{"id":7029,"date":"2022-01-18T11:12:10","date_gmt":"2022-01-18T18:12:10","guid":{"rendered":"https:\/\/www.planetdds.com\/?p=7029"},"modified":"2024-08-16T14:00:53","modified_gmt":"2024-08-16T21:00:53","slug":"8-essential-factors-to-consider-before-joining-a-dso","status":"publish","type":"post","link":"https:\/\/www.planetdds.com\/blog\/8-essential-factors-to-consider-before-joining-a-dso\/","title":{"rendered":"8 Essential Factors to Consider Before Joining a DSO"},"content":{"rendered":"<p><span data-contrast=\"none\">No doubt, DSOs are shifting the dental industry landscape.\u00a0There\u2019s a couple of different reasons you might be considering joining or selling to a DSO: 1) you may be nearing retirement, 2) you\u00a0are\u00a0looking to get support from a DSO to handle administrative\u00a0tasks and\u00a0manage the\u00a0business side of your practice, or 3)\u00a0you\u00a0may have some\u00a0other financial or strategic reason.\u00a0If you\u2019re amongst the dentist\u00a0owners\u00a0who are considering the switch,\u00a0here\u00a0are\u00a0eight\u00a0factors to consider before joining a DSO.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559739&quot;:283,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<p aria-level=\"2\"><b><span data-contrast=\"none\">8 Factors to consider and the questions to ask before joining a DSO<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:396,&quot;335559739&quot;:396,&quot;335559740&quot;:640}\">\u00a0<\/span><\/p>\n<p aria-level=\"3\"><b><span data-contrast=\"none\">1) Getting to know the DSO<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:396,&quot;335559739&quot;:396,&quot;335559740&quot;:440}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">A DSO\u2019s track-record, history, and overall experience is a good place to start the conversation. You\u2019ll want to get a couple of core questions answered up-front.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559739&quot;:283,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"-\" data-font=\"Baskerville\" data-listid=\"2\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">When did they purchase their first dental practice? This gives\u00a0you\u00a0perspective about their tenure, longevity, and depth of experience.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Baskerville\" data-listid=\"2\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">What practices do they\u00a0own\u00a0in your city, region, or state? This is important to determine competitive scope, support proximity, and collaborative opportunity.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Baskerville\" data-listid=\"2\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">Are the DSOs goals, mission statement, and vision aligned with your practice?\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Baskerville\" data-listid=\"2\" aria-setsize=\"-1\" data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"none\">What type of DSO arrangement are they proposing? Some DSOs may provide limited support while others provide comprehensive support. Some DSOs may be interested in buying your practice\u00a0while\u00a0others offer more of a partnership.\u00a0\u00a0\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\">By asking these fundamental questions at the outset, you can begin assessing\u00a0the fit of the DSO with your practice or group.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559739&quot;:283,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<p aria-level=\"3\"><b><span data-contrast=\"none\">2)\u00a0Operational and technology support<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:396,&quot;335559739&quot;:396,&quot;335559740&quot;:440}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Support for your practice operations, workflows, and technology are\u00a0key discoveries\u00a0in getting acquainted with a DSO.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559739&quot;:283,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.planetdds.com\/blog\/how-digitally-mature-dsos-achieve-a-competitive-advantage\/\"><span data-contrast=\"none\">A DSO can be a substantial advocate for technology upgrades<\/span><\/a><span data-contrast=\"none\">, insurance network negotiations, and keeping your team trained and equipped. An appeal of selling to DSO for many is the opportunity to off-load\u00a0much\u00a0of the administrative tasks to their corporate support teams.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559739&quot;:283,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">The capacity of a DSO to handle matters of compliance, technology acquisitions, and insurance networks is a strong point of evaluation.