Strength in Numbers: The Value of Our Dental Network for Your Practice

When you partner with Edwards & Associates, you’re not just getting top-tier financial and accounting expertise tailored to dental practices. You’re also gaining access to our extensive network of industry vendors. Over the years, we’ve cultivated relationships with a variety of trusted service providers, from attorneys to dental supply companies to human resources specialists, ensuring that our clients have everything they need to run a successful practice.

The Power of Connection

In the dental industry, having the right connections can make a significant difference in how efficiently your practice operates. Whether you’re looking for the best deals on equipment, seeking advice on practice management software, or need a reliable contractor for office renovations, or if you want to drop some insurance contracts but aren’t sure which ones, our network is here to support you. These connections aren’t just random business cards we’ve collected—they’re trusted professionals we’ve worked with closely, in most cases, for years, who understand the unique needs of dental practices.

The Added Value of Our Network

Partnering with us means you’re not just hiring an accountant; you’re gaining a team that’s committed to your entire practice’s success. Our network allows us to go beyond traditional accounting and financial services, offering you a holistic approach to managing your business. 

For instance, if you’re struggling with the administrative side of your practice, we can connect you with consultants who specialize in creating efficient systems and streamlining workflows. Need help handling the complexities of dental insurance? We’ve got contacts who can tell you which insurance contracts to stay away from and which ones to accept, explaining why in both cases. Or maybe you need a loan to purchase new equipment or expand your space? We know where you can get the best rates, and it is not always with a local bank. Our membership in the Academy of Dental CPAs allows us to create relationships with dental-specific lenders nationwide – and we are happy to connect these lenders with our clients. 

This extensive network is one of the reasons our clients stay with us for the long term. They appreciate that we’re not just focused on their books; we’re focused on their business as a whole. Our network provides value that goes beyond the numbers, helping solve challenges that may not even be on your radar yet.

Why This Matters

In an industry as specialized as dentistry, it’s crucial to have vendors and service providers who understand the intricacies of your field. Working with a generalist may save a few dollars in the short term, but the expertise you gain from specialized vendors can lead to better outcomes and fewer headaches down the line. Our carefully curated network ensures that you’re always working with professionals who know the dental industry inside and out.

We believe that our clients deserve more than just excellent tax, financial and accounting services – they deserve a partner who’s invested in their overall success. Our extensive dental network is a testament to that commitment, providing you with the resources you need to run a thriving practice. When you work with us, you work with a team that’s dedicated to helping your practice grow, succeed, and meet the challenges of an ever-evolving industry.

Giving Back to Our Community

Remember getting ready for the first day of a new school year? While many of us were sad to see summer go, we were also excited about hanging out with our friends and learning new things. It was also a fun time to pick out new school supplies. (Anyone else remember Trapper Keepers?) Not all kids can approach the start of school with the same excitement and support, which is why the Community Partners of Dallas created their Back to School program.

Believing to whom much has been given much is required, the E&A team decided to gather school supplies and support our community with a team-building exercise. So this week we paused from our day-to-day work to put together 75 backpacks (25 for each grade level: K-2, 3-6, and 7-12) for abused or neglected children in the Dallas area. We encourage all of our clients and other readers to consider supporting this organization as well by putting together your own backpacks, organizing a school supply drive, or simply donating to the cause.

Afterwards, we gathered at Maguire’s for Happy Hour to enjoy more time with each other and raise a toast to a great day.

Solving Common Dental Practice Challenges with Virtual Assistants

In a recent Beyond Bitewings episode, Beth Lachance, the founder and CEO of Global Medical Virtual Assistants, joined the discussion to share insights on how virtual assistants are transforming the operations of dental practices and highlighted the growing trend of remote staffing as a solution for the administrative challenges faced by dental professionals. Her company specializes in providing virtual assistants who manage tasks like front desk operations, insurance verifications, and revenue cycle management, which are crucial yet time-consuming for practice owners.

Beth emphasized that many dental practices struggle with the demands of running a business while trying to focus on patient care, a topic we cover frequently on Beyond Bitewings. The administrative burden often falls on front desk staff, leading to inefficiencies and potential burnout. Virtual assistants offer a way to offload these tasks, allowing in-house teams to focus on patient care and improving the overall efficiency of the practice.

One of the key points Beth made was the cost-effectiveness of using virtual assistants – who can cost significantly less than employing full-time, in-house staff – without sacrificing quality. These virtual assistants are often dedicated exclusively to the practice they are assigned to, ensuring consistent and personalized service.

