New Jersey - Sale of Medical Dermatology Practice

Long-established Medical and Cosmetic Dermatology practice for sale in New Jersey. Annually collecting $1,300,000+ in all cash pay. Well-equipped 2,400 square feet office capable of accommodating multiple providers and extenders. Located in an affluent community with good work-life balance. Very accessible to Manhattan; Ample recreation opportunities. Immense growth potential by accepting medical insurance and expanding services (e.g. providing surgical procedures currently being referred out). Buyer assistance and up to 100% dermatology practice financing available. Call 800-416-2055 or visit http://TransitionConsultants.com

Primary Care Medical Practice for Sale – Sacramento, California

Selling a primary care medical practice in Sacramento, California. Established for over 40 years, with 20+ years at the current location. Practice emphasis is on general adult and family medicine, with minor surgical procedures and diagnostic services. Grossing ~$320,000 on only 24 MD hours/week. Situated in a professional medical building with 2 exam rooms, 1 procedure room, a small lab and a back office. Payor mix includes Medicare, Medicaid, PPO, HMO/IPA and cash. Buyer transition assistance and up 100% medical practice financing is available. Call 800-416-2055 for more details or visit http://TransitionConsultants.com

Ophthalmology Practice for Sale - South Central Michigan

Ophthalmology practice for sale in south central Michigan. Established for over 30 years in the community: Great reputation and loyal patient base. Grossing $550,000 annually with high net income of $370,000. Located in a 2,500+ sq. ft. office in a freestanding building. Includes 6 exam rooms, a procedure room, a doctor's office and other rooms. Varied payor mix of Medicare, Medicaid and HMO, with some PPO, Cash, and Workers Compensation. Well-trained staff and efficient processes in place. Very competitive asking price of only $75,000. The medical building is also available for sale. Up to 100% medical practice financing available. Call 800-416-2055 for more details.

ENT & Facial Plastic Surgery Practice for Sale - San Gabriel Valley, CA

Otolaryngology/ENT and facial plastic surgery practice for sale in the San Gabriel Valley, CA. Providing general ENT diagnosis and treatments, and elective cosmetic procedures. Gross collections of $500,000 on only 20 MD hours/week. Situated in a 1,400 sq. ft. medical professional office with 5 exam rooms, a procedure room and a doctor's office. Balanced payor mix consisting of Medicare, HMO/IPA, PPO and Cash. Practice is ideal for an alternative to startup or satellite clinic. Up to 100% medical practice financing available. Call 800-416-2055 for more information.

Dental Practice for Sale - Santa Monica, California

General dentistry practice for sale in Santa Monica, established for 30+ years. Grossing ~$650,000 annually on 4 days/week without any marketing. Located in a 1,500+ square foot office in a major medical professional plaza. Includes 5 operatories, sterilization/lab room, private office, and reception area. Strong patient recall and great community reputation. Considerable room for growth by increasing hours, services and marketing efforts. Good work-life balance: practice is located near beaches, parks, and shopping areas. Up to 100% dental practice financing available. Call 800-416-2055 for more details.

Internal Medicine Practice for Sale - Florida

Solo Internal Medicine Practice for Sale in Brevard County, Florida. Annually grossing ~$700,000 on only 25 hours/week of MD coverage. Focuses on primary care and emphasizes a patient-centered approach. Well-trained staff and efficient operations in place. Plenty of recreational activities at the beach, community parks, and golf courses. Seller will assist new buyer to ensure a smooth transition. Up to 100% medical practice financing available. Call 800-416-2055 for more details. *This is an affiliate listing*

Dental Practice for Sale – Korea-town, Los Angeles

Dental Practice Sale Korea-town Los Angeles (Asset only) – Established in 1998 and located in the heart of Los Angeles' Korea-town! This general dental office is in a highly visible and popular retail plaza. It occupies 900 square feet and consists of 2 fully equipped dental operatories and plumbed for 1 additional operatory space, Reception area, & Sterilization. Ideal as a start-up alternative or as a satellite location. It is currently running without any marketing. However, there is great growth potential by increasing marketing efforts. Contact dental practice broker for details at 800-416-2055 (x224).

