{"id":6658,"date":"2021-10-27T11:23:05","date_gmt":"2021-10-27T17:23:05","guid":{"rendered":"https:\/\/www.planetdds.com\/?p=6658"},"modified":"2024-08-16T14:00:55","modified_gmt":"2024-08-16T21:00:55","slug":"top-5-things-for-dsos-to-consider-before-acquiring-a-dental-practice","status":"publish","type":"post","link":"https:\/\/www.planetdds.com\/blog\/top-5-things-for-dsos-to-consider-before-acquiring-a-dental-practice\/","title":{"rendered":"Top 5 Things for DSOs to Consider Before Acquiring a Dental Practice"},"content":{"rendered":"<p><span data-contrast=\"none\">Growth through acquisition is in the DNA of successful\u00a0DSOs and small practices looking to take their next step. And the good news\u2014there\u2019s great growth opportunity in the market right now.\u00a0\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">COVID has had a significant impact on the dental industry. Some dentists are looking to accelerate their\u00a0<\/span><a href=\"https:\/\/www.planetdds.com\/blog\/dental-career-track-pt-3-transitioning-advice-for-retiring-dentists\/\"><span data-contrast=\"none\">retirement<\/span><\/a><span data-contrast=\"none\">\u00a0plans. And with the pent-up demand of patients who have been putting off visits to the dentist, it\u2019s foreseeable that as\u00a0<\/span><a href=\"https:\/\/www.planetdds.com\/blog\/dentistrys-accelerated-path-to-normal\/\"><span data-contrast=\"none\">patients return<\/span><\/a><span data-contrast=\"none\">, they may require more advanced work. Another pandemic-related consideration is the need for practices to be more efficient. With less predictable patient volume and schedules,\u00a0growth-driven\u00a0DSOs\u00a0can provide much-needed support for non-clinical functions to increase practice efficiency.\u00a0\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">As you seek to grow your\u00a0DSO\u00a0through acquisition, it\u2019s essential to know what to research so you can make sound business decisions while minimizing risks. In fact, your research might uncover just the right acquisition opportunity, such as a practice owner getting ready to sell and retire.\u00a0\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Here are the top\u00a05\u00a0things you should research before you acquire a dental practice.\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<h2><b><span data-contrast=\"none\">1. Research the target market\u00a0 <\/span><\/b><span data-ccp-props=\"{&quot;134233279&quot;:true}\">\u00a0<\/span><\/h2>\n<p><span data-contrast=\"none\">Do your market research to determine where you want your DSO to expand. Consider geographic areas or specialties to narrow down which practice makes the most sense for acquisition. Consider what areas would be optimal for future referrals between offices post-acquisition for your patients and your DSO.\u00a0\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<h2><b><span data-contrast=\"none\">2. Research the dentist and the practice<\/span><\/b><\/h2>\n<p><span data-contrast=\"none\">Once you\u2019ve identified a potential practice to acquire, take\u00a0time to get acquainted with the dentist and the staff to understand their culture and their needs. Get a feel for the working culture of the practice and ask yourself if it aligns with your organization or departs from it.\u00a0\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">As to their needs, how can your\u00a0DSO\u00a0help bridge any gaps in their staffing or operation? Before acquiring a practice, it\u2019s imperative to understand the nuances of the practice and its operations.\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<h2><b><span data-contrast=\"none\">3. Research patients <\/span><\/b><span data-ccp-props=\"{&quot;134233279&quot;:true}\">\u00a0<\/span><\/h2>\n<p><span data-contrast=\"none\">Since each practice is unique, find out how they manage patient relationships and look into indicators such as the percentage of\u00a0<\/span><a href=\"https:\/\/www.planetdds.com\/blog\/best-practices-for-patient-recall-appointments\/\"><span data-contrast=\"none\">recall appointments<\/span><\/a><span data-contrast=\"none\">\u00a0versus new patients and how well the practice attracts and keeps patients. Find out about their billing practices, case acceptance rates, and clinical practices to see if there are any red flags.\u00a0\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Get a good understanding of what patients at this practice expect out of their patient experience and ensure that your DSO can meet and hopefully exceed these expectations, so the acquisition is a smooth and positive experience for the patients as well.\u00a0\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<h2><b><span data-contrast=\"none\">4. Research the business side of the practice <\/span><\/b><span data-ccp-props=\"{&quot;134233279&quot;:true}\">\u00a0<\/span><\/h2>\n<p><span data-contrast=\"none\">Beyond the clinical\u00a0aspect\u00a0of the practice, it\u2019s crucial to get the complete picture of the business side of the practice. Determine the true value of the practice by focusing on the EBITDA (earnings before interests, taxes, depreciation, and amortization) and seek the expertise of a consultant, accountant, and attorney as needed. Are there strategic, legal, financial\/accounting, tax implications for when the acquisition becomes final?\u00a0\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Find out why the practice is looking to get acquired and what challenges they\u2019re facing if any. Obtain audited financials and previous years\u2019 tax returns.