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much. With cloud-based practice management software and VOIP
phones, even our staff overhead hasn't increased too much.
If you can reach your practice goals in a single location, that's
probably the easiest, most cost-effective route. Given the supersaturated
orthodontic market in metro Phoenix, that was not realistic for us.
For you to be adding offices, you must have
a game plan. Could you share with the readers
why you decided to embark on this growth plan?
We love being orthodontists and we love running our business.
We're both stereotypical Type A, driven, first-born children with
a little ADHD in the mix. We are both stimulated by the new
challenge of adding offices and growing our existing ones, and we
have come to embrace change. There is no such thing as the status
quo with us. Thank goodness our team knows us and just adapts.
We add and change things on a regular basis. We are both 43 years
old and nowhere near retirement, so why not see what we can do?
We will probably continue to grow as long as it remains fun.
Do you have a set of criteria for
purchasing or adding new offices?
We do have kind of a mental checklist when evaluating potential
new offices, and we have turned down many opportunities that
JUNE 2019 // orthotown.com
didn't fit us. One of the main things we evaluate is location. Do
the demographics of the area fit with our practice model? Is the
office space visible, or is it buried in an office complex? If an existing
practice, is the office space "livable" as is? If not, how much will
need to be spent on updates?
The next thing we consider is the reputation of the selling doctor.
Is this someone we can generally trust? What is the overall quality
of treatment being provided? Everyone is going to have cases that
are overtreatment or not going as planned, but those should be the
exceptions, not the rule.
Finally, we look at practice numbers. There are a lot of numbers
to look at, but in broad terms: Is the practice growing or shrinking,
and why? Is the practice price fair? Can the loan be serviced in a
reasonable time and still provide income? Do we think we can grow
the practice enough to make it worth our time?
I'm assuming that you treat patients together. Is
there a system or standard that you've established
to smooth things out to streamline patient care?
We both attended the University of Michigan (Go Blue!) for
dental and orthodontic training. Our similar background probably
makes it easier for us to share patients. We have the same treatment
philosophy and are both "ortho nerds." We're always talking about
Orthotown June 2019
Table of Contents for the Digital Edition of Orthotown June 2019
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