Top 10 Deal Points in a Dental Purchase and Sale Agreement
19 Nov 2024 · 27 min
Wes Read and others break down the ten critical terms in a dental practice sale, from how to value goodwill and handle accounts receivable to non-compete clauses and what happens with prepaid procedures. They cover the practical details that trip up buyers and sellers, like insurance changes and supply transitions, plus the emotional side of letting go.
Chapters
Hey, everyone. This is an AI conversation covering our recent personally authored blog post on our Practice Orbit website. Enjoy.
All right, so let's jump into a topic you might not expect. The world of dental practice purchase agreements.
Okay.
We're going to be talking about what happens when a dentist decides to sell their practice. All the behind the scenes details that most people don't ever even think about.
Yeah.
So our guide for this deep dive is this article called Top 10 Deal Points in a Dental Purchase and Sale Agreement.
Okay.
It's from Practice Orbit, a platform that connects buyers and sellers in this very specific space.
Right.
I know what you might be thinking. Contracts sounds a bit dry, but trust me.
Yeah.
This is way more interesting than it sounds. Especially if you're a dentist thinking about selling your practice. Right. Or maybe even buying one.
Absolutely. I mean, with. What's fascinating about this topic is it really highlights how a dental practice is, you know, both a personal endeavor and a business.
Right.
And when it comes time to sell, those two worlds collide in some pretty interesting ways.
Okay, so let's unpack this. Starting with the first point. The article highlights price allocation. So what exactly is price allocation and why is it so important in a dental practice sale?
Well, price allocation is essentially how you break down the purchase price and assign values to different parts of the practice.
Okay.
And this matters because it has significant tax implications for both the buyer and the seller. For example, a large portion of the purchase price is often attributed to goodwill, which basically represents the intangible value of the practice beyond its physical assets.
Goodwill.
Yeah.
So we're talking about things like the practice's reputation, its patient relationships, the loyalty the seller has built over time.
Exactly. Think of it this way. Imagine two practices with identical equipment and physical space.
Okay.
One has, like, amazing online reviews, low staff turnover, and patients have been going there for decades.
Right.
The other one has a so so reputation and a higher rate of patient churn. That first practice likely has a much higher goodwill because it has intangible assets that make it more valuable. And typically, 75 to 85% of the purchase price in a dental practice sale is attributed to this intangible goodwill.
That's a huge chunk. It is, but wouldn't a seller always want to allocate more to goodwill to lower their tax burden?
Yeah.
I mean, how do you find a compromise that works for both sides?
You're hitting on a key point.
Yeah.
It's negotiation. Both the buyer and seller usually bring their accountants to the table. Right. And to figure out an allocation that makes sense for Both parties considering their individual tax situations.
So it's about finding that sweet spot. Spot where everyone feels like they're getting a fair deal.
Right.
Financially and from a tax perspective.
Exactly. Now, moving on to another crucial aspect, let's talk about accounts receivable, or ar. Oh, this is where things can get a little tricky.
Okay, let's unpack ar. It's essentially the money owed to the practice for work that's already been done. So how do you handle that when the practice is being sold?
There are a couple of ways to approach it. The buyer could purchase the outstanding AR from the seller, but usually at a discount. The discount gets bigger depending on how old the debt is. After all, the older the debt, the less likely it is to be collected.
That makes sense. So the buyer is taking on some risk when they purchase ar, especially if it's older debt.
Exactly. They're essentially buying the right to try and collect those funds. But there's no guarantee they'll be successful.
Right.
And if they don't purchase the army, it creates a whole other set of complexities.
What happens in that scenario?
Well, the seller is still entitled to that money, but the buyer might be responsible for collecting it on their behalf. This can get messy because it requires meticulous record keeping, separate bank accounts, and often the buyer charges the seller a fee for managing that collection process.
So buying the AR upfront, even at a discount, seems like a cleaner solution for everyone involved.
Often it is.
It gets rid of those potential headaches down the road.