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559739&quot;:283,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">To\u00a0help you get started, a few questions to ask about a DSO\u2019s operations and technology include:\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559739&quot;:283,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Software,\u00a0equipment, and office decor:\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559739&quot;:283,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"-\" data-font=\"Baskerville\" data-listid=\"3\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">What are their policies on whether your practice\u00a0has to\u00a0switch to new software and if so, what kind of support do they offer?\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Baskerville\" data-listid=\"3\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">Will the DSO own any of the equipment or will the practice continue to own them?<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Baskerville\" data-listid=\"3\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">Will there be any new equipment or changes to office\u00a0decor?<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Baskerville\" data-listid=\"3\" aria-setsize=\"-1\" data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"none\">How will electronic health records be managed?<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\">Operations:<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"-\" data-font=\"Baskerville\" data-listid=\"3\" aria-setsize=\"-1\" data-aria-posinset=\"5\" data-aria-level=\"1\"><span data-contrast=\"none\">What specific operational and administrative tasks does the DSO take on?\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Baskerville\" data-listid=\"3\" aria-setsize=\"-1\" data-aria-posinset=\"6\" data-aria-level=\"1\"><span data-contrast=\"none\">How will the DSO work in tandem with your front office staff?\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Baskerville\" data-listid=\"3\" aria-setsize=\"-1\" data-aria-posinset=\"7\" data-aria-level=\"1\"><span data-contrast=\"none\">How will digital marketing be managed by the DSO?\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Baskerville\" data-listid=\"3\" aria-setsize=\"-1\" data-aria-posinset=\"8\" data-aria-level=\"1\"><span data-contrast=\"none\">How is accounting, billing, and collections handled under your arrangement?\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\">Insurance and vendors:\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"-\" data-font=\"Baskerville\" data-listid=\"3\" aria-setsize=\"-1\" data-aria-posinset=\"9\" data-aria-level=\"1\"><span data-contrast=\"none\">What insurance will the DSO accept?\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Baskerville\" data-listid=\"3\" aria-setsize=\"-1\" data-aria-posinset=\"10\" data-aria-level=\"1\"><span data-contrast=\"none\">How will relationships with dental plans and vendors be affected by your new arrangement?\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Baskerville\" data-listid=\"3\" aria-setsize=\"-1\" data-aria-posinset=\"11\" data-aria-level=\"1\"><span data-contrast=\"none\">Who will be responsible for maintaining professional liability insurance?<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><b><span data-contrast=\"none\">3)\u00a0Financial, legal,\u00a0and tax implications\u00a0<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559739&quot;:283,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">As with any major business decision, it\u2019s imperative that you fully understand the\u00a0financial, legal,\u00a0and tax implications of joining and selling your practice to a DSO.\u00a0In\u00a0fact,\u00a0the American Dental Association\u00a0urges dentists to consult with an attorney before entering an agreement with a DSO.\u00a0For accounting and financial questions, you may also find it helpful to consult with an accountant or financial advisor.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559739&quot;:283,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">To find an attorney, you can ask for referrals from other\u00a0dentists\u00a0or you can search for an attorney through a lawyer referral service with your state or local bar association.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559739&quot;:283,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Points to cover with your attorney\u00a0and professional advisors\u00a0may\u00a0include*:\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559739&quot;:283,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Legal<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559739&quot;:283,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"-\" data-font=\"Baskerville\" data-listid=\"4\" aria-setsize=\"-1\" data-aria-posinset=\"12\" data-aria-level=\"1\"><span data-contrast=\"none\">Any concerns you have about the proposed agreement including termination, indemnification, or non-compete clauses.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Baskerville\" data-listid=\"4\" aria-setsize=\"-1\" data-aria-posinset=\"13\" data-aria-level=\"1\"><span data-contrast=\"none\">Does the agreement comply with federal and state laws and regulations regarding DSO ownership?