Claim OwnershipTransition Talk
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Transition Talk is a podcast about dental practice transitions. NDP managing partners Charles Loretto and Christy Ratcliff combine their expertise to provide guidance and tips and share real-life scenarios revolving around dental practice transitions.
Originally created to help dental professionals navigate the sometimes-messy path to practice ownership, the podcast has evolved to cover the full life cycle of a dental practice and the different types of transitions along the way, from buying-in, starting-up, partnership to exiting ownership.
Originally created to help dental professionals navigate the sometimes-messy path to practice ownership, the podcast has evolved to cover the full life cycle of a dental practice and the different types of transitions along the way, from buying-in, starting-up, partnership to exiting ownership.
153 Episodes
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While start-up dental practices offer a blank slate to design the practice you’ve always envisioned, not having the built-in patient base and cash flow that a practice acquisition typically provides can be a big challenge. When it comes to specialty start-ups, this adds a different level of complexity. In this episode, we break down which specialties are in demand, which involve higher costs to launch, and which carry the most competitive pressure.
What factors make for a “Don’t Mess This Up” opportunity versus a “Buyer Beware” opportunity? This episode speaks to the buyers out there, helping to identify the differences between the right and wrong practice opportunity. Tune in as we take a look at the financials, doctor work, real estate, location and other aspects to consider as you explore different opportunities.
This episode originally aired May 18, 2022.
Once you’ve sold your practice to a new owner, the reality of retirement can feel different than expected. With a lower income and a new routine, this next chapter can bring some uncertainty. Building a strategic plan can help you feel confident about the road ahead. Christy and Charles offer key considerations, from filling your time, budget management, tax planning strategies and more.
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This blog provides a list of operational responsibilities to ensure the practice is ready for new ownership: https://bit.ly/47eyTu4.
What dental buyers valued in a practice a decade ago isn’t the same as what they prioritize today. Buyers are diving deeper into the due diligence process, have different desires surrounding location preferences, real estate purchase options, and practice data, among other things. NDP Practice Listings Manager Kathy Whiting shares her experience, illustrating how buyers’ preferences have shifted throughout the years. The key message for selling doctors: As buyer priorities evolve, sellers who adapt can showcase their practice in a way that stands out to the right buyers.
Purchasing a dental practice comes with unique challenges and variables at every stage of the process. Whether you’re doing your due diligence on a practice opportunity or finalizing your letter of intent, soliciting guidance from a professional can help bring confidence along every step of the way. Christy and NDP Head of Consulting Bridget Schwebke discuss the various options our buyer consulting service offers and how it’s designed to help you achieve a smooth transition to ownership.
While the financial pieces often dominate the conversation in a DSO sale, there are many more factors involved in the process other than EBITDA and multiples. Christy and Charles help practice owners take a step back and understand all the key considerations when partnering with DSOs. From how the practice value is truly calculated, your preferred workback timeframe and your life after the sale, understanding these components will help you set the right expectations.
Practice price is only one component to a sale, yet it’s typically the one that sellers think about most. If you’re selling or transitioning your practice, and the valuation or market price comes in lower than expected, it can not only cause confusion, but also change the trajectory of your transition plan. Is there anything you can do about the price once it’s out in the open? What if you only have a short amount of time to react? Christy and Charles help make sense of why the price may be lower than expected and how to navigate this unforeseen circumstance.
As a dental student or resident, you're likely juggling graduation requirements, career paths and personal relationships. And with student debt looming, it can all feel like a lot of weight on your shoulders. Noah Jones from the University of Kentucky joins Charles on this episode to share how he’s managing his priorities in preparation for the future. The way that Noah sees it: this stage is filled with open doors.
While traditional financing is most often used to fund private practice acquisitions, seller financing can also be a tool to help pay for the purchase. Seller financing may sound like an attractive option, as many believe it offers the potential for better rates or terms, but that’s not exactly the case. To help you understand the full picture and implications, this episode discusses common scenarios and reasons for using seller financing, how it can help (or hurt) your transition and how to know if it’s a viable option for you.