Yeah. Now let's shift gears and discuss a recent development in the insurance landscape that can significantly impact a practice's value. The Delta Premier shakeup.
That's surprising. I never realized that external factors like insurance could have such a big impact on a practice sale. Tell me more about how this Delta Premier change affects things.
Well, Delta Dental, one of the major dental insurance providers, discontinued its Premier reimbursement rates for new contracts.
Okay.
This means buyers who purchase a practice can now only secure lower PPO rates from Delta, which could potentially impact their revenue.
So if a practice was heavily reliant on those higher Premier rates, its value could take a hit. Could you quantify the impact a bit more for us? Like, how much did rates change and how might that affect a practice's bottom line?
You're right to be concerned. Premier rates were about 15% higher than current PPO rates. So imagine a practice where 50% of its patients are covered by Delta Premier.
Okay.
That's a significant chunk of revenue potentially lost.
That is significant. So as a Potential buyer. You need to be aware of this change and factor it in to your financial projections.
Absolutely. This highlights the importance of thorough due diligence. Buyers need to understand the practice's current payer makes project future revenue based on these new rates and adjust their valuation accordingly.
It's crucial information for making informed decisions.
Yeah.
Okay, so we've talked about price allocation, the complexities of accounts receivable, and this curveball with Delta Premier rates. What's next on the agenda for understanding dental practice purchase agreements?
Let's talk about protecting the investment.
Okay.
For the seller, that means ensuring they can enjoy the fruits of their labor after the sale. For the buyer, it's about safeguarding the future of the practice they've just acquired.
Okay.
And that brings us to the covenant not to compete.
Ah, yes, the legal promise that the seller won't suddenly open a competing practice down the street and try to lure away all their loyal patients.
Exactly. These covenants usually specify a certain time frame. Let's say five years and a geographical radius, maybe 15 miles, within which the seller can can't establish a rival practice.
So it gives the buyer a fair chance to establish themselves without direct competition from the previous owner.
Precisely. But here's where it gets tricky. The enforceability of these covenants can vary by state.
In California, for example, there's ongoing debate about their validity. Wow. So both sides need to be aware of the legal landscape in their specific location and understand how that might affect this part of the agreement.
It sounds like negotiating this covenant is a key part of the process. Both sides need to make sure their interests are protected right. And the terms are clear and enforceable.
Absolutely.
Are you looking to sell a dental practice? If you're a seller, how do you find a strong list of potential buyers? There's no MLS or Zillow for dental practice sales. In such a fragmented market, with transaction costs so high, many dentists selling their practice feel discouraged. That's why I built practiceOrbit.com practice orbit is modernizing how dental practices are sold through its online marketplace platform. It brings together buyers, sellers, and their professional teams directly. Sellers can easily and anonymously showcase their practice on the site for free. Practice Orbit offers two options to sell your practice or option one. For 2% of the sale price fee, you'll get access to all Practice Orbit tools to sell your practice, along with a dedicated human assistant to coordinate the sale. And you only pay that 2% if you sell through the Practice Orbit system. Option 2. Practice Orbit also offers a fully brokered option of 4 to 6% of the sale price. With our fully brokered option, you'll be assigned an experienced practice sales agent to help you determine a price a identify a buyer and navigate the entire transaction. If you're thinking about selling your dental practice, create your free account today at www.practiceorbit.com.
Along similar lines, we have the non solicitation agreement. This one prevents the seller from poaching patients or staff from the practice after the sale.
So it's about ensuring a smooth transition and preventing the seller from undermining the buyer's success. Right. It's all about fairness.
Yes. The goal is to create a win win situation where the seller can move on to their next chapter and the buyer can build upon the foundation that's been laid. Now let's shift our focus to something that's often overlooked.
Okay, I'm intrigued. What is this often overlooked aspect of the agreement?
We're talking about retreatments. Those procedures that, for whatever reason, need to be redone.
Okay.
It's not something people always think about, but it's important to address in the purchase agreement.
