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Leverage a Successful Exit in your Dental Practice: The #1 Tool for Scaling and Exiting

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Josh Gwinn

Table of Contents

  • Understanding EBITDA and How To Use it for your Dental Practice 
  • Why EBITDA Matters for Scaling your Dental Practice 
  • 1. Operational Efficiency:
  • 2. Comparative Analysis:
  • 3. Investor Appeal:
  • How Dental Practices Can Increase Their EBITDA and Why You Should Care: 1 Way to Scale –
  • Steps to Utilize EBITDA for Scaling your Dental Practice 
  • 1. Detailed Financial Analysis of your Practice:
  • 2. Identify Cost Optimization Opportunities:
  • 3. Strategic Decision-Making:
  • 4. Communicate Effectively:
  • One More Tool for Investing in your Dental Practice  

This month we’ve taken a deep dive into scaling your dental practice and doing it successfully. Scaling any business is time consuming and work intensive. You need the right teams, tools and resources to scale effectively. And there is one tool that stands out among all the others. But this tool is versatile. There are a couple vital ways to use it, so let’s get into it.

In the dynamic landscape of dental practice management, finding effective metrics to guide growth is crucial. One such metric that has gained prominence is EBITDA, or Earnings Before Interest, Taxes, Depreciation, and Amortization. This is also a tool used by PE, banks, and other investing institutions when they are interested in buying a dental practice or organization. So, why not learn how to use this tool to your advantage, even and especially when devising your exit strategy. In this post, we’ll explore how leveraging EBITDA can be a strategic move to scale and even selling your dental practice. 

Understanding EBITDA and How To Use it for your Dental Practice 

EBITDA is a financial indicator that provides a snapshot of a company’s operational performance by excluding certain non-operating expenses. It essentially measures a company’s ability to generate operating income before considering the impact of financing and accounting decisions. Investors use this tool so they can have a clear picture of your short-term operational efficiency, in short, a dental practice’s profitability.

EBITDA essentially isolates earnings in your dental practice to gauge the value and feasibility of your practice as it stands separate from external financial factors.  

  • Earnings: The total revenue (all the money earned from your dental services) minus the cost of services sold (the money spent to offer those services). Also known as net income. 
  • Interest: The cost of debt financing (like loans or credit). 
  • Taxes: The amounts paid to the government can vary and thus are excluded. 
  • Depreciation: The decrease in value of tangible assets (like operatory tools and equipment, office equipment, etc.) over time. 
  • Amortization: Similar to depreciation, but for intangible assets (investor arrangements, real estate, dental offices, etc). 

Why EBITDA Matters for Scaling your Dental Practice 

1. Operational Efficiency:

EBITDA focuses solely on the core operations of your dental practice, making it an effective tool to assess operational efficiency. By identifying areas where costs can be optimized, dental practice entrepreneurs can streamline their operations for better scalability. This is also an incredibly valuable tool for dental practice exit strategies. Having a clear picture of your operational efficiency can put you in a strong negotiating position while giving you better tools for exit strategy planning.

2. Comparative Analysis:

EBITDA allows for easy comparison between organizations in the same industry. This can be invaluable for benchmarking your dental practice against your competitors, identifying areas for improvement, and implementing best practices to foster growth as well as exit strategy analysis.

3. Investor Appeal:

Investors often look at EBITDA as a key metric when evaluating an organization’s financial health. A strong EBITDA margin can make your dental practice more attractive to potential investors, facilitating funding opportunities for expansion and exit. You’re in much stronger negotiating position when you see what they see and work on increasing your profitability.

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How Dental Practices Can Increase Their EBITDA and Why You Should Care: 1 Way to Scale –

Increase your EBIDTA in your dental practice

Steps to Utilize EBITDA for Scaling your Dental Practice 

1. Detailed Financial Analysis of your Practice:

Conduct a thorough analysis of your dental practice’s financial statements to calculate EBITDA. Understand the components and identify any extraordinary items that might distort the true operational performance of your practice. This step cannot be overlooked. In order to get from point A to point B, you’ve got to design a roadmap with the correct data and information.

2. Identify Cost Optimization Opportunities:

Utilize EBITDA as a tool to pinpoint areas where costs can be optimized without compromising operational efficiency. This may involve renegotiating contracts with your vendors, streamlining processes, or investing in upgraded technology for your operatories for greater efficiency. Whether you’re scaling or planning to exit, optimizing your operations will have strong long-term benefits.

3. Strategic Decision-Making:

Armed with a clear understanding of your dental practice’s EBITDA, make strategic decisions aligned with your growth objectives based on your Strategic Plan. This might involve where you choose to open your next location, expanding services perhaps into cosmetic or surgical dentistry, investing in affiliates and partners to increase value, or building your strategic plan for exiting your dental practice organization.

4. Communicate Effectively:

When communicating with stakeholders, including team members, investors, and partners, use EBITDA as a transparent metric to showcase your practice’s financial performance. This fosters trust and confidence in your growth strategy and strategic planning.  

One More Tool for Investing in your Dental Practice  

Leveraging EBITDA can be a game-changer for dental practices aiming to scale or exit successfully. By focusing on operational efficiency, comparative analysis, and strategic decision-making, a dental practice entrepreneur can use EBITDA as a compass to navigate the path to sustainable growth or even a successful and profitable exit.  

And don’t overlook mindset. The mindset of a dental entrepreneur cannot be underestimated. YOU are the driving force of the vision, the mission and the strategic plan when growing your practice. It is your passion that your team, your vendors and your partners will buy into. They need to trust the driver of the bus and where that bus is headed.

There is one more tool for your strategic planning arsenal; it’s called a mastermind. What is a mastermind? A mastermind is a group of peers that come together on a regular basis to work out their biggest challenges, share resources and build community. It is the single most effective tool that an entrepreneur has in the entrepreneurial toolkit.

And you’re in luck! I run a regular mastermind exclusively for dentists. We get together regularly to discuss the biggest obstacles to growth that they’re facing in real time; share stories of inspiration; share resources and celebrate each other’s wins. It’s a wonderful community and we want you to be a part of our movement. For Optimize Practice Alliance, our motto is –

the future of dentistry belongs with dentists

and that is something we live and breath every day. Join our next mastermind and see for yourself.

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About The Author

Picture of Josh Gwinn

Josh Gwinn

As the Co-Founder and CEO of Optimize Practice Services Joshua Gwinn leads dentistry and orthodontics healthcare operations at our locations across the country. Gaining extensive logistical and leadership expertise as an operations specialist for the United States Navy allowed Josh to hone a leadership style based on teams of scale driven by accountability, compassion, mission-focus, and the promotion of courageous and creative “outside-the-box” problem-solving. After leaving the Navy, Josh worked for several years with national vision-affiliated brands applying his expertise from large team-management to multi-state organizational operations. Transitioning to the dental field, Josh was recruited to become the regional director of over 50 practices for the Great Expressions Dental Centers throughout Michigan and Ohio. Josh then pivoted to lead education and training, as well as operations for over 200 Gentle Dental practices in the Pacific Northwest and California. And most recently, Josh served as the Chief Executive Officer for Hero Practice Services a pediatric-focused Dental, Vision, and Orthodontic organization serving providers and patients in seven states and over 70 locations nationwide. Josh’s team-focused, mission-driven leadership style ensures that his teams lead with their core values of accountability, honesty and fearless drive toward objectives.

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