Assuming that the associate buy-in is internally financed, Dr. Senior may choose to retain decision-making control. Dr. Junior’s position may be that even though the buy-in has not been paid at the time of becoming an owner, internal financing is merely a method of payment and has nothing to do with the interest being purchased. A solution is that Dr. Senior should maintain decision-making control until the buy-in has been fully paid. However, certain decisions should require the unanimous consent of all owners, such as the hiring of an additional dentist or specialist, expenditures over a threshold amount, relocation of the practice, and/or the acquisition of an additional practice. After the buy-in is fully paid, decision-making control is equal, assuming that dispute resolution mechanisms are built into the shareholder or operating agreements. If not, Dr. Junior should expect a “lack of control” discount on the buy-in price.
Dispute resolution
Dispute resolution mechanisms can be built into the buy-sell agreement(s) or be freestanding, and they should provide for who leaves and who stays in the event of an irreconcilable dispute.
For family practices, such as those of husband and wife dentists where a nonfamily dentist has been admitted, the agreements may provide that so long as the nonfamily owner has fully paid for his or her pro rata interest in the practice, the nonfamily owner may elect to leave, retain the charts and records of those patients customarily treated, and be paid only for an undivided interest in the tangible assets. While restrictive covenants remain in effect for practice patients, they would not apply to those charts and records retained by the departing owner. Here, patients must be allocated separately to owners. This dispute resolution mechanism is not applicable to specialists due to the nature of referral relationships.
There should be no windfall for a newly admitted owner to leave early. For early departure, the new owner’s buyout may be reduced by any unpaid buy-in price and possibly 50% of the buyout formula for Dr. Junior breaking the obligation to buy out Dr. Senior. If, on the other hand, Dr. Senior desires to terminate Dr. Junior’s employment without cause or for no specific reason, Dr. Senior may pay a premium to Dr. Junior (e.g., 150% of the buyout formula). The payment terms should also be specified and may vary depending upon the triggering event.
For successful group practice longevity, the shareholders, members, or partners should commit to holding regularly scheduled board, member, or partner meetings with a written agenda to discuss practice business. Further, a yearly meeting should be held with the CPA and attorney for the practice to review operational results for the most recent year and update the practice strategic plan for the upcoming five years with emphasis on the next succeeding year.
Another dispute resolution mechanism is a buyout of the restrictive covenant as part of the buy-sell agreements and the associate employment agreement prior to Dr. Junior’s ownership. This mechanism solves the problem of Dr. Junior having grown up in the geographical area where the practice is located. Any termination of restrictive covenants may or may not allow Dr. Junior to hire specific staff or another dentist.
Employment of family members
When Dr. Senior is the only owner, the employment of family members, such as Dr. Senior’s spouse or child, works well. In a group practice, employment of family members should always be discussed and agreed upon in advance. With regard to the buy-in and later buyout of a family member as a dentist, treat the family member as if he or she is unrelated.
The real estate
If Dr. Senior or Dr. Senior’s spouse owns the practice real estate, Dr. Senior may desire to retain 100% ownership. However, maybe Dr. Junior should own a pro rata percentage of the real estate equal to the percentage of the practice being purchased. The rationale is that if Dr. Junior is a partial real estate owner, Dr. Junior has “golden handcuffs” to an extent and is less likely to leave the practice. In addition, the real estate ownership for Dr. Junior provides Dr. Senior with the remaining real estate buyout when Dr. Senior retires. It is also a matter of fairness to allow Dr. Junior to share in the real estate profit. The hurdle for Dr. Junior is to obtain a 20% down payment, as the real estate interest is typically payable in cash but can also be financed by Dr. Senior.
There may be an option or right of first refusal for Dr. Junior to purchase an interest in the real estate or a 100% requirement at some point. The purchase price is determined by a mutually agreed-upon commercial real estate appraiser with Member Appraisal Institute (MAI) credentials. If the parties cannot agree upon an appraiser, each party selects an appraiser, and the appraisals are averaged. If the appraisals are more than a specified percentage apart (e.g., 10%), each appraiser selects a third appraiser whose appraisal is final and binding. Should Dr. Senior desire to accept an offer to purchase the real estate, Dr. Junior should be given a right of first refusal to match the offer within a short time period.
If the real estate interest is not offered to Dr. Junior, there should be a lease in place with a sufficient term and renewal options for the owners to continue to practice in the same facility. It is very difficult for Dr. Senior and unfair to Dr. Junior to increase the rent when Dr. Junior has just been admitted as an owner of the practice.
Dealing with all aspects of practice operations correspondingly decreases the risk of an expensive, time-consuming, and emotional group breakup.
Reference
1. Statutory close corporations permitted in some states. https://www.bizfilings.com/toolkit/research-topics/running-your-business/statutory-close-corporations-permitted-in-some-states. Accessed February 16, 2017.
William P. Prescott, Esq., EMBA, of WHP in Avon, Ohio, is a practice transition and tax attorney and a former dental equipment and supply representative. For Mr. Prescott’s publications and course materials, see PrescottDentalLaw.com. Mr. Prescott can be contacted at (440) 695-8067 or [email protected].