The essential dental practice transition checklist that saves you time, money and stress

dentist reviewing X-rays

Whether you’re 10 days out from closing on your dental practice or less than two weeks away from finalizing the transition process, now is not the time to panic. We’ve put together brief but comprehensive checklist to help guide you along the way.

 Financial Documentation You’ll Need

Getting your financial paperwork organized ahead of time is essential preparation that will streamline the entire transition plan and prevent last-minute scrambling that could delay your closing.

  • Tax returns for the past three years – Buyers and lenders need to verify your historical income patterns
  • Current profit and loss statements – Ideally prepared by your accountant to meet professional standards
  • Balance sheets – Provide a snapshot of your practice’s assets and liabilities
  • Bank statements for all business accounts – Last 12 months for all practice-related accounts
  • Accounts receivable aging report – Helps determine the true value of outstanding patient payments
  • Accounts payable summary – Shows what you currently owe to suppliers and vendors
  • Equipment appraisals and depreciation schedules – Documentation for your practice’s physical assets
  • Lease agreements – For office space, equipment, and contracted services
  • Malpractice insurance policies – Current policies with documentation of any claims history
  • Employee payroll records – Including W-2s, 1099s, and other legal documentation for independent contractors
  • Loan documentation – All related paperwork including current balances and payment histories

Having these documents organized in advance saves valuable time during the due diligence process and demonstrates your professionalism as a seller to potential buyers.

Consider working with consulting services that specialize in practice transitions to ensure all financial documentation meets buyer expectations and industry standards.

 Pre-closing dental practice transition checklist

  • Prepare a settlement statement for accounts receivable and prorated expenses being paid for.
  • Sign loan documents.
  • Settle insurance credentialing, especially when considering Medicaid.
  • Generate a list of suppliers and vendors.
  • Set up accounts with all vendors.
  • Draft a letter to patients notifying them of the transitioning process.
  • Coordinate with practice patients to ensure continuity of care during the transition period.

 Due Diligence Items to Verify

The due diligence phase is your opportunity to confirm that everything checks out before moving forward with your practice transition.

  • Insurance contract transferability – Verify all provider agreements can transfer to the new owner
  • Patient records compliance – Ensure records are complete, HIPAA compliant, and properly organized
  • Digital and paper record systems – Confirm backup procedures and transfer readiness
  • Current licenses and certifications – Dental license, DEA registration, state permits, and specialty certifications
  • Business permits – Health department permits, business licenses, and zoning compliance
  • Vendor contracts and supplier agreements – Review terms, transferability, and change-of-ownership clauses
  • Staff employment agreements – Verify key employees and any associate dentists will stay and review non-compete clauses
  • Personnel file completeness – Ensure all employee documentation is current and compliant
  • Equipment condition verification – Recent service reports and warranty documentation
  • Equipment lease agreements – Review transfer procedures and remaining obligations
  • Practice management software – Confirm smooth transfer capability and data migration procedures
  • Patient communication systems – Verify transfer requirements and backup systems
  • Commercial real estate considerations – Review lease terms, property valuations, and any real estate components of the sale

Taking time to verify these items thoroughly protects both you and the buyer from unexpected complications that could derail the dental practice transition.

 Post-closing practice transition checklist

  • Finalize the settlement statement.
  • Send out patient notification letters.
  • Set up supplier and vendor accounts.
  • Notify insurance companies.
  • Hire all employees back to new corporations using proper paperwork (I-9s and W-4s).
  • Confirm wire funds transfer.
  • Host an open house at the office.
  • Access line of credit or operating capital.

 What’s next?

Contact the experts at Professional Transition Strategies to help guide you through the selling process every step of the way

Guest Post: Dental City Dwellers

As a silver-haired dentist who also enjoys a good road trip now and then, I have had the opportunity to make several observations about life in the U.S. These range from evaluating roadside oddities (I always stop and see them, unless doing so will make me late for a college football game or dinner) to thoughts on the distribution of dentists in America. Since there are no roadside oddities in the office (today), let’s consider that second topic.

Why are the rural and small-town dental markets under-served? (There are fewer than 50,000 people for the sake of our consideration here.) Admittedly, most all dental schools are in big cities. Do dentists become complacent while students and view it as easier to just stay in the city once they graduate? There is a certain attraction in remaining close to the friends they’ve made while in school, I’m sure. And, there are more restaurants, theaters and sporting events in large cities.