OB/GYN & Maternal-Fetal Medicine Practice for Sale – Los Angeles, California

Solo OB/GYN & Maternal-Fetal Medicine practice collecting ~$925,000 annually. Established for 25 years in a thriving suburban community. 1,800 square foot facilities equipped with modern equipment and technology. Located in a professional-medical building with 2 exam rooms, 2 doctor's offices, and other rooms for expansion. Visible location includes signage. Strong growth potential by adding another physician. Payor mix includes HMO, PPO and Medi-Cal. Seller will assist new buyer with transition. Call 800-416-2055 for more information.

Dental Practice for Sale - Glendale, California

Selling a general dentistry practice in Glendale, California. Annual gross collections of ~$350,000 on part-time hours. Located in a retail building with high visibility and walk-in traffic on one of the busiest roads in Glendale. This recently remodeled office occupies 1,100 square feet and includes of 3 fully equipped ops and plumbed for 1 additional, Reception area, Doctor's office, Business office, Sterilization. Strong growth potential by increasing hours, and implementing a marketing plan. This opportunity is suitable as a great low-cost alternative to a start-up or as a satellite location. Seller is open to discussions for a quick transition. Up to 100% financing available for qualified buyers. Call 800-416-2055 for more details.

Internal Medicine Practice for Sale - San Joaquin Valley, California

Solo Internal Medicine Practice for Sale in Central California. Annually grossing ~$740,000 with robust net income and strong growth potential. Serving a variety of patients in outpatient, inpatient, and nursing facility settings. Providing high quality medical care in a professional environment. Conveniently situated in a medical office with access to a major regional hospital. Well-balanced payor mix of Medicare, PPO & HMO patients. Receiving 10% Medicare incentive bonus quarterly from being in a designated HPSA area. For the nature lover: Practice is located near beautiful state parks. Plenty of opportunities for outdoor activities, such as hiking and river-rafting. Up to 100% medical practice financing is available. Call 800-416-2055 for more details.

Healthcare Fraud, Medicare Exclusion, and Federally Funded Healthcare

The Department of Health and Human Services, Office of the Inspector general is producing a series of informative videos on compliance issues pertaining to Medicare and Medicaid. Here is one such video on Exclusion Authorities and Effects of Exclusion.  If a physician is excluded from participation in any federally funded healthcare program, they cannot accept federal funds or practice in a similar setting where such funds are received.  This video also defines the differences between mandatory exlucisions and permissive exlusions.  Exclusion from medicare or other federal programs doesn't just apply to licensed clinicans, but also includes unlicensed personnel, corporations and their officers.  Length of exlusion can be for a set term or indefinitley.  Minimum term for mandatory exlusion is 5 years; reinstatement is not automatic after the end of the term.

Pain Management Practice for Sale – Santa Cruz County, California

Solo Pain Management practice located in Santa Cruz County, California.  Collecting $500,000 on only 18 MD hours/week. The practice has exhibited rapid, consistent growth.  High growth potential by expanding to full-time hours.  Located in a relaxed community with excellent quality of life. Suburban middle class region within commuting distance to large metropolitan areas. Very accessible to beautiful State parks and beaches. Enjoy pleasant California weather and endless opportunities for recreation. Seller is willing to assist with transition to new buyer.  Call 800-416-2055 (x225) for more information.  http://TransitionConsultants.com

Family Medical Practice for Sale – San Fernando Valley, CA

Family medical practice consistently grossing $150,000+ annually. Practice emphasis is on outpatient primary care. Established for 35 years in the community, with convenient access to the 101 freeway and high-traffic areas. Payor mix primarily consists of Medicare and PPO. Located in a professional medical building with ample parking. Practice includes all furniture, equipment, trained staff, and transition assistance, and would be an ideal opportunity as an alternative to a startup or as a satellite office. Financing is available for qualified buyers. Call 562-431-2144 for more information.

