The Dental Boardroom – Details, episodes & analysis

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The Dental Boardroom

The Dental Boardroom

PracticeCFO

Education
Business
Business

Frequency: 1 episode/13d. Total Eps: 156

Captivate
A place for dentists to find expert insight and information around everything from navigating residency and associate opportunities to being a successful dental practice owner.
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Score global : 48%


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73: Partnership Valuations

Episode 73

jeudi 7 novembre 2024Duration 23:49

Episode Summary:

In this episode, we dive deep into the intricacies of valuing dental practices, particularly in the context of partnerships. We break down key valuation concepts for general practitioners (GPs) and how factors like cash flow, overhead, and goodwill contribute to a practice’s overall worth. We also explore different partnership models, including associate buy-ins and common pitfalls when transitioning from associate to partner. Gain insight into how practice owners and associates can fairly assess and negotiate valuations to build equitable and sustainable partnerships.

Key Points:

  1. Understanding Dental Practice Valuations: Importance of cash flow, overhead, and goodwill in determining a practice's value.
  2. Associate Buy-In Models: Different approaches for associates buying into a practice, including up-front 50% buy-ins and phased purchases over time.
  3. Calculating Ownership Value: Methods for estimating buy-in costs for associates and considering contributions to the practice’s growth.
  4. Equity Distribution and Decision-Making: Pros and cons of 50-50 ownership versus minority stakes, and how these impact authority and motivation.
  5. Potential Pitfalls in Partnerships: The need for clear agreements around patient distribution, revenue sharing, and equity to avoid conflicts and financial imbalances.
  6. Importance of Professional Guidance: Engaging accountants, attorneys, and other professionals to ensure fair valuations and sustainable partnership structures.

#DentalPracticeValuation #DentalPartnership #AssociateBuyIn #DentalBusiness #DentalFinance #PracticeGrowth #DentalPartnerships #Goodwill



72: Three Elements to a Successful Dental Partnership

Episode 72

jeudi 31 octobre 2024Duration 34:39

Episode Summary:

In this episode. we dive into the essentials of forming a successful dental partnership—a vital strategy in today's challenging economic landscape for dental practices. Our host draws on over 15 years of experience to highlight the financial and personal benefits of partnerships, explaining how joining forces can alleviate cost pressure, increase profitability, and create a supportive work environment. Key discussion points include the importance of chemistry, shared clinical philosophy, and fair profit allocation between partners. Tune in to learn how to navigate potential pitfalls and maximize the benefits of a dental partnership.

Key Points:

  1. Benefits of Dental Partnerships - Understanding the economic advantages of sharing cost to boost take-home profits and enhance wealth-building
  2. Three Pillars of Successful Partnerships - Chemistry, shared clinical philosophy, and equitable profit sharing as the foundation for a harmonious business relationship.
  3. Financial Insights on Cost Structures - Explanation of fixed vs. variable costs in dental practice and how partnerships can optimize expenses.
  4. Navigating Challenges in Partnerships - The common reasons for partnership dissolutions and the complexities of handling conflicts.
  5. Evaluating Chemistry and Communications Skills - Why strong interpersonal skills and tryst are crucial for long-term partnership success.

63: Dental Staffing Problems and Solutions—with David Schwab, Ph.D

Episode 63

mardi 2 juillet 2024Duration 48:28

For most practice owners, the dentistry is the easy part. What’s hard is managing your team, especially with the current dental staffing shortage.

So, what factors contribute to this shortage of staff? What can doctors do to solve this systemic issue?

David Schwab, PhD,  is a professional speaker, author and dental practice management consultant who helps dentists grow their practices, educate their patients and train their teams.

On this episode of the Dental Board Room Podcast, David joins host Wes Read to explain what’s behind the dental staffing shortage and how we might address it with virtual workers, part-timers and temps.

David offers advice on addressing employees who chronically call in sick, conducting performance reviews, and responding to requests for a raise.

Listen in for insight on the Ritz-Carlton concept of lateral service and learn David’s top strategies for building and managing your team through the current dental staffing shortage.