Nearly everyone I talk to while on road trips, however — and I’m a talker, so my kids think this number must be upward of 10 million — express such sentiments as, “I wish I knew my neighbors better,” or “a small town is a better place to raise kids.” It seems that nostalgia for small-town America is a big deal, no matter where I go. From a dental point of view, there are untold numbers of small towns that would love to have a new dentist. There is less competition than in the larger cities, and financially, the average small-town dentist does better than the average dentist in a large city. With additional discretionary income, one could purchase a bigger or nicer home, have the ability to support specialty causes, and enjoy more luxury overall. A common-sense consideration will lead to the conclusion that a dentist can make enough money in a small town to be able to take a vacation wherever they want to go.  

So, if you’re a young dentist or your spouse/significant other is one, sit down with them and have the talk. No, not that talk. Consider economic benefits, quality-of-life issues and where you would like to age gracefully. Decide if a smaller market is for you; you may be surprised!

Hopefully, sometime soon, I will see you on a motorcycle tour of Route 66, the Appalachians, or some other great place.

Dr. Dan HolsteenDr. Dan Holsteen is a 1977 graduate of Louisiana State University and a 1982 graduate of the University of Missouri-Kansas City School of Dentistry. Following his dental training in Kansas City, he completed a hospital residency program with the Veteran’s Administration in Topeka, Kansas, before moving to Colorado Springs to set up a private practice. After more than 34 years, Dr. Holsteen sold his practice in March 2018.  Now that he’s not in the dental office every day, Dr. Holsteen is spending more of his time traveling, fishing, riding his motorcycle and perfecting his grandpa skills.

When (and When Not) to Invest in New Dental Equipment

laser dentistry

Whether you’ve just purchased a dental practice or have been in business for decades, the question of whether to invest in new equipment will inevitably arise. It may be tempting to invest in all-new dental equipment as the need arises, but before opening your wallet, you’ll want to consider whether it’s worth it or if there’s another option.

Go digital

Sure, your practice has run smoothly without entering the digital world, but that doesn’t mean it should continue that way. Going digital can directly impact patient care and communication, in addition to alleviating manual patient-facing responsibilities from your staff.

Take the tax advantage

Thanks to Section 179 tax deduction, you can receive all or a portion of the expenses you used to purchase new equipment for at least 50% of the business use. Just note the cost of eligible equipment is limited to $200,000.

Consider the turnover

Like any technology, as soon as you invest in the latest, a new version is already in the works. While you should take into account the frequency at which the technology evolves into consideration when looking at a specific piece of equipment, don’t let it deter you from making the leap.

Just fix it

Wear and tear are natural with any piece of equipment, but that doesn’t mean it needs to be replaced at the first sign of deterioration. Not only should you consider how often your equipment breaks, but also how it impacts your ability to treat patients.

Calculate true cost

How much a new piece of equipment will truly cost you over the course of time includes factors like the price to train staff on usage, installation fee and any necessary technical support, in addition to the impact it will have on your electric bill. What’s more, factor into account any related accessories or supplies you may need.

Estimate return on investment

You may have sticker shock, but if the equipment makes your practice run more efficiently, gives you a competitive edge or increases the number of services kept in-house, then it may be worth the investment. To calculate, compare the true cost with the projected increase in collections to see how your practice will grow.

Think about leasing

Trading in old equipment for new may be appealing, but be sure to inquire about any additional costs and fees, in addition to shopping around for interest rates with banks that are familiar with dental lending. Ultimately, a lease might make more financial sense when considering upkeep and interest rates.

Take demographic into account

Having the latest and greatest equipment can be exciting for the practicing dentist but maybe not for your patients. Before investing in a specific piece of cosmetic dentistry equipment, evaluate whether your patients can afford or want dental aesthetics.

What’s next?

Contact the experts at Professional Transition Strategies for a complete appraisal of your dental practice, including a valuation of your hard assets.

How to Maximize Tax Advantages for Your Dental Practice

doctor on smartphone

With end-of-year budgeting in full swing, it’s never too early to start thinking about how to maximize your tax advantages. Any business owner knows every dollar counts, so every decision will only pay off every year. Here are some not-so-obvious ways to maximize the tax advantages for your dental practice now and into the future.

