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Associateship Due Diligence
     By Amber Banks, Consultant
Why Consider an Associateship?
• Not ready for practice ownership
• Waiting for the right opportunity
• Time to improve skills/hand speed
• No initial financial risk
• Immediate income
• Share patient coverage
• Learn from the senior dentist
    - How to be a clinician and a business owner
Where to Start: Identify your needs
• Map out a long-term plan
    - Where do you want to live?
    - Do you want to be an owner?
    - What kind of patients do you want to see?
    - What type of dentistry do you want to do?
• Select your “team”
    - Accountant      - Other
    - Attorney
Your Approach to Due Diligence
  • Weighing available opportunities with the level
  of due diligence you would perform
      • Fewer opportunities = Less Leverage
      • Requesting items to perform your due
      diligence: when is the right time?
Due Diligence: Identify your long-term
objective
   • What do you want to accomplish out of your
   Associateship?

   • How long do you want to be an Associate?

   • What type of compensation do you need to make
   based on your personal budget? How long will you
   be okay with making that salary?
Due Diligence: Know the Senior Dentist
• Why do they want to bring in an Associate?
• When do they plan on retiring?
• Are they a dentist you foresee yourself working
with long-term?
• Do you feel you will be able to learn from
him/her?
• What is his/her style of patient care and
treatment?
• Do all of these items match up with you and how
you foresee yourself in practice?
Due Diligence: Know the practice

• How does the current team feel about an Associate
coming in?
• Has the practice had other Associates in the past?
   - If yes, what happened?
Understanding the Entire Contract
• Contract should be reviewed and negotiated prior to the
Associate starting at the practice

• There is no such thing as a “standard” contract
    - “Entire Agreement”

• Start Date
Due Diligence: The Contract
Employee vs. Independent Contractor
   - Who determines what you are?
   - Tax implications – W2 vs. 1099
   - Legal implications – Employment vs. I/C Contract
   - Benefits
   - Expenses to be covered
   - Paid time off
Due Diligence: The Contract

• How will new patients and recall patients be allocated?
• Compensation
    - How frequently will you be paid?
    - Daily base pay
    - Bonus incentives
    - % of production vs. collections
    - Lab Fees
Associate Compensation Formulas
    Formula with Lab Fees #1       Formula with Lab Fees #2          Formula without Lab Fees
Associate Production: $40,000      Associate Production: $40,000     Associate Production: $40,000
Associate Collections: $38,000     Associate Collections: $38,000    Associate Collections: $38,000
Associate Lab Fees:      (2,600)   Collection %:               35%
Net Collections:       $35,400     Net Collections:       $13,300    Associate Lab Fees:        -0-
Collection %:       35%            Associate Lab Fees:     (2,600)   Net Collections:       $38,000
Monthly Salary:        $12,390     Monthly Salary:        $10,700    Collection %:       30%
                                                                     Monthly Salary:        $11,400
Understand Your Contract

Non-competition/Non-solicitation/Non-disclosure

Duties and Extent of Services

Representations
Understand Your Contract

Liability insurance and indemnification

Allowance for uniforms

Expected work hours

Exclusivity
    - Are you able to work at another practice while Associating with
    the current practice?
Understand Your Contract

Expenses to be covered (uniforms, dues, malpractice, licenses,
continuing education, etc.)

Term and Termination of Contract

Right-of-first-refusal to purchase the practice
Understand Your Contract: Buy-In Opportunity

  Is there a buy-in provision in the contract?
  Do you want the opportunity to buy-in?

  Understand the expectations of both parties
     -What % will you be buying in?
     -When will you have the opportunity to buy-in?
Understand Your Contract: Buy-In Opportunity

  Will you be financially ready to buy-in down the road?

  Will the senior dentist provide seller financing?

  Are you emotionally ready to be a practice owner?
Buy-In Opportunity: Additional Items to
Consider
Do you foresee yourself making mutual decisions with this
doctor?

Similar treatment philosophies?

How long before you own 100%?

Staff open to the idea of working with a multi-doctor practice?
Understanding the Buy-In Process
VERY DETAILED!
Process to expect...
    Value of practice
    Cash flow projections
    Future compensation structure – senior Dr. and new Dr.
    Assignment of patients
    How will profit be split?
    Discretionary costs – how will this be handled?
    Structure of buy-in (asset vs. stock sale)
Questions?