Topics Covered

Why managing your team is the most difficult aspect of running a dental practice 

Why there’s a shortage of dental staff and what doctors can do to solve the problem

The evolution of virtual work in dental practices

David’s take on hiring virtual assistants from places like the Philippines or Africa

What dental office tasks are likely to be outsourced moving forward

The advantages of hiring part-timers and people without a background in dentistry

How the emergence of online marketplaces might impact the dental space

How well-documented processes allow doctors to leverage temporary employees

David’s advice on addressing employees who chronically call in sick

David’s ‘open book test’ system for performance reviews

How dentists should respond to employee requests for a raise

The benefit of open-book management that allows staff to understand overhead

What dentists can learn from the Ritz-Carlton concept of lateral service

David’s background and experience as a dental management business consultant

Connect with David Schwab

David Schwab Dental Practice Management Consulting

Connect with Wes Read & Drew Phillips

Practice Orbit

Email wes@practiceorbit.com or drew@practiceorbit.com 

Practice CFO

Practice CFO on Instagram

Practice CFO on Facebook

Practice CFO on YouTube

Resources 

Trainual

SweetProcess

The E Myth by Michael E. Gerber

Entrepreneurial Operating System

62: Trends in the DSO & Private Practice Sale Markets—featuring David Cohen

Episode 62

lundi 17 juin 2024Duration 45:50

In the aftermath of COVID, there was a massive boom in dental practice transactions. 

The market finally corrected itself in 2023. And while doctor-to-doctor private sales remained consistent, DSO sales slowed dramatically.

So, what caused these market trends? What does the market look like so far in 2024? And how will understanding trends help you make informed decisions as you buy or sell your own dental practice?

David Cohen is Managing Attorney at Cohen Law Firm, a legal practice with a unique focus on dentists and dental specialists. His team does between 300 to 400 practice transactions nationwide every year.

On this episode of the Dental Board Room Podcast, David joins host Drew Phillips to discuss how the DSO and private practice markets have evolved since 2020.

David shares his process for helping clients decide between DSO versus private practice deals and describes how deal terms are changing on the DSO end in 2024.  

Listen in to understand what’s behind the uptick in private partnerships in recent months and learn how to make the best decision for selling your dental practice based on your circumstances and current market trends.

Topics Covered

How David’s family background inspired his work with dentists

How the DSO and private practice markets have evolved from 2020 to present

How David helps clients decide between private and DSO deals

How DSO deal terms are changing to favor the DSO

David’s insight on the uptick in both private partnerships and 100% sales

What’s behind the rise of workbacks in private practice sales

Connect with David Cohen

Cohen Law Firm

Practice Transitions [R]evolution Facebook Group

Cohen Property Law Group

Connect with Wes Read & Drew Phillips

Practice Orbit

Email wes@practiceorbit.com or drew@practiceorbit.com 

Practice CFO

Practice CFO on Instagram

Practice CFO on Facebook

Practice CFO on YouTube

Resources 

Seattle Study Club

61: How to Overcome Dental Staffing Challenges—with Dr. Michael Neal

Episode 61

vendredi 29 mars 2024Duration 36:20

Is good help hard to find when it comes to staffing your dental practice?

According to the ADA Health Policy Institute, staffing shortages, recruitment and retention are among dentists’ top concerns moving into 2024. 

But what if you could easily find A players to fill your open positions? A players who will stick with your team for the long term?

Dr. Michael Neal is Founder and CEO of Build My Team, an affordable, outsourced healthcare hiring service that provides highly qualified job candidates for your dental practice.

A practicing optometrist in rural Pennsylvania, Dr. Neal created Build My Team to solve his own hiring challenges. Today, the platform serves healthcare providers in 40 states and Canada.

On this episode of The Dental Board Room, Dr. Neal joins host Drew Phillips to share the Build My Team process for hiring staff in healthcare practices without resumes or traditional interviews.

Dr. Neal explains how Build My Team designs an algorithm specific to your open position and collects data from job candidates to find A players for your practice.

Listen in to understand how Build My Team solves for the supply issue in healthcare staffing and learn how Dr. Neal can help you find employees with the skills and talents to excel on your team. 

