If you are a dentist that has seen an increase in overhead with a decrease in gross and net income, the solution could be in your own back yard. Merges always work. I have never seen a failed merge, if there is a sale associated with the merge.
Why are mergers the answer?
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Most of the fixed costs (rent, insurance, staff salaries, computer expenses etc.) already are being paid regardless of the practice income.
What happens to the practice numbers in a merge? To illustrate the typical profitability of mergers let’s consider the following example:
Many times your operating expense -to-profit ratio is 60%-40%;
The reverse would be true in the merged practice. Your expenses would only be 40% and profit 60%, including debt service.
The adjusted rent % would be 6% to 8 %; insurance adjustment 2% and salaries would be 15% to 20%. If the net income of the host (purchasing) dentist was 35% to 38 % before merge the new net from increased production would be 58% to 68%. Even if you factor in debt service of 9% to 11% the profit margin is still 49% to 57% vs. pre-merge 35% to 38%.
It is glaringly apparent that if the purchased practice gross yearly income was $400,000 and the host‘s practice was $500,000, 57% of $900,000 is much more than 38% of $500,000. That boils down to an increase in net of $313,000 and 80% of that increase is passive income.