5 Ways to Retain Your Dental Practice Team

Like the rest of the world, dental practices and their staff were blindsided by the COVID-19 pandemic. Between mandatory shutdowns and changes in practice operations, dental staff has had to be resilient both professionally and personally. With the promise of a new year and vaccines on the horizon, now is as good of a time as any to put your dental staff first to ensure they retain with the practice. Here’s how.

Personal touch

The best way to help your staff is to get to know them better. What struggles or obstacles have come up for certain staff members? Rather than jump to conclusions or assumptions, have an honest talk with each staff member to see what you could be doing differently during this time to support them. Or better yet, send an anonymous survey to staff members for honest feedback.

Incentives

The best way to track performance is to set goals and work together to track how everyone is doing. Offering incentives or some kind of buy-in helps keep staff motivated and on track with company performance. In turn, you will begin to see productivity increase and turnover decrease.

Fair pay

As a way to cut corners, some dental practices don’t allow a clinical team member to clock their time until the first patient arrives without paying for setup time or if a patient is a no-show. If a dental practice isn’t paying staff for the work they do, they will find a dental practice that will.

Return on investment

Paying for continuing education credits is not just a benefit for the employee. Your patients, team and practice will all be better for it. And as a bonus, you’ll be able to write off any costs as a business expense.

Honesty

Honesty really is the best policy, and establishing a dental practice in which staff feels comfortable sharing their dream or even preferred setting looks like is worth asking. Even if changes can’t be made in the immediate future, it will make staff feel heard and set the tone that their contribution is valued to help grow your staff members and the practice.

What’s next?

Contact the experts at Professional Transition Strategies to learn more about how your dental practice stands up to the rest.

Can You Retire from Your Dental Practice During a Pandemic?

Business owners who put off retirement during the last recession are now being faced with the same question: Will COVID-19 interrupt my retirement plans? Even though the economic fallout is still unfolding, banks are still lending and credit hasn’t seized up. In a recent article for The Street, Professional Transition Strategies Founder and President Kyle Francis says, “with careful planning, retirement is possible now.” Here are the key takeaways.

Business recovery

It would be an understatement to say dental practices were hit hard during the pandemic. While the American Dental Association (ADA) reports revenue is down in total, many practices have managed to turn a profit in the five months since they have been allowed to open up again after catching up with the pent-up demand. However, practice expenses are up as patient visits need to be spaced out and the need for extra cleaning costs and personal protective equipment continues to rise. “Planning your next move starts with projecting when your business will recover, so your pandemic retirement plan should include your best estimate of a recovery timeline,” Francis advises.

Planning process

The wait-and-see plan didn’t work out well for businesses trying to recover after the economic crash of 2008. “Business owners slogged through a slow recovery, but too many didn’t take the crucial step of being ready to move fast once the economic situation shifted to more favorable conditions,” according to Francis. “If you’re planning to retire soon, don’t make that mistake; have a plan in place so you’re ready when the first green shoots appear.” The best way to assess revenue, staffing levels, customer traffic, and more is through a valuation of your dental practice.

Future needs

Above all, having a plan in place will help in “knowing where you stand and what is possible can help you stop worrying about things you can’t control and address the factors where you do have influence,” Francis says. Now is the time to ask yourself who you see taking over your dental practice — someone with a similar business approach to you, a current employee, or simply the highest bidder? Additionally, financial advisers are advising dentists to hang up their proverbial hats in anticipation of an increase in capital gains tax while also considering dental practices have the upper hand when it comes to renegotiating a lease, rental rates, or other concessions as commercial real estate takes a hit during these uncertain times.

What’s next?

As Francis says, “Begin with the end in mind” and contact Professional Transition Strategies to start paving the way for your retirement now.

Why and How to Show Your Dental Team You Appreciate Them

With 2020 finally in the rearview mirror, now is as good a time as any to show your dental team why and how much you appreciate them. To say this past year has been trying on the dental practice would be an understatement, and it’s never too late to express your gratitude to those who stuck it out and even helped to make things better. With so much of the time spent on patient care, here’s why it’s also important to let your dental team know what they do matters.