Topics Covered

[0:23] The Build My Team process for hiring staff in healthcare practices

[1:54] What data Build My Team collects from job candidates to find A players for a practices

[4:21] How Build My Team creates an algorithm specific to each position

[6:18] Build My Team’s guidance around finding employees who will excel in a given role

[8:23] How Build My Team collects the data they use to refine their algorithms

[9:46] What inspired Dr. Neal to design the Build My Team process

[11:14] Dr. Neal’s advice on creating a culture that retains A players

[12:05] How Build My Team solves for the supply issue in healthcare staffing

[13:34] What language Build My Team uses in its job descriptions

[17:52] How Build My Team informs a candidate that they’re no longer in the running for a position

[20:07] Why Build My Team asks applicants an open-ended question re: wage expectations

[23:05] Success stories of practices that used Build My Team to fill open positions

[25:07] Why you shouldn’t be afraid to hire team members without experience (for non-licensed positions)

[27:23] The typical timeline for filling an opening with Build My Team

[28:44] How the Build My Team process serves rural clients with a small talent pool

[30:23] How Build My Team helps a practice work with new team members

Connect with Dr. Michael Neal

Build My Team

Connect with Wes Read, Matt Odgers & Drew Phillips

Practice Orbit

Email wes@practiceorbit.com, matt@practiceorbit.com or drew@practiceorbit.com 

Practice CFO

Practice CFO on Instagram

Practice CFO on Facebook

Practice CFO on YouTube

Resources 

EOS

The Kolbe A Index

Episode Promo Videos 

Video Promo 1

Video Promo 2

60: Practice Sales: The Role of the CPA

Episode 60

mardi 6 février 2024Duration 38:37

You cannot sell a dental practice without clean books. And you definitely shouldn’t buy a practice without having an accountant evaluate its potential profitability.

But a good dental CPA has value beyond assisting with the basics of bookkeeping and price assessment.

So, what is the full value proposition of an experienced CPA in the context of a dental practice sale?

On this episode of our Dental Practice Transitions series, Dental Attorney Matt Odgers serves as guest host and interviews Wes Read on the role of a CPA in the practice transaction.

Wes explains how a good dental CPA forecasts the range of profitability for a buyer, and he walks us through the process of financial due diligence in a dental transition.

Listen in to understand how a CPA helps buyers make business decisions after closing and develop the mindset of a business owner to grow a financially successful dental practice.

Topics Covered

An overview of the CPA’s role in a dental transaction

How a good dental CPA assesses the profitability of a practice

Wes’ approach to forecasting the range of profitability for a buyer

How Wes defines financial due diligence in a dental transaction

Using a seller’s tax returns to validate data on a P&L

How a dental CPA might coach buyers on business decisions

What to do as a seller if your books are not in order

What a buyer should expect in terms of CPA fees for due diligence

PracticeCFO’s relationship with a buying dentist after closing

What differentiates the mindset of a clinician vs. business owner

Connect with Matt Odgers

Odgers Law Group

Email matt@practiceorbit.com

Connect with Wes Read

Practice Orbit

Email wes@practiceorbit.com

Practice CFO

Practice CFO on Instagram

Practice CFO on Facebook

Practice CFO on YouTube

Resources 

What You Need to Know About Submitting an LOI on DPS EP003

Must-Have vs. Nice-to-Have: Shaping the Terms of Your LOI on DPS EP004

Practice Sales: The Role of Escrow on DPS EP010

Practice Sales: The Role of an Attorney on DPS EP011

Episode Promo Videos 

Video Promo 1

Video Promo 2

59: Practice Sales: The Role of the Attorney

Episode 59

lundi 29 janvier 2024Duration 38:30

Every dental practice sale involves several legal documents. And that’s why an attorney is a crucial part of the transition team for both buyers and sellers.

But what, exactly, does a dental attorney do in the practice sale process? What should you look for in an attorney to help you buy or sell a dental practice?

On this episode of our Dental Practice Transitions series, Dental Attorney Matt Odgers is back with host Wes Read to discuss the role an attorney plays in the dental practice transition.

Matt and Wes walk us through the legal documents required in every practice sale as well as the deal-specific ancillary documents you might need.

Wes asks why it’s crucial to have a dental attorney review your LOI, and Matt explains what an asset sale agreement does and how it’s negotiated. 

Listen in for insight on the attorney’s role in negotiating either the lease or real estate purchase agreement and learn why it’s beneficial to use a dental specific attorney for your practice transition!

