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What is the best approach to
your current challenge?
Which resources will best
support your needs?
This area of our site is
designed to answer those
questions. View the short
video and then to
locate and learn more about
the products, services and
resources available from
Berning & Affiliates that
pertain to your specific
needs, follow the links
below that best match your
interests and current
situation. All materials are
available 24/7 on our site!
|
If you are planning the
Associateship
(top)
The following will provide a
suggested approach to
developing the practice
associateship using
resources located on this
web site. This approach is
based on many years
experience developing
practice relationships for
doctors and we know it
works. |
Opportunity Listing
For owners seeking to find and
qualify an associate or an associate
seeking a practice opportunity.
Start by placing an
Opportunity listing. There is no
charge for the listing. There is no
limit for the text. Practice owners
should describe fully what is
offered and tell about the special
aspects of practice. Prospective
associates should describe at least
their background, training and
interest in specific geographic
areas to practice. A picture can be
uploaded. Once the listing is
prepared you can then place a short
ad(s) in professional journals
referencing your detailed listing at
www.BerningAffiliates.com/opportunities2.htm.
This is a cost effective approach.
Do Your Homework
Owners should consider purchasing
Independent Contractor or Employee?
Planning the Dental Practice
Associateship. If there is an
interest in potentially having an
associate eventually purchase the
practice, consider
Steps To Consider Before Bringing on
An Associate in planning to sell
all or a portion of your practice.
Owners and Associates
Both are strongly encouraged to
purchase the
ADA publication Associateships: A
Guide for Owners and Prospective
Associates, coauthored by
Randall Berning. You can order it
directly from the ADA or on this
site and if you order it on this
site we provide our ADA Companion
Reader Associateships which provides
Randall Berning's suggestions for
how to use certain information in
the ADA publication. It is a very
cost effective way to gain an
overview of the items you must be
alert to. For example, in the
section on Becoming An Associate
there is a discussion, Guide for
Evaluating an Associateship.
Also, in the section on Financial
Arrangements, there is a good
discussion on Determining a Fair
Level of Compensation and Break-Even
Analysis for an Associate's
Production.
Owners and Associates
Once you have decided to move
forward with your potential practice
relationship you should set a
meeting to discuss your respective
Expectations. We have found this to
be a critical aspect of starting off
your relationship on the right foot.
Consider purchasing our
Expectations
Discussion Format. Make notes during
the meeting. After the meeting look
over your notes. Are you both
thinking about the associateship and
the future of the relationship the
same way? If not, proceed with
caution! Both owners and associates
will find
Qualify and Interview - How To Get
the Right Match for Associateship
and Partnerships particularly
helpful. It includes suggested
interview questions and observations
developed over many years.
Associates
Consider viewing the slide
program
Career Alternatives & Decision
Making. We have found that
younger professionals can face
significant difficulty actually
deciding what opportunity they will
pursue and when. This program was
designed to provide helpful
considerations for the younger
professional.
Associates with significant debt
starting out their career may also
want to consider
Pointers on Debt Management for
Younger Professionals. We find
that too many younger professionals
do not pursue the practice
opportunities they really want to
because of their concern with
current debt. This publication can
help.
Owners and Associates
You will find our form
agreements of particular help. These
agreement formats have been reviewed
by various doctor's advisors
countless times. However, they are
just that, a form. Owners and
associates should discuss the form
and add any items they desire, such
as compensation arrangements and
benefits.
The practice owner should then have
an attorney licensed in your state
that has an employment law
background or health care or
business/tax specialty review the
agreement to make sure it complies
with your state law. He or she may
also have suggestions or items they
have found helpful for you to
consider. After the owner's attorney
has reviewed the form with any
additions, younger professionals
then should plan on having the
agreement reviewed on their behalf
by separate counsel. Younger
professionals should indicate that
the scope of the legal engagement
sought is limited to a review. This
instruction should keep the cost of
any legal review of these form
agreements to a minimum. Both
parties will find our slide program,
Role and
Selection of Advisors helpful in
this regard.
If you need help in considering and
structuring your associateship or in
transitioning from the associateship
to partnership or sale, you are
welcome to contact us for our
Tackle It
consultation.
Note if a non-traditional practice
relationship is desired owners and
younger professionals may find our
resource materials
Solo Group Formation: Practice and
Legal Issues of interest.
If you are planning the
Practice Partnership
(top)
The following will provide a
suggested approach to
developing the practice
partnership using resources
located on this web site.