Practice ownership structures

If transitioning ownership, choosing the right business structure for your dental practice is a matter of saving thousands in tax dollars annually, in addition to making your practice run smoothly. The right structure will not only impact how the business pays taxes, but also how the dentists are compensated.

Loan payment

Like taxes on your mortgage, interest on your loan payment can be written off as a deduction. Consider taking out a longer-term loan with lower payments to increase the cash flow of the practice, similar to taking out an insurance policy.

Goodwill

What makes up the majority of your practice’s value — as much as 80% — is its goodwill, those non-categorized assets (think status within the community, practice name, staff loyalty and longevity, and brand awareness and marketing) for tax purposes that assist in the valuation process, help obtain the appropriate financing for the transaction, and mean you pay fewer taxes at closing.

Depreciated goods

When a business owner buys dental equipment, computers, furniture or any other assets for business uses, the owner can get tax deductions for buying and using them. Section 179 was put into place to allow for depreciation of capital expenditures in one year rather than spreading the deductions over a period of years. While all assets depreciate in value over time, Section 179’s Depreciation Schedule allows you to depreciate all assets up to a certain amount in the first year so that no taxes will be paid, in most cases.

What’s next?

Whether you’re in the process of a transition or deep into business ownership, contact the experts at Professional Transition Strategies to learn what tax advantages you might be missing out on.

5 Critical Elements of Dental Practice Transition LOIs

dentist working on patient

Simply put, a letter of intent (LOI) is a document of understanding between two or more parties used when a buyer is intending to purchase a practice. It is a nonbinding document that states the business terms for purchasing the practice and/or real estate and your intent to follow through with the transaction. Yet, this all-important one-page document leaves little room for error. Follow these steps to ensure a seamless LOI process. 

Components

All LOIs must include the entity, purchase price, earnest money down, acceptance date and closing date — all of which will then help the buyer calculate return on investment. It also typically includes generic contingencies for which a transaction may fall through (a “get-out-of-jail-free” card, if you will). Most intermediaries or brokers can provide an LOI that can easily be filled out by buyer and their advisories.

Timeline

When vetting potential buyers, a nondisclosure agreement is signed by every potential buyer who inquires about your practice, after which time a prospectus is sent. A conversation between the potential buyer and broker then takes place to answer questions and gain a better understanding of the buyer’s intent. If the practice is deemed to be a good fit, an LOI is submitted, which typically takes 10 days

Finances

As the buyer, an LOI must be filled out and sent to the broker within a day of visiting the practice. The offer price is determined by the buyer by analyzing the prospectus or appraisal, while also taking market conditions, overall desirability and competition into consideration, then asking the bank how much financing is available.

Options

After reviewing the LOI with the broker within five days, the seller is presented with three options: acceptance, counteroffer (terms, price, closing date, agreement, etcetera) or decline (though unlikely, this just means the seller is not willing to negotiate).

Negotiations

Within a five-day window, a conversation usually takes place between the buyer and seller by way of the broker to determine agreed-upon terms. Once the terms are determined amenable to all parties, the LOI is signed, and the due diligence process begins.

What’s next?

Put the LOI process in the hands of the experts at Professional Transition Strategies

Complete Due Diligence Guide for Dental Practice Transitions

dentist working on patient

Once the seller and buyer agree to the terms, the due diligence process begins, which can take anywhere from 30 to 45 days. In the case of a successful dental practice merger and even affiliation, careful due diligence is imperative. But no matter the type of transition, practicing due diligence will leave little room for error in the long run among your team of advisors. While the documents required may vary depending on the specifics of your transaction and lending requirements, here’s a checklist to help get everything in place.

Seller’s side

Practice corporation: Is there a legal corporation to which sales proceeds should be paid, including family trust, corporation, personal funds and 1031 exchange?

Will the buyer get a Doing Business As (DBA)?

Does the existing entity need to be closed?

In the case of a merger or buy-in, what is the Tax ID (EIN) for the practice?

Is there a license needed for the business?

For the selling doctor, what is the existing and new work schedule, and what is the compensation?

