Since 1956, dental practitioners have counted on our team of dental accountants and dental CPAs for high-caliber guidance and support. We take a comprehensive approach with our dental clients. This translates into dental tax planning meetings, the ability to address special dental projects, and a network of trusted dental resources available outside of our firm.
Wednesday, December 26, 2012
Dental Practice Purchase Checklist
Here is a helpful checklist of the things that a dentist needs to consider when buying a dental practice. For more information, see our new website: www.dentalpracticepurchase.com
Labels:
buying a dental practice
Thursday, December 20, 2012
Dental Supply Companies and Labs Raising Their Rates Due to Medical Device Excise Tax - How to Question those Increases
We have heard from our clients and others in the dental community that
supply and lab companies are raising their rates at least 2.3% across the board
due to the new medical device excise tax. This across the board raise may be nothing
more than a move to use this new tax as an excuse to pad their profits. We are suggesting
that dentists who receive such a notice to challenge these companies and ask
them to furnish the FDA list of those products that are subject to this excise
tax to verify their claim that they are subject to the tax.
For more information, please contact info@dentalcpas.com
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Labels:
medical device excise tax,
tax raise
Friday, December 14, 2012
Preliminary Thoughts on 2.3% Medical Device Excise Tax
We're starting
to see much of the same confusion from dentists concerning their read of the
final regulations on the 2.3% medical device tax as they had from the proposed
regulations.
First and
foremost, we have not read the final regulations yet, however, we have seen a
few editorials summarizing the regulations and quite frankly it doesn't sound
like there is much difference as it relates to dental practices.
However, after we do read them, we'll post back if there are any
substantial differences we find. So the following comment is based solely on
our reading of the proposed regulations along with other editorials written by
well-versed professionals and their interpretation of the final regulations.
Here is the
position we've taken with ALL of our clients as we go through our year end
planning meetings (which is why I have very little time to read the final
regulations at this time):
Generally, the dental practice itself will NOT need to directly deal with the medical device tax. Even the milled Cerec crowns may not need the dental practices to track and pay the excise tax for manufacturing the crown, we'll reserve final comment until we read the final regulations ourselves. However, ALL dental practices will be impacted by this new tax as their upstream vendors, supplies, producers and manufactures will have to pay the tax and as already noted, they will certainly pass the cost onto the dental practices.
In my opinion, the cost associated with this new tax should only warrant an increase in practice fees similar to what they have done in prior years and were planning to do in 2013.
Generally, the dental practice itself will NOT need to directly deal with the medical device tax. Even the milled Cerec crowns may not need the dental practices to track and pay the excise tax for manufacturing the crown, we'll reserve final comment until we read the final regulations ourselves. However, ALL dental practices will be impacted by this new tax as their upstream vendors, supplies, producers and manufactures will have to pay the tax and as already noted, they will certainly pass the cost onto the dental practices.
In my opinion, the cost associated with this new tax should only warrant an increase in practice fees similar to what they have done in prior years and were planning to do in 2013.
For example,
if an item that they sell to the practice for $100 is subject to the tax,
they will have to pay $2.30 on that item. So they may sell you
that item for $103 to cover their additional costs. Consider this when deciding how much to raise your
fees:
Suppose a practice does $1,000,000 in revenue with $600,000 in total OH leaving you with $400,000 in profit. Of that $600,000 OH, $150,000 is lab and supplies. Let’s pretend every bit of it is deemed a medical device. If your upstream vendors increase their prices by 3% to cover the additional cost, your lab and supply cost will now be $154,500.
So now your total OH is $604,500 or 60.45%. This means you will now have profit of only $395,500. How much would you have to raise your fees to cover that cost? Well, your revenue will now need to be $1,004,500 to get BACK to $400,000 in profits.
Suppose a practice does $1,000,000 in revenue with $600,000 in total OH leaving you with $400,000 in profit. Of that $600,000 OH, $150,000 is lab and supplies. Let’s pretend every bit of it is deemed a medical device. If your upstream vendors increase their prices by 3% to cover the additional cost, your lab and supply cost will now be $154,500.
So now your total OH is $604,500 or 60.45%. This means you will now have profit of only $395,500. How much would you have to raise your fees to cover that cost? Well, your revenue will now need to be $1,004,500 to get BACK to $400,000 in profits.
So my math says that's a fee increase of .45%
You should still consult with your CPA as well.
You should still consult with your CPA as well.
Happy year-end
tax planning!
For more information, please contact info@dentalcpas.com
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Labels:
medical device tax,
raising fees
Friday, December 7, 2012
Protect The Goodwill It’s Taken Years to Build — Before, During and After the Sale of Your Dental Practice
This is a guest post from Dr. Phil LoGrippo of ADS Florida.
The most valuable component of the price of a dental practice is
the portion allocated to “goodwill.” Goodwill represents the intangible
assets of a business—the difference between an established, successful business
and one that has yet to achieve success. In an established dental
practice, goodwill consists largely of the name, reputation and skill of
the dentist and team, which have led to a strong, loyal patient base and
consistent inflow of new patients. For the buyer, goodwill greatly
increases the likelihood of continued cash flow from retention of that
patient base and from new patients.
For you, the seller, preservation of the goodwill of your
practice is paramount to a successful transition. A young dentist who
purchased an established practice in Southwest Florida recently said, “The
goodwill of the seller in my transition was priceless. His vote of
confidence to our patients has increased retention and allowed me to
succeed on a level I never would have been able to do otherwise.”