For convenience, we use the
words partner and
partnership to include
traditional partnerships and
also shareholder and stock
purchase agreements unless
otherwise noted. Partnership
development can be an
involved and delicate
undertaking. It is worth
taking your time and
carefully structuring the
relationship. This approach
is not comprehensive,
frankly there are just too
many variables. This is
particularly the case for
the larger or
multi-discipline practices.
But for most practices this
series of steps will serve
you well. If you need help
in considering and
structuring your partnership
or transition / succession
plan, you are welcome to
contact us for our
Tackle It consultation. |
For owners seeking to find and
qualify an associate / partner or an
associate seeking a practice
opportunity with the potential for
acquiring an equity interest.
Start by placing an
Opportunity listing. There is no
charge for the listing. There is no
limit for the text. Practice owners
should describe fully what is
offered and tell about the special
aspects of practice. Prospective
associates should describe at least
their background, training and
interest in specific geographic
areas to practice. A picture can be
uploaded. Once the listing is
prepared you can then place a short
ad(s) in professional journals
referencing your detailed listing at
www.BerningAffiliates.com/opportunities.
This is a cost effective approach.
Owners who already have an
associate or party interested in
being a partner should do the
following.
First, each party should
purchase and fill out the Desired
Attributes for a partner. We find
that clarifying and understanding
the attributes desired by each
partner sets the foundation for the
practice relationship.
Second, exchange practice / personal
information Questionnaires. You can
purchase the formats here for each
party and then exchange them.
Third, set a meeting date to discuss
your responses to the Desired
Attributes and Questionnaires. If
you are both comfortable with the
discussion, the general trust level,
and interest in structuring the
relationship, then proceed.
Fourth, the practice owner should
secure a practice valuation. Secure
a quote at
DDS
ValuePoint Quote and order your
valuation at
DDS ValuePoint. Owners and
Associates are both strongly
encouraged to purchase the
ADA Valuing a
Practice, coauthored by Randall
Berning. You can order it directly
from the ADA or on this web site and
if you order it through our on-line
Store we provide our ADA Companion
Reader Valuing A Practice which
provides Randall Berning's
suggestions for how to use certain
information in the ADA publication.
It is a very cost effective way to
gain an overview of the items you
must be alert to before you order
and then receive your valuation work
product. For example, the discussion
on Valuation Methods details the
Capitalized Earnings Method and that
is one of the most important methods
to understand for owners, partners
and purchasers. Further, Factors
Complicating The Valuation Process
is invaluable to help all doctors
avoid difficulties in securing
appropriate valuations.
Fifth, both doctors should have a
comprehensive understanding of the
practice local demographics and the
individuals and families living and
working there. Even though an owner
has lived and worked in an area for
many years he/she may not be aware
of key facts and trends. For both
doctors, being knowledgeable in this
important area allows you to plan
for the future, market with pinpoint
accuracy and discuss the strengths
of the practice location.
Click
here to order our Demographics
Service. Our demographics
affiliate provides not only a very
detailed work product but also, the
ability to link ages, incomes and
areas and order mailing list with
the specific elements desired for
your practice marketing. This is
highly cost effective.
Sixth, begin the process of
developing the terms for your
practice relationship. See our
suggested format for developing
terms. Note these formats are not
inexpensive but we find that if you
can reach a consensus on these terms
you are on the road to structuring a
well developed longer term
relationship.
Seventh, work with your accountant
to structure the cash flow for the
partnership, including compensation
distribution and debt repayment. You
can order our Excel cash flow
formats to move the process along
quickly with your accountant. You
will benefit by having the current
tax aspects of structuring the
purchase reviewed by tax counsel. If
you need help locating health care
or business/tax counsel please
contact us
Contact Us.
Document sets that track with our
terms agendas and illustrate key
points are available. Again, they
are not inexpensive but they do
represent a refinement of documents
that are intended to clearly detail
the practice relationship by
avoiding ambiguity which can be the
source of dispute.
The practice owner should have an
attorney licensed in your state that
has health care or business/tax
specialty draft from scratch or
review the document set and modify
it as appropriate to make sure it
complies with your terms and your
state law. He or she may also have
suggestions or items they have found
helpful for you to consider. After
the owner's attorney has prepared
the draft with any additions,
younger professionals then should
plan on having the agreement
reviewed on their behalf by separate
counsel. Younger professionals
should indicate that the scope of
the legal engagement sought is
limited to a review. This
instruction should keep the cost of
any legal review of these form
agreements to a minimum. Both
parties will find our slide program,
Role and
Selection of Advisors helpful in
this regard.
