Learning Center Topics: Buying a Dental Practice

In these episodes of the Dental Business Guide podcast, we take a look at the differences between leasehold and freehold properties and which one is better for a dental practice.

You can listen to all of the the Dental Business Guide podcast episodes here.

I often get the question should I get a leasehold or a freehold for a new start up practice? Whilst getting a freehold is something that many want, it’s not always the best premises to get.

Choosing how you own the place where you run your dental practice is a really important decision. There are two main ways people usually own property: leasehold and freehold. Each has its own good and not-so-good parts. The choice you make depends on your situation. In this guide, we’ll look into the differences between leasehold and freehold, their pros and cons, and what you should think about before making a final decision. Whether you’re just starting out or planning to move your practice, this guide will help you find the best way to own your dental space.

Understanding the difference between leasehold and freehold

When starting your dental practice, a big decision is whether to get a leasehold or freehold property. It’s crucial to understand the difference between these options to make a smart choice that aligns with your long-term goals and finances.

Let’s break down the terms. A leasehold property is like renting—you pay the owner to use the space for a set time. With a freehold property, you own both the land and building, giving you full control without dealing with a landlord.

Both options have their pros and cons. Leasehold properties often have lower upfront costs, which is great for new practices or those with limited funds. They also offer flexibility for moving or expanding. However, lease agreements come with restrictions, and you may face challenges when the lease ends.

On the other hand, owning a freehold property provides stability and potential value growth. You have full control to make changes and avoid ongoing rent payments. But the initial investment is high, and selling a freehold property can be more complicated than ending a lease.

Ultimately, the choice depends on your unique situation, finances, and long-term goals. To make a successful decision for your practice, carefully consider the pros and cons of each option and seek professional advice.

Click here to read our article on Should I Start or Buy a Dental Practice?

Pros and cons of leasehold for dental practices

When setting up or moving a dental practice, a crucial decision is whether to go for a leasehold or freehold property. Before you decide, it’s important to carefully weigh the pros and cons of each option.

Let’s look at the perks of leasing a dental practice building. One major advantage is the flexibility it offers. Leasing lets you choose a location that suits your needs, whether it’s in a busy commercial area or a quieter suburban spot. Leases also usually have shorter terms, making it easier to move or adjust to changing business needs.

Another plus is the lower initial costs linked with leasehold properties. Leasing generally requires a smaller upfront investment compared to buying a freehold property, making it especially beneficial for new dental practices or those with limited finances.

However, there are some drawbacks to leasehold properties that you should be aware of. The possibility of regular rent increases is a significant downside. Since leases often have set terms, landlords might raise the rent at the end of each term, impacting your profitability. You might also face restrictions on making changes to the property, as these alterations would need the landlord’s approval.

Moreover, leasehold properties come with the inherent risk of lease termination or renewal. If the landlord decides not to renew the lease or sell the property while you’re still there, you could encounter challenges based on your lease terms. Such situations have the potential to disrupt your dental practice, forcing you to relocate, which can be both time-consuming and costly.

In the end, whether you choose a leasehold or freehold for your dental practice depends on your specific circumstances and long-term goals. Analyzing your finances, growth expectations, and desired level of control over the property is crucial. Seeking advice from professionals like realtors, attorneys, and accountants can provide valuable insights and help you make an informed decision that aligns with your practice’s needs and aspirations.

Check out our podcast on How to set up or buy a dental practice

Flexibility in location and premises

When starting your dental practice, a big decision is whether to go for a leasehold or freehold property. This choice affects where you can set up and how you can use the space.

Location is the fundamental point when doing a start-up. If a freehold is available, ask yourself, why is it available in the first place? Is it because the current owner cannot rent it out, as it’s not in a great position or location? Or is it in a bad state of repair that needs much work to make it habitable?

Of course, a freehold in a strong location usually features a higher price tag, but sometimes you can get a good deal, but it’s rare, even in these times.

Leasehold properties offer flexibility in choosing a location. You can pick a spot that’s convenient for your patients, whether it’s in a busy city center or a bustling suburban area. Leaseholds often come ready to use, saving you money on setting up the space.

On the flip side, choosing a freehold property gives you long-term stability and control over your practice’s space. With a freehold, you own the entire property and can make any changes without asking the landlord. This lets you customize the space to fit your needs and create a unique environment that reflects your brand.

Consider your future plans and the growth potential of your dental practice. If you expect to expand your services or patient base, a freehold property may offer more room for growth compared to a leasehold, where you might be limited by the lease terms. However, keep in mind that freehold properties usually come with higher initial and ongoing maintenance costs, so it’s crucial to think about the financial side before deciding.

Ultimately, your specific needs and goals should guide your choice between a leasehold and freehold property. Consider factors like location, long-term plans, and financial feasibility as you weigh the pros and cons of each option. Making an informed decision ensures that you choose the option that best suits your practice and puts you in a good position for the long haul.

Lower upfront costs

When deciding between leasehold and freehold for your dental practice, the initial costs are a crucial factor.

Cheap rent, or a cheap freehold, usually means it is not going to be in a strong enough location to get the new patient visibility you desire, ultimately, you do get what you pay for. Whilst it may be tempting to get some premises for a squat, especially as there are so many empty units at the moment, do your research and make sure you choose a strong location with high visibility.

Leasehold arrangements usually mean renting a space for a set period, often with the option to renew the lease. Compared to buying a freehold property, leasehold options typically have lower upfront costs. Instead of a big lump sum payment, you’ll likely need to pay a security deposit or advance rent, making it more affordable for new dental practices or those with limited capital.

Moreover, leasehold agreements often make the landlord responsible for the property’s upkeep and repairs. This can shield you from unexpected expenses related to building renovations or fixes, as those are usually the landlord’s responsibility.

On the flip side, freehold properties involve buying both the building and the land. While this may require a significant upfront investment, there could be financial benefits in the long run. By owning the property, you have the potential for its value to increase over time, and you can also make changes or additions without needing approval from a landlord.

The decision between leasehold and freehold should be based on your specific situation, financial capacity, and the long-term goals of your dental practice. It’s crucial to carefully assess the upfront costs and consider how they align with your budget and plans.

Potential limitations and restrictions

When picking a leasehold or freehold property for your dental practice, it’s crucial to think about the potential downsides and restrictions that come with each choice.

One possible restriction of a leasehold property is the length of the lease agreement. Depending on what you negotiate with the landlord, you might only be able to use the property for a set period. This can limit your flexibility and long-term security, as you might need to rethink or find a new space when the lease ends. Also, leasehold properties often come with rules set by the landlord or property management, restricting certain activities or changes you can make.

In contrast, freehold properties give you ownership and control. Owning a freehold property means you can do whatever you want with the space without needing permission. This is especially valuable if you have specific needs for your practice layout or equipment. However, keep in mind that owning a freehold property also means taking on responsibilities and costs like property taxes, maintenance, and repairs.

Another potential obstacle to consider is the financial aspect. Leasehold properties often involve regular rental payments, which can impact your cash flow. On the other hand, buying a freehold property usually requires a larger upfront investment, including mortgage payments if financing is needed. To figure out which option is more financially viable for your dental practice, carefully assess your financial situation and projections.

Strong locations in town centers still command good rents. Yes, they may have dropped, but going in with a ridiculously low offer for a premium space may be tempting, but it’s likely to be ignored promptly too. Do your research properly, see who are the other occupiers, what terms can you realistically negotiate, are you in competition with others. Location is paramount when doing a start-up. Get this wrong and you will be facing an uphill battle from day one.