Contact: Amber Banks, Consultant
    amber@verosdental.com
     317-452-4580 ext. 762

  For more tips visit our blog at:
 www.verosdental.com/news-blog/

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Due Diligence Checklist for Dental Associateships

  • 1. Associateship Due Diligence By Amber Banks, Consultant
  • 2. Why Consider an Associateship? • Not ready for practice ownership • Waiting for the right opportunity • Time to improve skills/hand speed • No initial financial risk • Immediate income • Share patient coverage • Learn from the senior dentist - How to be a clinician and a business owner
  • 3. Where to Start: Identify your needs • Map out a long-term plan - Where do you want to live? - Do you want to be an owner? - What kind of patients do you want to see? - What type of dentistry do you want to do? • Select your “team” - Accountant - Other - Attorney
  • 4. Your Approach to Due Diligence • Weighing available opportunities with the level of due diligence you would perform • Fewer opportunities = Less Leverage • Requesting items to perform your due diligence: when is the right time?
  • 5. Due Diligence: Identify your long-term objective • What do you want to accomplish out of your Associateship? • How long do you want to be an Associate? • What type of compensation do you need to make based on your personal budget? How long will you be okay with making that salary?
  • 6. Due Diligence: Know the Senior Dentist • Why do they want to bring in an Associate? • When do they plan on retiring? • Are they a dentist you foresee yourself working with long-term? • Do you feel you will be able to learn from him/her? • What is his/her style of patient care and treatment? • Do all of these items match up with you and how you foresee yourself in practice?
  • 7. Due Diligence: Know the practice • How does the current team feel about an Associate coming in? • Has the practice had other Associates in the past? - If yes, what happened?
  • 8. Understanding the Entire Contract • Contract should be reviewed and negotiated prior to the Associate starting at the practice • There is no such thing as a “standard” contract - “Entire Agreement” • Start Date
  • 9. Due Diligence: The Contract Employee vs. Independent Contractor - Who determines what you are? - Tax implications – W2 vs. 1099 - Legal implications – Employment vs. I/C Contract - Benefits - Expenses to be covered - Paid time off
  • 10. Due Diligence: The Contract • How will new patients and recall patients be allocated? • Compensation - How frequently will you be paid? - Daily base pay - Bonus incentives - % of production vs. collections - Lab Fees
  • 11. Associate Compensation Formulas Formula with Lab Fees #1 Formula with Lab Fees #2 Formula without Lab Fees Associate Production: $40,000 Associate Production: $40,000 Associate Production: $40,000 Associate Collections: $38,000 Associate Collections: $38,000 Associate Collections: $38,000 Associate Lab Fees: (2,600) Collection %: 35% Net Collections: $35,400 Net Collections: $13,300 Associate Lab Fees: -0- Collection %: 35% Associate Lab Fees: (2,600) Net Collections: $38,000 Monthly Salary: $12,390 Monthly Salary: $10,700 Collection %: 30% Monthly Salary: $11,400
  • 13. Understand Your Contract Liability insurance and indemnification Allowance for uniforms Expected work hours Exclusivity - Are you able to work at another practice while Associating with the current practice?
  • 14. Understand Your Contract Expenses to be covered (uniforms, dues, malpractice, licenses, continuing education, etc.) Term and Termination of Contract Right-of-first-refusal to purchase the practice
  • 15. Understand Your Contract: Buy-In Opportunity Is there a buy-in provision in the contract? Do you want the opportunity to buy-in? Understand the expectations of both parties -What % will you be buying in? -When will you have the opportunity to buy-in?
  • 16. Understand Your Contract: Buy-In Opportunity Will you be financially ready to buy-in down the road? Will the senior dentist provide seller financing? Are you emotionally ready to be a practice owner?
  • 17. Buy-In Opportunity: Additional Items to Consider Do you foresee yourself making mutual decisions with this doctor? Similar treatment philosophies? How long before you own 100%? Staff open to the idea of working with a multi-doctor practice?
  • 18. Understanding the Buy-In Process VERY DETAILED! Process to expect... Value of practice Cash flow projections Future compensation structure – senior Dr. and new Dr. Assignment of patients How will profit be split? Discretionary costs – how will this be handled? Structure of buy-in (asset vs. stock sale)
  • 19. Questions? Contact: Amber Banks, Consultant amber@verosdental.com 317-452-4580 ext. 762 For more tips visit our blog at: www.verosdental.com/news-blog/