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Buying a Practice

If you are reading this section, you may have found a practice you want to buy, and you have many questions. We will help you sort out the questions and give you some factors to consider when purchasing.

Buying a practice is a little like buying a racehorse — you never know how it will run until it’s on the track.

Rule No. 1: The past success or failure of a practice should not influence your decision to buy a practice.

As soon as you sign the papers and become the new owner, the practice takes on a completely new character, and it’s a completely different entity. The employees will treat you differently from the previous owner; some patients will like you more; and some will like you less. You’ll start adjusting patients differently, and running the office differently, and everything will change.

What you want to know in purchasing a practice is that there will be no big surprises. Things are never what they seem, but you don’t want to find out that something “Big surprises” includes wrongs that you didn’t know about — such as that the previous owner was committing insurance fraud, or that he is going to move down the street a week after you open and attempt to take back all of your patients — or that he owed money to a contractor for an office renovation that you now must pay.

Those are big surprises.

To avoid those big surprises, we’ve compiled a list of questions to ask before you buy and a checklist of things to do. Click here to see them in the Resource section.

Rule No. 2: Ask, ‘How long will it take for me to make a decent living in this practice?’

If you have to wait longer than a year to take out enough money to live on (including paying the purchase price plus all overhead), you’re probably paying too much, or the practice will take too much work to get into shape.

You should ask this critical question before you go to a bank for financing, because if you can’t pay your bills, you won’t be able to get financing anyway.

Rule No. 3: Don’t try to make the practice fit. If it doesn’t feel right, walk away. :

Before you begin to look for practices, make a list and divide it into two categories:

Category A: Want to have
Category B: Must have

Category B contains your “non-negotiables” — those elements of the practice that you require for the deal to be completely satisfactory. They are elements that you feel must be satisfied or the deal is off.

Some non-negotiable items might include:

• Type of practice. For example, if the current doctor has a PI practice, and you want to work on children, it will take many years to turn around the patient base into what you want.

• Location. If the practice is in an area where the population is not expanding or that doesn’t have the right demographic mix, you may not be able to make a living there.

• Inability to assume a lease. If you can’t assume the lease, you must renegotiate with the lessor or find another location.

• A ‘bottom line’ price above which you feel you can’t make this deal work. Be careful that you don’t set this price too soon in the process; you’ll need to be flexible in the negotiation of price.

In conclusion:

1. Trust your instincts. If it feels too good to be true, it probably is. If something doesn’t feel right, don’t move forward.

2. Make sure everything that’s agreed on is in writing. Get an attorney and a CPA involved to protect your interests. As Pres. Reagan said, “Trust but verify.”

3. Remember that this person is not just selling a practice; he or she is selling a life. The doctor has put a lot of “blood, sweat, and tears” into this practice; be respectful of this hard work and passion.

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