<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Baskerville\" data-listid=\"4\" aria-setsize=\"-1\" data-aria-posinset=\"14\" data-aria-level=\"1\"><span data-contrast=\"none\">How will compliance with federal and state laws change after joining the DSO?<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Baskerville\" data-listid=\"4\" aria-setsize=\"-1\" data-aria-posinset=\"15\" data-aria-level=\"1\"><span data-contrast=\"none\">Are there any potential or current lawsuits involving the DSO?<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Baskerville\" data-listid=\"4\" aria-setsize=\"-1\" data-aria-posinset=\"16\" data-aria-level=\"1\"><span data-contrast=\"none\">Will you need to update coverage for professional liability insurance and how is the indemnity clause impacted by the DSO arrangement?<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Baskerville\" data-listid=\"4\" aria-setsize=\"-1\" data-aria-posinset=\"17\" data-aria-level=\"1\"><span data-contrast=\"none\">Can you terminate the DSO arrangement and what would be the consequence of doing so?<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Baskerville\" data-listid=\"4\" aria-setsize=\"-1\" data-aria-posinset=\"18\" data-aria-level=\"1\"><span data-contrast=\"none\">Any employment, tax, real property, estate, compliance, or other legal implications of the sale where an attorney can protect your interests.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\">Tax\u00a0and Financial<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559739&quot;:283,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"-\" data-font=\"Baskerville\" data-listid=\"4\" aria-setsize=\"-1\" data-aria-posinset=\"19\" data-aria-level=\"1\"><span data-contrast=\"none\">Potential tax consequences of the sale.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Baskerville\" data-listid=\"4\" aria-setsize=\"-1\" data-aria-posinset=\"20\" data-aria-level=\"1\"><span data-contrast=\"none\">What is the financial health of the DSO?<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Baskerville\" data-listid=\"4\" aria-setsize=\"-1\" data-aria-posinset=\"21\" data-aria-level=\"1\"><span data-contrast=\"none\">Are there potential timing issues you should be aware of?\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Baskerville\" data-listid=\"4\" aria-setsize=\"-1\" data-aria-posinset=\"22\" data-aria-level=\"1\"><span data-contrast=\"none\">What are the tax and financial implications if\u00a0ownership and maintenance of equipment switch hands to the DSO?\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><em>* This information is provided as general guidance and is not intended as legal or professional advice or opinions.\u00a0As each transaction is unique, please\u00a0seek the advice of\u00a0a properly\u00a0qualified attorney or professional within your jurisdiction.<\/em><\/p>\n<p aria-level=\"3\"><b><span data-contrast=\"none\">4)\u00a0Collaboration\u00a0and\u00a0professional\u00a0growth\u00a0opportunities<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559737&quot;:1440,&quot;335559738&quot;:396,&quot;335559739&quot;:396,&quot;335559740&quot;:440}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Keep in mind that a DSO has internal professional depth. Affiliated dentists within the organization can become your go-to network for skill growth, mentoring,\u00a0referrals,\u00a0and clinical collaboration.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559739&quot;:283,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"-\" data-font=\"\" data-listid=\"19\" aria-setsize=\"-1\" data-aria-posinset=\"23\" data-aria-level=\"1\"><span data-contrast=\"none\">Confirm the DSO\u2019s\u00a0continuing education policies\u00a0and\u00a0find out what\u00a0opportunities there are\u00a0to develop collaborative relationships through annual events, etc.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:255,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"\" data-listid=\"19\" aria-setsize=\"-1\" data-aria-posinset=\"24\" data-aria-level=\"1\"><span data-contrast=\"none\">Ask about their specialist network and the protocols for accessing them.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559739&quot;:113,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><b><span data-contrast=\"none\">5)\u00a0Setting\u00a0and understanding\u00a0expectations\u00a0<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559739&quot;:113,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Given that many dentist owners look to the DSO option to gain more work-life balance, it\u2019s also important to\u00a0set and\u00a0understand\u00a0mutual\u00a0expectations.\u00a0Especially if you\u2019re not looking to retire soon, it\u2019s best to have a strong understanding of expectations so you can envision how\u00a0the DSO arrangement will affect your work-life balance.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559739&quot;:283,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"-\" data-font=\"\" data-listid=\"21\" aria-setsize=\"-1\" data-aria-posinset=\"25\" data-aria-level=\"1\"><span data-contrast=\"none\">What are the expectations for the daily and weekly clinical schedule?