I'll admit that never crossed my mind. So what happens when a patient needs a redo after the practice has changed hands? Who's responsible?
It's a great question. And the agreement usually outlines how this is handled. Typically, the seller might be allowed to perform these treatments, especially if it involves work they did previously. This ensures continuity of care for the patient.
Right.
If. If the seller isn't available, they might compensate the buyer for the cost of the procedure.
That makes sense. It's a way to handle those lingering obligations from the seller's time at the helm.
Right. And similar considerations apply to uncompleted prepaid procedures. Imagine a patient paid for a treatment plan upfront, but only part of it was completed before the sale.
Right.
The agreement needs to clearly outline how these situations are handled, ensuring financial clarity for both parties. And, of course, a seamless experience for the patient.
It's all about tying up loose ends and making sure everyone is taken care of during the transition. It sounds like these purchase agreements really try to anticipate all the what ifs that can arise during a practice sale.
They do. And with that, we've covered some of the heavier aspects of dental practice purchase agreements. But there are a few more practical considerations to touch on before we wrap up this part of our deep dive.
Okay, I'm ready for those practical details. Let's hear them.
Well, first off, we need to make sure there's enough toothpaste to go around.
Huh? Okay, I see what you did there. But seriously, what are these practical considerations?
Seriously. The agreement usually stipulates that the seller leaves behind enough supplies, about 15 days worth, to keep the practice running smoothly after the sale. No one wants to start their first day as the new owner by running out of basic supplies.
That's definitely considerate. It would be a rough start to have to scramble for gloves and gauze on day one.
Exactly. And then there's the seemingly obvious but often overlooked task of clearly identifying which assets are included in the sale and which are excluded.
So we're talking about everything from the dental chairs to the computers to maybe even that slightly creepy anatomical model in the waiting room.
You got it.
Yeah.
Everything needs to be spelled out to avoid any disputes later on.
Right.
And finally, we have those lovely indemnity clauses.
Okay, legal jargon alert. I'll admit indemnity clauses always make my eyes glaze over, but break this down for us like we're 5 year olds. Why are these important?
Imagine this. A patient files a lawsuit related to treatment they received before the sale. An indemnity clause would protect the buyer from being held liable for something that happened under the previous owner.
Ah, so it's like a legal safety net. It makes sure that each party is only responsible for what happened on their watch.
Exactly. And with that, We've covered the 10 key points highlighted in this Practice Orbit article. Wow. It's a great starting point for understanding the ins and outs of these agreements.
It really is. We've covered a lot of ground, from the intricacies of price allocation to the importance of those often overlooked retreatments, and.
We'Ve only just scratched the surface. What's fascinating is how these seemingly technical details actually reveal a lot about the human side of this transaction. Yeah, it's about trust, fairness, and ensuring a smooth transition for everyone involved.
Absolutely. It's not just about legalese and numbers. It's about navigating the complexities of handing over a life's work and stepping into the shoes of a seasoned practitioner.
Right.
It's a big deal.
It is. And as we continue our deep dive, we'll explore some of the other articles you shared that delve even further into the human and emotional aspects of this process. We'll also look at some real world examples to illustrate how these agreements play out in practice.
I'm looking forward to it.
Yeah. You know, as are you looking to.