Dentistry Practice for Sale – North Orange County

General dentistry practice established for over 30 years. Grossing $200,000 on less than 30 hours/week without significant marketing. Low overhead and very reasonable rent. Occupies 1,200 sq. ft. in a professional building with 3 equipped operatories (expandable to 4), sterilization/lab room, reception area and private office. Located in an accessible, high traffic area with plenty of parking. Payor mix includes FFS, PPO, Medi-Cal, Cash. Loyal patient base: 50% Korean-speaking, 50% English-speaking. Great growth potential by increasing hours to meet demand, limiting outside referrals, and implementing a marketing plan. Seller is open to discussions with motivated buyers for a smooth transition. Dental practice financing available for qualified buyer. Call 562-431-2144 for more information.

What is your Dental Practice Worth?

What is your Practice Worth in Today’s Market?

Determining Fair Market Value for your Practice is the first step in Exit Planning. We understand the factors that drive or diminish the marketability of Dental Practices.

Why start Exit-Planning now?
No matter where you are in your practice life... Start working on your transition plan now! Having a plan in place does not mean slowing down or retiring immediately; It means you will have the choice to do so when you are ready. With that choice comes peace of mind and security, and the best possible return on your most valuable asset.

What services does Transition Consultants provide?
We provide full lifecycle transaction advisory, including:
• Establishing a selling strategy
• Valuing the practice
• Positioning the practice for sale
• Preparing effective marketing programs
• Identifying and targeting qualified buyers
• Obtain financing for the practice
• Negotiating and structuring the transaction
• Prepare draft contractual agreements
• Facilitate closing

What factors affect Valuation?
We conduct a thorough site visit and examine the Practice’s financial and clinical data in the context of numerous factors which affect value:

• Dental specialty
• Buyer supply and demand
• Payor mix
• Regional dynamics
• Reimbursement environment
• Risk-premium

Do You Have an Exit Plan?
Contact us for a Complimentary Market Valuation and Pre-sale Consultation

800-416-2055

Dentistry Practice for Sale - West Los Angeles

General dental practice established for 20+ years in a desirable part of West Los Angeles. Priced to sell at $75,000. 3 operatories, 1 sterilization/lab room, 1 reception area, 1 private office. Located in a professional building in a thriving community. Excellent start-up alternative for new grads or expansion opportunity for established dentists. Great potential for growth through increased hours and marketing. Dental practice financing is available for qualified buyers. For details call 800-416-2055.

Optometry Practice for Sale - Kentucky

OPTOMETRY PRACTICE FOR SALE – Kentucky.  Established practice with loyal client base. Annual gross collections of $630,000. High Net Income on only 3 days a week.  Primary optometry care with emphases in contact lens and medical eye care. Turnkey opportunity equipped with three exam lanes and modern ophthalmic equipment.  Seller is willing to provide transition assistance. 100% Optometry Practice Financing Available.  Call 800-416-2055 (x225)  www.TransitionConsultants.com

Physical Therapy Practice Southern California

Currently offering a physical therapy practice in Southern California.  This clinic is designated as a Medicare Certified Rehabilitation Agency. Great opportunity for a PT or non-PT to buy a full scope clinic providing Physical Therapy, Aquatic Therapy, and Sports Medicine.  For details contact 800-416-2055

Optometric Practice for Sale – North Carolina

Upscale Optometric practice for sale in North Carolina. Practice emphasis is on primary vision care and contact lenses. Annual gross receipts of $1,750,000 with consistent growth and favorable outlook. Spacious office in a freestanding building, equipped with state-of-the-art equipment. Located in an affluent community with good pace of life. Dispensary carries extensive lines that are moderate to exclusive high-end. Up to 100% Optometry Practice Financing Available (OAC) for qualified buyer. For more details, call optometric practice sales consultant at 800-416-2055 (x225).

Auburn, Alabama Dermatology Practice

Selling a well-established dermatology practice in Auburn, the fastest growing metro area in Alabama. As a college town, Auburn is a hub of arts, culture and recreation. Great family-oriented community. Annual collections of $700,000 with a low overhead of 32%. Practice provides medical and surgical dermatology services. Substantial growth potential by adding cosmetic dermatology and Mohs surgery. 100% dermatology practice purchase financing available to qualified buyer. Contact dermatology practice sales consultant at 800-416-2055 (x225) for details.