Why

survey conducted online by Harris Interactive for Glassdoor showed employers can retain 53% of their employees longer if their bosses showed more appreciation. A big budget or fancy perks will only keep talented employees on board for so long, but 81% of the more than 2,000 employees surveyed said they’re motivated to work harder when their boss shows appreciation for their work rather than responding to a demanding boss out of fear of losing their job.

How

Even a small gesture like a personalized email genuinely thanking a specific employee can go a long way. Undoubtedly, a lot of new protocols had to be put into place as a result of the COVID-19 pandemic, and recognizing those individuals who helped to get the team up to speed can feel especially meaningful. Pointing out specific actions taken around the office can make an employee feel valued and empowered heading into the new year beyond a general thank you to the whole office at the end of the day.

From whom

A genuine thank you doesn’t always have to come from the owner of the dental practice. In fact, it can feel just as good to hear from a colleague that the work you’re doing around the office matters to the rest of the team. Praise can even be directed at the dentist of the practice to let them know you feel appreciated and taken care of. Whether it’s a written note or verbal compliment, a few words can go a long way in terms of the long-term investment in your whole team, especially in a clinical setting the focus is typically on patient care.

What’s next?

Contact the experts at Professional Transition Strategies to learn more about how to keep your dental practice thriving in the new year.

3 M&A Predictions for Dental Practices in 2021

It would be an understatement to say dental practices were hit hard during the pandemic. While the American Dental Association (ADA) reports revenue is down in total, many practices have managed to turn a profit in the five months since they have been allowed to open up again. However, practice expenses are up as patient visits need to be spaced out and the need for extra cleaning costs and personal protective equipment (PPE) continues to rise. All signs point toward an increased interest in selling dental practices or joining dental service organizations (DSOs), as Professional Transition Strategies Founder and President Kyle Francis offered in a recent article for Dentistry Today. Here are some key takeaways.

Industry resilience

Private equity groups have turned toward dental practices as an attractive investment opportunity, particularly specialty practices, such as endodontists and oral surgery groups, since they were deemed essential services. As a result, Francis says, “Revenue and practice valuations for many specialty practices actually increased this year.” Likewise, investors know dental care can’t be postponed over the long haul, and the longer care is put off, the more expensive treatment is.

Valuation methodologies

Investors are looking for new ways to determine the value of a dental practice during these unprecedented times. Typically, investors would analyze the past 12 months of earnings with interest, taxes, depreciation, and amortization, but investors are now either writing off 2020 or looking at the past 15 months to make up for the three months when practices had to close their doors. “Some investors are restructuring deals to decrease the amount paid at closing to offset risks,” Francis says. “Others are aiming for longer-term employment contracts with dentists or structuring deals to ensure the selling dentist still has a performance incentive.”

Wildcards

Dental practices need to continue to rebuild their staff and patient bases in the year ahead, which will inevitably turn up in a valuation down the road. What’s more, while dental practices don’t have the option to work from home, if the owner has invested in the real estate, this may impact the value of the commercial property. Along the same lines, capital gains taxes are likely to increase, cutting into profits when it comes time to sell. “But DSOs have capital, and private equity groups see the dental industry as an attractive investment opportunity,” Francis says. “No one can predict the future, but the 2021 M&A landscape looks positive.”

What’s next?

Contact the experts at Professional Transition Strategies to learn the best steps for moving forward with your dental practice.

5 Transformative Dental Industry Trends Shaping This Year

In a recent article for DrBicuspid.com, Professional Transition Strategies Founder and President Kyle Francis dusted off his crystal ball to offer the best-educated guesses about what the year ahead will hold. While 2020 was anything but a typical year, he says “there are plenty of reasons for optimism in the dental sector.” Here are five reasons he thinks this turbulent year still holds a light at the end of the tunnel.