Once you are set and ready to move
forward, consider the valuable
New Doctor Starting Right:
Associate/Partner material to
help guide raising the visibility of
the practice and the doctors given
the addition of a new doctor. This
is a very important time to get the
relationship off to the right start
but also to bring local awareness to
the growth of the practice.
Helping younger professionals
quickly move forward on a firm
financial footing is important. For
both younger professionals and
practice owners check out the
invaluable contribution to
understanding Investment Value,
Accumulation, learning How Much It
Will Take? and the Lifetime
Investing Plan all by Dr. Alvin
Danenberg, CSP, CFP, CASA with his
Accumulating Wealth Series #1-4.
Side programs that can be helpful to
both younger professionals and
practice owners include
Three
Magical Questions and
Managing
a Practice for Set Up and
Periodic Review.
If you need help in considering and
structuring your associateship or in
transitioning from the associateship
to partnership or sale, you are
welcome to contact us for our
Tackle It
consultation.
If you are planning the
Practice Purchase and Sale
(top)
The following will provide a
suggested approach to
developing the practice sale
using resources located on
this web site. This approach
is based on many years
experience developing
practice sales that are cost
effective for doctors. |
For owners seeking to sell or a
purchaser seeking a practice.
Start by placing an
Opportunity listing. There is no
charge for the listing. There is no
limit for the text. Practice owners
should describe fully what is
offered and tell about the special
aspects of practice. Prospective
purchasers should describe what they
are seeking in a practice and
location. A picture can be uploaded.
Once the listing is prepared you can
then place a short ad(s) in
professional journals referencing
your detailed listing at
www.BerningAffiliates.com/opportunities2.htm.
This is a cost effective approach.
Do your homework.
Owners and Purchasers should
consider reading the discussion
above if there will be a preliminary
associateship, see If
You Are Planning the Practice
Associateship. If there is
an interest in potentially having an
associate eventually purchase the
practice, consider
Steps To Consider Before Bringing on
An Associate in planning to sell
all or a portion of your practice.
Owners should consider acquiring
Selecting and Using A Practice
Broker: Practice and Legal Aspects,
if there is not to be a preliminary
associateship.
Purchasers should consider
The Practice Acquisition Handbook
which discusses practice purchase
and finance options. Prior to the
practice purchased options for the
form of ownership should be
evaluated with your accountant and
attorney. Consider the purchase of
The Limited Liability Company and
Other Entities for Dentistry to
help you gain an understanding of
this important decision.
Owners do the following if you
want to expedite the sale of the
practice.
First, the practice owner should
secure a practice valuation. Secure
a quote at
DDS
ValuePoint Quote and order your
valuation at
DDS ValuePoint. Owners and
Purchasers are both strongly
encouraged to purchase the
ADA Valuing a
Practice, coauthored by Randall
Berning. You can order it directly
from the ADA or on this site and if
you order it on this site we provide
our ADA Companion Reader Valuing A
Practice which provides Randall
Berning's suggestions for how to use
certain information in the ADA
publication. It is a very cost
effective way to gain an overview of
the items you must be alert to
before you order and then receive
your valuation work product. For
example, the discussion on Valuation
Methods details the Capitalized
Earnings Method and that is one of
the most important methods to
understand for owners, partners and
purchasers. Further, Factors
Complicating The Valuation Process
is invaluable to help all doctors
avoid difficulties in securing
appropriate valuations.
Second, develop the terms for the
sale. See our suggested format for
developing terms. Note these formats
are not inexpensive but we find that
if you can reach a consensus on
these terms you are on the road to
structuring a well developed longer
term relationship.
Third, develop the Purchase and Sale
Agreement. A document set that
tracks with our terms agenda to
illustrate the drafting is
available. Again, they are not
inexpensive but they do represent a
refinement of documents that are
intended to clearly detail the
practice sale and purchase
transaction.
The practice owner should have an
attorney licensed in your state that
has health care or business/tax
specialty draft from scratch or
review the document set and modify
it as appropriate to make sure it
complies with your terms and your
state law. He or she may also have
suggestions or items they have found
helpful for you to consider. After
the owner's attorney has prepared
the draft with any additions,
younger professionals then should
plan on having the agreement
reviewed on their behalf by separate
counsel. Younger professionals
should indicate that the scope of
the legal engagement sought is
limited to a review. This
instruction should keep the cost of
any legal review of these form
agreements to a minimum. Both
parties will find our slide program,
Role and
Selection of Advisors helpful in
this regard.