Orange County Dermatology Clinic

Selling a dermatology practice in beautiful Southern California. Exceptional opportunity to acquire a long-established, premier clinic in Orange County, located between Los Angeles and San Diego. Thriving community offers many recreational activities and access to parks, beaches and cultural events. Desirable work/life balance and good pace of life.

The practice provides a full range of medical, surgical and cosmetic services including Mohs micrographic surgery. This high volume clinic has enjoyed consistent organic growth with gross collections in excess of $3,700,000. Aesthetically pleasing clinic is very spacious, with sufficient exam rooms, offices, and a lab for multiple providers. Physicians, extenders, and well-trained office personnel to remain with the practice.

Up to 100% dermatology practice purchase financing available to qualified buyer. The selling doctor will remain for transition assistance.

This practice purchase opportunity is offered by Transition Consultants, a dermatology practice sales and valuation firm providing transaction advisory, merger/acquisition, and appraisal services to physicians, medical groups, and clinical organizations. Dermatology is one of our core competencies; Our team has valued and structured dermatology-related deals for a multitude of individual physicians, health groups, and private equity groups. Contact our dermatology practice broker at 800-416-2055 (x225).

Why Dentists Should Understand Their Active Patient Count

The active patient count is the primary tool for measuring the goodwill of a dental practice. It has great importance for both the owner and the buyer of a dental practice. The active patient count is defined as the number of different individuals seen in the practice during a prior specified time period (typically 12-24 months). As important as this factor can be, many selling dentists do not know their active patient count or realize its significance. There are two main roles to consider when it comes to the active patient count.

The Role of the “Active Patient Count” During the Purchase

One of the primary reasons for purchasing an existing practice is to acquire the active patient base. When we break down and prioritize the value of the different assets that comprise a dental practice, dental equipment can often be of less value than other components. Expensive dental equipment can be acquired in a short time, and can be the one asset within the practice that actually loses value over time. However, it can take years to build a patient base. The active patient base simply represents current and future cash-flow to the practice. It can be the single most important asset and usually has the most value. What contributes to the value of the patient base is the actual length of time it has taken to develop. The patient base in a typical general dental office can take up to 7+ years to build. If the transition is structured properly, the idea is that the majority of the active patients will continue to receive and pay for services. This represents future cash-flow for the new owner. There are a variety of items constituting the “goodwill” of the practice, but the active patient base is the most significant.

The Role of the “Active Patient Count” as a Practice-Management Tool

This active patient count is also valuable in the ongoing management and operation of the practice. The active patient count is helpful in calculating and monitoring the practice’s potential. For example, a well-running dental practice with an estimated $400 “benefit” per year per patient, and an active base of 2500 patients grosses receipts of about $1,000,000. Comparing these estimates to what practices are doing elsewhere, both locally and nationally, will help to provide an indicator and show areas that may need improvement.

The active patient count will reveal whether the practice can support a full or part-time associate. A solo practice attempting to incorporate a full-time associate requires a minimum of at least 2,000 active patients. Fewer than this number can show that the practice will have difficulty supporting more than one doctor.

The active patient count also helps with analysis of other staffing needs, especially from a hygiene perspective. The average, fully booked hygienist sees 10 patients per day, equaling (with a six-month recall schedule) 250 recall patients for each weekly hygiene day. If a practice undergoes a normal attrition rate, they will experience approximately a 15% erosion of their active patient base each year as patients relocate, change providers, etc. In a healthy and growing practice, the practice will replace these patients with 20–25 new patients per month. If the number of available hygiene days is not continuously increased, the inability of patients to be seen in hygiene may limit the growth of the practice and its future income.

In a well-run practice, statistics show that 70%–80% of new patient referrals come from the existing active patient count. Therefore, relying on the practice’s existing patient base as the primary marketing tool requires carefully reviewing the active patient count. Without the patients, the only other source for new patients is an external marketing program. Without a doubt, increasing the patient count will do wonders for your overall bottom line. If the practice is booked for weeks or even months out due to an effective patient-retention and hygiene recall program. Then, it can be argued that this will lower the overall overhead while increasing the bottom line for the owner. This will undoubtedly improve the bottom-line for the owner-dentist while helping to reduce the need for an expensive external marketing program.