If the value of accounts receivable will be determined on the day of closing, what will the standard schedule for accounts receivable valuation look like in terms of percentages? This includes real estate, insurance and licensing.

Buyer’s side

What documents are required for the bank? This includes a loan application with preapproval letter, the bank’s personal financial statement, tax returns for the previous three years, a credit report, verification of funds, bank statements, final loan offer from the bank, closing instructions from the bank and articles of incorporation with IRS documents.

What’s next?

Contact the experts at Professional Transition Strategies for a complete due diligence checklist and to get the dental transition process started.

What DSOs Look For When Purchasing Dental Practices

dentists working on patient

When it comes to selling your dental practice, don’t rule out the option to sell to a dental service organization (DSO). DSOs have gotten a negative reputation because of their seeming corporate interest, which is why it makes sense when the seller is looking to stay on with the practice but wants to release managerial responsibilities, such as in a retirement situation or anyone who is looking to maintain a work-life balance. Here’s how to make sure your practice checks all the DSO boxes.

What most DSOs do not look for:

  • A practice that has three or fewer operations.
  • A practice that collects less than $800K.
  • A practicing dentist who is looking to exit immediately.
  • Medicaid.
  • Inconvenient location.
  • If the doctor’s work is not repeatable or is hard to duplicate.

What most DSOs do look for:

  • A practice with at least four operations (though the more, the better).
  • A practice that collects a minimum of $850K, more than a million being ideal.
  • A practice that negotiates with PPOs.
  • A desirable location, mostly urban or suburban.
  • A practicing doctor who is looking to stay on for two or more years.
  • A practice with an intraoral scanner.
  • One dentist for every 1,800 patients.
  • General dentistry practices, although there are DSOs for specialty practices.

What a DSO provides assistance in:

  • Payroll.
  • Human resources.
  • Marketing and branding.
  • Practice support.
  • Accounting.
  • IT services.
  • Recruiting.
  • Capital and financing.
  • Tax services.
  • Risk management.
  • Ordering of supplies and equipment.
  • Negotiating lab costs.
  • Compliance.
  • Strategic thinking.
  • CE (depending on the size of the group).
  • Growth model (acquisition, etcetera).
  • Licensing.
  • Scheduling assistance.
  • All the mundane work a doctor typically doesn’t want to handle.

What’s next?

Unclear where you stand? Contact the experts at Professional Transition Strategies to see if selling to a DSO is the right move for your dental practice.

DSO Navigation Webinar: Critical Success Factors Revealed

dentists working on patient

As a business owner, it may be instinctual to want to take the sale of your practice into your own hands rather than hiring a professional. But hiring a professional dental broker to handle the sale of your practice will help you get the most out of your transaction in the long run in terms of both time and money. After all, your job during this transition is to focus on keeping the value of your practice up in order to get the most out of your sale. Here’s how.

Future plans

Whether you’re planning to put your investments toward retirement or another investment, you’ll want to ensure a smooth and lucrative transition. Take advantage of a complimentary prospectus offered by a dental broker to know the true value of your practice and which options are available.

Timing

Selling a dental practice takes approximately 150 hours, time that could be better spent maintaining a successful business. A qualified broker will already have contracts in place rather than hiring an attorney to draft documents for you, saving thousands of dollars. The broker will also save you time by already having a list of potential buyers in the area or at least an active marketing approach. 

Maximum value

A qualified broker will present all possible options to you so that you can look at and compare all sides. This not only means selling to an individual, bringing on an associate or affiliating with a dental service organization (DSO), but also considering all options within each vertical. Considering various strategic approaches will help maximize the value of the transaction.

Process details

The work has only just begun after receiving a prospectus from a dental broker and presenting your practice to qualified buyers. 80% of the transaction includes the contracts, negotiations and final sale. A qualified broker guides the transition of ownership, from negotiating the sale and finding fair market value to providing the asset purchase or stock agreement and assisting with the real estate needs. 

Due diligence

Having the money to purchase your practice does not mean it’s the right dentist for the job. A dental broker will go through the due diligence process to find the best match for your practice, whether that’s an individual or a group, to help you, your staff and your patients feel comfortable with the transition. 