Moreover, virtual assistants can help practices scale more effectively by managing the administrative workload, thereby freeing up resources for growth. This is particularly important in the post-COVID era, where staffing challenges and rising operational costs have made it difficult for many practices to maintain profitability.

Beth also addressed concerns about the personal touch in patient care, assuring listeners that her virtual assistants are highly trained professionals who can seamlessly integrate into the practice’s workflow, just like any other remote employee. 

The episode provides valuable insights into how dental practices can leverage virtual assistants to streamline operations, reduce costs, and improve patient care. For dental professionals looking to optimize their practice management, exploring virtual assistance could be a game-changer. If you are interested in learning more, you can download Beth’s book, Best Tasks to Delegate to a Medical Virtual Assistant, on their website.

Understanding the New IRS Rules for Retirement Account Withdrawals

The IRS has made important changes to how you must withdraw money from your retirement accounts. Knowing these new rules is important for good tax and financial planning. Here’s a simple overview of what’s changed and what it means for you.

Key Changes in the Rules

  • Raising the Age for Withdrawals: In the past, you had to start taking money out of your retirement accounts at age 70½. This was later moved to age 72, and now, starting in 2023, it’s been moved to age 73. In 2033, this age will increase to 75. These changes give you more time to grow your savings before you have to start taking money out.
  • Changes for Inherited Retirement Accounts: Before, if you inherited a retirement account, you could spread the withdrawals over your lifetime. Now, if you inherit an account, you might have to empty it within 10 years. This rule applies to accounts inherited after December 31, 2019.
  • Who Is Affected by the 10-Year Rule?: The 10-year rule mostly applies to people who aren’t considered “eligible beneficiaries.” Eligible beneficiaries include spouses, minor children, disabled or chronically ill individuals, and those close in age to the person who passed away. If you’re an eligible beneficiary, you can still spread the withdrawals over your lifetime. If not, you’ll need to withdraw all the money within 10 years.
  • Annual Withdrawals: If the original account owner had already started taking money out, the person inheriting the account will usually need to continue taking money out each year. This prevents you from letting the money grow for 10 years and then taking it all out at once.

What Should You Do?

  • Update Your Beneficiaries: Make sure your retirement accounts list the right people to inherit your money according to your wishes.
  • Consider Roth IRA Conversions: Converting traditional IRAs to Roth IRAs might help your heirs save on taxes. Roth IRAs don’t require withdrawals during your lifetime, and your heirs can withdraw the money tax-free.
  • Plan for Taxes: The new rules can make taxes more complicated. Planning ahead can help you avoid paying too much.
  • Think About Using Trusts: Setting up trusts can give you more control over how your money is distributed to your heirs.

These changes bring new opportunities and challenges, so careful planning is important. For advice tailored to your situation, contact us. We specialize in helping people like you navigate these rules and make the most of your retirement savings.

FTC’s Non-Compete Ban: Dueling Court Rulings

Keeping up with the Federal Trade Commission’s (FTC) rule banning most non-compete agreements is nearly a full-time job. We initially wrote about it here, then published an update here, and now we have even more information to share. 

Overview of Original Non-Compete Ban Ruling (April 23, 2024)

On April 23, 2024, the FTC announced a final rule that prohibits employers from entering into non-compete agreements with workers, including senior executives, after the rule’s effective date of September 4, 2024. The rule also renders existing non-competes unenforceable for most workers, with exceptions for senior executives and agreements made as part of a bona fide sale of a business. The FTC’s decision was driven by findings that non-compete clauses suppress wages, stifle innovation, and hinder new business creation. The FTC estimates that the ban will lead to a 2.7% annual increase in new business formation, higher worker earnings by an average of $524 per year, and significant reductions in healthcare costs.

Ruling 1: Northern District of Texas Ruling (July 3, 2024)

U.S. District Court Judge Ada Brown in the Northern District of Texas granted a preliminary injunction against the FTC’s non-compete ban, preventing the FTC from enforcing the rule against the plaintiffs (Ryan LLC and several trade associations, including the U.S. Chamber of Commerce.) The court found that the plaintiffs were likely to succeed in arguing that the FTC lacks statutory authority to issue the rule and that the rule is arbitrary and capricious. However, this injunction is limited to the named plaintiffs and is not a nationwide injunction. 