Whether used as a management tool for owner-dentists or as an evaluation tool for buyers; knowing the active patient count and its various uses and applications is critical to the long-term success of the dental practice. Once the initial number is determined, it is relatively easy to monitor and track. The active patient count coupled with the annual gross receipts is something that takes just seconds to calculate on an annual basis, but is critical to the monitoring of any dental practice.

Dental Practice Start-Ups: The Good and the Bad

Building your own practice from the ground up gives you the ultimate degree of control in creating the professional environment you want. From the facility itself to equipment and employees, you’re in charge of deciding what works best for you. You’re engaged in a creative process that, while time consuming and capital intensive, will ultimately produce the work environment you’ve dreamed of, unimpeded by dated equipment and facilities or the inheritance of another dentist’s potential problems.

Dental practice start-ups can have plenty of challenges of their own. A successful start-up practice is dependent on the dentist’s ability to sell his or her services and requires a significant degree of business and marketing skills. Before the practice is even conceptualized, an important part of that planning is ensuring that the demographics of your chosen area will support your practice. Are there enough local residents of a certain income level for your practice to thrive? And how do you determine what income or population level is adequate for you or for your location?

It is recommended to conduct an informal research to ensure that your selected locale is not already saturated with existing practitioners. You will want to “run the numbers” to determine what number of practices would indicate a saturated market in your area. If you are committed to living and working in an area that already has numerous dental practices, then acquiring a practice with an existing client base and cash flow might make the most sense as you would minimize the amount of marketing required to establish your business.

And finally, some loan companies may be more reluctant to lend funds for a practice start-up, as there is no income history, existing equipment or property to use as a collateral base.

Pediatric Practice for Sale California Orange County

Have you thought about buying a pediatric practice?  We currently have two practices which are available in Orange County.  These are excellent practices.  One is a part-time opportunity which can be acquired as a start-up alterntative or expansion of exisiting operations.  It boasts gross collections of $300,000 and net income of $180,000 on only 20 hours of MD coverage annually.  The second practice is a full-time opportunity with gross collections of $700,000 and net income of $300,000.  For details on these listings please call medical practice broker at 800-416-2055.


Also contact us for details on pediatric practice appraisal and valuation

Leasing space for a dental practice

An important component in the success of a dental practice is the lease agreement for the office space. Occupancy costs can be one of the largest expenses in a dental practice. More importantly, selection of a good location is critical to patient flow and income. Therefore, dentists should consider the lease of an office location not just as a necessary expense, but as an investment. If the location is poorly chosen or if the terms of the lease are overly slanted in the landlord’s favor, it can affect your finances as well as reduce the ability to transfer or sell the practice. A new dental practice buyer is unlikely to assume a highly unfavorable lease and purchase a challenging or unsuitable location.

Running and growing a dental practice is hard enough, and an above-market lease payment can be a drag on growth. New dentists sometimes fall into the trap of associating high-end, high-cost office space with high earning potential. These are not necessarily associated with one another. Be sure to conduct a feasibility study and formulate a detailed business plan before making the site selection.

Also, with the amount of extensive build out and lease-hold improvements done in a dental office, a dental practice cannot be easily moved. Once the build out has started, consider yourself committed to the location. It is important to remember that the property owner’s broker or attorney likely drafted the lease agreement. You should always seek the advice of your own broker or counsel before engaging in such an agreement. Failing to do your due diligence can be a costly mistake!

Charles Kim is a dental practice broker at Transition Consultants, a practice merger and acquisition firm. Mr. Kim provides transaction advisory and dental practice valuation services to dentists and dental groups nationwide. He can be contacted at 800-416-2055 (x224).

Income-based method for valuing a medical practice

The income based approach to valuation is commonly used in the valuation of medical practices and healthcare businesses.  However, appraisers who apply the improper methods (mostly out of convenience) can drastically over or under value the practice.  One frequent mistake I see is the use of the capitaliztion of cashflow/earnings method when the practice has a clear history of volatile profitabilty.  When possible, it is better to use the discounted cashflow/earnings method.  Even if the business forecast is somewhat unclear, the discounted cashflow method offers the appraiser a much higher degree of accuracy.  This is especially relevant when appraising smaller medical practices; reimbursement changes have an effect of greater magnitude on these entities.  Avoiding shortcuts and using the proper methods is critical to an accurate assessment of practice value.