Keep on Building Goodwill
Choose the Right Broker
Working with an experienced and ethical transition broker is also invaluable in preserving goodwill and value. The right broker will perform a legitimate appraisal and value the practice in a manner that reflects the true anticipated cash flow following the sale, rather than telling you what you may want to hear and subsequently luring a buyer into a bad deal that destroys goodwill. The right broker will also work to find a buyer who is an appropriate fit for the practice, one whose abilities, ethics and practice style match your own, preserving your reputation and the reputation of the practice. Additionally, the right broker will guide the entire process, working with lenders, accountants, and counsel who are knowledgeable in dental transitions. The right broker will also work toward the ultimate goal of having a satisfied seller and buyer, preventing negative interactions that can sometimes occur when working with an inexperienced or self-serving advisor.
For more information, please contact info@dentalcpas.com
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Tuesday, December 4, 2012
Dentist has Questions about S-Corp Meeting Minutes
I am the only member of an S Corp. I need help with regards annual corporate
meeting and keeping of minutes.
What do you do in an annual corporate meeting when you are the only member?
What makes up the agenda/minutes of these meetings?
Does an attorney need be present?
I have read that the annual CPA meetings could count as the corporate meeting, any one with a different view?
Thanks
I've often said that the minutes we prepare for our client meetings
have sufficed under IRS audit and should suffice as "corporate"
minutes. That said, this is for IRS purposes when they audit and want to make
sure the taxpayer is treating their corporation as they should.
I can't speak for any other legal purpose like a lawsuit; however, we have had clients with legal actions, domestic, partnership issues, etc., and when "minutes" have been requested these have been provided and it's never been a problem, meaning, there's never been a response to say these aren't proper minutes or not in proper form.
I can't speak for any other legal purpose like a lawsuit; however, we have had clients with legal actions, domestic, partnership issues, etc., and when "minutes" have been requested these have been provided and it's never been a problem, meaning, there's never been a response to say these aren't proper minutes or not in proper form.
The minutes we prepare are on our letter head, have clients name (LL,
PCL, PLLC, PA, PC, Inc., etc) location, date, time, and attendees. Then we
either attach or note agenda and what was discussed, decided, tasks assigned,
etc.
Some of the items we have on every agenda: year-to-date results, projections, year-to-year comparisons, other corporation matters, individual tax projections and other practice-business issues. Of course with each client there can be other issues added to the agenda based upon their specific needs.
Again, if asked to produce for an IRS audit these have sufficed. It’s the same with other legal issues I mentioned above. Check with your attorney and\or CPA to make sure they are comfortable with this.
Some of the items we have on every agenda: year-to-date results, projections, year-to-year comparisons, other corporation matters, individual tax projections and other practice-business issues. Of course with each client there can be other issues added to the agenda based upon their specific needs.
Again, if asked to produce for an IRS audit these have sufficed. It’s the same with other legal issues I mentioned above. Check with your attorney and\or CPA to make sure they are comfortable with this.
The purpose of doing
minutes is to act like you're a corporation since you created one and reporting
taxes as one.
For example, if a taxpayer has reported their income as an S-Corporation for 10 years and saved payroll taxes on S-Corporation dividends of say $50k over those 10 years and they were audited and found to NOT be in compliance, i.e., acting like a sole proprietor, then the IRS could take the position that they really weren't an S-Corporation and assess the $50k in taxes plus penalties and interest.
The bottom line is, if you're going to create and report your taxes as a corporation, make sure you do the things a corporation is supposed to do.
For example, if a taxpayer has reported their income as an S-Corporation for 10 years and saved payroll taxes on S-Corporation dividends of say $50k over those 10 years and they were audited and found to NOT be in compliance, i.e., acting like a sole proprietor, then the IRS could take the position that they really weren't an S-Corporation and assess the $50k in taxes plus penalties and interest.
The bottom line is, if you're going to create and report your taxes as a corporation, make sure you do the things a corporation is supposed to do.
This first appeared on Dentaltown.
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Labels:
dental s-corp,
keeping of minutes
Monday, November 26, 2012
The Top Ten Mistakes Dentists Make Filing Their Taxes
Lance Jacob of the Dental CPAs has compiled a list of the top
ten most common tax filing mistakes that he sees his dental clients making. If you don't have a dental CPA, contact Lance.
1.
Filling
out tax forms with an incorrect Social Security number. The IRS computers
will automatically reject your deductions and credits if your Social Security
number is wrong.[i] This mistake seems
careless and trivial, but it is paramount to have the right Social Security
number when filing your taxes. Your
social security number is your tax ID number, which is linked to numerous
transactions such as income statements, savings account interest, and
retirement plan contributions. It is also vital to claiming tax credits.
2.
Double
dipping on dependents for divorced taxpayers. Ill repercussions could
result such as additional taxes, penalties, and interest charged.[ii] A child can ultimately meet the rules to be a
qualifying child of only one person.[iii] Once
divorced, your children do not duplicate out of thin air; therefore they cannot
be claimed twice in taxes. The IRS does
not allow both divorced taxpayers to claim a child as a dependent.
3.
Not reporting
non-deductible IRA contributions. Any
contribution to an IRA, whether it is deductible or non-deductible, should be
reported on Form 8606, so when you withdraw it you are not taxed on it. Plain and simple, all contributions to an IRA
must be reported.
4.