Teledentistry and AI

While teledentistry filled in the proverbial gaps when COVID-19 forced dental practices to shut their doors, it is not a long-term solution sustainable for this highly specialized and tactile field. It is not feasible to expect dentists to gauge the depths of caries with an iPad right now, but artificial intelligence (AI) is poised to change the industry significantly. Companies are using algorithms to help dentists interpret X-rays more effectively, and dental tech companies are pioneering 3D-printed implants to replicate teeth.

DSOs

If anything, the strength of dental service organizations (DSOs) was only solidified in 2020 since independent practices have treaded water navigating the storm of business ownership during a pandemic. Analysts on staff to help dentists make data-driven decisions, bulk purchasing power to secure personal protective equipment (PPE), and human resources professionals to handle staffing issues have all become attractive solutions available through DSOs.

Capital gains tax

Massive government spending programs during the pandemic will come at a cost, even after helping to keep the economy afloat. A capital gains tax is most likely the solution, which may drive dentists to seek an affiliation or exit sooner than later. Financial advisers are advising dentists to hang up their proverbial hats in anticipation of an increase in capital gains tax.

Essential workers status

“This year proved that dentistry is, in fact, an essential service,” Francis said. “Delayed preventive care led to restorative care. Delayed restorative care led to endodontic care. Delayed endodontic care led to replacement procedures.” However, while it’s gratifying to recognize that dental services are vital to overall patient health and well-being, essential medical services are subject to health care reforms.

Commercial real estate

The value of commercial real estate is likely to drop in 2021 with partially or fully remote workforces. Since dentists can’t do house calls or work remotely due to diagnostic equipment, leasing professional office space is a necessity, which gives dental practices the upper hand when it comes to renegotiating a lease, rental rates or other concessions.

What’s next?

Contact the experts at Professional Transition Strategies to help determine the fate of your dental practice in years to come.

What the COVID-19 Vaccine Means for Dentists

Dentists all over the U.S. have been surprised to learn they don’t qualify as “health care workers” under the distribution program from the Centers for Disease Control and Prevention (CDC) that will dictate who receives the first round of COVID-19 vaccinations as part of the phased-in approach. Here are the facts you need to follow for the high-risk field of dentistry.

A lookback

During initial shutdowns in the spring, most dentistry offices were forced to shutter their doors for elective procedures with the exception of emergency patients only. Dentistry offices are now being forced to work with their state governor’s offices to be included in the first phase of distribution of the COVID-19 vaccine rather than wait with the rest of the general population to be vaccinated.

Definition

The CDC is prioritizing health care workers, first responders and residents of long-term health care facilities for the first round of vaccines; however, while the dentists and hygienists met the definition of “health care worker” as defined by the CDC, they are not included in the revised distribution plan.

Risk potential

Dentists and hygienists have been wearing more personal protective equipment now more than in pre-COVID-19 times since patients cannot wear masks when working in their mouths. By nature of the procedures of average health care professions, dentists and hygienists are closer than six inches away from patients rather than the recommended six feet, creating more potentially contaminated aerosols.

What’s next?

Stay on top of Professional Transition Strategies’s blog for more ways to navigate the COVID-19 pandemic.

What Is the Value of Your Dental Practice?

In an article for DentistryIQ, Professional Transition Strategies Founder and President Kyle Francis says “it’s surprising that many dentists don’t even know the value of their practices.” As your most valuable asset, your dental practice is worthy of the time and investment to seek an appraisal. Here’s what to consider.

Keep your options open

Retirement and career planning are the two main reasons dentists need to know the value of their practices,” Francis says. This gives practice owners the opportunity to leverage the values they’ve created to get a bigger payday with enough time to work with current or future dental partners to make necessary improvements over the course of time. In the long term, they can build value in a number of other ways, including an equity relationship with a dental service organization (DSO), which can take up to seven years.

Factors affecting practice value

An appraisal is really the only way to assess the true value of your dental practice since they are performed on a case-by-case basis. Practice type, location, practice visibility within the community, regional growth, standalone building versus retail center and even signage all contribute to the overall value of your dental practice. Other factors include revenue trends and forecasts, the number of active patients, patient attrition and retention rates, and new patients in the last month and year, as well as value of the dental equipment and its resale rate.