Ultimately, the choice between leasehold and freehold depends on various factors, including your long-term goals, financial capabilities, and the specific terms offered for each option. It’s advisable to consult with professionals like realtors, lawyers, and financial advisors who can provide valuable guidance and help you make an informed decision that aligns with your unique needs and circumstances.

Risk of rental increases and lease renewals

When deciding between a leasehold or freehold property for your dental practice, it’s crucial to think about the potential risks tied to rental increases and lease renewals.

Leasehold properties often come with the downside of regular rent reviews. These reviews can lead to significant hikes in rental costs, impacting your profit and long-term financial stability. It’s important to carefully review your lease agreement, especially regarding how often rent reviews occur and the potential magnitude of increases.

Lease renewals can also be a gamble for dental practice owners. When your lease term ends, negotiating a new lease with the property owner may be required. This can bring uncertainties and potential disruptions to your business operations. If property owners decide to raise rent, change lease terms, or not renew the lease at all, you might have to relocate your practice.

Choosing a freehold property, on the other hand, eliminates the risk of rental increases and lease extensions. As the sole owner of the property, you avoid the uncertainties that come with lease agreements. This provides more stability and allows you to plan for the long-term growth and success of your dental practice without worrying about unexpected changes in rental terms.

In the end, your dental practice’s specific situation and long-term goals should drive your choice between leasehold and freehold. It’s crucial to carefully weigh the potential risks and benefits associated with rental increases and lease renewals when making this important decision. Consulting with a legal expert and considering your financial capabilities will help you make an informed choice that best suits the unique needs of your practice.

Pros and cons of freehold for dental practices

Deciding between a freehold or leasehold property is a big deal if you want to own a dental practice. It’s crucial to think about the pros and cons of freehold before making a decision, even though both options have their perks.

One major advantage of owning a freehold property for your dental practice is the security it brings. You have the freedom to make any changes to the property without asking the landlord, as you fully own it with a freehold. This is especially helpful if you have long-term plans for your practice and want complete control over its physical space.

Additionally, owning a freehold property can be a wise investment. Property values usually go up over time, and if you decide to sell your dental practice later on, you might benefit from the increased property value. This can give you more financial flexibility and a significant return on your initial investment.

However, freehold ownership comes with its own considerations. The upfront cost of buying a property outright is a significant downside. It requires a substantial capital investment, which may be challenging for some dental professionals, especially those starting their practice or looking to expand.

Moreover, as the freehold owner, you’re solely responsible for the property’s upkeep. This means you’ll have to take care of any needed renovations or repairs, which could cost you more money and take up more of your time.

In summary, choosing a freehold property for your dental practice can provide a sense of security, investment potential, and full control over the space. However, the upfront costs and ongoing responsibilities of freehold ownership need careful consideration. By weighing the pros and cons, you can make an informed decision that aligns with your long-term goals and financial capabilities.

Full ownership and control over the property

When starting your dental practice, one of the major decisions you’ll face is whether to have complete control over the property or go for a leasehold arrangement. This choice can have a long-term impact on the financial growth and stability of your practice.

Full ownership, also known as freehold, means you have total control over the property. You don’t need permission from a landlord to make any changes or improvements to meet your specific needs. This level of control allows you to create a space that reflects your practice’s brand and vision.

Moreover, full ownership offers the potential for long-term capital appreciation. As the property owner, you can benefit from any increase in its value over time, which can be a valuable asset for your business. Additionally, you won’t have to worry about rising rental costs or the possibility of being asked to leave when your lease ends.

However, it’s crucial to consider the financial impact of full ownership. Buying a property outright requires a significant upfront investment, which may not be feasible for every dental practice. Before choosing this option, carefully evaluate your financial situation and ability to secure financing.

Also, owning a property comes with additional responsibilities. You’ll be responsible for all costs related to upkeep, repairs, insurance, and property taxes. When assessing the financial viability of full ownership, it’s important to factor in these ongoing expenses.

In the end, the decision between full ownership and a leasehold arrangement depends on your specific circumstances and long-term goals for your dental practice. While full ownership provides unmatched control and potential financial benefits, it comes with a significant upfront investment and ongoing obligations. Take the time to weigh the pros and cons, consult with experts, and make an informed decision that aligns with the needs and expectations of your practice.

Potential for long-term financial benefits

When deciding between a leasehold or freehold property for your dental practice, it’s crucial to think about the potential long-term financial benefits. Each option has its pros and cons, so it’s important to assess which aligns best with your business goals and financial situation.

Leasehold properties often provide more flexibility in terms of location and budget. With a lease agreement, you can choose an ideal spot for your dental practice without the upfront costs of buying a property. This can be especially helpful if you’re just starting out or want to focus on marketing and equipment. Additionally, leasehold properties may come with shared maintenance responsibilities, reducing potential financial burdens in the long run.

On the flip side, freehold properties offer the potential for long-term financial stability and value growth. You have complete control over how the property is used and developed because you own it. You can benefit from both rental income and potential capital gains as property values increase over time. Owning a freehold property also gives you the flexibility to make changes and improvements without needing permission from a landlord.

However, the financial implications of owning a freehold property should be considered. Upfront costs, such as a larger initial investment and ongoing maintenance expenses, need to be factored into your decision-making process. Additionally, the property market can be unpredictable, and the value of your freehold property may fluctuate over time, impacting your long-term financial benefits.

In the end, the choice between leasehold and freehold for your dental practice depends on various factors, including your financial capabilities, business objectives, and long-term plans. To thoroughly evaluate your options and make an informed decision that aligns with the requirements and goals of your practice, it’s recommended to consult with a property specialist or financial advisor.

Higher upfront costs and maintenance responsibilities

When choosing between leasehold and freehold for your dental practice, a crucial factor to consider is the higher upfront costs and ongoing maintenance responsibilities associated with each option.

In the case of a leasehold, you might need to pay a lease premium and other upfront expenses like agent and legal fees. This initial financial commitment can be significant, requiring careful financial planning. You might also have to provide a personal guarantee or a rental deposit, adding to the initial costs.

Moreover, as a leasehold tenant, you’re responsible for ongoing upkeep. This includes following lease terms related to maintenance and improvements, as well as handling property repairs and maintenance. These costs vary based on the property’s condition and lease agreement terms. It’s important to factor in these ongoing costs when considering a leasehold option for your dental practice.

On the flip side, freehold ownership comes with a higher upfront cost but eliminates the need for ongoing rental payments. When purchasing a freehold property, you should consider the purchase price, legal fees, inspections, and potential renovation costs. Although the initial investment may be higher, you gain the advantage of complete ownership and control over the property.

Maintenance responsibilities for a freehold property rest solely on the owner. As the owner, you have the freedom to manage and maintain the property according to your preferences and needs. However, it’s crucial to allocate sufficient funds for any necessary repairs or improvements over time.

Your preferences, long-term goals, and financial situation will all play a role in deciding between leasehold and freehold for your dental practice. Before making an informed decision about which option is best for your dental practice, carefully evaluate the higher initial costs and maintenance obligations associated with each option.

Limited flexibility for relocation

When deciding between leasehold and freehold for your dental practice, consider how much flexibility you might need for potential moves.

With a leasehold property, you’re bound by the lease agreement’s terms, often for a set period. If you decide to relocate your dental practice during the lease, you could face challenges and costs associated with breaking the agreement. Moving a dental practice involves keeping patients, finding a suitable location, and transferring equipment and records. So, if you anticipate needing flexibility in the future, a leasehold property might not be the best fit.

On the flip side, opting for a freehold property provides more freedom and control. You can move your dental practice to a new location without being tied to a lease agreement because you own the property and can sell or lease it. This flexibility is valuable if you foresee the need to expand, downsize, or relocate your practice.