Incorrectly
reported estimated tax payments. If
your accountant instructed you to make quarterly estimated tax payments, be
sure to let him or her know the details of the payment for each
installment. Provide the check numbers,
dates of payment, and the amount of each payment. What often happens is people claim they made
the payments as their accountant told them, but did not keep any records and
inadvertently forgot a payment or two.
If the accountant includes all of the estimated payments on the return
when they all were not really made, the IRS or state government will send a
notice of tax due with penalties and interest.
5.
Incorrect
Federal ID number used on 1099 MISC. Although
your accountant can easily fix this, the less the IRS has to contact you, the
better it is. The IRS matches 1099MISC and the Social Security number or
Federal Identification number used. If you provide services, and the client you
did the work for issues a 1099MISC, be sure they know to use the federal
identification number of your business and not your social security
number. If they use the wrong number the
IRS will send you a notice that you did not report income on your personal return,
when in fact it was reported correctly on your business return.
6.
Exceeding
the mortgage interest deduction limit on Mortgage and home equity debt in
excess of $1.1million. This error
commonly falls as the fault of both the taxpayer and accountant. They only deduct the amount reported of the
mortgage interest statement, Form 1098, and do not bother to check the amount
of mortgage the taxpayer has. The tax
laws limit the amount of deductible interest to the interest on the first
$1,000,000 of home mortgage debt and $100,000 of home equity debt[iv]. So if you have a mortgage of $2 million, you
can only deduct mortgage interest related to the first $1.1 million in total
debt.
7.
Standard
mileage vs. actual expenses. Mistakes
in this area come from inconsistent use of methods. If your car is for business purposes only,
then the entire cost of its operation can be deducted. However, if the car is used for both business
and personal use, only the cost of its business use can be deducted. The amount
of your deductible car expense can be found using either the standard mileage
rate method or the actual expense method. [v] Some people will qualify for both methods but
you must choose only one method when you start using the vehicle and continue
with that method until you replace the vehicle.
Be sure to figure your deduction with both methods initially to see
which gives you the larger of the deductions.
8.
First-Time Homebuyer Credit recipients
unaware of the fine print. Those who
received a First-Time Homebuyers’ Credit towards their purchase of a home
settled on prior to 12/31/08 must begin repaying that money on 2010 tax
returns. Now is the time to take a good hard look at the details of this
credit. Many who accepted the $7,500 credit may not realize that it was in fact
a loan, and the government will begin not-so-politely asking for the money back
over the course of the next 15 years starting with 2010 individual tax returns.
As with any federal money however, there is a lot of fine print to read into on
this one.[vi]
9.
Forgetting
to tell your tax preparer you took an early distribution on an IRA; therefore,
failing to calculate the early distribution penalty of 10%. If you are under the age of 59.5, a
distribution on an IRA (including employer matching and profit sharing) is
considered early, and subject to a 10% additional tax. This tax is in addition of other taxes that
apply to the distribution.[vii]
10. Forgetting your signature on your return!
If you were an artist, you wouldn’t forget to sign your masterpiece upon its
completion, would you? You must sign your taxes for the IRS to process your
taxes. Filing your taxes electronically
is a foolproof way to ensure your taxes will not go unsigned. These software packages do not allow documents
to be sent unless every step is completed.
You can contact Lance
Jacob with additional questions or comments at ljacob@dentalcpas.com or (800) 772-1065. www.dentalcpas.com
For more information, please contact info@dentalcpas.com
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Dentist Has Questions about an Audit
I'm trying to limit the amount of paperwork and receipts stashed on my attic.
So I am wondering - what happens
during an audit?
Say, a typical dental office gets audited.
I don't know, what's an average now, $750K - 1M Gross, 55-65% overhead.
An audit letter comes.
What do they want?
Is there going to be an auditor coming in, or is by mail?
Do they want to look at specific categories, like meals, cars, entertainment, or is across the board?
If your supplies, labs, etc, are at reasonable percentages, do they want to examine those?
If they want to look inside your supplies or labs category, is a charge on credit card statement enough, or do they want actual invoices?
Like, if it says "Schein" or "Staples" or "Joe's Dental Lab", is that enough to convince the auditor it's a legit expense, or do they sift through the Staples or Schein invoices to make sure there weren't extra #2 pencils ordered for the home use?
I guess what I am asking, is it enough to keep only credit card and bank statements for typical purchases, or should we keep every invoice and statement?
It depends....I’ll knock on some wood before I share this....done
knocking:
I’ve had 5 clients audited in the last 12-24 months, all on schedule C's. 3 were no changes and one of the 3 was a really aggressive taxpayer though their documentation was EXCELLENT. When I say aggressive I mean some business % of 4-5 cars, most expensive cars, one a Rolls Royce, not to mention a boat, several homes, etc... Again, the DOCUMENTATION was excellent... no change.
I just received a no change, letter on one where the agent had been out FOUR times and hadn't made it past revenue yet, they were scheduled to come out last week for a 5th & 6th day. I wrote a letter to the agent two weeks prior with tome supporting evidence documenting certain revenue they couldn't trace from the previous 4 visits (that's FOUR FULL DAYS) and my letter basically said look, you've been out 4 times and haven't gotten past revenue yet, each time I've had the expense category receipts ready for your review that you've asked for and you still haven't seen them. It's getting to the point of harassment and you're simply running up the taxpayer’s professional fees. I suggest you close the case with a no change letter as every other audit I've had with two agents have been out at most, TWICE. So talk to your supervisor and let me know. The day before he was scheduled to come out again he called me at 5:30 in the evening. He was surprised to find me at work answering the phone. He told me they were sending me a no change letter.