Buy or sell a dental practice? If you're a seller, how do you find a strong list of potential buyers? There's no MLS or Zillow. For dental practice sales. In such a fragmented market, many dentists selling their practice feel discouraged. That's why I built practiceOrbit.com practice orbit is modernizing how dental practices are bought and sold. It's a platform technology. Y' all know them Zillow, Airbnb, Uber, and OpenTable, just to name a few. These technologies do two things. First, they help match buyers and sellers by centralizing the marketplace. Second, once the match between buyer and seller is made, these technologies help them navigate the sale to a successful close. Here are a few of the features inside a Practice Orbit users can determine a reasonable sale price for practice in just minutes. All they need is the most recent business tax return. Practice owners can use the directory to find important service providers like practice brokers, attorneys, accountants, and bankers. Practice owners and their brokers can invite those service providers into the platform. So all parties are coordinating the sale together. Practice owners will have a beautiful digital listing of their practice, like a home on Redfin. And importantly, the listing will be anonymous, and personal information like your address, name and pictures are only released after an NDA is signed and approved by you or your broker. Practice buyers can create saved searches to be auto notified when new listings come on the platform that fit their desired specialty and location. And hey, dental practice brokers, you can list all your practices on the site for free. By doing so, you'll get access to Practice Orbit's large pool of buyers, all of whom have created profiles and saved searches to be auto notified when new listings come for sale. You can use the platform to introduce your listings to a targeted set of buyers. Additionally, and optionally, you can use the platform tools such as a built in NDA, a customizable loi, and a workflow tool to navigate the sale from LOI to closing. In fact, you can manage all your listings on the system, from listing the practice to NDA to loi, and finally to closing the deal. Create your free account today at www.practiceorbit.com.
As we've been discussing these purchase agreements, it's clear that there are a lot more to a dental practice sale than just the financial and legal aspects.
Absolutely. We're talking about people's livelihoods, their legacies, the relationships they've built over years, maybe even decades.
Right.
It's a big deal to hand that over to someone else.
It is. And that's why I think it's so important for both sides to approach these negotiations with a sense of empathy and understanding. Yeah. You know, for the seller, it's often about finding the right successor. Someone who will carry on their vision for the practice. Someone they trust to care for their patients and their team.
And for the buyer, it's about finding a practice that aligns with their own philosophy of care. Their goals, their aspirations. It's not just about buying a business. It's about finding the right fit. A place where you can see yourself thriving professionally and personally.
Exactly. And that's where platforms like Practice Orbit can play a valuable role. Yeah, you know, they connect buyers and sellers, provide resources and help facilitate the process. But beyond those practicalities, I think the human element is crucial.
I agree. It's so easy to get caught up in the legalities and the finances that we forget about the emotional aspects of these transitions.
Right. Speaking of which, let's shift our focus to another article you shared. The one from the American Vital association titled what to consider before you buy or sell a dental practice.
Yes. This article dives into some of the broader considerations that potential buyers and sellers should be thinking about even before they get into the nitty gritty of contracts.
Right. It starts by emphasizing the importance of self reflection.
Okay.
Sellers need to ask themselves why they're selling. Is it retirement? A career change? Relocation? Defining those motivations and making sure that selling is truly the right decision is crucial.
It's like any major life decision. You need to weigh the pros and cons, figure out your priorities, and make sure it aligns with your goals and values.
Exactly. And for buyers, the article encourages them to really think about their long term goals and whether practice ownership is the right path for them. Right. It's a big commitment, both personally and professionally. So it's crucial to go in with eyes wide open.
No one wants to jump into practice ownership only to realize a year later that it wasn't the right fit.
Precisely. Now, another key point the article emphasizes is due diligence.
Okay.
And this is important for both buyers and sellers.
Wait, due diligence for sellers? I always thought that was mainly a buyer's responsibility.
It's beneficial for both sides. For sellers, due diligence means getting their financial records organized, making sure all their documentation is accurate, and being prepared to answer any questions a potential buyer might have.
So it's about transparency and presenting a clear picture of the practice's financial health and operational efficiency.
Exactly. It builds trust and can actually help expedite the sale process. Now, for buyers, due diligence is even more critical. They need to thoroughly assess the practice's financial performance, understand the patient demographics, get a feel for the staff dynamics, and even evaluate the physical condition of the facility.
It's like inspecting a house before you buy it, but with even higher stakes. You're not just buying a building, you're buying into a whole ecosystem.
That's a great analogy. The article recommends reviewing financial statements, tax returns, patient records, employment agreements, you name. Even suggests interviewing staff members to get a sense of the practice's culture.
