Monday, February 21, 2011

The Growth of Multi-Location Group Practices


Like Arby’s?

Years ago we thought the trend would be franchise practices in retail settings. It hasn’t exactly happened that way but there has certainly been a growth of multi-location group practices.

In most cases, the model is less formalized than say an “Arby’s.”

Of course, there are the more “corporate” type of large clinics in multiple locations, such as Metro (37) and Park (23).

But, if you look at the recent activity in the Midwest, what you see are groups such as Midwest Dental and Heartland (word is Heartland is coming to our area). Midwest Dental owns more than 77 upper Midwest practices. Heartland (centered in Illinois) has about 300.

Then there are smaller multiple location groups such as Main Street Dental (5 locations in southern Minnesota) and Family and Cosmetic Gentle Dentistry (12 locations) in the Metro area.

There are other niche-type practices such as The Smile Center (7) and Emergency Dental Care U.S.A. (7 Nationally).

Midwest Dental and others are eager to buy and they’re growing. Heck, Heartland Dental even owns a corporate jet! You have to be making some serious moola to have one of those. Let’s take a look at how some of these groups do it.

Monday, February 14, 2011

The Economics of Multi-Location Group Practice



Purchasing a Practice:

Example:
Practice/Collections/Month $100,000
Practice Operating Net per month (at 36%) $ 36,000
Dr. Production per month (2/3 of $100,000)  
Non-Owner Dr. Compensation $ 66,000
(30% after lab and write offs) $ 19,800
Practice Sale Price (36,000x12x1.75)  
Debt Service/Mo. on Practice $756,000
($756,000 x 8 years x 8%) $ 10,687
   
The Pay Off:  
Practice “Operating Net” per mo. $ 36,000
Doctor Compensation $-19,800
Debt Service $-10,687
Operating Profit/mo. $ 5,513
   
Annualized:  
Operating Profit $ 432,000
Doctor Compensation $-237,600
Debt Service $-128,244
Operating Profit Per Year $ 66,156

The Bottom Line:

For an outlay of $128,000 a year in debt service, the owner(s) receives $194,000, a 50% Return on Investment. Where else can you get that kind of R.O.I?? So what seems to be on the surface a sort of slim net of about 5%-6% on collections per month when leveraged really adds up over the course of the year. Now add to that some solid management for practice profitability and growth and the numbers really pop.