DOCUMENTATION is the key. If you keep good records and good documentation you'll be fine.
I’ve had 5 clients audited in the last 12-24 months, all on schedule C's. 3 were no changes and one of the 3 was a really aggressive taxpayer though their documentation was EXCELLENT. When I say aggressive I mean some business % of 4-5 cars, most expensive cars, one a Rolls Royce, not to mention a boat, several homes, etc... Again, the DOCUMENTATION was excellent... no change.
I just received a no change, letter on one where the agent had been out FOUR times and hadn't made it past revenue yet, they were scheduled to come out last week for a 5th & 6th day. I wrote a letter to the agent two weeks prior with tome supporting evidence documenting certain revenue they couldn't trace from the previous 4 visits (that's FOUR FULL DAYS) and my letter basically said look, you've been out 4 times and haven't gotten past revenue yet, each time I've had the expense category receipts ready for your review that you've asked for and you still haven't seen them. It's getting to the point of harassment and you're simply running up the taxpayer’s professional fees. I suggest you close the case with a no change letter as every other audit I've had with two agents have been out at most, TWICE. So talk to your supervisor and let me know. The day before he was scheduled to come out again he called me at 5:30 in the evening. He was surprised to find me at work answering the phone. He told me they were sending me a no change letter.
DOCUMENTATION is the key. If you keep good records and good documentation you'll be fine.
The main
thing to remember is have your CPA handle the audit, don’t agree to go to the
IRS office to meet with the agent no matter how friendly the request seems (I
had a client learn this the hard way). As soon as you are contacted by the IRS (or
any taxing agency) let them know your CPA will be handling all future
correspondence, requests for information, and meetings. The CPA should schedule
the audit to be done by mail or at the CPAs office. If you do have to answer
questions for the agent, answer only the question asked.
I need a new car, and I need a deduction to
limit my tax liability in 2012. My advisor suggested the section 179 auto
deduction to accomplish both. I have a fairly long commute and am
wondering how to make my commute a business use of the vehicle. If I have
a bank right by my house and make my nightly deposits there, will that fly with
the IRS (even though there is a bank close to my office).
My wife is on the payroll and pays the bills and orders supplies at home. 2 of my children are also on payroll and do some of their jobs at home (shredding documents, stuffing take home bags, etc…) I am still leery of the whole home office thing.
Any thoughts?
My wife is on the payroll and pays the bills and orders supplies at home. 2 of my children are also on payroll and do some of their jobs at home (shredding documents, stuffing take home bags, etc…) I am still leery of the whole home office thing.
Any thoughts?
Keep in mind the amount you can write off for a
vehicle under 6,000 pounds is not going to change your tax liability all that
much since depreciation on those vehicles is limited. If the vehicle is 6,000
lbs. or more (gross vehicle weight some SUVs) then you may be able to maximize
your tax deduction (Section 179). The key to taking the deduction is to keep
good documentation (on business usage). Above all don’t buy a car (or any
asset) just for the tax deduction.
These are individualized issues and decisions. If your CPA suggested
buying a car for tax reasons then you should be asking them how you go about
getting the most out of that vehicle (or vehicles) and running your ideas by
them. If they suggested the vehicle as a way to get business deductions they
must also have some thoughts on how your vehicle(s) are used for business.
Why couldn't I just purchase the vehicle and
get the loan in the business name? That way, the car is an asset of the
business and I only get to use it as the officer of the business. I
wouldn't see this as any different than someone driving a "company
car".
I bought both mine and my wife's vehicles in the business name.... we don't own the cars, the Corp owns them. This allows auto insurance, gas, maintenance, etc. to all be deducted as well.
Any reason not to do this?
I bought both mine and my wife's vehicles in the business name.... we don't own the cars, the Corp owns them. This allows auto insurance, gas, maintenance, etc. to all be deducted as well.
Any reason not to do this?
Many times owners might want to pass
their old corp car to a family member then you’re dealing with getting it out
of the corp and here in Maryland, it'll cost you sales tax to do so. I've also
been told auto insurance on a corp owned vehicle is more expensive than on a
personal vehicle.
This
first appeared on Dentaltown.
For more information, please contact info@dentalcpas.com
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Labels:
dental office auditing
Wednesday, November 21, 2012
How Does an Associate Dentist Deduct CE Course Cost?
I am a W-2 employee looking to do some CE
courses which will likely run an excess of 2000 dollars this year. I had
read in a previous post that there is a ceiling of some sort to the deduction
as an employee which is 2% of AGI.
So if I want to take a few of these CE courses which my employer will not pay for. How should I go about documentation/setting things up to write off if possible? One of the courses would require being out of state for a few days, an airplane trip and of course the course itself. I know being an IC in this case would be best but what can one do otherwise?
So if I want to take a few of these CE courses which my employer will not pay for. How should I go about documentation/setting things up to write off if possible? One of the courses would require being out of state for a few days, an airplane trip and of course the course itself. I know being an IC in this case would be best but what can one do otherwise?
Thank you.
When you say your
employer won't pay for it, do you mean they won't pay for it in addition to
your wages? If that's the case, will they pay for it and reduce your wages by
the amount they pay? If they do that it's a win/win for both of you as they'll
save payroll taxes as well. If they won't do that, then:
Total all of your unreimbursed employee business expenses including the cost of this CE and you may be able to deduct the amount that exceeds 2% of your AGI - IF you are able to itemize deductions on your tax return.