However, owning a freehold property comes with its own responsibilities, like covering the costs of repairs, upkeep, and property taxes. Owning a dental practice can be expensive, and it’s crucial to keep these factors in mind.

Are freeholds available in the UK? It depends where you are in the country. If you are in central London, then there’s not a lot of freeholds around. There are mostly leaseholds. But if you are out outside London, then there can be freeholds available. When people are looking at a leasehold, they seldom ask if the freehold is available, because very often the seller owns the freehold. Now, initially, they might not want to sell it, but when they realise how much it’s actually worth, they might want to sell it. And also just putting that idea into their head makes a big difference. And probably there are more freeholds becoming available around the country, mainly because shops and offices are becoming more vacant and high streets are becoming more occupied by service industries. So there’s every opportunity, especially if someone owns, let’s say they have four or five shops in a row, and three of them are vacant. You got to look at that and say, well, they’re not getting any rent. So they might be willing to sell one. So it’s always worth asking.

Ultimately, the choice between leasehold and freehold for your dental practice depends on various factors, including your long-term goals, financial situation, and the flexibility you desire. Carefully weigh the pros and cons of each option and consult with professionals, such as realtors and financial advisors, to make an informed decision that aligns with your specific needs and circumstances.

Factors to consider when choosing between leasehold and freehold

When deciding between leasehold and freehold for your dental practice, there are key factors to consider. Understanding the pros and cons of each option can help you make a well-informed decision aligned with your practice’s long-term goals.

Firstly, assess your financial situation. With freehold ownership, you have full control over the property and no ongoing rent payments. However, purchasing a property outright requires a substantial upfront investment, which might be challenging for many dental practices, especially those in their early stages.

On the other hand, leasehold arrangements offer more financial flexibility initially. Leasing allows you to save money that can be allocated to essential aspects of your practice, like staff and equipment. Nevertheless, carefully review the lease agreement, including rental terms, renewal options, and any potential restrictions imposed by the landlord.

Next, consider your long-term strategies. Leasing may be preferable if you plan to expand your dental practice or anticipate a future move. Shorter lease terms can help you assess your practice’s viability before committing to a long-term property investment. However, freehold ownership provides stability and the potential for property appreciation over time.

Also, factor in market dynamics and location. Evaluate the cost and availability of suitable properties in your desired location. Purchasing a freehold property can be a good investment, especially in sought-after areas with limited options. Leasing, on the other hand, offers flexibility and reduces financial risks in areas with a volatile market or uncertain growth prospects.

Lastly, seek professional guidance from real estate experts or attorneys experienced in commercial property transactions. They can guide you through the intricacies of leasehold and freehold arrangements, ensuring you are aware of your legal responsibilities, potential challenges, and negotiation opportunities.

The choice between leasehold and freehold for your dental practice depends on factors such as your financial capacity, long-term plans, market conditions, and preferences. By carefully considering these aspects and seeking professional advice, you can make an informed decision that best aligns with the needs and goals of your practice.

Long-term goals and plans for the dental practice

When deciding between leasehold and freehold for your dental practice, consider your long-term goals and plans. The type of ownership you choose can significantly impact the future stability and growth of your practice.

If you have a clear vision of expanding your practice, adding new services, or even opening multiple locations, freehold ownership provides greater flexibility and control. Owning the property outright allows you to make structural changes, expand the space, or implement necessary alterations without seeking permission from a landlord. This level of independence is valuable when customising your practice to meet specific needs and accommodating future growth.

On the contrary, a leasehold arrangement may be more suitable if your long-term plans focus on stability, maintaining your practice’s current size, and scope. Leasing offers advantages such as easier relocation in emergencies, lower maintenance costs, and reduced initial expenses. This option provides more flexibility in changing your practice’s location or downsizing if the need arises.

Consider the financial implications as well. Purchasing a freehold property requires a significant initial investment, including a down payment and mortgage payments. On the other hand, leasing typically involves monthly rental payments, which may be more manageable for some dental practices, especially those in their early stages.

Evaluate the local market conditions and trends. If property values in your area are rapidly increasing, a freehold property could be a good long-term investment with the potential for appreciation. However, if the market is uncertain or property values are stagnant, leasing might be a more prudent choice, helping you avoid potential financial risks associated with property ownership.

Understanding your long-term goals and plans for your dental practice is crucial when choosing between leasehold and freehold. By carefully assessing your growth potential, financial capabilities, and market conditions, you can make an informed decision that aligns with your vision for the future of your practice.

Financial considerations and budget constraints

When deciding between leasehold and freehold options for your dental practice, your financial situation and budget constraints are crucial factors. Both choices have their pros and cons, so it’s important to thoroughly examine the details before making a careful decision.

Leasehold arrangements typically involve renting a space from a landlord for a set period, often several years. Compared to purchasing a freehold property, this option usually requires a lower initial investment. Leasehold agreements may also provide more flexibility, making it easier to move or expand your practice if necessary.

However, it’s crucial to fully assess the financial implications of leasing. Consider monthly rental expenses, additional fees or service charges, and the possibility of lease increases over time. Renting may result in long-term costs that could impact your practice’s profitability, especially if rental rates significantly rise.

On the other hand, freehold ownership gives you complete control over your practice’s premises. It offers stability and the potential for long-term investment. Purchasing a freehold property allows you to potentially benefit from property appreciation over time and build equity.

Nevertheless, acquiring a freehold property requires a substantial initial investment, including higher mortgage payments, legal fees, and down payments. It’s important to consider the impact on your cash flow and overall budget when assessing your financial capabilities.

A financial advisor or accountant can assist you in evaluating your financial situation and provide insights into the long-term financial implications of each option, helping you make an informed decision. Additionally, consider your practice’s growth plans, future needs, and how the chosen course of action aligns with your business objectives.

Remember that every dental practice is unique, and what works for one may not work for another. By carefully assessing your financial considerations and budget limitations, you can make a decision that best suits your practice’s needs and lays a solid foundation for its future success.

Location and market dynamics

The success of any dental office relies heavily on its location. It can impact how accessible, visible, and busy your practice is. When deciding between leasehold and freehold options for your dental practice, it’s crucial to thoroughly analyse the location and market dynamics of the area.

Start by assessing the demographics of the location. Look at factors like population density, age groups, income levels, and overall dental health awareness in the area. Understanding your target market will help you estimate the potential patient base and the demand for dental services.

Market dynamics are equally important. Research the local competition, identify the number of existing dental practices, and understand their specialties. This insight will help you gauge the level of competition you might face and assess the market saturation. Additionally, explore the area’s potential for growth, considering any upcoming changes or developments that could impact the demand for dental services.

Consider accessibility and convenience factors. Evaluate proximity to public transportation, parking availability, and major roads. An easily accessible location with ample parking options can attract more patients and enhance their overall experience.

The visibility of the practice is another aspect to consider. Being in a popular commercial area or on a busy street can increase brand awareness and attract new patients. However, if your practice relies heavily on referrals, being situated in a medical complex or close to other healthcare providers may be advantageous.

In summary, conducting a thorough analysis of the location and market dynamics is crucial when choosing between leasehold and freehold options for your dental practice. Understanding demographic factors, competition, growth potential, accessibility, and visibility will help you make an informed decision that aligns with your practice goals and target market.

Click here to read our article on How to market a dental practice.

Personal preferences and risk tolerance

Choosing between leasehold and freehold for your dental practice involves considering your personal preferences and risk tolerance. These factors are crucial in determining the best option for your practice, as each choice comes with its own set of advantages and disadvantages.