\u00a0\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<h2><b><span data-contrast=\"none\">5. Research their technology\u00a0 <\/span><\/b><span data-ccp-props=\"{&quot;134233279&quot;:true}\">\u00a0<\/span><\/h2>\n<p><span data-contrast=\"none\">Depending on what technology the practice currently has at their practice, you may need to convert data or implement new software at their practice. Aside from software, are there any technologies that are due for replacement, such as imaging devices, servers, or office equipment?\u00a0Is the practice leveraging newer technologies such as cloud-enabled\u00a0<\/span><a href=\"https:\/\/www.planetdds.com\/blog\/how-cloud-based-open-architecture-imaging-software-can-potentially-save-your-dso-1-7-million\/\"><span data-contrast=\"none\">imaging<\/span><\/a><span data-contrast=\"none\">\u00a0or\u00a0<\/span><a href=\"https:\/\/www.planetdds.com\/blog\/cloud-based-practice-management-can-relieve-dso-pain-points\/\"><span data-contrast=\"none\">practice management solutions<\/span><\/a><span data-contrast=\"none\">?\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<h2><b><span data-contrast=\"none\">Ask the right questions<\/span><\/b><span data-ccp-props=\"{}\">\u00a0<\/span><\/h2>\n<p><span data-contrast=\"none\">Here are some questions to think about as you research whether a practice is the right fit for acquisition:\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">1. Questions related to the owner-dentist: <\/span><span data-ccp-props=\"{&quot;134233279&quot;:true}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"-\" data-font=\"Calibri\" data-listid=\"18\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">What\u00a0are\u00a0the dentist\u2019s short- and long-term plans for the practice?\u00a0\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;335559685&quot;:1080}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Calibri\" data-listid=\"18\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">Is retirement coming up?\u00a0\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;335559685&quot;:1080}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Calibri\" data-listid=\"18\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">What are their exit strategies?\u00a0\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;335559685&quot;:1080}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Calibri\" data-listid=\"18\" aria-setsize=\"-1\" data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"none\">What are the dentist\u2019s practice philosophies?\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;335559685&quot;:1080}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Calibri\" data-listid=\"18\" aria-setsize=\"-1\" data-aria-posinset=\"5\" data-aria-level=\"1\"><span data-contrast=\"none\">What is their dentist\u2019s management style?\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\">2. Questions related to the practice: <\/span><span data-ccp-props=\"{&quot;134233279&quot;:true}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"-\" data-font=\"Calibri\" data-listid=\"17\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">How is the employee turnover rate?\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;335559685&quot;:990,&quot;335559991&quot;:270}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Calibri\" data-listid=\"16\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">What aspects of the practice need the most help from the DSO? Human resources, marketing, billing, collections, scheduling, etc.\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;335559685&quot;:990,&quot;335559991&quot;:270}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Calibri\" data-listid=\"15\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">How many operatories does the practice have?\u00a0\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;335559685&quot;:990,&quot;335559991&quot;:270}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Calibri\" data-listid=\"14\" aria-setsize=\"-1\" data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"none\">What is the ratio of new patients versus existing patients?\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;335559685&quot;:990,&quot;335559991&quot;:270}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Calibri\" data-listid=\"13\" aria-setsize=\"-1\" data-aria-posinset=\"5\" data-aria-level=\"1\"><span data-contrast=\"none\">What\u00a0are\u00a0the case acceptance rates?\u00a0\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;335559685&quot;:990,&quot;335559991&quot;:270}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Calibri\" data-listid=\"13\" aria-setsize=\"-1\" data-aria-posinset=\"5\" data-aria-level=\"1\"><span data-contrast=\"none\">What is the culture of the dental practice?\u00a0\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;335559685&quot;:990,&quot;335559991&quot;:270}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Calibri\" data-listid=\"13\" aria-setsize=\"-1\" data-aria-posinset=\"5\" data-aria-level=\"1\"><span data-contrast=\"none\">How is work-life balance maintained or not maintained?\u00a0\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;335559685&quot;:990,&quot;335559991&quot;:270}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\">3. Questions related to the practice\u2019s building and location: <\/span><span data-ccp-props=\"{&quot;134233279&quot;:true}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"-\" data-font=\"Calibri\" data-listid=\"10\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">Are the neighboring areas growing with more people moving to the area, or are populations holding steady or shrinking?