Confidentiality

Knowledge of a potential sale can hurt your business and increase your attrition rate significantly. What’s more, your staff may take the opportunity to look for employment elsewhere. Confidence is key with a professional dental broker so as to not impact the value of your practice. 

Emotional baggage

Starting and putting your own sweat equity into your dental practice can be an emotional process when the time comes to move on. Strong emotional ties to your practice can make it more difficult when it comes to making business decisions, which is why hiring a broker can help make the transaction more efficient and smoother. 

What’s next?

Professional Transition Strategies not only offers a free valuation at the beginning of the process with no signed contract in place, but also 30-day listing agreements where most other brokers require a yearlong contract with penalties. Contact the experts to start the seamless selling process.

4 Ways to Prepare for a Dental Practice Relocation

Relocating your dental practice is much more than just packing up your boxes and moving. There are a lot of steps that need to take place before the big move to ensure a successful outcome for both your staff and patients. Here are just a few ways to set yourself up for success.

Review your lease

One of your main goals during an office relocation is to have little to no dark time between your move to ensure revenue doesn’t take a hit. By reviewing the terms of your current lease, you can stay in your current location until your new office is up and running. Most importantly, after figuring out a date for the move, don’t forget to notify your current landlord that you are terminating or not extending your lease.

Office inventory

After choosing a moving company that has experience moving large and fragile equipment, create an inventory of your office contents and a diagram of where you want all equipment and furniture to go in the new space. Your best bet is to plan to be at the new office on the day of the move to oversee the entire process, including the placement and handling of furniture and equipment. Don’t forget to get moving insurance as renter’s insurance doesn’t always cover damage to furniture or equipment during a move.

Enlist help

Delegate responsibilities among your staff and use this opportunity to declutter your office by getting rid of anything you no longer use or need. Additionally, use this time to update your patient records, including removing inactive patients’ records. This is also an ideal time to have your accountant review your budget as not only is the physical cost of a move expensive, but the new location can also skew your current budget in terms of a higher lease rate, especially if you moved to a more desirable area or into a larger space.

Notify patients

To minimize your attrition rate, be sure to notify your patients of the upcoming move by displaying a “We are moving” sign in your waiting room, as well as a banner and accompanying map of the new location on your website. Also, send out a mass letter or email to all patients detailing your move, including the new address, date of opening and highlights of your new location. Staff should also mention the move to patients at every opportunity as soon as the announcement is made. Consider even throwing an “office-warming party” to get patients and staff excited about the change.

What’s next?

Learn about the considerations that need to be made when relocating your dental practice. Then, contact the experts at Professional Transition Strategies to ensure a successful transition when looking to relocate your dental practice.

5 More Considerations when Relocating Your Dental Practice

Whether you are relocating your dental practice across the street or across the country, it is important to have your relocation strategy in place before the big day. There are many reasons why one may decide to move their practice from its current location, including the sale of the building, lower rental rates, and upgraded space. Here are some additional considerations to make before packing your bags.

Area demographics

Before settling on a location, ask yourself: What is the average income level of the residents within a five-mile radius? What is the age of the residents? Is the area growing with new homes and businesses, or is it declining or staying stagnant? Does the traffic volume warrant visibility that allows good signage for your practice?

Competition

As with any business, it is important to analyze the competition around you before making the move. Be sure to figure out if there are competing dental practices in the proximity of the location you are considering. If you are relocating to an area with competition nearby, consider what your unique value proposition is and what will help you stand out amongst the crowd. Also, keep in mind the dentist-to-patient ratio. How many other dentists are in the area? Is the dentist-to-patient ratio high or low?

Location

To minimize patient and staff attrition, try to stay as close to your current location as possible. However, if your current area is not ideal and your practice isn’t ideally established in terms of patients and staff, consider moving to a better area where your practice has a better chance to grow.

Building

When relocating your business, you will need to take all aspects of the new building into account. Consider the accessibility of the practice for your patients. Is the parking adequate for patients and staff? Where will signage be visible? Is there an opportunity for expansion if you choose to grow?

New patients

Use this opportunity to grow your patient base in your new neighborhood by becoming immersed in the area and market to the community. Make sure to get your name and your brand out in front of all potential clients.

What’s next?

Contacting the experts at Professional Transition Strategies will only ensure a successful transition when looking to relocate your dental practice. Start the conversation now.