examine our preconceptions and stereotypes of how women practice. Besides the many effects women are having on the clinical side of the profession, women are also impacting the management and transitioning of dental practices.
The Value of a Practice Appraisal
As I consider the topic of the value of a dental practice appraisal, I think of all of the instances in my twenty four year’s experience of why people have had their practices appraised and what good it has actually done for them.
The real cost of slowing down!
I don't know how many times I have heard a dentist tell me how he plans on cutting back and slowing down and he gets closer to retirement. On one occasion in which I had listed a practice for sale, the seller told me of his plans to cut his schedule back by one day per week to work on his golf game. I had never thoroughly analyzed the effect of a cutback before but decided to take a very close look at what the exact effects of such a cut back would be.
The Importance of Associate Contracts
The best business dealings are when you deal with someone whose word and handshake are all you need ... and then you put it in writing!
A Successful Alternative to Partnerships
My former article discussed the pitfalls of partnerships and buy-ins which include loss of control, loss of marketability, and loss of value. These are consequences of converting a real tangible practice into intangible undivided interests.
Minority Partnership Pitfalls
One of the most popular practice transition strategies is the buy-in. The interests may be any size - 10%, 49%, 50 % or more. Sometimes it involves selling progressive interests and other times it involves selling a remaining interest by a retiring shareholder.
A Story of Three Dentists
In the past year, our firm encountered three dentists who experienced the same event - death.
Measuring Practice Value
The importance of value to the buyer of a dental practice is emphasized, since value is the buyer’s actual take-home income. This article explains how to recognize and measure value in practices.
Value or Price - Choose Wisely
All to frequently buyers zero in on price as the primary practice purchase issue, while ignoring the issue of value. However, buyers stand to benefit much more by receiving high value than by paying a low price, since the primary practice value actually is the net income the buyer takes home from the purchased practice.
For Sale by Owner ... or by Broker

I saw an advertisement in a state journal for the sale of a practice. The ad contained the capital letters "NO BROKERS", which was to me an irresistible invitation to reply.

I told the seller about a dentist who had tried unsuccessfully for two years to sell his practice. He then engaged me to sell his practice, and within three weeks it was sold at our asking price. After the closing, the seller told me he netted more money from the sale after paying my commission than he would have had he sold it himself, which he couldn't do.

Then the buyer told me that the seller had offered the practice to him a year earlier at a lower price, but he didn't think the practice was worth the lower price. After explaining cash flow, risk assessment, and other practice statistics, he decided it was worth the higher price that he paid. This was a win-win situation where the consultant brought true value to the process.

There are advocates of dentists selling their practices privately, but there are benefits in using professional sales consultants that need to be recognized.

Brokers are the best resource for valuing a practice, examining cash flow, market comparables, and asset values to provide a realistic price. Sellers occasionally undervalue their practice, but are much more likely to overvalue their practices, resulting in frustrating experiences for everyone.

Brokers can help save taxes. Brokers can provide suggestions for your attorney and accountant on how to structure the best tax-advantaged sale. We can refer experts having extensive experience in structuring your sale that your accountant and attorney might not have. I have participated in several sales in which the seller's tax savings were larger than the commission they paid.

Brokers can help avoid lawsuits by suggesting language that should be inserted or avoided, protecting both parties from costly disputes. The huge cost of even a successful defense makes a sales commission seem incidental.

Brokers protect your confidentiality. We can provide volumes of financial information while not disclosing your identity. If cash flow doesn't work for a buyer, we end the process and they never knew who you are. We believe your staff and patients should not hear about your intentions from anyone but you.

Brokers help buyers understand the real facts about your practice. A buyer seeing a corporate tax return with a $15,000 loss usually thinks that the practice actually lost money, rather than understanding the $300,000 net the owner actually made. Many buyers will overlook this practice, not understanding what they saw. We provide all financial and practice information and interpretation so that buyers, their accountants, and lenders can clearly understand the true financial value of your practice.

Brokers find the cash. Brokers know where practice financing can be found and where it cannot. We bring the most cash possible to the closing table without wasting time and effort. Brokers know which lenders will loan when 75% of the price is intangible and cannot be collateralized and do not generally require a second mortgage or a spousal guarantee. Without cash there is no sale, and brokers know better than anyone where the cash is.

Brokers give your practice the maximum marketplace exposure. Brokers have access to the most venues, typically having multiple websites and ads in the most read journals. We also have lists of existing buyers for specific areas. While having more access to more buyers than a private seller ever could, we also provide the maximum confidentiality in the marketing process.

Brokers save you money. Comparing the income a seller could have made by treating patients to the lost income from the time they spent trying to sell their practice could pay the sales commission alone.

Brokers bring legitimacy to the sale. Compare buying a used car at an upscale dealership that has inspected the car, checked its damage history, provided an extended warranty, arranged financing, and follow up service to buying from a private seller after inspecting their car after dinner at a stranger's home in the dark. No background, no warranties, no assurances. Perhaps this car is even better than the dealer's offering, but buyers will doubt it and will view the dealership as a safer and more valuable alternative. The same goes for your practice.

So, before putting a "For Sale by Owner" sign on your practice, consider the time, money and security benefits that a professionally assisted practice sale can provide you.

Earl M. Douglas, DDS, MBA, BVAL.
Published in Practice Transitions, April 2010