{"id":10419,"date":"2021-09-07T08:00:49","date_gmt":"2021-09-07T13:00:49","guid":{"rendered":"https:\/\/www.cainwatters.com\/digitalblogs\/?p=10419"},"modified":"2021-09-02T16:21:27","modified_gmt":"2021-09-02T21:21:27","slug":"right-time-add-associate-dentist","status":"publish","type":"post","link":"https:\/\/www.cainwatters.com\/digitalblogs\/right-time-add-associate-dentist\/","title":{"rendered":"Is Now the Right Time to Add an Associate Dentist?"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"10419\" class=\"elementor elementor-10419\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"has_ae_slider elementor-section elementor-top-section elementor-element elementor-element-55538aac elementor-section-boxed elementor-section-height-default elementor-section-height-default ae-bg-gallery-type-default\" data-id=\"55538aac\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_ae_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7043cbb0 ae-bg-gallery-type-default\" data-id=\"7043cbb0\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-40dac236 elementor-widget elementor-widget-heading\" data-id=\"40dac236\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Consider These Factors Before Answering 'Yes'<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4ac4fdc5 elementor-widget elementor-widget-text-editor\" data-id=\"4ac4fdc5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Adding a doctor to a dental practice is one of the biggest decisions owners can make, and for good reason. A new associate will have a huge impact on the practice\u2019s culture, operations and, of course, the bottom line. It has the potential to spur growth, invigorate staff and pay big dividends for years to come. On the other hand, bringing in an associate before the owner or the practice is ready often leads to trouble.<\/p><p>So, how do dental practice owners determine if and when their practice is ready to add another doctor?<\/p><p>CPA and Financial Advisor <a href=\"http:\/\/www.cainwatters.com\/mason\" target=\"_blank\" rel=\"noopener\"><span style=\"text-decoration: underline; color: #33cccc;\">Mason Stern<\/span><\/a> says there\u2019s not one hard, fast metric that owners can lean on. In fact, Mason counsels his clients that the first step in the evaluation process is not a financial one at all.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_ae_slider elementor-section elementor-top-section elementor-element elementor-element-7bb019e blue-box elementor-section-boxed elementor-section-height-default elementor-section-height-default ae-bg-gallery-type-default\" data-id=\"7bb019e\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"has_ae_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3a40f049 ae-bg-gallery-type-default\" data-id=\"3a40f049\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6bf73976 elementor-widget elementor-widget-text-editor\" data-id=\"6bf73976\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>\u201cThe very first question I ask my clients is &#8216;What is your why?&#8217;\u201d says Mason. \u201cWhat problem(s) are we trying to solve by bringing in a new doctor?\u201d<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_ae_slider elementor-section elementor-top-section elementor-element elementor-element-5052a32f elementor-section-boxed elementor-section-height-default elementor-section-height-default ae-bg-gallery-type-default\" data-id=\"5052a32f\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_ae_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-1edc8f78 ae-bg-gallery-type-default\" data-id=\"1edc8f78\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-23a63bf elementor-widget elementor-widget-text-editor\" data-id=\"23a63bf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The reasons for bringing in an associate are varied and not specific to a specialty or practice. Some owners are looking for more flexibility. Some have capacity constraints. It could be purely financial. Or an owner might be looking to transition ownership of the practice in the near future.<\/p><p>Whatever the motive, Mason says ensuring that adding an associate truly fits the needs of your practice and staff is the key.<\/p><p>\u201cUnderstanding \u2018the why\u2019 is vital to mapping the direction going forward,\u201c says Mason. \u201cUntil we are comfortable with that, I rarely start looking into the financial impact of adding an associate.\u201d<\/p><p>Once it\u2019s established that adding an associate dentist is the right move personally for the practice owner, it\u2019s time to determine if it\u2019s the right move financially for the practice. Mason looks at two models when determining the financial viability of adding an associate: break-even and profitability.<\/p><h5><strong>Determining the Break-Even <\/strong><\/h5><p>Knowing the practice\u2019s breakeven helps owners understand the viability of bringing on another doctor without having a negative financial impact on the practice. The breakeven number is determined by comparing the increased costs that an associate will bring with what they need to produce to be able to cover that cost.<\/p><p>\u201cThe modeling tool we use at CWA gives owners a complete breakeven picture, down to monthly or even daily production goals for the associate,\u201d says Mason. \u201cThe breakeven amount is typically considerably lower than owners expect because many of the expenses are already fixed.\u201d<\/p><p>Salary will always be the biggest cost when factoring breakeven. However, Mason stresses that there are many other costs to consider when determining your number:<\/p><ul><li>Are you adding in the full benefits package (insurance, 401(k), profit sharing, etc.)?<\/li><li>Will adding an associate dentist require more staff?<\/li><li>Will you need to build out a portion of your office to get ready?<\/li><li>Do you need more equipment?<\/li><li>How much added marketing costs will you need?<\/li><\/ul><p>He strongly suggests going to your CPA for guidance on determining the costs that will factor into the calculation. \u201cA little due diligence up front helps ensure your breakeven is accurate and avoid surprises down the road,\u201d adds Mason.