<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:255,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"\" data-listid=\"21\" aria-setsize=\"-1\" data-aria-posinset=\"26\" data-aria-level=\"1\"><span data-contrast=\"none\">How much administrative responsibility will you have?<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"\" data-listid=\"21\" aria-setsize=\"-1\" data-aria-posinset=\"27\" data-aria-level=\"1\"><span data-contrast=\"none\">What role will you have in HR (Human Resources) decisions (e.g.,\u00a0hiring, firing,\u00a0compensation,\u00a0etc.)?<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"\" data-listid=\"21\" aria-setsize=\"-1\" data-aria-posinset=\"28\" data-aria-level=\"1\"><span data-contrast=\"none\">How is time-off determined and what are the allowances?<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559739&quot;:113,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"\" data-listid=\"21\" aria-setsize=\"-1\" data-aria-posinset=\"29\" data-aria-level=\"1\"><span data-contrast=\"none\">What are the production goals for clinicians and the overall practice?\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559739&quot;:113,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"\" data-listid=\"21\" aria-setsize=\"-1\" data-aria-posinset=\"30\" data-aria-level=\"1\"><span data-contrast=\"none\">How will treatment planning and pricing be handled?\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559739&quot;:113,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"\" data-listid=\"21\" aria-setsize=\"-1\" data-aria-posinset=\"31\" data-aria-level=\"1\"><span data-contrast=\"none\">Who will select outside vendors? Are there preferred vendors?\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559739&quot;:113,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<\/ul>\n<p aria-level=\"3\"><b><span data-contrast=\"none\">6)\u00a0Vetting the DSO<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:396,&quot;335559739&quot;:396,&quot;335559740&quot;:440}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Beyond inquiries with the DSO itself, it\u2019s also helpful to gain outside perspectives.\u00a0Interview\u00a0other dentists who have sold to them and find out about their positive or negative experiences with the DSO.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559739&quot;:283,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">You can ask these questions to gain insight into the DSO\u2019s corporate personality.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559739&quot;:283,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"-\" data-font=\"Baskerville\" data-listid=\"1\" aria-setsize=\"-1\" data-aria-posinset=\"32\" data-aria-level=\"1\"><span data-contrast=\"none\">Did\u00a0they\u00a0follow\u00a0through on their\u00a0contractual obligations in a timely manner?<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:255,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Baskerville\" data-listid=\"1\" aria-setsize=\"-1\" data-aria-posinset=\"33\" data-aria-level=\"1\"><span data-contrast=\"none\">How\u00a0much deference do they give\u00a0for\u00a0clinical skills, knowledge, and experience?<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Baskerville\" data-listid=\"1\" aria-setsize=\"-1\" data-aria-posinset=\"34\" data-aria-level=\"1\"><span data-contrast=\"none\">How\u00a0have they\u00a0retained, trained, and supported\u00a0the existing\u00a0teams\u00a0both\u00a0clinical\u00a0and business?<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Baskerville\" data-listid=\"1\" aria-setsize=\"-1\" data-aria-posinset=\"35\" data-aria-level=\"1\"><span data-contrast=\"none\">How responsive is the DSO when problems arise?\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Baskerville\" data-listid=\"1\" aria-setsize=\"-1\" data-aria-posinset=\"36\" data-aria-level=\"1\"><span data-contrast=\"none\">How is their change management? Did\u00a0they have an acquisition protocol?\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Baskerville\" data-listid=\"1\" aria-setsize=\"-1\" data-aria-posinset=\"37\" data-aria-level=\"1\"><span data-contrast=\"none\">How do they engage with your current suppliers, labs, vendors, etc.?<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559739&quot;:113,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\">Speaking with multiple references will help you better gauge the overall character of the DSO to determine if they&#8217;re a good fit or not.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559739&quot;:283,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<p aria-level=\"3\"><b><span data-contrast=\"none\">7)\u00a0Real property considerations<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:396,&quot;335559739&quot;:396,&quot;335559740&quot;:440}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Another consideration is the treatment of real property\u00a0under the DSO. In closely aligned DSO relationships,\u00a0the DSO may\u00a0purchase the property\u00a0and\u00a0lease\u00a0to your practice or lease it themselves and sublease it back to your practice.