All related expenses in taking the course will likely be deductible such as travel, meals, taxis, tips, lodging, etc.
Try to get your employer to pay it though in lieu of wages, that's your best bet.
Total all of your unreimbursed employee business expenses including the cost of this CE and you may be able to deduct the amount that exceeds 2% of your AGI - IF you are able to itemize deductions on your tax return.
All related expenses in taking the course will likely be deductible such as travel, meals, taxis, tips, lodging, etc.
Try to get your employer to pay it though in lieu of wages, that's your best bet.
How do you document costs for taxi, meals, tips etc. Newbie here - Just hold on the direct receipts I guess? What if you drive yourself to another state - save the gas receipt?
Receipts are always
best and simply log the miles. If you can't get a receipt for a cash expense,
note it on a sheet of paper where you're summarizing the trip and its purpose
and it should suffice under audit as long as it's a reasonable amount.
This first appeared on Dentaltown.
For more information, please contact info@dentalcpas.com
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Labels:
CE courses
Thursday, November 15, 2012
Preparing your Dental Practice Promotion for the First Quarter of 2013
Here is a guest blog from our friends at New Patients Incorporated (NPI).
Hit 'em hard
in January (and February, and March)! Whether it's the internet, mail, print, radio,
TV, or almost any other media choice, best case scenario is to get your impressions on
the street between the end of the first week of January to the third week in
January. Stay consistent from that point forward, each month, well into next year. There
are several reasons why this makes statistical sense. Historical data tells us so.
The first reason is pent up demand from consumers NOT making choices on a new
dental practice from November 15th through New Year's Day. That is just pure math.
Add to that the social pressure of wanting to improve something about yourself at
the turn of every new year. For some people it is about losing weight. For some
people it might be a new wardrobe. For some people it might mean working less
and taking more time for themselves. And yes, a certain number of people are
going to finally give their smile the attention it deserves. We don't know how many
people feel that way, we just know the number is greater than zero. This coming year,
you also have to add on the end of the consumer election malaise that hits all
markets. Yes, consumer spending slows in the quarter leading up to a presidential election. It's been happening for decades. This last election was no exception. In
January, the election drama will fade in consumers' minds and more people will
get back to paying attention to what has always mattered most - themselves!
Another reason 2013 looks very much like a rebound year, is the pent up demand from the last
four years! Sure the recession has hit dentistry. Of course it did. But what happens
to neglected teeth after four years? Sooner or later, people that put dentistry
off, are going to need a bunch of dentistry! For all of these reasons, January,
February, and March 2013 are stacking up to be pretty good bets! So is the rest of 2013.
If
you are trying a new medium in 2013 - start it in January
Some of you
don't need to expand into alternate media to generate more new patient flow. You are
at or exceeding your capacity now and your promotions are working well. But, for
those of you who are expanding your promotion in 2013 - don't wait to pull the
trigger! Deploy starting in January! For all of the reasons stated above, start
with a new promotion project in the first quarter of 2013.
You (statistically)
will have the best chance of that new
media paying off during this time frame. Using a new promotion medium can be scary.
It can be scary because you don't know if it is going to work or not. Start it and track
it when it has the best chance of being successful. We have seen many
promotions lag in response during the first two to three months, only to build
momentum further down the road and become wonderfully consistent producers of
new patients.
The 1st
quarter of 2013 is going to be a great time to test a new promotion medium in your
marketplace.
If
you haven't already - commit to using tracking numbers in 2013
If you open
and actually read these newsletters, you might be getting a bit tired of us
talking about the use of remote call forwarding telephone numbers embedded into
your promotions. If you are a client and already use them, well, you already
know how beneficial
they are.
For those of
you not familiar with call tracking numbers, now is definitely the time to attach them
to your 2013 external promotions. Use them on any promotion that consumes more
than 10% of your annual budget.
Your
promotion generates the call, your team interacts with a potential new patient, and the
caller either becomes a new patient - or not. As the CEO of your dental practice, the
remote call forwarding website (where all of your calls are recorded and
reported) becomes a CEO Control Center. We have been working with dentists for
25 years now. We know how demanding being a dentist is or can be at times.
We
know you just want
to go home and forget about the office for a while. We know you don't want to sift
through piles and piles of reports to figure out how your promotions are doing. We
also know the last thing you want is more stress. Stress is caused by
uncertainty. Uncertainty stinks!
But that's
the beauty of remote call forwarding/tracking - it easily removes uncertainty! Go home after
a long day at the practice. After you relax and unwind a bit, go ahead and log into
your online call tracking account. See how many calls came from each of your
promotions. Listen to a few phone call interactions between potential new patients and
your staff. Look at how many potential new patients called during hours with no human
phone coverage. Just simply being aware of what is going on with all of your promotion and the interaction between prospective new patient and your team give you (the
CEO) complete control. Awareness destroys uncertainty. Awareness allows you to
make properly informed decisions. Being aware reduces stress. Marketing
isn't supposed to be stressful. It is supposed to be fun!
Happy
Holidays to you and yours!
From all of
us here at New Patients, Inc. we want to wish everyone, a healthy, happy, and warm
holiday season.
If any of you
need us between now and 2013, just call 866.336.8237. We will be here for you.
