American Dental Association

Building or Refreshing Your Dental Practice


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and can move you through the loan process quickly and efficiently.

      Specialty Lender Financing

      Specialty lender financing consists of a conventional or SBA loan customized by a specialty healthcare lender to meet your particular situation and needs. Using a specialty healthcare lender for your project can save you both time and money. Unlike most local banks, a specialty lender can combine your practice, equipment or property purchases into one loan package, providing a streamlined process with one credit application, one set of fees and one closing. In addition, specialty lenders can provide a broader range of loan options, from short-term fixed rate loans to low variable rate mortgages. They may also offer planning and business tracking resources to help make the remodel, expansion, or build-out process run more smoothly.

       Loan specifics may include:

       Up to 100 percent financing with flexible repayment plans

       10-year amortization

       Low closing costs

       Financing based primarily on historical or projected practice income rather than personal assets

      The chart on the next page compares the differences between conventional financing, SBA loans, and specialty lender financing. Before committing to a loan package, carefully review and compare the different financing options with your lender to fully understand the pros and cons of each and how they might affect your particular circumstances. It may also be prudent to discuss the loan package with your financial advisor.

      FIGURE 2.5: COMPARING FINANCING OPTIONS (LEASED SPACE)

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      Before approaching your lender for project financing, understand your financing options so you can make an informed decision about the type of package that will work best for you.

      Select a Lender Who Can Meet Your Needs

      Dentists have unique financing needs. Practice construction costs vary depending on where you are located, but can average $150 to $250 per square foot for building operatories, office space and reception areas. Additional funding is required for advanced dental equipment, computer systems integration and décor.

      Look for a lender with dental industry experience who is familiar with the construction process and special requirements of dental practices:

      • Is the lender able to provide cash flow funding to support business operations during and after construction?

      • Can the lender allow a flexible repayment structure that increases payments over time as your practice grows?

      • Does the lender offer practical and valuable incentives for building an ongoing relationship, or are they interested only in an independent project transaction?

      To ensure you have a financing partner who understands your needs and can act as your advocate through the life of your loan, work with a direct lender rather than a financing broker. While financing brokers can shop a good “deal,” they are not necessarily in a position to evaluate and support the full scope of your financing needs and can ultimately cost additional time and money.

      Different Approaches to Lending Decisions

      There are real differences in the approach lenders take in developing their credit decisions. The two key differences are between collateral-based lending and cash-flow lending.

      • Collateral-based lenders typically make credit decisions based on the value of your personal assets and use personal items such as your home, money market accounts, and Certificates of Deposit as collateral. Your local bank is most likely a collateral-based lender.

      • Cash flow lenders use the historical performance of a practice — or, in the case of start-ups, projected revenue and cash flow — to make credit decisions and use the practice as collateral, not your personal assets. Cash flow lenders are usually specialty lenders that specialize in a particular business or industry.

      If you are concerned about using your personal assets as collateral for your business, look for a cash-flow lender. This will protect your personal assets while providing a realistic basis for obtaining funding.

      Once you have determined the type of lender you prefer, consider asking the following questions of potential lenders to gain an understanding of the type and quality of service they can provide for your project.

      • Which specific markets do you serve? Does the lender understand the unique financing needs of dental practices?

      • May I speak with your current dental customers? Speaking to references will help you determine whether this lender can support your specific needs. If a lender does not have or will not offer the names of dental customers, move on.

      • How does the approval and funding process work? A streamlined process, usually for smaller loan amounts that require only an application, should provide approvals within one to two days. Approvals for larger or complex loan requests involve a more in-depth analysis and should take approximately five to seven days once the required information is received. In all cases, the documentation and funding process varies depending on how quickly required documents are received (e.g., invoices, contractor budgets, copies of lease agreements, etc.) and the overall progress of your project. Funding can occur anywhere from a couple of weeks to several months post-approval.

      • What is your prepayment policy?

      ° Ensure there are no prepayment penalties, and avoid balloon payments if possible.

      • Who will fund and service my loan?

      ° You want to work with a reliable financing team throughout your project that is available to answer questions, provide useful resources, and help you solve any funding issues. Make sure your loan is not packaged and sold to a third party.

      • Who do I call if I have questions or need help?

      ° Make sure your lender can provide a name, not just a department.

      • How can you help if I experience problems in my practice?

      ° You want to know your lender is part of your team and available to help you overcome challenges.

      Getting Prequalified

      Talk to your lender about your project to determine if it is financially feasible, and ask to be prequalified for a specified amount. In today’s lending environment you will likely need to provide a good deal of documentation, including the following:

      FIGURE 2.6: TYPICAL LOAN DOCUMENTATION

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      Once you have selected your lender, celebrate! You have just added a critical member to your project team.

      Take Advantage of Cost-Saving Opportunities

      With various tax incentives available for small businesses, there are a number of ways you can maximize the investment in your practice design through tax deduction and depreciation strategies. In addition to straight line depreciation, here are two valuable tax programs that can help leverage the design investment in your practice. Talk to your financial advisor to find out what additional incentives are available.

      Use Cost Segregation to Reduce Building Costs

      For businesses that own their building, cost segregation is an IRS-approved method of shifting a significant portion of the depreciable basis of your building from 39-year life property, to five-, seven-and 15-year life property.