\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;335559685&quot;:1080,&quot;335559991&quot;:270}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Calibri\" data-listid=\"10\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">Does the office need renovation?\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;335559685&quot;:1080,&quot;335559991&quot;:270}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Calibri\" data-listid=\"10\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">Is the office located in a desirable location?\u00a0\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;335559685&quot;:1080,&quot;335559991&quot;:270}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Calibri\" data-listid=\"10\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">Is the office exterior or interior due for any repairs?\u00a0\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;335559685&quot;:1080,&quot;335559991&quot;:270}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\">4. Questions related to finances, taxes, and valuation: <\/span><span data-ccp-props=\"{&quot;134233279&quot;:true}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"-\" data-font=\"Calibri\" data-listid=\"6\" aria-setsize=\"-1\" data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"none\">What is the collection rate of the practice?\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;335559685&quot;:990,&quot;335559991&quot;:270}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Calibri\" data-listid=\"6\" aria-setsize=\"-1\" data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"none\">What is the EBITDA multiple of the practice?\u00a0\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;335559685&quot;:990,&quot;335559991&quot;:270}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Calibri\" data-listid=\"6\" aria-setsize=\"-1\" data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"none\">Are there any tax law changes or tax implications that need to be considered?\u00a0\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;335559685&quot;:990,&quot;335559991&quot;:270}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\">5. Questions related to technology\u00a0 <\/span><span data-ccp-props=\"{&quot;134233279&quot;:true}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"-\" data-font=\"Calibri\" data-listid=\"3\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">What kind of technology does the practice currently have in place? Are there areas for improvement?\u00a0\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;335559685&quot;:990,&quot;335559991&quot;:270}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Calibri\" data-listid=\"2\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">Is there any equipment or technology that needs to be replaced soon?\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;335559685&quot;:990,&quot;335559991&quot;:270}\">\u00a0<\/span><\/li>\n<\/ul>\n<h2><b><span data-contrast=\"none\">Make\u00a0an informed decision\u00a0\u00a0<\/span><\/b><span data-ccp-props=\"{}\">\u00a0<\/span><\/h2>\n<p><span data-contrast=\"none\">By asking the right questions as you conduct your due diligence from staffing, operations, patients, culture, and finances, you can reduce the chance of any surprises during and following your acquisition.\u00a0Once you\u2019ve completed your research and are ready to move forward with your acquisition, the real work begins.\u00a0To learn more about how our solutions can help make acquisitions easier and your DSO more efficient, read our eBook:\u00a0<\/span><a href=\"https:\/\/web.planetdds.com\/2022-09-DENT-Integrated-Dental-Software-eBook_LP.html\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">How Integrated Dental Software Can Benefit Your Practice<\/span><\/a><span data-contrast=\"none\">.\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Growth through acquisition is in the DNA of successful\u00a0DSOs and small practices looking to take their next step. And the good news\u2014there\u2019s great growth opportunity in the market right now.\u00a0\u00a0\u00a0&#8230;<\/p>\n","protected":false},"author":3,"featured_media":6659,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1416,146],"tags":[426,838,839,140,282,687,109,13,43,840,284,178,841,169,842,843,844,181,730,845,68,89,846,847,848,152],"class_list":["post-6658","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-growth","category-practice-management","tag-acquisition","tag-align","tag-before","tag-centralize","tag-culture","tag-dental-service-organization","tag-dentist","tag-dentistry","tag-dso","tag-ebitda","tag-finances","tag-financial","tag-gaps","tag-growth","tag-inefficiencies","tag-legal","tag-location","tag-management","tag-market","tag-needs","tag-patients","tag-practice","tag-research","tag-style","tag-tax","tag-technology"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.planetdds.com\/wp-json\/wp\/v2\/posts\/6658","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.planetdds.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.planetdds.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.planetdds.com\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.planetdds.com\/wp-json\/wp\/v2\/comments?post=6658"}],"version-history":[{"count":0,"href":"https:\/\/www.planetdds.com\/wp-json\/wp\/v2\/posts\/6658\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.planetdds.com\/wp-json\/wp\/v2\/media\/6659"}],"wp:attachment":[{"href":"https:\/\/www.planetdds.com\/wp-json\/wp\/v2\/media?parent=6658"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.planetdds.com\/wp-json\/wp\/v2\/categories?post=6658"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.planetdds.com\/wp-json\/wp\/v2\/tags?post=6658"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}