Assessment and documentation

Getting a dental practice appraisal is no small task on the part of the owner but well worth it in the end. It will require three years of profit-and-loss statements and tax returns, current balance sheet, production broken down by provider and procedure type, active patient roster and list of employees (with wage or salary information), new patients during the past 12 months, accounts receivable aging report, copy of lease (if applicable), dentist biography, photo documentation of office and equipment, office hours, and insurance plans accepted. “The sooner you know how much your practice is worth, the earlier you can start enhancing its value,” Francis says.

What’s next?

Contact the experts at Professional Transition Strategies to start the process of appraising your dental practice, whether you plan to sell, retire or practice for 20 more years.

5 Key Reasons to Use Brokers for DSO Dental Practice Sales

With an estimated 600 dental service organizations (DSOs) across the country, the number of possible offers for your dental practice can seem exhilarating. However, not all DSOs are created equal, and more importantly, neither are all dental practice transitions. Here’s why to use a broker to sell your dental practice to a DSO rather than trying to navigate the transition on your own.

Experience

Brokers will have personal experience with the DSOs. It’s easy for a broker to predict which way the transaction is heading and negotiate accordingly. This is all to say you should use a broker that has experience with dental practices, specifically one that knows and has experience with the different groups.

Knowledge

Brokers will have inside knowledge of the groups that actually practice clinical autonomy. When representing yourself, it can be hard to get to the bottom of each interested party while also negotiating the terms and running a successful practice at the same time.

Representation

By having someone act as your fiduciary, you can feel confident your best interests are being represented rather than just the interests of the group. The broker shouldn’t be compensated by any group. While being your advocate in the transaction, the broker shouldn’t have any other skin in the game.

Demand

A broker has the ability (and obligation!) to bring your opportunity to several groups that share your values. By creating more demand, you tend to have better negotiating power so that you can expect to receive higher offers and betters terms by the end of the transaction.

Bottom line

Houses are commodities; dental practices are not. Therefore, while you can sell your own house, you need an intermediary to sell your dental practice. Your time is better spent focusing on the well-being of your practice and its employees and patients before hanging up your proverbial hat.

What’s next?

Contact the experts at Professional Transition Strategies for help selling your dental practice to a DSO.

PTS Holiday Cocktail Guide

2020 has been a year, to put it mildly. It’s almost time to kick this year to the curb as we usher in the holiday seasons. Now more than ever, it’s time to toast with a drink or two. But, of course, because we’re Professional Transition Services (PTS), our cocktail guide includes dental-themed libations. Cheers!

Gobble Gimlet

Ingredients:

  • 1/2 oz. vodka or Hendricks Gin
  • 1 oz. St. Germain liqueur
  • 1 oz. lime juice
  • 2” piece of cucumber, plus a thinly sliced cucumber round for garnish

Instructions:

  1. Muddle cucumber in a cocktail shaker.
  2. Fill shaker with ice.
  3. Pour in the gin, St. Germain, and lime juice.
  4. Securely fasten the lid, and shake like crazy for about 30 seconds.
  5. Strain the cocktail into a martini glass, and garnish with a slice of cucumber.

Pearly White Margarita

Ingredients:

  • 18 oz. full-fat coconut milk (in can)
  • 6 oz. coconut water
  • 6 oz. Grand Marnier
  • 9 oz. silver tequila
  • 1/2 c. lime juice
  • 3 tbsp. agave syrup
  • Fresh or frozen cranberries, lime slices, and rosemary sprigs for garnish

Instructions:

  1. Add coconut milk, coconut water, Grand Marnier, silver tequila, lime juice, and agave syrup to a large pitcher.
  2. Stir everything together using a whisk until coconut milk no longer separates.
  3. Serve over ice.
  4. Garnish with fresh cranberries, lime slices, and rosemary sprig.