As always, if
we (NPI) don't handle your promotion for you, you can learn the most effective
ways in our latest book. We also have 7 hours of online CE for you to learn from. Of
course, if you'd like us to build you a marketing plan for your practice, at no cost or
obligation to you, we can do that as well. Just click this link and share information about your dental practice.
You will get your marketing plan emailed to you in 4 to 5 work days.
Got questions? Want to learn more?
You can reach Mark & Howie at:
Howie: whh@newpatientsinc.com
Mark: markd@newpatientsinc.com
For more information, please contact info@dentalcpas.com
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Monday, November 12, 2012
What Should Dentist Pay Periodontist?
I am planning on
bringing a periodontist. I am going to pay him a percentage of
production, but he asked me about a per diem on the days that he is only doing
follow-ups and new exams. What is the going rate for a specialist coming
into a GP office?
Thanks.
Thanks.
1. I would think follow-ups would be covered under the
procedure fee, so no additional compensation for that in my opinion unless
there's a procedure code you can charge.
2. Isn't there a charge for new exams? If so, that'll get included in the monthly production and you should be basing your calculations on no more frequently than monthly.
Good luck
2. Isn't there a charge for new exams? If so, that'll get included in the monthly production and you should be basing your calculations on no more frequently than monthly.
Good luck
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Labels:
paying dental specialist,
periodontist
Monday, November 5, 2012
Grow Your Dental Practice in the Upcoming Year with a Business Plan
Below is a guest post from our friends at ETS Dental, be sure to contact them for all of your dental recruiting needs.
The theme of my articles around this time of year always revolves around planning and goal setting. Like it or not, we are just 60 days away from the end of 2012. It’s in the books, and that’s all she wrote…
Practice owners: If you don’t set time aside to write out your business plan or set your personal goals by November 15 it’s probably not going to happen this year. Thanksgiving is just a few weeks away, followed by Christmas, Hanukkah, and New Years.
Associates and practice owners: Set your personal goals for 2013 by November 15. Whether it is improving your clinical skills, planning for retirement or your kid’s college, or getting back in shape, the time to set your 2013 goals is NOW!
Hundreds, possibly thousands, of articles, books, and blogs have been written about the importance or writing a business plan and setting personal goals. I’d like to share a few of my favorites:
Eleven reasons to write a business plan:
- Achieve your long-term goals by developing a road map that details specific short-term goals and milestones.
- Prove to associates, employees, family members, and bankers that you’re serious about growing your practice. It allows them to see where they fit.
- Share your strategy, your priorities, and your plan of action with those who will hold you accountable, such as associates, employees, your spouse, and business advisors.
- Determine when you will have to say “no.” There is no shortage of good ideas. Each year it’s better to pick a few and execute them well, rather than saying yes to everything and not giving any of the ideas the effort they deserve.
- Understand your patients, your competition, and your opportunities better in order to grow. Writing a business plan forces you to do research on your market and the needs of your patients.
- Make your practice more attractive to potential buyers-- five, ten, or twenty years from now.
- Making a plan gives you a reason to stop doing things in your practice that don’t make sense anymore (or never made sense in the first place).
- A plan determines your financial needs.
- It allows you to assess new revenue opportunities as well as rejuvenate old ones.
- It also gives you a chance to make mistakes on paper, or to prevent you from repeating those mistakes that you’ve already made.
- Establishing daily and weekly goals simply makes it more fun and rewarding to come to work in the morning.
If you have never written a business plan before, you will find the following article helpful:
8 Simple Steps to Preparing a Business Plan for 2012
Twelve reasons to write down your personal goals. (Today!)
- Writing transforms your goals from thoughts to tangible objectives. Once goals are written, they are easy to remember, track, and accomplish.
- Great minds have purposes, others have wishes. (Washington Irving)
- First you write down your goal; your second job is to break down your goal into a series of steps, beginning with steps which are absurdly easy. (Fitzhugh Dodson)
- One worthwhile task carried to a successful conclusion is better than half-a hundred half-finished tasks. (B.C. Forbes)
- All you have to do is know where you’re going. The answers will come to you of their own accord. (Earl Nightingale)
- A goal is a dream with a deadline. (Napoleon Hill)
- Goals allow you to control the direction of change in your favor. (Brian Tracy)
- You cannot expect to achieve new goals or move beyond your present circumstances unless you change. (Les Brown)
- A man without a goal is like a ship without a rudder. (Thomas Carlyle)
- The path of least resistance is the path of a loser. (Phil Weltman)
- Give me a stock clerk with a goal and I’ll give you a man who will make history. Give me a man with no goals and I’ll give you a stock clerk. (J.C. Penney)
- You must have long term goals to keep you from being frustrated by short term failures. (Charles C. Noble).
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dental business plan,
dental goal setting
Tuesday, October 30, 2012
When Should Dentist Begin Paying Rent?
Hypothetical
situation....well not really.
Say you and your partner are expanding your office. Say your partner owns the building. Say you are splitting the cost of the furnishing and equipping of said office.
How would you split the cost of construction?
Say you and your partner are expanding your office. Say your partner owns the building. Say you are splitting the cost of the furnishing and equipping of said office.
How would you split the cost of construction?
It depends on the nature of the construction. The portion of the
construction that the landlord might generally incur will be paid 100% by
the landlord, improvements generally done by the tenant is paid 100% by the
practice.
Or, determine a reasonable landlord TI allowance for the area, say $50/square foot and that's the cost the landlord covers.