Ruling 2: Eastern District of Pennsylvania Ruling (July 23, 2024)

In contrast to the Texas ruling, Judge Kelley Brisbon Hodge of the U.S. District Court for the Eastern District of Pennsylvania upheld the FTC’s authority to issue the non-compete ban. In this case, the court found that the FTC does have the authority to issue such a rule and ruled against the plaintiff, ATS Tree Services LLC. 

What is Next?

These conflicting rulings create uncertainty about the future of the FTC’s non-compete ban. The Texas court has indicated it will issue a final order on the merits by August 30, 2024, just days before the FTC’s rule is scheduled to go into effect on September 4, 2024.  Regardless of what the Texas court does at the end of the month, it is likely that these cases will continue through the appeals process, eventually leading to a resolution at a higher court level.

For dental practices, this situation creates uncertainty. We will continue to monitor these developments closely and provide updates on any further movement or rulings.

Legislation to Expand Tax Breaks Voted Down by U.S. Senate

A significant piece of tax legislation was rejected by the US Senate last week even though it passed overwhelmingly by the US House in January 2024. This decision can impact both families and businesses, so we wanted to break down what it means for each. 

What Was in the Bill?

  • Child Tax Credit Expansion: The bill sought to increase the amount of the child tax credit and potentially expand eligibility to families that did not qualify before. 
  • Business Tax Breaks: The bill proposed to restore tax deductions and credits, including for equipment, interest costs, and research and development activities. These were not new breaks, but ones that had lapsed. 

Impact on Dental Practices and Families

  • For Families: The proposed child tax credit expansion will not go into effect. Those that currently qualify can still take advantage of the credit, but it will not be expanded to cover more families. 
  • For Dental Practices: For those that anticipated more easily writing off 100% of the cost of new equipment in the first year, that is now off the table. You will need to continue operating under the existing tax framework. 

Optimize Your Tax Situation

While this may not have been the outcome some had hoped for, there are still plenty of ways to take advantage of existing laws. There are myriad other tax credits and deductions for which both families and businesses may still qualify. We encourage all of our clients to take advantage of early tax planning so we can determine which ones will help lower your overall tax liabilities and optimize your tax strategy for this year and the future as well. 

Proactive tax planning is one of the keys to financial success, regardless of legislative changes. Reach out to us with questions or to schedule a consultation. 

FTC Non-Compete Rule Halted: Key Insights for Dental Practices

Recently, a significant development emerged for dental practice owners and administrators: the Federal Trade Commission (FTC)’s proposed ban on non-compete agreements has been temporarily paused. This delay, issued by U.S. District Court Judge Ada Brown in the Northern District of Texas, postpones the rule that was initially set to take effect soon. (You can read the post we wrote about this rule when it was announced here.)

The FTC’s Rationale

The FTC’s proposed rule aims to promote labor mobility and enhance wage growth by eliminating non-compete clauses that restrict employees from changing jobs. The FTC argues that these agreements inhibit innovation and economic growth, impacting nearly 30 million Americans. The proposal received broad public support, with many advocating for a national standard to supersede restrictive state laws.

Business Community Concerns

On the other side of the coin, the rule encountered significant opposition from the business community. Organizations like the U.S. Chamber of Commerce contend that the FTC has overreached its authority, arguing that non-compete agreements are vital for protecting proprietary information and maintaining business stability. These agreements are seen as crucial for fostering investment in employee training and protecting business interests.

Potential Disruptions

Legal challenges emphasize the potential economic and operational disruptions the rule could cause. Critics highlight that implementing the rule could lead to substantial upheaval across industries, suggesting that the FTC’s approach is too aggressive. They advocate for a balanced solution that considers both worker mobility and the contractual protections businesses rely on.

Implications for Dental Practices

For dental practices, the impact of this rule is particularly pertinent. Non-compete agreements are frequently used to protect sensitive business information and keep employees from approaching former patients when they leave a practice or open their own. Eliminating these agreements could force dental practices to rethink their hiring and retention strategies.

Looking Ahead

The Supreme Court’s Loper Bright Enterprises v. Raimondo finding in June could also impact the legality of this FTC rule since it shifted how courts interpret the statutory authority of federal agencies. The outcomes of these cases will likely set important precedents for federal regulation of employment practices, affecting how non-compete agreements and other contracts are managed.

We are committed to helping our dental practice clients understand these regulatory changes and will continue to provide updates on any developments that may impact your practice. 

Ideas for Independent Dental Practices Competing Against DSOs

In this, the second of three podcast synopses discussing some of the biggest issues facing dental practices today, we focus on ways that smaller practices can differentiate themselves from corporate providers. (Go here to read the first post in this series, and here to listen to the podcast episode on which this article is based.)