Some dentists may prefer the flexibility and lower upfront costs associated with a leasehold arrangement. Leasing allows you to occupy a space without the long-term commitment and financial burden of purchasing a property. It provides an opportunity to test the viability of a location or practice before making a full commitment. Additionally, lease agreements often include maintenance and repairs as part of the contract, relieving you of these responsibilities.

On the other hand, dentists who value stability and long-term investment may lean towards freehold ownership. Complete control over your practice’s location and the ability to make necessary changes or improvements come with owning the property outright. Furthermore, it offers the potential to build equity and generate additional income by renting out unused space.

Considering your risk tolerance is also crucial. Property ownership entails risks such as market fluctuations and responsibility for upkeep and repairs. If you are willing to take on these responsibilities and have a higher risk tolerance, freehold ownership might be a better fit for you. Conversely, if you prefer to focus solely on your dental practice and have a lower risk tolerance, leasing may be a more suitable option.

Ultimately, the decision between leasehold and freehold depends on your personal preferences, financial situation, and the long-term goals of your dental practice. Carefully evaluating your needs and weighing the pros and cons of each option will help you make a decision aligned with your vision for the future of your practice.

Examples of dental practices choosing leasehold or freehold

Let’s explore some examples to help you make an informed decision on whether to choose leasehold or freehold for your dental practice. These case studies offer valuable insights into the experiences of dental practice owners who have opted for these choices in the past.

Case Study 1, keeping costs lower: Dr. X, a well-trained dentist, decided to establish her own dental clinic in a bustling downtown area. After careful consideration, she opted for a leasehold property. Her decision was mainly influenced by the prime location of the building, ensuring a continuous flow of potential patients. By choosing a lease, Dr. Smith avoided the high initial costs associated with purchasing a freehold property in such a sought-after location.

Case Study 2, more control: Dental Group X, a multi-location group practice, chose the freehold option for their main clinic. With plans for long-term customization and expansion to accommodate their growing patient base and specialised services, they wanted the freedom to make necessary changes without landlord approval. Owning the property gave them control, allowing them to save costs in the long run and have more say in their practice’s physical space.

Case Study 3, more flexibility: Dental Practice X, a newly established dental practice opted for a leasehold property in a suburban area. As a startup, they were attracted to leasing due to lower initial costs. The flexibility in lease terms allowed them to relocate or expand as their practice grew. This choice enabled them to focus their initial investments on acquiring cutting-edge equipment and hiring skilled staff.

These case studies highlight that factors such as location, financial considerations, long-term goals, and the need for flexibility all play a role in the decision between leasehold and freehold ownership. By examining your specific needs and learning from real examples, you can make an informed decision aligned with the unique circumstances and expectations of your dental practice.

Expert advice and considerations from industry professionals

When deciding between leasehold and freehold options for your dental practice, it’s crucial to seek guidance from experts and consider the insights of professionals in the field. These specialists can provide valuable advice based on their experience and knowledge of the dental industry.

Financial considerations are paramount. Consulting with a financial advisor specializing in real estate and business properties can help you understand the long-term financial implications of each option. They can analyze your practice’s financial health, projected growth, and market conditions to determine which option aligns better with your goals.

Additionally, connecting with a commercial real estate agent experienced in dental properties is a wise move. They can offer insights into your location, market trends, and potential opportunities that may influence your decision. Their expertise can help you assess the pros and cons of leasehold and freehold properties in specific areas and identify any potential challenges or advantages.

For legal aspects and consequences related to leasehold and freehold options, legal professionals, particularly those specializing in commercial real estate, can provide invaluable assistance. They can review contracts, lease agreements, and property documents to ensure you are fully aware of your rights and any limitations as a tenant or owner.

Industry associations and dental practice experts can also offer valuable insights into the practical considerations of buying or leasing a dental practice. They can provide information on licensing requirements, regulatory compliance, and operational considerations tailored to the dental profession.

In conclusion, seeking advice from these industry experts will help you make an informed decision that considers market conditions, growth plans, location, legal considerations, and other factors crucial to the success of your dental practice. Their expertise will ensure that you choose the option that best suits your unique needs and goals.

Assessing the potential return on investment for leasehold and freehold options

When deciding between leasehold and freehold options for your dental practice, it’s crucial to assess the potential return on investment. This evaluation will help you determine the option that best aligns with your long-term success and financial goals.

When considering a leasehold option, carefully examine the terms and conditions of the lease agreement. Factors like the lease term, lease accelerations, and potential limitations affecting your practice’s growth should be taken into account. Additionally, assess the costs associated with leasehold improvements and ensure they fit within your budget.

On the other hand, opting for a freehold property means you have complete ownership of the premises, providing stability and the potential for long-term financial gains. However, it’s vital to evaluate the initial investment required to purchase the property and any potential ongoing costs for maintenance and repair.

A lot of people look at the asset value and say, oh, that’s a marvellous asset value, but then look at the damage to kind of cost you. So, if you’re buying a three- or four-pound freehold, as opposed to buying a 2-million-pound freehold, there’s a big difference in cost. So, you’ve got to be careful. The lenders will want to look at what profit the business makes, how that will play out, how profit will be distributed between the owner of the business because obviously, you need to get paid for doing the work, and also the bank. And they will build certain things into that, and they will build certain buffers and reservations in there to protect them and to protect the owner. There are things other people don’t understand, they think the rent or the business can afford just to cover that mortgage but, in most cases, the banks will want that covered one and a half, one and a quarter time, because that buffer allows for interest rates to go up even further in and not hurt the business. If you’re buying the business without the freehold, obviously, they require a huge amount of information. Because they’re going to lend it unsecured. 

The lenders will lend you the money for a freehold for over 20-25 years, on average, sometimes a bit longer. If you’re buying the practice at the same time, they will often then give you 20 years to repay the purchase price of the practice as well. Whereas if it’s leasehold, it will be a maximum of 15 years. So that extra five years would bring down your costs on purchasing the actual business quite considerably. The fact is that on most freeholds when you’re buying premises for your binding existing practice, lenders will give you 100%. So you haven’t got to put a deposit down and that is a huge advantage. Because if you are doing a startup, for instance, any sort of startup business, the banks will then lend you 70%. So being an owner gives you the advantage of them lending you all the money, so you don’t put any money in yourself for the freehold, you only have to find the money for the purchase of the business and you get the extended term for the actual business as well.

To make an informed decision, consider conducting a thorough cost-benefit analysis. Calculate the expected return on investment for both leasehold and freehold options, taking into account factors such as your practice’s expected growth, market trends, and the potential resale value of the property.

Seeking advice from professionals, such as financial advisors or commercial real estate specialists, is advisable. Their expertise can provide valuable insights and guidance in navigating the complexities of evaluating the potential return on investment.

Remember that every dental practice is unique, and what works for one may not work for another. By carefully assessing the potential return on investment for leasehold and freehold options, you can make an informed decision aligned with your practice’s financial objectives and set the groundwork for its long-term success.

Practical tips for negotiating lease agreements or purchasing a freehold property

When deciding between leasehold and freehold for your dental practice, it’s crucial to consider the practical aspects of negotiating lease agreements or acquiring a freehold property. Utilise these tips to navigate the process and make an informed decision that aligns with your practice’s requirements.

1. Clarify your long-term goals: Before entering negotiations or making purchases, have a clear understanding of your dental practice’s long-term objectives. Plan for growth, potential expansion, and financial security. This clarity will help you determine which option aligns better with your goals.

2. Seek professional advice: Consult with experts like a dental-focused commercial real estate agent or real estate attorney. Their expertise can provide valuable insights and guidance throughout the buying or negotiating process, ensuring informed decisions based on accurate information.

3. Analyse the local market: Thoroughly investigate the local real estate market, including lease rates and property prices for dental practices. Understanding market dynamics will empower you to negotiate or purchase with confidence.