New source for Optometry Practice Financing

OptometryLoans.com is now offering a new source of financing for Optometrists, providing 100% financing for:

* Practice Purchase + Working Capital
* Start-up Practices
* Practice Loan Consolidation & Refinancing - Increase Cashflow
* Fixed Rates as low as 6.5%
* Terms up to 15 years

For details please contact one of our Optometry practice loan experts at 800-416-2055

Growing an optometry practice by obtaining certifications

For optometrists looking to further their treatment plans and gain additional skills, there are additional vision care certifications which can be obtained. This can be a great opportunity for new optometrists starting a private practice to differentiate themselves from the competition. Established optometrists can also benefit from these certifications and sharpen their skills. In California for example, a glaucoma certification is available which allows optometrists to treat these conditions in patients over 18 years old. While the requirements can be cumbersome, the certification it is an excellent way to improve skills and treat more patients.  Ultimately, the more patients treated and the wider scope of care you can offer will help to improve practice revenues.  Among the requirements for the certification (§ 1571 Requirements for Glaucoma Certification) as adopted by the California Board of Optometry are the following:

• Maintaining an active optometry license in good standing
• Be certified to use Therapeutic Pharmaceutical Agents (TPA)
• Complete a course of at least 24 hours in diagnosis, pharmacological, treatment and management of glaucoma
• Complete a required case management involving at least 25 patients treated for 12 or more consecutive months. This involves patient evaluation, necessary testing, diagnosis, recognizing glaucoma type, and creating treatment plans, and making referrals to an ophthalmologists as needed. There are a variety of case management treatment options. Among these are:
• Case Management Course
• Grand Rounds Program
• Preceptorship Program

For optometrists who achieve the glaucoma certification, each renewal period will involve 10 hours of glaucoma specific continuing education.

Dental Practice Valuations

Dental practice valuations can be a challenging task with many complexities. A professional valuation company can charge thousands of dollars to determine the fair market value of a practice. Before spending that money, it is important to do your homework and choose an appropriate valuation expert, and to properly understand the benefits and limitations of the valuation report.

Unfortunately, there is no standardized universally accepted formula or “rule of thumb” that a valuation company may use to establish the value of a dental practice. There are many objective factors that should be considered to determine the value, and there are as many subjective factors unique to the dental industry (and to each specialty within the dental industry) that are just as important.

In reality, a valuation of a dental practice is closer to providing a subjective opinion rather than using complex formulas or “industry standards”. Be sure to work with someone that understands the dental industry to develop a reasonable and useful dental practice valuation. This valuation should be discussed in further detail with your financial advisors to prepare for the transition process.

Naturally, the valuation will incorporate much of the financial data to analyze the “numbers” of the dental practice. Perhaps more helpful, will be analysis of the key factors of profitability and growth that are unique to the specific practice being evaluated. Each dental specialty has its own attributes that must be considered, such as different standards for reimbursements, payor mix, percentage of patients by referrals, etc.

Charles Kim is a dental practice broker at Transition Consultants, a practice merger and acquisition firm. Mr. Kim provides transaction advisory and dental practice valuation services to dentists and dental groups nationwide. He can be contacted at 800-416-2055 (x224).

Westchester New York - Selling Dermatology Practice

Transition Consultants had been retained to assist in the sale of a general clinical dermatology practice in Westchester County, New York. Established for 34 years, this practice has primarily focused on the diagnosis and treatment of dermatologic pathology. Presently all MOHS and dermatologic surgeries, pathology, patch testing, and cosmetic procedures are being referred out, but could be retained in house to increase revenues by a qualified physician buyer. The practice payer mix consists mainly of Medicare and PPO, offering desirable fee for service reimbursement rates. Currently the seller works 30 hours a week, with very little hospital and skilled nursing facility visits, generating consistent gross revenues of $650k and discretionary earning of $450k. Seller is open to an extended transition and willing to remain part time for up to 2 years.