<\/p><p>For a deeper dive into knowing your breakeven for an associate, check out <a href=\"https:\/\/www.cainwatters.com\/practice-transition-podcast\/\" target=\"_blank\" rel=\"noopener\"><span style=\"text-decoration: underline; color: #33cccc;\">CWA\u2019s practice transition podcast<\/span><\/a>.<\/p><h5><strong>Modeling Practice Profitability <\/strong><\/h5><p>Whereas breakeven is more of a guide to help owners understand whether bringing in an associate dentist is financially viable, profitability modeling predicts how successful a practice can be after the transition.<\/p><p>\u201cRarely is a practice owner bringing in an associate to just break even,\u201d laughs Mason. \u201cThe profitability models we run for CWA transition clients determine how much additional cash flow will be built because of the increased production.\u201d<\/p><p>Although there are many factors at play in profitability scenarios, Mason and his team base their models on how much a new associate is able to collect each month, from very conservative estimates to aggressive projections. This helps give owners a clearer picture of the impact bringing in an associate will have on the bottom line.<\/p><h5><strong>Finding the Right Associate at the Right Time<\/strong><\/h5><p>Assuming the breakeven is in line and the profitability numbers check out, the initial hurdles have been cleared. Now the real challenge begins: finding the right dentist.<\/p><p>The first thing owners should consider is the long-term goal. Is there going to be a path to partnership or is this a true associate agreement?<\/p><p>\u201cThis is typically determined in the original conversation around why an owner is looking to add a dentist,\u201d says Mason.<\/p><p>Putting an incoming associate on a path to partnership typically makes the search process easier, as most of them see the opportunity of ownership enticing. If partnership isn\u2019t an avenue that an owner is ready to explore, it\u2019s important to be transparent to potential associates during the process.<\/p><p>\u201cThe highest priority is how well the owner and new associate\u2019s personalities mesh,\u201d says Mason. \u201cI encourage my clients to spend the extra time upfront to ensure they are bringing the right person into the practice.\u201d<\/p><p>Finding the right associate is a really important step, but it is still only one piece of the overall puzzle. You will need to determine what type of employee they will be (W2 or independent contractor) and agree to full-time, part-time and numbers of days worked.<\/p><p>How to compensate is also commonly an area of confusion. With many different options, from daily rates, percent of collections and variations of the two, questions always come up. Once you work in bonuses, benefits and contracts, there are a lot of variables the doctor and associate need to agree on before any actual dentistry is performed.<\/p><p>To learn more about selecting the right associate or partner, check out the CWA podcast series,\u00a0<a href=\"https:\/\/www.cainwatters.com\/practice-transition-podcast\/?utm_source=campaign%20monitor&amp;utm_medium=email&amp;utm_content=hero-pts-podcast\" target=\"_blank\" rel=\"noopener\"><em><span style=\"text-decoration: underline; color: #33cccc;\">Creating Successful Dental Practice Partnerships<\/span><\/em><\/a>, also available on Apple Podcast and Google Podcast. Be sure to download and follow along with our complimentary <a href=\"https:\/\/www.cainwatters.com\/practice-transition-podcast\/\" target=\"_blank\" rel=\"noopener\"><span style=\"text-decoration: underline; color: #33cccc;\">Practice Transition Toolkit<\/span><\/a>.<\/p><p>Determining whether now is the right time to add a dentist is a complicated process, with many factors at play and no clear-cut answer. That\u2019s why it\u2019s important not to do it alone. Start with your CPA.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_ae_slider elementor-section elementor-top-section elementor-element elementor-element-3c09625f elementor-section-boxed elementor-section-height-default elementor-section-height-default ae-bg-gallery-type-default\" data-id=\"3c09625f\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"has_ae_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-69d2d81c blue-box ae-bg-gallery-type-default\" data-id=\"69d2d81c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2a84c1dc elementor-widget elementor-widget-text-editor\" data-id=\"2a84c1dc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>If you\u2019re not getting the detailed models and metrics to make an informed decision, <strong><a href=\"https:\/\/www.cainwatters.com\/contact\/\" target=\"_blank\" rel=\"noopener\"><u><span style=\"text-decoration: underline; color: #33cccc;\">contact our team<\/span><\/u><\/a><\/strong> to get started with a financial team that is committed to help your plans succeed.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Consider These Factors Before Answering &#8216;Yes&#8217; Adding a doctor to a dental practice is one of the biggest decisions owners can make, and for good reason. A new associate will have a huge impact on the practice\u2019s culture, operations and, of course, the bottom line. It has the potential to spur growth, invigorate staff and [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":10438,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[16,20],"tags":[],"ppma_author":[48],"class_list":["post-10419","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-digital-news-feature","category-practice-management"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Is Now the Right Time to Add an Associate Dentist?<\/title>\n<meta name=\"description\" content=\"CPA Mason Stern evaluates the different factors you should consider when contemplating if now is the right time to add an associate dentist.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, 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