Dirty Shirley Temporalis

Ingredients:

  • 2.5 oz. top-shelf vodka, such as Tito’s
  • 1 oz. fresh lime juice
  • 0.25 oz. grenadine syrup
  • 3 oz. ginger beer
  • Lime, maraschino cherries, or brandy-soaked cherries for garnish

Instructions:

  1. Place all ingredients (except ginger beer) into a cocktail shaker, and add large ice.
  2. Shake cocktail shaker vigorously.
  3. Add ginger beer, and roll the cocktail shaker once.
  4. Taste for balance, adding more lime if you prefer.
  5. Strain over fresh ice.
  6. Garnish with maraschino cherries or brandy-soaked cherries for a more adult taste.

Man(dibble)hattan

Ingredients:

  • 2 dashes angostura bitters
  • 1 oz. sweet vermouth
  • 2.5 oz. bourbon, such as Buffalo Trace
  • 1 maraschino cherry for garnish

Instructions:

  1. Fill a short glass 2/3 full with ice.
  2. Add bitters, vermouth, and bourbon.
  3. Add cherry, and crush it against the side of the glass with a spoon.
  4. Stir.

Dental Crown Cocktail

Ingredients:

  • 1 oz. Crown Royal Peach
  • 1 1/2 oz. peach schnapps
  • 3 oz. cream soda
  • Ice for shaking and the drink

Instructions:

  1. Add ice to your cocktail shaker to half full.
  2. Pour in the peach whiskey.
  3. Add the peach schnapps.
  4. Seal and shake the cocktail shaker vigorously for at least 30 seconds until very cold.
  5. Put ice in your glass.
  6. Strain the shaken ingredients into your glass.
  7. Fill to the top with cream soda as desired.

A Breakdown of the 2020 Dental Practice Salary Survey

Although 2020 wasn’t a “normal” year by any stretch of the imagination, it’s still important to reflect and benchmark the dental profession in order to learn from the past and move forward. This year’s salary survey by DentalPost in partnership with RDH Magazine features results from more than 8,800 dental professionals about how they feel about compensation, benefits, work-life balance, and the future of modern dentistry. Here’s what you need to know.

Demographics

The more than 8,800 dental professionals who answered the survey included dentists, dental hygienists, dental assistants and front office staff/office managers. Conducted between June and September 2019, the study consisted of 30 questions that ranged from compensation to how employees felt about their roles in the dental community and the changes that have occurred in the industry.

Compensation

The survey asked respondents how satisfied they are with their overall pay. The results conclude 52% of dentists are satisfied with their overall pay, 44% of dental hygienists are satisfied with their overall pay and 31% of front-office employees are satisfied with their overall pay. The survey also covered employee benefits in more detail.

Generational impact

As the incoming generation of dental practice workers moves toward maintaining a healthy work-life balance, the survey notes different strategies and actionable approaches to hire and retain Boomers, Generation Xers, Millennials and Gen Zers. The survey takes it a step further to explain the role of gender and children under 18 in the household. There’s also a correlation among respondents regarding the rise of dental temping before committing to a dental office or job change.

Hours per week worked

The survey asked respondents if they were happy with their current weekly schedule, if they felt overworked and preferred to work fewer hours, or whether they would work more hours. 43% of dentists feel overworked and would prefer to work fewer hours, while only 6% would prefer to work more hours. 24% of dental hygienists feel overworked and would prefer to work fewer hours, with only 8% of respondents would prefer to work more hours. 60% of front-office employees are happy with their current weekly schedule, but 26% feel overworked and would prefer to work fewer hours.

Job change likelihood

The survey asked respondents if they were open to a job change within a year, trending toward more dental practice transitions. The results conclude 38% of dentists are open to a job change within a year, 43% of dental hygienists are open to a job change within a year, and 57% of front-office employees are open to a job change within a year. The survey also covered private practices versus dental service organizations in more detail.

What’s next?

Contact the experts at Professional Transition Strategies to find out how to increase job satisfaction at your dental practice or how to prepare for a dental practice transition.