\u00a0In\u00a0other less closely aligned relationships, there may be no change in how the property is held.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559739&quot;:283,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">It\u2019s important to cover details such as:<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559739&quot;:283,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"-\" data-font=\"\" data-listid=\"15\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">A fair and equitable sale price and\/or monthly rent amount<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:255,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"\" data-listid=\"15\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">Terms and timeline for a lease (if applicable)<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"\" data-listid=\"15\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">Property upgrades, repairs, taxes, dues, insurance, etc.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"\" data-listid=\"15\" aria-setsize=\"-1\" data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"none\">Rent increases or lock-in factors<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559739&quot;:113,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"\" data-listid=\"15\" aria-setsize=\"-1\" data-aria-posinset=\"5\" data-aria-level=\"1\"><span data-contrast=\"none\">Does\u00a0the DSO have private equity debt covenants that prevent it from\u00a0purchasing real property?\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559739&quot;:113,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<\/ul>\n<p aria-level=\"3\"><b><span data-contrast=\"none\">8)\u00a0Negotiating the agreement<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:396,&quot;335559739&quot;:396,&quot;335559740&quot;:440}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Once you\u2019ve vetted all other areas, you\u2019ll want to negotiate and clarify the terms of the agreement with your attorney.\u00a0Negotiating the price and all other terms will ensure that your interests are protected and that you\u2019ll be happy with the agreement.\u00a0\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559739&quot;:283,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">You\u2019ll want to know:<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559739&quot;:283,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"-\" data-font=\"\" data-listid=\"13\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">What performance standards (if any) are expected post-sale?<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:255,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"\" data-listid=\"13\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">What is the production pay?\u00a0How are bonuses paid?\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"\" data-listid=\"13\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">What benefits are offered?\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"\" data-listid=\"13\" aria-setsize=\"-1\" data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"none\">What does vacation time, sick leave, maternity\/paternity leave look like?\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"\" data-listid=\"13\" aria-setsize=\"-1\" data-aria-posinset=\"5\" data-aria-level=\"1\"><span data-contrast=\"none\">Are there any opportunities to receive equity ownership (depends on the DSO arrangement)?<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"\" data-listid=\"13\" aria-setsize=\"-1\" data-aria-posinset=\"6\" data-aria-level=\"1\"><span data-contrast=\"none\">Is there a required timeframe to stay\u00a0on-board\u00a0and is there a penalty for early departure?<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"\" data-listid=\"13\" aria-setsize=\"-1\" data-aria-posinset=\"7\" data-aria-level=\"1\"><span data-contrast=\"none\">How is the sale structured? Full amount or percentage of total up-front? Are there any production requirements attached to sale payout?<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559739&quot;:113,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\">Another piece of the offer conversation should involve any equity. DSOs differ on how they provide\u00a0and\u00a0frame equity.\u00a0Considerations such as stock, company debt, growth and\u00a0expansion potential, the type of equity (your practice or the DSO\u2019s), equity payouts, etc. are important to clarify.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559739&quot;:283,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"none\">Other DSO resources\u00a0<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559739&quot;:283,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Entering into an agreement to join a DSO can be a very mutually beneficial arrangement\u00a0as long as\u00a0you go into it understanding all aspects of the sale.