Or, a combination of both if the "construction” includes things like cabinetry, etc.
How would you/wouldn't you have this influence the new rent? (obviously it will increase, but would you tie this to construction cost?)
It seems to me you've already established a fair rental rate when you bought into the practice, so I wouldn't expect it to deviate much from the current “per square foot” rent you're already paying. If you select a TI allowance which the landlord pays I don't think it impacts the construction cost. If the landlord is funding 100% of all improvements above an allowance, they'll generally include the tenant financing on top of the base rent so you, the tenant winds up paying for it anyway.
When should rent increase? When construction starts? When you occupy the space fully?
When the space is done and the tenant occupies it. Don't forget that sometimes the landlord will offer free rent for several months as an incentive for the tenant signing a long-term lease. The tenant may also be able to negotiate a lower rent “per square foot” for more space. Has the rental market decreased in your area since you bought in?
Give me some advice. I'm sure I will have more questions as we discuss.
Thanks!
Or, determine a reasonable landlord TI allowance for the area, say $50/square foot and that's the cost the landlord covers.
Or, a combination of both if the "construction” includes things like cabinetry, etc.
How would you/wouldn't you have this influence the new rent? (obviously it will increase, but would you tie this to construction cost?)
It seems to me you've already established a fair rental rate when you bought into the practice, so I wouldn't expect it to deviate much from the current “per square foot” rent you're already paying. If you select a TI allowance which the landlord pays I don't think it impacts the construction cost. If the landlord is funding 100% of all improvements above an allowance, they'll generally include the tenant financing on top of the base rent so you, the tenant winds up paying for it anyway.
When should rent increase? When construction starts? When you occupy the space fully?
When the space is done and the tenant occupies it. Don't forget that sometimes the landlord will offer free rent for several months as an incentive for the tenant signing a long-term lease. The tenant may also be able to negotiate a lower rent “per square foot” for more space. Has the rental market decreased in your area since you bought in?
Give me some advice. I'm sure I will have more questions as we discuss.
Thanks!
If you can, see if
you can find a commercial real estate rental agent who you can consult with
either together with your practice partner or individually to represent you
more or less. George Vaill may also be able to assist you in what might
be "fair" (I know he hates that word) based on all the lease
negotiations he's been involved with.
Good luck.
Good luck.
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Labels:
dental office rent
Wednesday, October 24, 2012
Should a Dentist Take Section 179 - First Year Expensing Election in 2012?
I hate to sound like an equipment sales rep, for that I apologize, however, this question keeps coming up about a couple of tax breaks that are set to expire at the end of 2012.
Through the end of 2012, a business can elect to expense this year up to $139,000 of most furniture and equipment that is purchased AND placed in service in 2012. If your purchases exceed that, you can also take an additional bonus depreciation of 50% of the cost, again, if purchased AND placed in service in 2012.
Now, JUST because it is available does NOT mean it makes sense to take these deductions in 2012. You really need to consider your 2012 income tax brackets compared to the brackets you expect to be in for 2013 (and beyond) in addition to the additional taxes you might be subject to (like the new 3.8% tax in future years.)
For example, taking a $100,000 deduction (or expense) this year in a blended 15%\25% income tax bracket could save you $20,000 in federal income taxes. However, if you expect to be in the 35%+ income tax bracket in 2013 and beyond, that $100,000 deduction could be worth $35,000+. You have to decide if it is worth waiting for an additional $15,000+ in tax savings (I think it may be worth the wait.)
Keep in mind the new 3.8% tax will hit next year and joint filers with adjusted gross income over $250,000 might be subject to this tax (single filers will be hit at a lower AGI) . So the other benefit of spreading out the deduction over future years or waiting to purchase items in 2013 will be the potential for you to remain near or below the $250,000 AGI threshold to avoid or minimize this new tax.
Higher income earners will get hit hard starting in 2013, so anything you can do to try to keep your income down in future years will make sense....even if that means NOT taking advantage of these expiring tax breaks right now.
Happy tax planning to all!
Tim Lott, CPA, CVA
tlott@dentalcpas.com
www.dentalcpas.com
Through the end of 2012, a business can elect to expense this year up to $139,000 of most furniture and equipment that is purchased AND placed in service in 2012. If your purchases exceed that, you can also take an additional bonus depreciation of 50% of the cost, again, if purchased AND placed in service in 2012.
Now, JUST because it is available does NOT mean it makes sense to take these deductions in 2012. You really need to consider your 2012 income tax brackets compared to the brackets you expect to be in for 2013 (and beyond) in addition to the additional taxes you might be subject to (like the new 3.8% tax in future years.)
For example, taking a $100,000 deduction (or expense) this year in a blended 15%\25% income tax bracket could save you $20,000 in federal income taxes. However, if you expect to be in the 35%+ income tax bracket in 2013 and beyond, that $100,000 deduction could be worth $35,000+. You have to decide if it is worth waiting for an additional $15,000+ in tax savings (I think it may be worth the wait.)
Keep in mind the new 3.8% tax will hit next year and joint filers with adjusted gross income over $250,000 might be subject to this tax (single filers will be hit at a lower AGI) . So the other benefit of spreading out the deduction over future years or waiting to purchase items in 2013 will be the potential for you to remain near or below the $250,000 AGI threshold to avoid or minimize this new tax.
Higher income earners will get hit hard starting in 2013, so anything you can do to try to keep your income down in future years will make sense....even if that means NOT taking advantage of these expiring tax breaks right now.
