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Appraisals

Practice Valuation Appraisal

Conducting a thorough business valuation or appraisal before listing a dental business for sale is an essential first step for several reasons.

  1. We provide an accurate assessment of the business’s worth, allowing both the seller and potential buyers to have a clear understanding of its financial health and potential for growth. This valuation takes into account various factors such as revenue streams, assets, liabilities, and market trends specific to the dental industry, providing a comprehensive picture of the business’s value.
  2. A proper valuation helps in setting a realistic asking price, which is crucial for attracting serious buyers and maximizing the chances of a successful sale. Overpricing can deter potential buyers, while underpricing can result in financial losses for the seller.
  3. Understanding the true value of the business allows for informed negotiation during the sale process, ensuring that both parties reach a fair agreement. Overall, conducting a thorough business valuation before listing a dental practice for sale is vital for achieving a successful and profitable transaction.
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What is my Dental Practice Worth?

Assessing the value of a practice is a crucial aspect in transitions or financial planning within the industry. However, the true significance lies in dissecting the valuation results to address the opportunities and threats it reveals. Practice valuation advisors play a pivotal role in recognizing and tackling these aspects effectively.

Non-financial factors play a significant role in influencing a practice’s value. Variables such as location, patient demographics, practice model (insurance-based or fee-for-service), staffing structure, quality, and the stage of the practice’s life cycle can all impact its worth. Additionally, future earnings potential and impending changes within the practice must be taken into consideration, as relying solely on past performance may not paint an accurate picture. A thorough review of these non-financial factors by knowledgeable practice valuation advisors is essential in the valuation process, as numerical data alone may not provide a complete understanding.

Valuation calculations typically involve employing various methodologies, which are then averaged to derive a final estimate. These methods, including Capitalized Excess Earnings, Asset Value, Annual Net Receipts, and Average Annual Earnings, utilize historical financial data to determine value. However, it is imperative to have advisors who can analyze both financial and non-financial data, along with underlying practice metrics, to assess the potential for improvement or sustainability. For instance, unique patient demographics or reliance on specialized dentistry may present challenges for a new owner if not adequately addressed beforehand. Likewise, identifying opportunities such as unaccepted treatment plans can significantly impact revenue under new management. These complexities underscore the importance of viewing valuation as a starting point, with further analysis conducted by practice valuation advisors to ensure informed decision-making.

EBITDA multiples vary from market to market. For instance, a practice listed in rural Kansas may receive a lower multiple of EBITDA offer than a practice listed in a fast growing, larger market like Austin. Because there is no “MLS”-like database where all private transactions are recorded, industry experts can only make educated guesses as to what EBITDA multiple your practice sale can command.

Ratio of Collections also varies from transaction to transaction. A buyer may consider a multitude of factors – described above – and land at an offer that they deem reasonable and fair. Generally, a seller can expect to receive between 70% and 90% of trailing twelve months or prior year collections from an independent buyer or small and medium sized group practice DSO.

At the end of the day, your practice is worth what someone is willing to pay. Brokerages and expansive marketing platforms like the Dental Deal Report will ensure that your listing receives the highest number of qualified offers and competition amongst potential buyers.

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Suggested Documents to prepare for an Appraisal

Consider creating a digital storage file for these documents that can easily be shared with both a practice valuation consultant and buyers, alike. Some digital file storage solutions include Microsoft OneDrive, Box, DropBox, and Google Drive, among others.

  • Production Reports (4): YTD & Prior 3 Calendar Years by Provider and Location
  • Collection Reports (4): YTD & Prior 3 Calendar Years by Procedure and Payor Type
  • P&L (Statement of Income) Report (4): YTD & Prior 3 Calendar Years
  • Business Tax Returns (3): Prior 3 Calendar Years
  • Current Practice Fee Schedule
  • Current Practice Lease Agreement: Monthly Rate, Remaining Term, Renewal Options, and any Escalations
  • Current Staffing Report: Positions, Legal Names, Hire Dates/Tenure, Compensation Plans, Provider Employment Agreements, Bonus Plans, Benefits, PTO, etc.
  • Current Equipment Report including Dental (i.e., Compressor, Imaging, Sensors, Vacuum, etc.) and Non-Clinical Computer/IT (i.e., server, TVs, monitors, laptops, etc.)
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What is the typical practice transition process?

In terms of process, a practice transition typically takes the following pathway:

  1. Evaluate Financials and Other Due Diligence Documents
  2. Determine Fair Market Value of Business Equity

  1. Brokerages bring a wealth of experience and resources for business valuation appraisals and marketing the business for sale. Brokerages typically charge between 5% and 15% of the sale price as a commission for guiding an effective practice transition.
  2. Independent Sale of a dental business should always include an independent business valuation appraisal. Many dentistry-focused accounting firms offer a standalone business valuation service as part of their portfolio of offerings. The practice owner will be left to market the sale of their practice on their own and manage the conversations with buyers, among other stages of the sale process.

  1. Marketing the practice listing through The Dental Deal Report will ensure a high level of visibility to qualified buyers across the country. Local, independent buyers, group buyers, Private Equity Investors and others will gain visibility to the practice listing details you provide when you submit your listing (Free!) on The Dental Deal Report.
  2. Be mindful that qualified buyers may be delayed in engaging the Seller or Brokerage. The first cohort of buyers may not always be the best fit. Take the time to consider all options as inbound inquiries arrive.

LOIs include an outline of the Intended Close Date, Equity Valuation, and the Purchase Price. This document is not legally binding, but provides a level of understanding between the buyer and seller as they navigate the transition stages. It is typical for a seller to collect multiple LOIs as they consider the qualifications and “fit” of potential buyers.

Legal Document outlining the transaction of the asset(s) (i.e., equity of the business entity, equipment, supplies, materials, patients, staff, etc.)

A new Lease Agreement or Assignment of Existing Lease is created and signed with the New Business Entity (LLC / S-Corp / LLP / etc.) of the selected Buyer.

New Employment Agreement(s) with existing doctors (i.e., if Seller wants to stay on as an associate dentist, or if any existing providers will remain as employees of the new Owner, etc.)

The final stage of the transaction is the wiring of funds from the buyer to the seller.

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Have Questions?

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