Choosing to affiliate with a Dental Support Organization (DSO) and a supported practice can open doors to growth, support, and new opportunities, but it’s important to be sure the fit is right. The following 10 questions will help you step back, think through your options, and make a decision that aligns with your goals and values.
1. Why do I want affiliate with a DSO and a supported practice?
Clarify your “why.” Are you planning for retirement, feeling overwhelmed by business tasks, or looking to grow your practice? Understanding your motivation will guide you toward the right fit.
2. What is my practice worth, and how is that value determined?
A clear understanding of your practice's value, including patient loyalty and reputation, allows you to negotiate fairly and select a group that recognizes your hard work and reputation.
3. How will this decision affect my team and patients?
Your team and patients are your foundation. The right DSO and a supported practice should value and protect those relationships through a smooth, supportive transition.
4. What level of support will I receive after affiliating?
Dental groups differ in the operational support they provide, such as HR, compliance, insurance, and technology. Knowing what you need can help reduce stress while maintaining high clinical standards.
5. Which DSO support model fits my goals best?
Here are some options you may encounter:
- Equity-Based DSOs: Allow you to keep partial ownership and share in profits.
- Non-Equity DSOs: Focus on management relief without ongoing ownership, which may be ideal if retirement is near.
- Platform or Partnership DSOs: Provides centralized support and purchasing power while you retain your clinical independence and brand.
6. How will the sale affect my staff and patients?
As you consider selling your dental practice, think about how the transition will impact staff stability, patient trust, and the culture you’ve built. Will your team have the chance to stay on? How will continuity of care be maintained? Planning ahead can help ensure a smooth experience for everyone involved.
7. What will my compensation structure look like afterward?
Understanding whether you’ll be paid by salary, production, or profit sharing ensures you are comfortable with your future income.
8. What are the tax implications of affiliating?
The way a deal is structured can significantly affect your net proceeds. Planning ahead helps you avoid surprises later.
9. What is the expected timeline for transition?
A smooth and predictable timeline minimizes disruption for you, your staff, and your patients.
10. What long-term value does this affiliation offer?Consider future opportunities, such as continuing education, leadership roles, equity growth, and access to operational support, beyond the initial payout.
Final Thought
Joining a dental group is a major decision. Asking yourself these questions helps you approach potential partnerships with clarity and confidence while protecting what matters most to you, your team, and your patients.