It's about going beyond the surface and really understanding the practice's strengths and weaknesses.
Right. And it's not just about crunching numbers. It's also about assessing the practice's reputation in the community, understanding the loyalty of its patient bas and evaluating its potential for growth.
It sounds like having a team of advisors, lawyers, accountants, practice valuation experts is essential during this due diligence process.
Absolutely. They can provide guidance, help you understand complex information, and make sure you're making informed decisions every step of the way.
It's like having a team of Sherpas guiding you through the treacherous but ultimately rewarding terrain of practice ownership.
I love that analogy. Now, beyond the financials and legalities, the ADA article also touches on something that often gets overlooked.
Let me guess. The emotional aspects of selling a dental practice.
You got it. For many dentists, their practice is more than just a business. It's their life's work.
Right.
It's a source of pride and fulfillment. And letting go can be emotionally challenging.
It's their legacy. It's understandable that it would be tough to say goodbye.
The article acknowledges this emotional component and encourages sellers to seek support from family, friends, or even therapists to help them navigate this transition.
Yeah.
It also reminds them that letting go doesn't have to mean saying goodbye to dentistry altogether.
Right. There are ways to stay involved. Maybe through mentoring, teaching, or even part time work.
Exactly. Now, from the buyer's perspective, it's important to be sensitive to these emotions and approach the transition with respect for the practice's history and the seller's legacy.
It's about building a relationship, not just acquiring a business.
Precisely. And that brings us to another fascinating point raised in the ADA article. The importance of cultural compatibility.
Ah, yes. The unspoken rules, the values, the way things are done around here.
Exactly. Every dental practice has its own unique culture.
Right.
And it's crucial for buyers to assess whether that culture aligns with their own style and values.
For example, a buyer who thrives in a highly collaborative, team oriented environment might not be happy in a practice where the dentist makes all the decisions unilaterally.
Exactly. And this cultural compatibility extends beyond the dentist themselves. It's about how the staff interacts, how Patients are treated, the overall atmosphere of the practice.
So it's about finding a place where you feel comfortable, where your values are respected, and where you can see yourself working happily for years to come.
Right. And the article suggests spending time observing the practice in action, interacting with the staff, even shadowing the dentist to get a feel for the day to day operations.
It's like a trial run to make sure it's a good fit, both professionally and personally.
Exactly. And speaking of transitions, the ADA article also highlights the importance of a well planned handover process.
Ah, yes. Passing the baton smoothly so patients don't feel like they're suddenly in unfamiliar territory.
Right. The article recommends a gradual transition period where the buyer and seller work alongside each other, allowing patients to get to know the new dentist and ensuring continuity of care.
It's a chance for the seller to introduce the buyer to patients, share insights about individual cases and ease any anxieties about the change in ownership.
Exactly. It's about building trust and ensuring a seamless transition for everyone involved. Now, beyond the handover itself, the article emphasizes the importance of ongoing communication, even after the sale is finalized. Finalized.
So it's not just about signing the papers and walking away. It's about maintaining a relationship, perhaps for mentorship or guidance, especially in those early days of ownership.
Right. The seller's experience and knowledge can be invaluable to the buyer as they navigate the challenges of practice ownership. And for the seller, it can provide a sense of closure and the satisfaction of seeing the legacy continue.
It's like passing the torch, but staying close by to offer guidance and support.
Exactly. Now, as we wrap up our discussion of the ADA article, I think it's worth noting that it goes beyond the transactional aspects of buying or selling a practice.
Yeah.
You know, it touches on the human element, the emotional considerations and the importance of finding the right fit.
It's a great reminder that these decisions are about more than just dollars and cents. They're about people's lives, their careers, their passions.
Precisely.
Yeah.
And as we delve further into this topic, I think it's worth exploring how these human factors intersect with the legal and financial complex complexities of dental practice sales.