4. Evaluate lease terms or freehold conditions: Carefully review the terms of a lease agreement or the conditions for purchasing a freehold property. Pay attention to any restrictions that may impact your dental practice, such as rent increases, lease duration, and maintenance obligations. Ensure the terms align favourably with your practice’s requirements.

5. Negotiate favorable terms: If opting for a leasehold property, negotiate the details of the lease agreement. Work closely with your agent or attorney to secure favourable conditions, such as rent caps, renewal options, or the inclusion of necessary equipment or fixtures. These terms can significantly impact your dental practice’s long-term success and profitability.

6. Consider financial aspects: Compare the costs associated with both options. Contrast leasing costs, such as monthly rent and maintenance, with the expenses of purchasing a freehold property, including mortgage payments, insurance, and property taxes. Evaluate your practice’s income, budget, and long-term financial projections to make an informed decision.

Remember, your dental practice’s choice between leasehold and freehold ownership is significant and can impact its success. By following these helpful tips and seeking professional advice, you can confidently navigate the negotiation or purchasing process and select the option that best suits your practice’s needs and goals.

Conclusion: Making an informed decision for your dental practice’s future

In the big picture, choosing between leasehold and freehold for your dental practice is a decision that should not be taken lightly. It requires careful consideration of various factors, including your long-term goals, financial capabilities, and the specific needs of your practice.

For those who are starting out or uncertain about future plans, leasehold might be attractive due to its flexibility and lower initial costs. Leasing allows you to use the space for a defined period, offering the option to relocate or expand as your practice develops. However, a thorough review of the lease agreement is crucial to ensure it aligns with your practice’s goals and is financially viable, considering factors like lease term and rent escalations.

On the flip side, freehold provides ownership and stability. It eliminates the risk of rising rental prices and grants full control over your practice’s location. Property ownership can also present future investment opportunities. Nonetheless, it comes with a significant upfront investment and ongoing maintenance costs, making it unsuitable for all dental practices.

Ultimately, the decision between leasehold and freehold should be based on a comprehensive assessment of your practice’s unique circumstances. Seeking professional advice from a commercial property expert and financial advisor is advisable to evaluate the financial implications and long-term viability of each option.

Remember, choosing the right property arrangement for your dental practice can significantly impact its success and growth. Making an informed decision sets a solid foundation for your practice’s future, creating a conducive environment for delivering quality dental care to your patients.

Additional resources and references for further exploration

There are numerous extra sources and references available to help you make a well-informed decision if you’re still unsure about choosing between a leasehold or freehold option for your dental practice. To learn more about the pros and cons of each option, consider exploring these resources.

Connecting with industry experts, such as real estate professionals or property advisors specialising in commercial properties for dental practices, is a valuable resource. With their market experience, they can offer tailored guidance based on their knowledge.

Additionally, there is a wealth of online articles, forums, and blogs discussing leaseholds and freeholds in the context of healthcare practices. These resources often feature case studies, expert opinions, and real-world examples, providing deeper insights into the implications and factors associated with each option.

Industry affiliations and associations related to dentistry may have resources available to their members. These resources, including publications, webinars, and workshops on property ownership, can offer valuable insights from dental professionals and assist in understanding the nuances of each option.

Lastly, engaging in conversations with other dental practice owners who have navigated the decision between leasehold and freehold ownership can be beneficial. Their firsthand experiences can provide practical advice and a better understanding of the potential challenges and benefits associated with each choice.

By utilising these additional resources and references, you can ensure that you have all the information needed to make a well-informed decision aligning with the specific needs and goals of your dental practice.

Ultimately, the right choice depends on your unique situation and long-term goals. Each option has its pros and cons. By thoroughly pondering the factors highlighted in this post—like financial implications, flexibility, and potential for future growth—you’ll be equipped to make a well-informed decision that aligns with your dental practice’s needs. Remember, seeking advice from a real estate agent or attorney is crucial to ensure the best decision for your practice’s future prosperity.

Our Expert Opinion

Sadly, I have seen too many people focus on buying a freehold for their dental clinic at the detriment of getting the right location.

If you are going to be running a dental clinic the most important thing is to get the location right as this will help the business grow and thrive.

Often the best locations are not available as a freehold but instead as a leasehold. In my view, go for the best location to make your business work. However, if the freehold is available, and you can fund it, then of course buying the site can be a good idea if you are certain on the location.

One good idea we tell our clients is if they find a location, take the leasehold, but have drawn up in the agreement that if you the landlord does decide to sell, that you have the first right of refusal to purchase it. This can allow you to set up your business under a leasehold and then potentially down the line buy the freehold.

Bottom line, focus on the location to make your clinic thrive, and if the freehold is available then go for it – otherwise tread carefully!

Arun Mehra FCA

Samera CEO

You can book a free consultation with Arun here.

Reviewed By:

Nigel Crossman

Head of Commercial Finance

Nigel is a former banker and head of commercial finance at Samera. He specialises in raising finance, negotiating deals and structuring finance applications for healthcare businesses.

Dan Fearon

Finance Manager

Dan is a former banker and the head of our dental practice sales team. He specialises in asset finance for healthcare businesses and dental practice sales.

Why would you want to purchase new equipment or undertake refurbishment work at your dental practice at this moment in time?

The look and feel of your practice can have a big impact on your patients’ view of the service that they may receive, as soon as a client enters your premises, they are forming an opinion of your practice.

Enhance the Patient Experience

A modern practice with the latest equipment such as 3D Scanners and 3D Printers will enhance the patient experience and speed up the treatment times. Being able to show your clients x-rays while still in the chair and talk through the process will allow you to start introducing new, higher-end services into the practice.

Stay Ahead of the Competition

Staying ahead of local competition can make you stand out and give you a unique selling point. What better way to market your practice than by showing your newly refurbished surgery or the latest piece of technology that you have purchased that will improve upon the already high level of service that you offer?

Make Use of Space

You may have reached the maximum capacity within your surgeries and need to convert unused space into a treatment area or, due to the new restrictions, you need another room to maintain your existing activity levels.

The number of patients that you can see on a daily basis has an impact on your practice turnover and growth. If you can increase your patient appointments and the types of services that you offer it can have a real impact on the business profit margins.

Invest in your business

Investing in your business with items such as equipment can have a positive effect on patient perception, the services that you offer and ultimately the profits.

So how can you finance the equipment?

Asset finance is normally the preferred option. By using Asset Finance you can usually structure a facility over 3-5 years. This will assist you in managing business cash-flow and providing you with a regular monthly payment plan, instead of paying a large lump sum up front and perhaps putting pressure on your bank account.

Samera Finance are experienced healthcare brokers with a banking background. We have access to many asset finance providers. It’s always best to explore the market and see what is available rather than just approaching a single lender.

Please contact us directly if you wish to explore your options:

Reviewed By:

Nigel Crossman

Head of Commercial Finance

Nigel is a former banker and head of commercial finance at Samera. He specialises in raising finance, negotiating deals and structuring finance applications for healthcare businesses.

Dan Fearon

Finance Manager

Dan is a former banker and the head of our dental practice sales team. He specialises in asset finance for healthcare businesses and dental practice sales.

Many dentists dream of owning their own practice. And while it can be tough and certainly stressful, it’s also incredibly rewarding.. Imagine calling the shots, setting your own schedule, and managing your own clinic, that’s the sweet side of being an entrepreneurial dentist. However, it requires a load of hard work, dedication, and money. 

I have spoken to many dental professionals over the years who have been wary about taking on the responsibility of buying or starting a dental practice. My advice is always to take the plunge if you have a desire to own your own business. Success and profits are far easier to come by if you are in charge of your own destiny. There are several reasons why this is the case.

