If practice ownership is your goal, the key is knowing which financial moves matter most—and when to make them.
By Scott Clynch, CPA
YOU BECAME A DENTIST to build a meaningful career, and for many, that path leads to practice ownership. But early on, the journey can feel less like forward progress and more like a constant stream of roadblocks. From managing student debt and taxes to choosing investments, insurance and planning for retirement, the sheer volume of decisions can quickly become overwhelming.
This is a challenge I often see young professionals face: a strong drive to move forward, but no clear sense of where to focus first. Without a defined strategy, ownership can start to feel more complicated—and distant—than it should. But practice ownership isn’t just a career milestone. It’s a financial opportunity with significant advantages.
- Security: Leaving your livelihood in someone else’s hands comes with risk. Ownership puts you in control.
- Profitability: Associates typically earn 30 to 35 percent of collections. Owners, on average, earn 40 to 45 percent.
- Tax planning: Ownership opens the door to more sophisticated strategies that can significantly reduce your tax burden.
- Retirement planning: With ownership comes access to more powerful, tax-advantaged savings vehicles to build long-term wealth.
- Investing in a community: Putting down roots enables you to build lasting relationships and a reputation that grows over time.
- Building an asset: A practice isn’t just income. It’s equity. Over time, you’re building something you can eventually sell, much like a home.
While the benefits are clear, the path to ownership still demands focus and discipline, especially for a first-timer. That’s why, when I work with new doctors, my main goal is not only to create a personalized plan but also share enough knowledge to offer them the confidence to actually follow it. This can involve removing emotion, pulling them out of the weeds and ensuring that the plan gets followed . . . in the correct order. Here are three foundational steps to help you start moving toward ownership.
- Decide what type of practice is right for you. You want to own—but what type of practice or partnership fits your goals? Do you want to buy 100 percent of a practice, buy into a partnership or start your own? Even if you’re leaning in one direction, it pays to consult a trusted advisor who understands the industry. Evaluate each ownership path from both a short- and long-term perspective to determine what’s right for you.
- Know where you want to live. Planting roots in a community is critical to the long-term success of a dental practice, so choose the location carefully. You’ll want to be there for years. Demographics, competition and local economics all matter. But just as important is making sure the community is the right fit for you and your family.
- Build your savings. Start saving one to two years before you buy to ensure you have enough liquidity to be attractive to lenders and secure the best possible rates. Most lenders will finance up to 100 percent of a practice with no money down—but they still expect buyers to have 5 to 10 percent of the loan amount in liquid capital.
Developing and sticking to a budget isn’t easy. With student loans, credit card debt and everyday expenses, saving can feel likea constant challenge. But to build cash more efficiently, it makes sense to rethink how you approach debt. You can treat student loans, in many cases, as strategic debt, so making minimum payments allows you to prioritize higher-interest obligations, improve monthly cash flow and create the flexibility you need to move forward.
Practice ownership is one of the most significant decisions you’ll make. With a clear plan and the right guidance, you can turn complexity into clarity and position yourself to capture its full financial and professional rewards.
SCOTT CLYNCH, CPA is a partner with Cain Watters & Associates (CWA), a full-service financial firm. For more than 40 years, CWA has offered dental professionals financial education and comprehensive financial services. Contact Cain Watters & Associates at info@cainwatters.com.