Dental financial resource center

Dental Practice Guides for Every Ownership Stage

Choose where you are today. Each pathway puts the guides in decision order so you can understand the financial evidence, risks, tax consequences and next step.

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Acquire

Buy the right practice on terms the cash flow can support.

Follow the sequence from initial evaluation through closing.

1

Start here · Acquisition overview

Dental Practice Acquisition Tax Checklist

Coordinate financial review, tax structure, financing and closing accounting.

Start the acquisition pathway →
2

Evaluate

Valuation and Normalized Cash Flow

Determine whether transferable cash flow supports the purchase price.

Evaluate practice value →
6

Negotiate and close

Letter of Intent and Closing Conditions

Coordinate economics, diligence, consents and accounting deliverables.

Prepare the LOI and closing →

Operate

Build reliable numbers, then improve the practice.

Begin with the accounting foundation and move into focused operating decisions.

Start here · Financial foundation

Monthly Accounting and Fractional CFO

Build reconciled books, reporting, forecasts and accountable follow-through.

Build the financial foundation →

Benchmark methodology

California Dental Practice Financial Benchmark Guide

Separate national reference points, California labor context and the practice's own reconciled trend.

Use the financial benchmark guide →

Measure

Dental Practice KPI Benchmarks

Define each metric before comparing performance.

Use the KPI guide →

Collect

Accounts Receivable and Collections

Control claims, balances, aging, adjustments and deposits.

Improve collections →

Improve hygiene

Hygiene Profitability and Capacity

Measure chair utilization, reappointment and downstream demand.

Review hygiene capacity →

Review payers

PPO Payer Mix and Profitability

Compare realized fees, costs, chair time and contract terms.

Analyze PPO economics →

Transition

Protect transferable value and compare after-tax outcomes.

Prepare early, define ownership changes and model the final economics.

2

Transfer ownership

Associate Buy-In, Partnership and Owner Buyout

Define valuation, compensation, governance, tax basis and exit terms.

Plan the ownership transition →
4

Compare buyers

DSO vs. Individual Buyer Offers

Compare cash, rollover equity, earnouts, employment and risk-adjusted after-tax value.

Compare buyer offers →
5

Evaluate deferred payments

Seller Notes, Earnouts and Installment Payments

Compare enforceability, collection risk, tax timing and after-tax present value.

Evaluate deferred consideration →
6

Define post-sale work

Employment, Compensation and Restrictive Covenants

Separate future-service pay from purchase price and test every termination outcome.

Review post-sale employment →
7

Close and report

Closing Accounting and Post-Closing Tax Reporting

Reconcile the settlement, allocation, opening books, returns and later adjustments.

Complete closing accounting →
8

Decide on the building

Sell, Retain and Lease, or Separate the Building

Compare liquidity, rent, tax, financing, reassessment and concentration risk.

Evaluate practice real estate →
9

Plan life after closing

Sale Proceeds, Estimated Taxes and Retirement Cash Flow

Protect tax liquidity and convert collected proceeds into a year-by-year plan.

Plan post-sale cash flow →

Choose an adviser

Need a dental CPA before choosing a pathway?

Know which decision comes next.

The introductory call confirms fit, urgency and the right paid next step.

Request a Dental CPA Intro Call