In this article, we’ll dig into the entrepreneurial spirit of dentists, the steps to kickstart a private dental practice, and the ups and downs of being the boss in your own dental world.

The journey of a lifetime

Owning a dental practice is the most rewarding phase of your professional life. By providing essential health care and cosmetic dental treatments to the general public, you will grow as a dentist and help to build your community.

With your own practice, you are able to experience the rare thrill of establishing a legacy within the medical community allowing you to affect change on the ground-level of this amazing industry. Through your passion and dedication, you will build a practice that enhances the lives of thousands, while also providing for your family.

The rise of entrepreneurial dentists

Lately, there’s been a noticeable increase in a new breed of dentists – the entrepreneurial ones. These individuals not only have the necessary medical skills for their jobs but also a strong desire to kickstart and manage their own private dental practices.

Traditionally, being a dentist meant working in established dental clinics or joining group practices for a stable career. However, times are changing, and more dentists are embracing their entrepreneurial side. They want independence and the opportunity to build successful businesses on their own terms.

One key factor driving this trend is the changing mindset of dentists themselves. Many dentists now see the potential for personal and professional growth that comes with venturing into business. They’re eager to break free from the constraints of working for others and are adopting well-thought-out business models to achieve their goals.

Moreover, the digital age and technological advancements have played a significant role in empowering independent dentists. The availability of online resources, entertainment platforms, and marketing tools has made it easier than ever to reach and engage with potential patients, establish competitive specialties, and build a loyal customer base.

Furthermore, the evolving healthcare landscape creates new opportunities for dentists to offer specialized services and innovative treatment options, catering to specific niches and patient needs. As a result, the entrepreneurial spirit among dentists has intensified as they strive to distinguish themselves from competitors and provide unique value propositions.

In this article, we’ll delve deeper into the mindset and motivations of entrepreneurial dentists. We’ll explore the challenges they face, the strategies they employ to overcome them, and the valuable insights they’ve gained along the way. 

So, whether you’re a dentist contemplating starting a private practice or simply interested in understanding the entrepreneurial spirit in the dental industry, keep reading for an enlightening peek into the world of the entrepreneurial dentist.

What is your ‘why’?

As we mentioned earlier, many dentists who are buying or starting their first practice factor in a sense of legacy into their decision. Meaning, they want the ability to form a business – based off of quality and trust – that can stand even after they are gone. In fact, we’ve recently seen a huge upswing in family-owned dental practices going back generations for that exact reason.

Perhaps “legacy” isn’t your motivation though – maybe you simply want the ability to determine your own future, without having a “boss” constantly over your shoulder?

In order to begin a dental practice, or any business, it is important to examine your own motivations first. Only by understanding your motivations (your own “why”) will you be able to design your practice to facilitate those goals.

Have a good conversation with yourself and ask what your personal objectives are … Are they financial, or more about your quality of life (spending time with family, etc.)? Where do you want to take your practice? Who do you want to help?

Benefits of owning a dental practice

There are many answers to the question “Why do you want your own dental practice?” – and none of them are wrong. However, there are some crucial benefits to dental practice ownership that make it an incredibly enticing opportunity. Are any of these concepts a motivator for you?

You are your own boss

This is easily the most common answer we hear. When you own your own practice, you have the ability to control every aspect of the business – from staffing to the exterior bricks and mortar. You write policy, you determine the standard of care, and you are in direct control of the well-being of your patients. For those of us with the fortitude to shoulder these responsibilities, practicing ownership is a dream come true. Are you ready?

Build the work environment of your dreams

“Office politics” is listed as one of the top reasons for being dissatisfied at work. Through ownership, you can craft the work atmosphere that you’ve always wanted, with people you hand chose, working a schedule that you decided.

Earn more money

At this stage in your career, it should come as no surprise to you that the vast majority of dental practice owners earn more than their associates. By being your own boss, and potentially managing an entire team of associates, you will maximise your practice’s earning potential by servicing more patients without you having to personally do the work yourself!

Money may not be everything to a dedicated dental professional, but ideally, no one does all that training to settle for less than they are worth. I have seen dentists who are associates and struggle to live a comfortable life. This is not the case for dentists who invest in their own practice.

• Earnings are higher than for associates.
• Equity is always in place.
• Owning means that wealth can grow.

Who would not want to benefit from all of these? Many professionals already have them. At the time I am writing this, there are around 11,000 dental practices in the UK. The UK’s Dental  Industry revenue has grown at a CAGR of 2.5% over the past five years, to reach an estimated £7.2bn in 2023. The question I’m asking is, can anyone really afford to miss out on being part of this exciting growth industry?

Ownership = actual wealth

Having money does not make you wealthy. Wealth, actual wealth, comes from the ownership of assets, things that make money. Historically, the two most profitable assets to own have always been real estate and a business. When you own a dental practice, you actually stack these powerful investments on top of each other, giving yourself a “super asset”. This super asset will accumulate value over the course of your successful career, all while you are earning a significant income for your family.

Tax Benefits!

Business ownership comes steeped in tax incentives. These are benefits afforded to dental practice owners because they are providing a valuable service to their community. These tax-breaks allow you to free-up capital to reinvest in your business, further growing your assets. In fact, one of the most effective ways many of our clients have successfully grown their practice has been by simply taking all of the money they save in taxes, and immediately putting it back into their practice, thinking of it almost as an “automatic business savings plan”.

Click here to read our article on How can dentist reduce their tax legitimately.

Tax is an unavoidable burden for most people, but it’s possible to optimise a tax position by starting up a dental practice. I often find myself advising clients about the numerous tax deductions they are eligible for once they are running their own dental practice. These deductibles include:

• Staffing costs such as salaries.
• Insurance and banking and interest costs.
• Marketing expenses.
• Equipment.
• Energy and other bills.

It’s easy to see that all the important costs of setting up and running a dental practice are tax deductible. Take a look at the UK government’s website for the full list.

And those are only a handful of the hundreds of reasons why dental practice ownership is not only the “more fun” option, but also the most financially sound decision you can make.

Challenges and risks involved in starting a private practice

Lots of dentists who want to start their own private practices find the idea exciting. But, it’s crucial to understand the challenges and risks that come with taking on this entrepreneurial journey.

Money is one of the big hurdles. Starting a private practice involves costs like equipment, office space, staff salaries, and marketing. Finding funding or backers can be tough because banks might see dentistry as a risky business.

The dental market is also very competitive. Established practices and big dental chains may already have a strong local presence, making it hard for new dentists to attract patients. Building trust and a good reputation takes time and effort.

Another risk is the uncertainty of patient flow and income, especially in the early stages. It takes time to build up a group of patients, and dentists might face financial ups and downs. Economic factors, like recessions or changes in insurance coverage, can affect the profit of a private practice.

Click here to watch our webinar on financing your first dental practice.

Running a private practice means taking on different roles besides being a dentist. Entrepreneurial dentists have to handle tasks like administration, staff management, marketing, and following rules. Sometimes, balancing these business and clinical duties can be tough.

Also, the dental field is always changing. Keeping up with new technology, treatment methods, and industry trends requires constant learning. Falling behind could mean losing to competitors or offering outdated services.

Despite these challenges, many dentists are driven by a passion for giving personalized care and the freedom that comes with having their own practice. Entrepreneurial dentists can make their private practices successful by recognizing potential problems and creating a smart plan to overcome them.

Click here to read our article on 5 quick tips when buying a dental practice.

Essential steps to starting a successful dental practice

To create a successful dental practice, you need to plan and carry out some important steps. These actions lay the foundation for a thriving and profitable business in the competitive field of dentistry.