If you need help in considering and
structuring your associateship or in
transitioning from the associateship
to partnership or sale, you are
welcome to contact us for our
Tackle It
consultation.
If you are interested in
Doctor CEO
(top)
The following will provide a
suggested approach for
Doctor CEO's looking to gain
increased practice and
personal performance,
accelerate your practice
development and increase
practice value. Our goal in
developing our approach is
to help doctors act and
react like a CEO within a
life plan. This is our
difference, we facilitate
the overall personal and
practice timeline. We
prepare this material for
increasingly sophisticated
individual doctor and group
practice situations. |
First, start by considering if you
need to develop or refine your
practice vision. If so, read and use
Vision: How To Get The Most
Essential Ingredient For Your
Practice . The discussion and
work sheet agenda will allow you to
take the steps necessary to develop
a clear vision statement that starts
the path to effective practice
planning.
Second, evaluate your leadership
skills. If you would like to learn
our view on an approach to
leadership development read and use
Leadership: For the Doctor CEO. The
discussion and work sheet agenda
will allow you to take important
steps toward a sound leadership
approach for the practice and your
team.
Third, determine if you have a
comprehensive understanding of your
local demographics and the
individuals and families living and
working there. Even though you have
lived and worked in an area for many
years you may not be aware of key
facts and trends. Being
knowledgeable in this important area
allows you to plan for the future,
market with pinpoint accuracy and
discuss the strengths of the
practice location with a prospective
associate or partner.
Click
here to order our Demographics
Service. Our demographics
affiliate provides not only a very
detailed work product but also, the
ability to link ages, incomes and
areas and order mailing list with
the specific elements desired for
your practice marketing. This is
highly cost effective.
Fourth, in understanding the context
of a practice consider having your
staff prepare a
Profile of Current Patients.
This very useful material can help
you learn where the patients that
are already in your practice work
and live. The format allows for
plotting referral and competitor
practices.
Fifth, if you are a solo doctor or
part of a group and you want to
design a well developed future,
consider our
Doctor CEO Practice Planning Day.
This is a challenging program that
gives a tremendous return for the
time you invest. We adapt this same
program when doctors in a new group
participate in shaping the future of
their New Group practice. In both
cases the benefits are significant
including, applying streamlined
business planning methodology to
identify options and reach important
key decisions by consensus.
Objectives for practice and personal
performance are set and the program
helps guides the practice to reach
its full potential. Note, the
program starts with all doctors
undertaking homework before our
meeting. To begin, we provide a
compilation of materials that gets
all doctors on the same level of
understanding. In this way, the
level of awareness and capability of
the doctors is raised with a
planning and decision-making
orientation. Questionnaires are sent
to the doctor(s) and the answers
carefully evaluated. The
Questionnaires serve to raise
underlying items that bear on
structuring a well developed futures
for the doctors and practice. During
and following the meeting we will
discuss and tailor to your practice
vision, mission, philosophy of care,
performance objectives for the
practice, team members and doctors.
We will also develop the overall
timeline for the practice future to
guide all doctors in leading the
practice forward. Check out the
alternatives to this program
including our
Accelerated Secure Your Practice
Success program and our
Marketing
for Results program.
Sixth, if you seek close personal
assistance our
Stay On
Track Annual Coaching program
may be appropriate. This is designed
for doctors who need more than a
consultation because of complex
matters you face or as a
continuation and follow through from
our practice vision or planning
programs. This program provides a
special level of weekly attention to
helping you accomplish your
objectives and goals.
Seventh, if you are concerned about
unmet legal needs of the practice or
if you are about to offer a
partnership equity interest to a
doctor(s) and you want to make sure
that the representations you make
about the good standing of the
practice, partnership, corporation
or practice affiliation is accurate
you may benefit from our
Legal Audit.
Gaining a comfortable financial
footing is important for any doctor
CEO. Both younger professionals and
practice owners should check out the
invaluable contribution to
understanding Investment Value,
Accumulation, learning How Much It
Will Take? and the Lifetime
Investing Plan all by Dr. Alvin
Danenberg, CSP, CFP, CASA with his
Accumulating Wealth Series #1-4.
Side programs that may prompt your
thinking and spur considerations
include
Three Magical Questions and Managing
a Practice for Set Up and
Periodic Review.
If you need help moving forward and
want to discuss your challenges
and/or opportunities, you are
welcome to contact us for our
Tackle It
consultation. |