August 25, 2016
By Theodore C. Schumann, CPA, CFP

You may be thinking: Who is this guy to say that selling my practice is not about money? While getting a fair price for your practice is important, I can tell you that after 30 years of putting together over 600 successful transactions, money is almost never the most important factor in the sale process. In fact, when problems arise in a deal, the issues are nearly always emotional ones. We find that the closer we get to finalizing the deal, the more real it becomes, and the more likely the seller is to doubt whether he or she is doing the right thing.
Transitioning your practice is more about the emotional satisfaction and the orderly process of adopting out your baby. Often, selling dentists are somewhat surprised at the emotional toll this process takes on them. This should be no surprise because for most sellers the transition is the culmination of a life devoted to their practice. A practice is not just the business and income the dentist created; it is also the hundreds, maybe thousands, of people the dentist treated and the relationships developed over the years. Many retired dentists tell me what they miss most after retirement is the day-to-day contact with their patients.
One of the key things we find that tends to drive a deal is the seller’s net emotional feelings toward the buyer. A seller needs to feel he or she can trust the buyer to treat the patients and staff well. It is important to the seller that the buyer respects the practice philosophy. The seller needs to know that the buyer respects what the seller has created. The most successful transactions tend to happen when the buyer and seller genuinely like each other and have respect for each other’s expertise.
It is probably worth mentioning that buyers may also be facing emotional issues as they consider purchasing a practice. Most are carrying a fair amount of debt from dental school and will understandably be cautious. Since most buyers have never been business owners, they will look to you for comfort and guidance. In this realm, it is OK to be a mentor. However, make sure you avoid putting yourself in a position where you are guaranteeing the buyer’s success.
As you plan your transition, here are some questions to consider:
1. Have you accumulated enough money to retire comfortably?
2. What are you going to do with your time that will be as relevant to you as the practice of dentistry?
3. What are some of the things that you want, other than money, to make your transition successful?
4. Are you ready to stop being the doctor?
5. What characteristics would you like to see in your buyer?
6. Are you willing to walk away from the deal if you learn something about the buyer that gives you great concern, even if that buyer has met your price?
7. What factors are going to make it easy for you to relax after the transition?
One of the most important questions you need to resolve before you start your transition process is: Are you emotionally ready to sell your practice? It is my firm belief that you should not begin the process until you know for sure you are ready. An experienced transition consultant can often help you determine whether you’re ready or not. There are only a few rare instances when you have to sell before you’re ready. The time to sell is when you’re sure you’re ready. If you have doubts, put it off for three to six months and then revisit selling your practice.

As more parents get laid off or struggle with low-paying jobs in Calgary, their children are paying the price with their teeth.

“With the economy, with the government and with fees, it’s a multi-faceted issue and, you can appreciate in Alberta, we have a huge problem with people falling through the cracks,” said Denise Kokaram, program lead for the Alex Dental Health Bus, which provides mobile services to city schools in high-needs areas.

The number of kids being seen through the Alex’s preventative school program has doubled since it began in 2013. In the first year, 798 children were seen. That jumped to 1,607 in 2016. The amount of children with decay has also shot up from 225 in 2013 to 745 in 2015. The number for 2016 is not yet available.

The numbers are also rising for children seen by the bus team who require more advanced treatment. These families are referred to clinics run by volunteer dentists. In 2013, 65 children had work done. In 2016, that rose to 298.

In total, more than $1.4 million in treatment has been provided to 13,000 children through one of the Alex dental programs and its partners. The dental bus is running at capacity and they are unable to keep up with the demand from the public, schools and agencies, said Kokaram.

“Every day I am fielding an increasing number of calls from people wanting to know how to access care but who are not falling into the criteria for government assistance and are not able to afford to go to the mainstream dentist and they’re in desperate need.”

Ashley Chorney is one of those parents. She’s a stay-at-home mom and her husband is a self-employed seasonal worker. They just can’t afford Blue Cross coverage so her daughter Ava, 7, was referred by the Alex to a free clinic on Friday at Westhills Dental Centre.

“When I got the call I had tears, but they were happy tears. It’s so great that people are willing to help. They are doing something truly amazing.”

While the Alex does a lot of work with the homeless community, Kokaram said the biggest demand for dental care is coming from those who just lost their jobs or have low-income employment without benefits.

“Many of our clients are working poor and disadvantaged families who cannot afford (it). The very poor have access to government assistance but the working poor continually fall through the cracks.”

Another concern is the severity of dental problems these children have when they are first seen.

“We’ve got a 50 per cent decay rate that we’ve identified and we need to be able to do something more than the preventative side of it,” said Kokaram. “The real way to deal with it is to engage the dental community to take some responsibility with what we’re doing.”

That’s occurring through Smiles Dental Clinics where city dentists volunteer their time, office and staff to treat children referred by the Alex. Dr. Greg Cumberford has done 41 such clinics and on Friday, he was joined by fellow dentists Daniel Yu and Belinda Sher in treating 29 children with cleanings and X-rays, fillings, root canals and extractions. One seven-year-old boy needed at least seven fillings.

Cumberford believes the increasing severity of decay is due to a combination of factors: no flouride in our water, a society where the average diet is high in processed foods and refined sugars, and an inability to afford treatment.

“We’re hitting that perfect storm and it’s sad because we’re seeing that reflected in the children. It’s heartbreaking. This should not be happening in Calgary.”

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