Topics Covered

The documents a dental attorney addresses in a given practice sale

Why it’s crucial to have a dental attorney review your LOI

What provisions in an LOI are binding (and which ones are non-binding)

How a good LOI includes timelines for due diligence

Matt’s approach when a buyer has little money in the bank but needs an LOI review

The purpose of the asset sale agreement and how attorneys negotiate it

Why it’s beneficial to use a dental specific attorney vs. a general business attorney

How a good dental attorney moves the deal forward when the other side won’t budge on a particular term

The attorney’s role in reviewing a lease and negotiating with the landlord

When to ask for a lease extension when the buyer takes over

How the process differs when a seller is at the end of their lease or owns the real estate

When you need a workback agreement or seller financing note

Connect with Matt Odgers

Odgers Law Group

Email matt@practiceorbit.com

Connect with Wes Read

Practice Orbit

Email wes@practiceorbit.com

Practice CFO

Practice CFO on Instagram

Practice CFO on Facebook

Practice CFO on YouTube

Resources 

What You Need to Know About Submitting an LOI on DPS EP003

Must-Have vs. Nice-to-Have: Shaping the Terms of Your LOI on DPS EP004

The Role of Escrow in a Dental Practice Sale on DPS EP010

Episode Promo Videos 

Video Promo 1

Video Promo 2

58: Practice Sales: The Role of Escrow

Episode 58

jeudi 25 janvier 2024Duration 37:24

What role does escrow play in a dental practice transition? How does it benefit buyers and sellers alike? 

Should you use an escrow for your practice sale?

Matt Odgers is a Dental Attorney with Odgers Law Group and VP of Business Development and Legal Operations with Practice Orbit.

Matt has more than a decade of experience representing hundreds of dentists in the process of buying or selling a practice.

On this episode of the podcast, Matt joins host Wes Read to discuss the purpose of escrow in a private practice sale, beginning with the financial security it affords sellers.

Matt and Wes explain why buyers have a larger representation when an escrow is involved and how it significantly increases the probability of closing the deal.

Listen in to understand how an escrow agent helps move a dental practice transaction forward and learn when you can avoid using escrow vs. when it is necessary to protect you in a dental practice sale.

Topics Covered

What inspired Wes & Matt’s podcast series on dental practice transitions

How Practice Orbit simplifies the dental practice sale process

How using an escrow affords dental practice sellers financial security

Why the buyer has larger representation when an escrow is involved

Why Wes & Matt are advocates of earnest money in the escrow process

How escrow instructions should be built into the letter of intent 

How an escrow significantly increases the probability of closing a deal

The escrow agent’s role in moving a dental practice transaction forward 

How an escrow statement makes things easier from an accounting, tax and legal standpoint

When it makes sense to hold back a percentage of the purchase price in escrow (and release it to the seller after certain conditions are met)

When you might avoid using an escrow in a dental practice sale

Connect with Matt Odgers

Odgers Law Group

Email matt@practiceorbit.com

Connect with Wes Read

Practice Orbit

Email wes@practiceorbit.com

Practice CFO

Practice CFO on Instagram

Practice CFO on Facebook

Practice CFO on YouTube

Resources 

What You Need to Know About Submitting an LOI on DPS EP003

Must-Have vs. Nice-to-Have: Shaping the Terms of Your LOI on DPS EP004

Episode Promo Videos 

Video Promo 1

Video Promo 2

57: Inflation, Interest Rates & Investing into 2024—featuring Brandon Hobson & Paul Lipcius

Episode 57

mardi 19 décembre 2023Duration 01:00:40

Inflation is down and the stock market is rallying in response. But the Fed is exercising caution before it lowers interest rates.

What does that mean for you and me? What should we be investing in right now?

Paul Lipcious, CPA, serves as Partner and Senior CFO Advisor and Brandon Hobson, CFA, CPA, is Chief Investment Officer at Practice CFO.

On this episode of The Dental Board Room Podcast, Brandon and Paul join host Drew Phillips for the continuation of The Dental Board Room Podcast's quarterly investment podcast series.

Brandon, Paul and Drew explain why the current markets are overly optimistic and where interest rates are likely to go in Q1 and Q2 of next year. 

They go on to discuss what sectors they favor moving into 2024 and how they’re making decisions around equity allocations based on the current economic environment.

Listen in to understand what factors might create a softening of the real estate market and learn why Brandon, Paul and Drew recommend sticking to a long-term investment strategy versus trying to time the market.