1. Do a Thorough Market Research: Before diving into the world of private practice, it’s crucial to do comprehensive market research. This involves studying the local dental market, understanding the demographics of the area, and identifying gaps or potential opportunities. By gaining insight into the needs of potential patients and existing competition, you can create a strategic plan that sets your practice apart.

2. Create a Strong Business Plan: A well-crafted business plan is a roadmap to success for any ambitious dentist. It outlines your goals, target market, marketing strategies, financial projections, and operational processes. A business plan serves as a guiding document that helps you stay on track, make informed decisions, and secure funding if needed.

3. Secure Adequate Financing: Starting a dental practice requires a significant financial investment. From acquiring equipment and technology to leasing or buying office space, there are various costs to consider. It’s essential to secure sufficient financing through personal savings, loans, or partnerships to cover these initial expenses and ensure smooth operations during the early stages.

4. Choose the Right Location: To attract and retain patients, your dental practice needs to be in the right place. Consider factors like accessibility, visibility, parking availability, and proximity to neighborhoods or other healthcare facilities. A convenient and easily accessible location can significantly contribute to the success of your practice.

5. Invest in Modern Equipment and Technology: In today’s digital age, staying up-to-date with the latest dental equipment and technology is crucial. Patients seek digital treatment options and a pleasant experience. Investing in advanced equipment, digital imaging systems, electronic health records, and other technological advancements not only enhances patient care but also improves efficiency and productivity within your practice.

6. Build a Strong Team: A successful dental practice relies on a competent and dedicated team. Hire staff members with relevant experience and expertise who share your practice’s values and vision. From dental hygienists and assistants to receptionists and office managers, each team member plays a crucial role in delivering excellent patient care and ensuring smooth day-to-day operations.

7. Implement Effective Marketing Strategies: Effective marketing strategies are essential to attract new patients and establish competitive specialties locally. Utilize digital and traditional marketing channels to raise awareness of your practice. Develop a professional website, use search engine optimization (SEO) techniques, engage with patients on social media platforms, and leverage online reviews and referrals to build a positive reputation.

By following these essential steps, aspiring entrepreneurial dentists can position themselves well when starting their own private practice. With careful planning, dedication, and a commitment to delivering excellent patient care, you can build a thriving dental practice that fulfills your entrepreneurial aspirations.

Click here to watch our talk from the 2022 BIDA Dental Showcase on Essential Ingredients for a Successful Squat Practice.

Resources and support for aspiring dental entrepreneurs

Starting your own dental practice might seem challenging, but there are ways to make it happen. Even though it’s not easy to run a successful dental business and be your own boss, there are resources and support networks that can help turn this dream into a reality.

One helpful resource for dental entrepreneurs is professional associations and organizations. They offer mentorship programs, networking opportunities, and educational resources tailored for dentists who want to start their own practices. Connecting with experienced dental professionals who have successfully ventured into entrepreneurship can provide valuable insights and guidance.

Continuing education programs and dental schools often provide courses and workshops on the business aspects of running a dental practice. These educational resources cover practice management, financial planning, marketing strategies, and other essential skills needed to thrive in the competitive dental industry.

Financial institutions and lending institutions play a crucial role in supporting dental entrepreneurs. Many banks and credit unions have special loan programs just for dentists, making it easier for new business owners to get funding for their practice. These institutions understand the dental business well and can offer valuable advice on financial planning and credit repayment options.

Online platforms and communities have become important resources for aspiring dental entrepreneurs. These platforms provide a space for dentists to connect, share experiences, and seek advice from others on the entrepreneurial path. Online forums and communities can be a source of inspiration, motivation, and practical tips to help aspiring dental entrepreneurs overcome challenges and stay focused on their goals.

Whether you’re looking to buy or start your first or next dental practice, Samera Business Consultants are here to help you achieve your goals and build your future. For those embarking on the journey of dental practice ownership, this guide hopes to set you on the path to your future in dentistry!

In conclusion, aspiring dental entrepreneurs should take advantage of available resources and support networks. By utilizing professional associations, educational programs, financial institutions, and online communities, dental entrepreneurs can gain the knowledge, guidance, and support needed to confidently embark on their journey towards starting a successful private practice.

Key traits and skills for success as an entrepreneurial dentist

Becoming an entrepreneurial dentist takes a unique set of qualities and skills to make sure you succeed in starting and running your own private practice. While being a skilled dentist is important, there are other traits that can make a big difference in creating a successful business.

First and foremost, having a strong sense of ambition and self-motivation is crucial. Starting a private practice involves taking risks and facing the challenges that come with running a business. It’s important to have the determination to explore new ideas, constantly seek improvement, and take your practice to new heights.

Effective communication skills are also essential. Building relationships with patients, staff, and other healthcare professionals is crucial for long-term success. Dentists with excellent communication skills can understand treatments, listen to patient’s concerns, and establish trust, leading to a loyal patient base.

Adaptability is another key quality for entrepreneurial dentists. The healthcare industry is always evolving, and being able to adapt to new technologies, treatment methods, and industry trends is crucial. Embracing change and consistently seeking out valuable opportunities for growth and improvement will set you apart in a competitive market.

Entrepreneurial dentists should also have leadership abilities. As the owner of a private practice, you will be responsible for managing a team of dental professionals. To build an effective team, it’s important to lead by example, delegate tasks efficiently, and create a positive work environment.

Another important skill for dentist entrepreneurs is financial acumen. Running a private practice involves managing budgets, tracking expenses, and determining the financial health of your business. The key to long-term viability is being able to use projections and financial data to make informed decisions.

Lastly, a passion for continuous learning and professional development is crucial. The field of dentistry is always evolving, and staying up-to-date with the latest research, techniques, and advancements is essential for providing excellent care to your patients. A commitment to lifelong learning will not only benefit your patients but also position you as a trusted expert in your field.

In conclusion, being an entrepreneurial dentist requires a mix of ambition, effective communication, adaptability, leadership, financial acumen, and a passion for continuous learning. By developing these qualities and skills, you can pave the way for a successful and fulfilling journey in starting and running your private dental practice.

Balancing the clinical and business aspects of running a dental practice

Operating a dental practice involves finding a delicate balance between taking care of patients and managing the business side of things. As an entrepreneurial dentist, your main aim is to give your patients top-notch dental care. However, it’s equally important to understand and handle the business aspects of your practice.

One major challenge in balancing the clinical and business aspects is making the most of your time. Dentists often find themselves torn between caring for patients and handling administrative tasks. It’s crucial to set up efficient systems and assign tasks to your team to overcome this hurdle. Hiring capable staff and empowering them to manage certain administrative duties can save your time for patient care.

Financial management is another vital part of striking a balance. As a dental practice owner, you need a solid understanding of your practice’s finances, including income, expenses, and profit. Implementing effective accounting practices, regularly reviewing financial reports, can help you make informed decisions and identify areas for improvement.

Marketing is where the clinical and business aspects intersect. While delivering excellent dental care is crucial, it’s equally important to promote your practice and attract new patients. Developing a comprehensive marketing strategy that includes both online and offline methods can help you reach your target audience and set your practice apart from competitors.

Staying up-to-date on the latest advancements in dental technology and methods is essential for both business and clinical purposes. Investing in state-of-the-art equipment and ongoing education for yourself and your staff can improve patient satisfaction, enhance clinical outcomes, and ultimately contribute to the success of your practice.

In the end, to balance the clinical and business aspects of running a dental practice, dedication, strategic planning, and a willingness to adapt to industry changes are essential. By effectively managing your time, finances, marketing efforts, and staying current with industry advancements, you can thrive as an entrepreneurial dentist, providing outstanding care to your patients while growing your practice.

