Dental Practice Acquisition: How Dr. Chen Bought Her Dream Practice
The Client
Dr. Michelle Chen graduated from dental school in 2020 and spent three years as an associate at a large group practice in Seattle. While she gained valuable experience, her dream was always to own her own practice.
The Opportunity
In late 2023, the dentist who had treated Michelle's family for 20 years was ready to retire. Dr. Harrison's practice represented:
- β30 years of established patient relationships
- β2,400 active patients
- β4 operatories in a prime suburban location
- βStrong revenue: $1.2M annually with healthy profit margins
- βLoyal staff: Hygienist and office manager with 10+ years each
Dr. Harrison wanted to sell to someone who would take care of "his" patients. Michelle was the obvious choice.
The Challenge
Acquisition price: $920,000 (including equipment and goodwill)
Michelle had:
- β$50,000 in savings
- β$180,000 in student loans
- β3 years of experience
- βExcellent clinical skills
- βNo business ownership experience
- βNo significant assets for collateral
Most banks were skeptical of a new graduate buying a practice worth nearly $1M.
Finding the Solution
Michelle contacted Banked.fyi after researching dental practice acquisition options. We connected her with lenders who specialize in healthcare practice transitions.
Why SBA 7(a) Made Sense
- βLower down payment: 10% vs 20-30% conventional
- βLonger terms: 10 years vs 5-7 years
- βBuilt-in support: SBA requirements meant thorough planning
- βLower monthly payment: Preserving cash flow for growth
The Structure
SBA 7(a) Loan:
- βAmount: $828,000 (90% of purchase price)
- βTerm: 10 years
- βRate: Prime + 2.5% (initially 10.5%)
- βMonthly payment: $11,240
Down payment: $92,000
- β$50,000 from savings
- β$42,000 seller financing (held for 18 months)
Documentation Required
The SBA process was thorough:
- βPractice tax returns (3 years)
- βPractice financial statements
- βPatient demographics analysis
- βTransition plan
- βMichelle's resume and credentials
- βPersonal financial statement
- βBusiness plan with projections
Timeline
Month 1: Initial consultation, document gathering, lender matching Month 2: SBA application submitted, underwriting Month 3: Conditional approval, additional documentation Month 4: Final approval, closing scheduled Month 5: Closing, ownership transfer
Total: 5 months from first contact to ownership
The Results
Transition Success
Patient retention: 94% (well above industry average of 85%) Staff retention: 100% (both hygienist and office manager stayed) Revenue impact: Only 8% dip in first quarter, recovered by Q2
Six-Month Performance
| Metric | Pre-Acquisition | 6 Months Post | Change |
|---|---|---|---|
| Monthly revenue | $100,000 | $98,000 | -2% |
| Monthly profit | $25,000 | $28,000 | +12% |
| Active patients | 2,400 | 2,350 | -2% |
| New patients/month | 8 | 15 | +87% |
What Drove Success
- βDr. Harrison stayed 3 days/week for first 3 months
- βStaff continuity maintained patient relationships
- βMichelle's energy attracted new younger patients
- βUpdated technology improved patient experience
- βExtended hours captured working professional market
Key Takeaways
For Healthcare Practice Buyers
- βStart planning early - SBA takes time but offers best terms
- βSeller involvement helps - Transition period is crucial
- βStaff are assets - Retention should be priority
- βDon't undercapitalize - Include working capital in loan
- βGet specialized help - Healthcare lending is specialized
Financial Lessons
- βSBA was right choice - $11,240/month was manageable vs $15,000+ with conventional terms
- βSeller financing bridge - Made down payment possible
- βROI is clear - $28K monthly profit vs $11.2K payment = strong cash flow
What's Next
With a successful first year under her belt, Michelle is planning:
- βTechnology upgrades: Digital impressions and CAD/CAM
- βMarketing investment: Building presence with younger demographics
- βAssociate hire: Ready to add a part-time associate in Year 2
- βStudent loan refinancing: Now qualifies for better terms
The practice that took Dr. Harrison 30 years to build is now positioned for another generation of growth under Dr. Chen's ownership.