21 November 2016

Dentistry From One to Five Offices: Part 1 – Why?




Part 1: Why would anyone want five dental practices?

November 2016 – Q & A with Pete Newcomb

Is dentistry an art, science or business? At DTSpade, we’d argue that it is all three.

But every Client decides how much time they can allocate to each. Do you invest in getting better at your craft? Do you invest in the newest equipment or staff training? Do you invest in improving operations, speeding collections or negotiating with insurance?

At best, a single physician can do one or two well. Larger practices can invest in talent to delegate, but that brings another set of challenges. Single physician practices that maintain high standards of customer care are not at any more of a disadvantage than multiple practice operations that sacrifice personal attention.

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21 November 2016

No More Leases in the Junk Drawer




How FASB has changed lease accounting and performance bonuses at the same time

  • Because of the prevalence of leasing for many companies, FASB and IASB have amended accounting guidance (ASC 842) to provide more reporting on lease transactions.
  • The new accounting standards require organizations to recognize all lease obligations (over 12-months) on their balance sheets, to ensure greater transparency in financial reporting.
  • Companies will need to begin monitoring the potential effect of these changes on their debt-to-capital ratio and related debt covenants.
  • Regulations take effect in 2019 and 2020, but back reporting begins in 2017 (for public companies) and 2018 (for private, non-profit and government organizations), so time is short to understand and manage implementation.
  • This change is an opportunity to better manage accounts payable for leases and communicate to the market a mastery of good financial governance.
  • Missteps in managing this change can result in loan covenant defaults, souring investor sentiment and/or failure to meet benchmarks.
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15 November 2016

Imagine Our City with Integrity




Dr. Hugh Flax and the Deal that Never Was

For over 25 years, Flax Dental has been a successful business built on excellence in quality care. Dr. Hugh Flax is nationally known through his speaking and has been a contributing commentator on MSNBC, ABC, USAToday and Good Morning America. He’s even served as President of the American Academy of Cosmetic Dentistry, accumulating eight times the annual requirements for continuing education, while developing a staff with a commitment to excellence and learning.

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12 November 2016

Imagine Atlanta Without a Net




How do you kill three birds with one stone? It doesn’t happen often, but in 2016, DTSpade helped two of the city’s most critical organizations to execute a plan that helped one of Atlanta’s most vital hospitals expand its campus, secure more parking and ensure a long term future for a critical community program. In the same transaction, DTSpade helped Fulton County to lower its operating expenses and provide a better delivery of care to its HIV, STD and Hep-B patient populations. And that’s just the beginning of the story…

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8 November 2016

Imagine Our City with More Jobs




Osborne Oral & Maxillofacial Surgery Commits to the Community

Osborne Oral & Maxillofacial Surgery has been providing a valuable service to families in the DeKalb County region for over 30 years. Dr. Thomas Osborne provides a diagnosis for oral conditions as well as implants, removal of impacted teeth, cosmetic surgery, and oral bone grafting through a staff of six. Dr. Osborne trained at the Johns Hopkins University and continues his education through the Seattle Study Club.

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25 October 2016

Imagine Texas Without Tralongo Dental Solutions’ Acquisition of Southern Dental




Southern Dental started as a family-run business and expanded into 10 dental offices throughout Texas. They had considered a sale on and off again for years, but by 2015, the situation had become dire. Without an equity partner and Dental Solutions expertise, the offices wouldn’t make it through the summer.

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25 August 2016

OPPORTUNITIES IN DENTISTRY – WHAT IS THE SINGLE BIGGEST OPPORTUNITY IN DENTISTRY TODAY?




The healthcare industry exhibits high profitability, and dentistry is no different as a whole. The dental industry has benefited from favorable demographic trends, technological advances and attention given to the importance in oral hygiene over the past five years.

But running a successful practice isn’t easy. It requires a lot of hard work, dedication by each member of your office staff, and maybe a few steps outside your comfort zone.

Nobody knows the dental industry like the professionals who move it forward every day. We’ve tapped into a pool of dental industry specialists with unique perspectives, to ask for their expert advice on four questions:

  1. What it the single biggest opportunity in dentistry today?
  2. For a Dentist with a typical practice, what is the one thing that they can do to make the practice more valuable?
  3. What separates the best operators from the average dental practice owners?
  4. What is the best advice you’ve ever given or been given?
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27 June 2016

OPPORTUNITIES IN DENTISTRY – What is the best advice you’ve ever given or been given?




If you own a dental practice, you’re both a leader and a decision-maker. You’re often sought after for your expert opinion. But when it comes to your business, who do you look to for the same?
If you’re like most dental professionals, offering advice comes more naturally than seeking it. But when it comes to your dental business, those who are truly open to guidance (and not just looking for validation), can develop better solutions to problems or find new opportunities to grow than they would have on their own. After all, those who achieve the most in the world didn’t do it on their own.

No matter how well you’re doing with your practice, there’s always something to be learned from those who have been where you are by offering a fresh point-of-view. We’ve tapped into a pool of dental industry specialists with unique perspectives, to ask for their expert advice on four questions:

  1. What it the single biggest opportunity in dentistry today?
  2. For a Dentist with a typical practice, what is the one thing that they can do to make the practice more valuable?
  3. What separates the best operators from the average dental practice owners?
  4. What is the best advice you’ve ever given or been given?
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27 May 2016

Human Resource Planning for the Unplanned – How North Carolina Has Prepared for the Next Generation of Government




Best of Series – Part 1

  • Baby Boomers are reaching the age of retirement at record rates and by 2025 Millennials will make up three-quarters of the American workforce.
  • Because employees within Government positions are older on average, the public sector needs to have workforce planning in place to transfer vital knowledge before it is lost.
  • Millennials are looking for opportunities where they can make a difference, are motivated by empowerment and consistent feedback, and value a work-life balance.
  • Georgia has shown a 27% increase (year over year) in public sector retirements – significantly higher than other states in recent years.
  • In order to compete with the private sector, State and local agencies will need to look for effective ways to not only recruit, but develop and retain a new generation of young talent.
  • The State of North Carolina offers several best practices in many of these areas through enhanced postings on GovernmentJobs.com, their Young Employees Initiative (YEI) and the North Carolina Valuing Individual Performance (NCVIP) programs.
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16 May 2016

Warren Buffett Wants to Make You Better in 2016




What I learned from the Berkshire Hathaway 2015 Annual Report

  • Tenor of American politics diminishes great advances in the U.S.
  • Investment strategies of adding to existing business lines and underwriting risk based on actual default risk as opposed to competition still work and should be encouraged.
  • Accurate accounting shouldn’t disregard relevant charges in favor or EBITDA valuations.
  • Success comes from staying in your lane. For Berkshire, this means friendly acquisitions, large purchases and partnership with like-minded long term holders of companies.
  • Burlington Northern Santa Fe, Insurance and Clayton Homes business all improved in a diminishing market, but conditions for the insurance market look difficult in the next ten years.
  • The shareholder meeting will be simulcast for the first time this year. Details are below.

 

Executive Summary

Warren Buffett, inarguably one of the most successful investors in history, released his annual letter to the shareholders of Berkshire Hathaway in late February 2016.  The annual report he publishes through his conglomerate, Berkshire Hathaway, is one of the most highly anticipated and widely read in the financial world.

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