Topics Covered

How the Fed might respond to the recent improvement in core inflation numbers

Why the markets are being overly optimistic by pricing in the Fed’s next move

The Magnificent 7 stocks that are driving market performance right now

Why we can’t count on the continued growth of the Magnificent 7

What sectors Brandon, Paul and Drew favor moving into 2024

Where interest rates might go from here and how they’re influenced by employment, inflation and fiscal policy

The likelihood that quantitative tightening will hold through next year

How to adjust portfolio allocations in lieu of the decrease in the 10-year yield

How Practice CFO is making decisions around equity allocations based on the current economy

What differentiates value vs. growth stocks (and why we prefer value over growth)

How to assess the health of a company based on capitalization and debt loads

How wage inflation is affecting dentists and dental specialists

How interest rates and inflation influence real estate and what factors might create a softening in the market

Why time in the market is more important than timing the market

Connect with Brandon Hobson & Paul Lipcius

Brandon at Practice CFO

Paul at Practice CFO

Connect with Wes Read, Matt Odgers & Drew Phillips

Practice Orbit

Email wes@practiceorbit.com, matt@practiceorbit.com or drew@practiceorbit.com 

Practice CFO

Practice CFO on Instagram

Practice CFO on Facebook

Practice CFO on YouTube

Resources 

Jerome Powell’s Speech on November 30, 2023

‘What’s Going on in the Housing Market?’ in The Wall Street Journal

56: Insurance Audits, Board Investigations and Criminal Matters—with Attorneys Justin Withrow and Matt Odgers

Episode 56

vendredi 15 décembre 2023Duration 54:40

What are the most common legal issues a dental practice might face? 

How can dentists protect themselves from insurance audits? Board investigations? Or criminal charges?

Justin Withrow is Partner at Flannery Georgalis, LLC, where he specializes in representing dentists in regulatory investigations, insurance audits, professional licensing matters and complex business litigation.

Matt Odgers serves as Dental Attorney at Odgers Law Group, a firm with expertise in representing buyers and sellers in the purchase or sale of a dental practice.

On this episode of The Dental Board Room, Justin and Matt join host Wes Read to explain how a dental practice should approach sensitive legal matters.

Justin describes how a practice gets selected for an insurance audit, challenging dentists to put systems in place and conduct internal compliance checks to prepare for such an audit.

Matt and Wes ask what triggers a state board investigation, and Justin offers advice on reaching out to malpractice and securing legal counsel for your dental practice.

Listen in for insight on why a practice might find itself under criminal investigation and learn how the right attorney can help you navigate these challenging legal matters.

Topics Covered

[1:56] Justin’s background representing dentists with sensitive legal matters

[4:54] How a dental practice gets selected for an insurance audit

[8:03] Examples of statistical outliers that might trigger an insurance audit

[10:44] Variations in provider agreements among private insurance companies

[12:14] How often private insurance companies turn over the findings of an audit to a state board for criminal action

[13:41] 4 potential outcomes of an insurance audit and why it’s crucial to respect the process and respond in a timely manner

[18:52] The typical terms built into a contract between an insurer and provider (and how to terminate such an agreement)

[21:08] Building systems into your dental practice to prepare for an insurance audit

[22:39] How to properly document services provided and withstand the scrutiny of an insurance audit

[24:51] The benefit of having Justin’s firm conduct a compliance check for your practice

[27:20] What triggers a state board investigation of a dental practice

[30:03] Why a practice should take a state board investigation seriously from Day One

[35:05] When Justin suggests reaching out to your malpractice provider

[38:45] The quality of legal advice from on-panel providers for an insurance company

[42:20] Justin’s advice on how to secure legal counsel for a board investigation

[43:59] What partner dentists in a DSO can do to protect themselves from a board investigation

[47:16] Why a dental practice might find itself under criminal investigation

[51:35] The challenge of rebuilding a practice after a search warrant is executed

[53:17] Why Justin suggests consulting a lawyer before you answer any questions in a criminal investigation

[56:01] Case studies of 2 dentists Justin represented in criminal investigations

Connect with Justin Withrow

Justin on LinkedIn

Flannery Georgalis

Connect with Matt Odgers

Matt on LinkedIn

Odgers Law Group

Connect with Wes Read & Drew Phillips

Practice Orbit

Email wes@practiceorbit.com, matt@practiceorbit.com or drew@practiceorbit.com 

Practice CFO

Practice CFO on Instagram

Practice CFO on Facebook

Practice CFO on YouTube

Resources 

Dentist, Dental Practice and DSO Representation at Flannery Georgalis

Episode Promo Videos 

Video Promo 1

Video Promo 2

Video Promo 3


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