Happy tax planning to all!
Tim Lott, CPA, CVA
tlott@dentalcpas.com
www.dentalcpas.com
For more information, please contact info@dentalcpas.com
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Labels:
year end tax planning
Monday, October 15, 2012
Listening to Dental Customers
“Customers who engage with companies over social
media spend 20% to 40% more money with those companies than other customers.” Bain & Company
Your customers are talking. Telling others
about their experience – both good and bad – with your organization. As
Bain & Company discovered in their research, if customers are invested
enough to spend time to talk on social media, they are investing their money
with you as well. And they are
influencing others which makes their voices are more powerful than ever.
Do you currently have ways to hear the customer’s
voice? Do you directly ask your
customers what they think about your organization and their experience?
Do you know all the ways customers try to tell you what is going right
and what could improve to make their experience better? Consider all the ways you can find and listen
to the customer’s voice.
Ask your people.
Anyone who has direct contact with the customer knows the most about how
and what they are trying to accomplish, what upsets them, what delights them
and what drives them to stay with your company.
Go online. Find
feedback emails to your contact center. Use online survey tools, ask questions
on Facebook, poll them on your website, observe their online behavior, and many
other ways your customers are telling you what they want.
Find the hidden voices. Reviewing comment cards,
listening to customer service logs and technical support calls, and doing a
little “secret shopping” yourself (for example, being with customers in a
retail location and listening to conversations) can all help you understand
their perspective.
Talk to them. Pick
up the phone and really dig deep into what customers like and don’t like about
your business. You will discover ways to serve them better, listen to
their ideas about how you can make their experience easier and more enjoyable.
Confirm you heard them. Encourage feedback by responding to it. If you don’t listen and
confirm what you heard, they will stop talking and take their business
elsewhere. Give them updates about what you are doing to respond to their
issues or overall changes to your products and services.
Share it. The customer voice is one of the most powerful things to change your
organization. We often become very inwardly focused about our goals and
forget theirs. Everyone in your
organization should put on the customer’s shoes and understand their
experience.
Reaching out and listening to customers is a
critical activity. It is an ongoing and consistent way to provide
valuable insights into how customers experience your organization. Their
voice is the springboard for insights and actions which can lead to financial
results. Go find their voice and find the next opportunities for your
organization.
Diane Magers is a team member at the Interactions Group,
who help organizations develop and implement customer-focused
strategies to improve business performance.
For more information, please contact info@dentalcpas.com
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Labels:
customer strategies,
dental customers
Friday, October 12, 2012
District of Columbia "use" Tax Impacts Dentists
For DC businesses there is a new requirement under the
DC Code regarding so-called “use” taxes. Beginning with the 12-month period
ending September 30, 2012, any employer that is required to file a DC
withholding tax return, but is not required to collect and remit sales taxes,
is required to file an annual use tax
return. The return, Form
FR-800A, must be filed on or before October 20th of each year, and any use
taxes due must be remitted with the return.
Most States imposes a “use tax” on certain personal
property purchased for use in their state. The use tax complements the sales tax by taxing the use of goods
inside the State on which no sales tax has been paid. Typically, this is
property that was purchased from a seller outside of the state.
Unlike sales
taxes, which are charged and collected by the vendor, the use tax is
self-reported by the purchaser.
You should contact your tax advisor for advice on your specific situation.
For more information, please contact info@dentalcpas.com
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use taxes
Wednesday, October 3, 2012
Is Charitable Dental Care Deductible?
Several dentists
have asked us about what deductions may be eligible for the volunteer dental
work they do for the community. We looked at a few scenarios and have come up
with some guidance.
A charitable deduction
is not allowed for contributing services (time) for dentist (or anyone else)
but they can deduct unreimbursed out-of pocket expenses that they incur when
they render services to a (qualified) charitable organization.
Examples of
deductible expenses include the cost of uniforms that are required to be worn
while performing the donated services (clothing that is not suitable for
everyday use), and supplies used in performing the donated services.
Other examples include equipment, copying charges, office supplies, long
distance charges, and postage.
A dentist can
also deduct “reasonable” expenses meals and lodging while they are away from
home. “Away from home” for purposes of charity is the same as “away from home”
for business. In other words, the trip has to require the taxpayer to sleep or
rest outside of their home in order to continue to do the charitable work. The
cost of child care that someone incurs while providing the charitable services
can’t be deducted even if the person can’t do the volunteer work without paying
the child care expense.
The expenses have
to be non-personal (i.e. no pleasure trips, entertainment costs etc.) and
directly connected to performing the services for the charity. If they are
primarily for the benefit of the taxpayer they are not deductible. The
unreimbursed expenses are treated as being paid directly to the charity.
For auto expense
a dentist can deduct 14 cents per charitable mile or actual expenses (gas and
oil directly related to the use of your car for volunteer activities) but you can’t
deduct general expenses such as depreciation, lease payments, license and
registration or insurance. Parking and tolls directly related to the charitable
work can be deducted whether you use the mileage or actual expense method.
Treat this advice
as general guidelines and consult you CPA for specific guidance related to your
particular situation.
Lance Jacob, EA, is a
principal with the Dental CPAs. ljacob@dentalcpas.com (410) 453-5500. The Dental CPAs have been providing
accounting, tax planning, practice purchase assistance, bookkeeping, practice
management services and other advice to the dental community for over 50 years.
For more information, please contact info@dentalcpas.com
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