As you begin your career as an associate, practice ownership may seem more like a dream, rather than a milestone within reach. In reality, the preparation should start early. Practice owner Dr. Dan Butterman and his associate and son, Dr. Kevin Butterman, continue their story from episode 130 and talk about their future partnership. They discuss their initial ideas, transition timeframe and how they’re ensuring that Kevin is not only prepared for the clinical work, but also the administrative and leadership aspects of the business.
Stepping into associateship after dental school can feel like jumping off the deep end. This phase is about learning quickly and mastering not only the clinical skills, but also the people and administrative skills. To give perspectives from both sides, practice owner Dr. Dan Butterman and his associate and son, Dr. Kevin Butterman, discuss how they’re bridging the gap between dental school and real-world experience, while setting the foundation for their future.
As you explore a potential practice to buy, how can you confirm that the opportunity is not only profitable, but also aligns with your personal and professional goals? This is where the due diligence process comes in. Charles and NDP transition consultant August Sandy give a rundown on what the process entails and how it can help provide reassurance that you’re making the right choice in a practice.
When the focus is on important life and career decisions, the thought of securing life and disability insurance often takes a backseat. We get it. No one wants to think about the “what if,” and there may not be any immediate circumstances pushing you to consider it. CWA Risk Solutions’ Tara Cain brings her insurance expertise to the podcast and discusses who needs it, when to get coverage, the ins and outs of applying for coverage and resources to simplify the process.
Once you’ve decided you’re ready to buy or sell a practice or take on the next career milestone, knowing where to turn first should be your next step. NDP’s Brandy Pecora and Alivia Youree discuss common questions, concerns and misunderstandings in the early phases of the buying, selling and valuation processes. Together, they illustrate what happens when you get the ball rolling with a dental transition advisor.
Coming out of dental school, the type of practice you work for should be a choice made with your long-term goals in mind. With the attractive financial packages, reduced risk and business responsibilities and a “fear of missing out” effect, it’s easy to see the appeal of DSOs over private practice. To help new dentists navigate the facts and make an informed decision, Christy and Charles weigh in on both DSOs and private practices and the situations where each could be the right fit.
“Rather than focus on building an income, focus on building yourself as an asset.” By leveraging a business mindset from the start and investing a significant amount in continuing education, Kentucky practice owner Dr. Friend Bechtel has built himself as a valuable asset. His tenacity has led him to overcome obstacles early and own a thriving practice today. Tune in for an episode packed with nuggets of motivation and advice as Dr. Friend shares his full journey.
Building a successful practice isn’t about following a specific formula. Rather, you create your own destiny with the path you choose. This episode dives into the story of Minnesota practice owner and NDP client Dr. Jason Spychala. Under his leadership, the practice has grown, they’ve built a new building, and he recently brought on his associate as his partner. Tune in to hear his ownership journey, his experience with the valuation process and how he found his path.
Bringing in an associate is one of the most significant opportunities for practice growth. With the right type of practice, plan and associate, the business can truly take off and thrive. From clinical goals, daily production numbers, continuing education and compensation, the considerations outlined in this episode will help ensure you’re prepared to welcome a new doctor.
Unexpected challenges and unknowns can make the road to buying or selling a dental practice feel a little rocky. From practice valuations, legal documents, due diligence and transition timing, Christy and Charles touch on several areas that can cause pain points and even regret later down the line. This episode will help you feel prepared for the types of obstacles that may come your way and offer confidence to get to the other side.
The sale structure of a dental partnership is an important detail that can impact the deal and life as partners. One structure may sound like the best option—be it for simplicity or efficiency—but that doesn’t mean it will have the best outcome in the future. Joining this episode to offer their legal and financial expertise is attorney Matt Mitchell from Friday, Eldredge and Clark LLP and Cain Watters & Associates Financial Planner Sarah Oliver. They discuss the tax and legal implications of asset versus stock sales, common misconceptions, repercussions of making adjustments after the fact and the importance of operating agreements.
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