In a dental market increasingly dominated by Dental Service Organizations (DSOs), small practices need strategic advantages to remain competitive. DSOs leverage economies of scale, enabling them to access lower costs and broader resources, making them formidable competitors, particularly in terms of pricing and operational efficiencies. However, independent dental practices can distinguish themselves by focusing on quality, personalized service, and building a positive workplace culture.

One way they can do this is by offering exceptional customer care, something that might be diluted in larger corporate settings. This involves training staff not just in dental skills but in customer service excellence. For example, staff can make a notable difference by remembering personal details about patients – like upcoming vacations, recent marriages or births, or promotions at work – which can be noted in their profiles and mentioned during visits to create a more welcoming and personalized experience. 

Moreover, fostering a strong workplace culture is vital. Independent practices often offer a more intimate setting where employees can feel genuinely appreciated and part of a team, unlike in some larger organizations where they might feel like just another number. This can be enhanced by providing opportunities for professional development, recognizing employee contributions, and ensuring that work-life balance is respected. Practices that invest in their teams not only improve morale but can also see increased patient satisfaction, as happy employees are more likely to provide better service.

Independent practices can also differentiate themselves by focusing on the qualitative aspects of their services. This includes the way they manage patient relationships, the atmosphere of the office, and how they handle patient communications and follow-ups. Practices might consider adopting advanced customer relationship management (CRM) systems to manage these aspects more effectively, ensuring that every patient interaction is as personalized and engaging as possible.

Incentivizing staff through performance bonuses linked to patient satisfaction and online reviews is another strategy. This not only motivates staff but also helps in building a positive online presence, which is crucial to attracting new patients. Offering unique services that DSOs may not provide, such as boutique cosmetic procedures or advanced patient education sessions, can also create patient “stickiness” and encourage them to refer you to their friends and colleagues.

Finally, embracing technology is crucial. This doesn’t mean only investing in new dental technologies but also improving the digital experience for patients. Ensuring that online booking is seamless, enhancing the practice’s website, and utilizing social media effectively can significantly enhance a practice’s visibility and appeal.

By focusing on these qualitative differentiators, independent dental practices can carve out a niche in an industry increasingly inclined towards consolidation. This approach not only helps in competing with DSOs but also in building a loyal patient base that values quality and personal touch over cost alone.

At Edwards and Associates, we take pride in the fact that we know the dental industry so well. And while we focus on your practice’s financial health, we know others that provide myriad other services and are happy to make referrals that will enhance your service delivery. Reach out to us if we can help in any way!

Strategies for Smaller Dental Practices to Navigate the Current Challenging Landscape

The closure of Walmart Health’s dental centers is a stark reminder of the evolving landscape in dentistry. Smaller dental practices face significant challenges, from insurance reimbursement pressures to growing competition. Here are key strategies to help smaller practices cope and compete effectively.

  • Addressing Insurance Reimbursement Strangleholds Rising costs and capped revenues due to insurance policies can severely impact profits. One effective strategy is to decrease the amount of insurance plans you take or transitioning to a fee-for-service model. Although daunting, when managed skillfully, this transition typically results in very little patient loss which is quickly offset by the increased revenue.
  • Competing with Corporate Dental Organizations Private equity investors continue to expand into dentistry, intensifying competition. Smaller practices can leverage social media, maintain user-friendly websites, and take advantage of patient communication tools like automated reminders and feedback systems. Engaging patients through informative content and showcasing expertise can enhance patient retention and attract new ones.
  • Combating Mental Health and Burnout The pressures of the profession can lead to mental health issues and burnout. Promoting a healthy work-life balance, offering mental health resources, and encouraging regular breaks and vacations are crucial. Peer support groups and professional counseling services also provide necessary support for dental professionals.
  • Ensuring Data Security and Privacy The digitization of dental records increases the risk of data breaches. Implementing robust cybersecurity measures, such as encryption, secure access protocols, and regular software updates, is essential. Additionally, educating staff on best practices for data security – and even working with an IT provider to train and test employees with fake phishing attacks – can help protect patient information and maintain trust.

By addressing these challenges with strategic approaches, smaller dental practices can not only survive but thrive in a competitive environment. Embracing changes, investing in technology, and prioritizing well-being will pave the way for a successful future for your dental practice. If you would like input or assistance navigating financial or tax issues, reach out to us to schedule a conversation.