Is owning a dental practice worth it?

Whether you are buying your first or next dental practice, ownership of your own dental practice is one of the most rewarding experiences that the medical industry can provide. Being able to offer essential dental care and treatment to your community will be as rewarding you to personally as it is to the public. 

As long as you can attack your new platter of responsibilities as a business owner head-on, you should answer the question above with a confident, “absolutely.”

However, owning your own dental practice requires many, often tedious, tasks that are as confusing as they are strict.

Are you ready to start your own dental practice?

When you own a practice, you need to be good at many things other than dentistry. You may need to deal with complaints, sickness, CQC, Health and Safety, debtors, invoicing, marketing and all of the other trappings of owning and operating your own successful dental practice.

Ask yourself and be honest, do you have the skills to manage these tasks?

As long as you are straightforward with yourself about your skills as well as your limitations from the beginning, you will go far as a dental practice owner with a career hopefully spanning decades.

Our Expert Opinion

“Over the years I have helped many dentists start their own dental practice, primarily because they want to practice the way they want to. This may mean they will over the short term earn less, but over the longer term, they will be able to provide the level of care they want for their patients.

In addition, whilst starting and running a practice is not an easy option it provides them with the real satisfaction of controlling their own destiny. This means setting up in a location they desire with the design and equipment of their choice.

This can be liberating for many dentists, whilst at the same time challenging, but all very achievable.

From my experience most dentists who start their own dental practice rarely look back, and usually wished they had done it earlier in their career!”

Arun Mehra FCA

Samera CEO

You can book a free consultation with Arun here.

Starting vs Buying a Dental Practice

Taking the opportunity to own a dental practice means either finding a dental practice for sale that is the right fit for you or starting a new, squat practice from scratch.

Before examining the finer points, such as location and turnover, there are major decisions to be made.

For example:

• Is it better to buy an existing practice or start from scratch?
• Should the practice be NHS, private or mixed?
• Should the property be leasehold or freehold?

Buy a dental practice or start from scratch?

There are two main options when it comes to starting out as a dental practice owner for the first time.

• Buy an existing practice.
• Set up a practice from scratch.

There are pros and cons to both of these options and it’s up to the individual which option is best for them. When clients approach me about making this decision, I advise them about the different aspects they need to take into account.

Buying an existing dental practice

Buying an existing practice can bring certain benefits:

• There is already a good patient base.
• The dental surgery has a good reputation.
• There is a proven potential for good financial returns.
• The necessary equipment and design features are in place.
• There is already be a good team of professionals in place.

Whether these benefits exist can be discovered as part of the due diligence process, which you can find more about here. Some practices come with plenty of cons, rather than pros.

For example:

• Out-dated dental practices.
• Out-dated dental equipment.
• A patient base that is used to these methods and may be averse to change.
• A poor local or online reputation

When buying an existing dental practice it’s important to make sure that the business is a sound investment; one which provides good prospects for growth and profits.

Click here to read our guide on How to Buy a Dental Practice.

Starting a dental practice from scratch

The likelihood is that starting a dental practice from scratch can sometimes be more expensive, but often a savvy entrepreneur can set up a practice on a tight budget.

The building will probably need some re-design and all the equipment will need to be purchased. A complete new team will also need to be hired. This process can be costly and time-consuming. Marketing will also need to be a major concern, as there will be no ready-made patient base. This can be especially problematic if there is competition in the area.

However, there are also potential benefits to be had from starting from scratch.

• There is no previous client perception in place.
• State-of-the-art equipment can be purchased for use.
• The surgery can be designed precisely to your requirements.
• A hand-picked team can be put in place.
• A suitable, visible location can be found.
• You can fully implement your own vision.

It’s important to research the area and the business potential thoroughly before making a decision to start a dental surgery from scratch.

Once the decision to buy a dental practice or set one up from scratch has been made, there are other important decisions to consider.

Click here to read our guide on Starting a Dental Practice.

NHS, private or mixed?

Anyone buying a dental practice has the option to choose to invest in an NHS practice, private practice or one that is mixed. I would always say that buying a dental practice which has some element of private treatment makes the most sense. Although, I have also helped many clients to negotiate the NHS tendering process.

An NHS practice may seem like a good proposition, as it provides a regular income and the patient turnover is not as high. However, NHS contracts come with restrictions and these can choke the ability to be creative in scaling a business and optimising success. The NHS England website provides details of the contracts for anyone thinking about buying an NHS dental practice.

Anyone who is looking for a dental practice for sale that allows them to make the most of their entrepreneurial skills is best advised to choose private.  Providing private dental plans to patients can be highly lucrative, as long as the expected high standard of treatment is provided.

It’s also important to be prepared for investing time and financing in high quality marketing as patient acquisition and retention are essential to the survival of any private dental surgery.

Click here to read more about the NHS tender process.

Leasehold or freehold?

I’ve worked with clients who purchased freehold dental practices and those who have purchased leasehold practices. Personally, if I was looking for a dental surgery for sale I would choose freehold every time.

However, many times the freehold is never available. Therefore, focus your efforts on choosing a practice or premises in a great location, rather than just thinking about freehold or leasehold.

Of course, it depends on how good an opportunity a particular practice is, but banks tend to look more kindly at applications for finance when a freehold property is involved.

Anyone looking at a leasehold dental practice for sale needs to make sure that the lease has at least 15 years to run and be aware that banks will only lend to the end of the lease. This is a vital consideration for anyone wanting to obtain acquisition finance.

You can find out more about acquisition finance here.

Location of the dental practice

As I mentioned earlier, location can be an important factor in getting value for money when buying a dental practice. Often the best deals and opportunities can be found when the purchaser is willing to travel or move to a less popular location.

When considering the purchase of a dental practice and thinking about the location, it’s important to take into account several factors:

• Is the local population booming or falling? Access to a patient pool is essential for growth.
• Does the location of the proposed or existing practice have great visibility for prospective new patients?
• Is travel to the location viable, or will a move be required?
• If a move is needed, how easy and affordable is it to secure accommodation?
• What plans are there for the area over the coming years? For instance, the building of new housing could greatly increase footfall at the practice and potentially increase its value quite quickly.

Click here to read more about marketing a dental practice and finding more patients.

What opportunities does a practice present?

In some respects a dental practice is the same as any other business; stability, profitability and growth are all vital to success. This is why it’s so important to ask for an array of information from the vendor before committing to the practice being the right option, and signing contracts.

• How many patients have been seen in the last 12 months?
• What types of treatment are most prevalent?
• What are the most outstanding treatments at the practice?
• What do exam recall rates look like?
• What is the patient retention rate?
• What marketing strategies are being used and how well are they working?

Of course, always ask for evidence of responses, so that a full picture is available.

Click here to read more about due diligence when buying a dental practice.

Is it more expensive to start or buy a dental practice?

Unfortunately, there isn’t an easy, clear answer to this question.

All things considered, it can cost an average of around £200,000-£300,000 to start a new practice, but this can raise to up to £500,000 and above.

The price of a dental practice for sale will depend on several different factors, like its current profitability. A successful dental practice will cost far more than a struggling one. One of the metrics we use to calculate the value of a practice is EBITDA. You can read more about EBITDA and valuing dental practices here.

You may be able to find a practice for sale at around the same price as it would cost to set one up, but will it be a successful, profitable practice? Probably not.

So in summary, it completely depends. You do often find it can be cheaper to start a new practice than to buy an existing successful one. This is because a successful practice already has an existing, proven turnover that you’re buying. Whereas a new practice’s profits depends more on your own hard work.

Click here to watch our webinar on How to Set up or Buy a Practice.