Absolutely. It's a fascinating interplay and I'm eager to uncover more insights as we continue our deep dive. As we've been exploring these articles and unpacking all the nuances of dental practice sales, one thing that really stands out to me is the sheer complexity of this process.
It's true, whether you're the seasoned dentist looking to sell or the Ambitious associate ready to take the plunge into ownership. There's a lot to consider.
It's not just about finding a buyer or a practice. It's about navigating a web of legal agreements, financial considerations, tax implications. Right, and of course, those all important human dynamics we've been discussing.
Exactly. And that's why having professional guidance is so crucial in this process.
Yeah, it's like assembling a dream team of advisors, lawyers specializing in these transactions, accountants who understand the ins and outs of dental practice, finances, practice valuation experts who can accurately assess the worth, and maybe even a business broker to help facilitate the whole thing.
Having that team in place can make all the difference.
Right.
They can help you understand the fine print, negotiate favorable terms, and ultimately make sure you're protected and informed every step of the way.
Think of it like having a seasoned guide leading you through uncharted territory.
Yeah.
They know the path, they anticipate the challenges, and they help you navigate the complexities so you can reach your destination successfully.
I like that analogy. And speaking of navigating the process, let's circle back to that Practice Orbit article for a moment.
Okay.
It mentions something called a letter of intent, or loi. What exactly is that and what role does it play in the sale?
Ah, yes, the loi. This is where things start to get real.
Yeah.
It's like a preliminary agreement that outlines the key terms of the sale, right?
Precisely. It's not legally binding, but it sets the stage for the formal purchase agreement.
Okay.
It typically covers things like the purchase price, the payment structure, the timeline for closing, and any contingencies that need to be addressed.
So it's a way for both sides to agree on the big picture stuff before diving into all the detailed legal language of the contract.
Exactly. And the article emphasizes the importance of addressing certain key points upfront in the loi. Like that covenant not to compete we talked about earlier. Getting those terms ironed out early on can save a lot of headaches and potential disputes down the road.
It's all about clarity and setting expectations from the outset.
Absolutely. Now, once the LOI is signed, the due diligence process kicks into high gear.
Okay.
And that's where those expert advisors we talked about really come into play.
They're scrutinizing financial records, combing through contracts, making sure everything is in order. It's a deep dive into the inner workings of the practice.
It is. And based on their findings, they might suggest adjustments to the initial terms outlined in the loi. Oh, so it's not set in stone. There's still room for negotiation and fine tuning as more information comes to light.
That makes sense. It's a dynamic process, not just a static transaction.
Exactly. And once both sides are satisfied with the findings and have agreed on the final terms.
Yeah.
It's time to draft the formal purchase agreement.
The moment of truth. The legal document that seals the deal.
Precisely. And this is where having a skilled lawyer is absolutely essential. They'll make sure the agreement accurately reflects the negotiated terms, protects your interests, and complies with all applicable laws and regulations.
This is definitely not the time for DIY legal work.
Agreed. Now, as we wrap up our deep dive into the world of dental practice sales, I want to emphasize that it's a journey, not just a transaction.
That's a great way to put it. It's a process that requires careful planning, thoughtful decision making and a willingness to seek out expert guidance.
Exactly. Whether you're a seasoned dentist contemplating retirement or a young practitioner eager to build your own legacy, understanding the intricacies of these agreements is essential.
It's about protecting your interests, making informed choices, and ensuring a smooth transition for everyone involved. And as we've discovered, it's not just about legalese and finances. It's about the human element, the relationships, the shared passion for dentistry.
Well said. And as we leave our listeners with food for thought, I'd encourage them to reflect on their own aspirations. Whether you're on the buying or selling side of this equation, what are your non negotiables? What values and goals will guide your decisions in this exciting, albeit complex world of dental practice transitions?
Those are great questions to ponder, and as always, we encourage you to delve deeper, do your research and seek out expert guidance. Yeah, the resources are out there. And with the right knowledge and support, you can navigate this process with confidence and achieve your goals. Thanks for joining us on this deep dive.