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559739&quot;:283,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">You\u2019ve worked hard to build your practice.\u00a0Joining a DSO should\u00a0help bring more work-life balance, patient-centered care, and growth for you and your practice.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559739&quot;:283,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">The following resources will help you keep your finger-on-the-pulse of DSO trends and growth:\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559739&quot;:283,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.planetdds.com\/blog\/whats-driving-the-accelerated-growth-of-dsos\/\"><span data-contrast=\"none\">What\u2019s Driving the Accelerated Growth of DSOs?<\/span><\/a><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559739&quot;:283,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.planetdds.com\/blog\/how-the-dso-model-will-impact-dentistry-in-2022-and-beyond\/\"><span data-contrast=\"none\">How the DSO Model Will Impact Dentistry in 2022 and Beyond<\/span><\/a><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559739&quot;:283,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.planetdds.com\/blog\/the-ongoing-growth-and-evolution-of-the-top-dsos-in-the-u-s\/\"><span data-contrast=\"none\">The Ongoing Growth and Evolution of the Top DSOs in the U.S.<\/span><\/a><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559739&quot;:283,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.planetdds.com\/blog\/how-the-dso-dental-model-impacts-the-dental-industry\/\"><span data-contrast=\"none\">How the DSO Dental Model Impacts the Dental Industry<\/span><\/a><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559739&quot;:283,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<p aria-level=\"3\"><b><span data-contrast=\"none\">Growing DSOs trust technology designed to handle their operational scope\u00a0<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:396,&quot;335559739&quot;:396,&quot;335559740&quot;:440}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Planet DDS\u2019s\u00a0<\/span><a href=\"https:\/\/www.planetdds.com\/solutions\/denticon\/moving-to-denticon\/\"><span data-contrast=\"none\">Denticon<\/span><\/a><span data-contrast=\"none\">\u00a0and\u00a0<\/span><a href=\"https:\/\/www.planetdds.com\/solutions\/apteryx\/moving-to-apteryx\/\"><span data-contrast=\"none\">Apteryx Imaging XVWeb<\/span><\/a><span data-contrast=\"none\">\u00a0are proven cloud-based dental practice management and imaging solutions in today\u2019s market among solo private practices, private group practices, and emerging, midsize, and large DSOs.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559739&quot;:283,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.planetdds.com\/book-a-demo\/\"><span data-contrast=\"none\">Learn<\/span><\/a><span data-contrast=\"none\">\u00a0why our solutions can help boost your practice&#8217;s value and ensure your practice\u00a0is\u00a0attractive to DSOs.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559738&quot;:56,&quot;335559739&quot;:283,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>No doubt, DSOs are shifting the dental industry landscape.\u00a0There\u2019s a couple of different reasons you might be considering joining or selling to a DSO: 1) you may be nearing retirement,&#8230;<\/p>\n","protected":false},"author":3,"featured_media":7030,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1416,146,138],"tags":[925,838,926,927,928,50,929,282,66,687,109,43,694,831,178,930,405,171,931,843,132,67,441,89,418,196,932,292,604,933,72,293,74,848,152,174],"class_list":["post-7029","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-growth","category-practice-management","category-trends","tag-accounting","tag-align","tag-ask","tag-assess","tag-attorney","tag-benefits","tag-consider","tag-culture","tag-dental","tag-dental-service-organization","tag-dentist","tag-dso","tag-expectations","tag-factors","tag-financial","tag-fit","tag-goals","tag-join","tag-lease","tag-legal","tag-operations","tag-ownership","tag-planning","tag-practice","tag-private-practice","tag-production","tag-property","tag-questions","tag-retirement","tag-sell","tag-software","tag-solutions","tag-support","tag-tax","tag-technology","tag-work-life-balance"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.planetdds.com\/wp-json\/wp\/v2\/posts\/7029","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=7029"}],"version-history":[{"count":0,"href":"https:\/\/www.planetdds.com\/wp-json\/wp\/v2\/posts\/7029\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.planetdds.com\/wp-json\/wp\/v2\/media\/7030"}],"wp:attachment":[{"href":"https:\/\/www.planetdds.com\/wp-json\/wp\/v2\/media?parent=7029"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.planetdds.com\/wp-json\/wp\/v2\/categories?post=7029"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.planetdds.com\/wp-json\/wp\/v2\/tags?post=7029"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}