Post-Transition Life

Post-Transition Life What to Expect After Joining a DSO

Dec 23, 2024 4:47:00 PM / by Everything DSO

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Dear Reader,

 

So, you’ve inked the deal. You’ve sold your practice—or at least part of it—to a Dental Service Organization (DSO). Maybe you’ve got a hefty check sitting in your bank account, or you’re holding onto some promising equity. Congratulations. But as you sip that celebratory glass of champagne, a question might creep up: “Now what?” Well, let’s talk about what post-transition life really looks like. No fluff, just the real-world changes you can expect.

 

Day-to-Day Operations: What’s Staying, What’s Changing?
First things first—don’t expect to walk into the same exact practice the morning after the deal closes. Sure, your name might still be on the door, and familiar faces will greet you. But change is coming. How much change? That depends on your deal. Here’s what I’ve seen time and again:

  • Operational Support (A Blessing, if Done Right)
    Most DSOs come with a built-in infrastructure of support: HR, billing, marketing, and administration. If you’ve been bogged down by hiring, payroll headaches, and marketing plans that keep falling flat, this is where the DSO shines. Expect streamlined processes, cost-saving efficiencies, and more time to do what you love: practicing dentistry. No more wrestling with insurance companies or chasing down unpaid claims. But don’t let your guard down—some DSOs take over with a heavy hand. Be sure you retain a voice in how your practice runs.

  • Clinical Freedom: Will You Keep It?
    Here’s the million-dollar question: Will you still have the autonomy to treat patients the way you want? The answer depends on the DSO you’ve partnered with and the terms you negotiated. Some DSOs take a “hands-off” approach to clinical decision-making. Others may have preferred treatment protocols, product lists, or guidelines you’ll need to follow. Ideally, you’ve ironed out these details in your agreement. If not, brace yourself for some potential conflict.

  • Expect New Systems and Technologies
    Like it or not, there will be changes in the way things are done. Many DSOs bring in new practice management software, updated systems for patient care, and streamlined workflows. This can feel like a headache initially (cue eye rolls from your front-desk staff), but these changes often lead to greater efficiency and better patient experiences—once the dust settles. Be patient, but don’t be afraid to speak up if something’s not working.

The Benefits You’ll Feel Right Away
If you structured your deal wisely, you’ll quickly start to see some benefits. Here’s what you can expect:

  • Less Stress, More Focus on Dentistry
    Gone are the days when you spent hours reviewing marketing plans, negotiating lease renewals, or managing employee conflicts. The DSO handles the headaches, leaving you with more time to focus on patient care. It’s what most of us got into this profession to do, isn’t it? For many, this “back to basics” shift is a breath of fresh air.

  • Career Growth and Training Opportunities
    Some DSOs offer ongoing training, mentorship programs, and even leadership roles. If you’re hungry for professional development or have always wanted to mentor new dentists, this can be a fulfilling perk. Ask about these opportunities and make sure they’re part of your path forward.

  • Financial Upsides Beyond the Sale
    Retaining an equity stake means you have skin in the game. As your practice grows and the DSO expands, your equity’s value can increase significantly. This “second bite at the apple” has made many dentists wealthier than their initial payout ever could. But remember, equity isn’t guaranteed cash—it’s tied to the DSO’s performance. Stay engaged and do your part to ensure success.

Navigating Challenges: What to Watch For
Of course, it’s not all rainbows and high-fives. There will be adjustments.

  • Cultural Shifts
    Some DSOs have their own culture, which may not immediately align with yours. If you value personal connections with your patients and a slow-paced, boutique approach, a corporate emphasis on volume may clash. Communicate your concerns and be ready to adapt where necessary.

  • Staff Adjustment and Morale
    Your team will experience change, too. Maybe they’re excited about new opportunities; maybe they’re apprehensive. Regular communication and reassurance are key. Don’t make the mistake of assuming “everyone will figure it out.” You need to lead, even when someone else owns the business.

  • Metrics and Accountability
    Most DSOs operate on metrics. Expect to see data-driven goals, production quotas, and performance targets. This can be motivating—but it can also add pressure. Understand what’s being measured, why, and how it impacts your compensation.

Final Thoughts: Your Next Chapter
Joining a DSO isn’t just about a payout—it’s about opening a new chapter for your career and your practice. Embrace the change, but don’t lose your voice. Stay engaged, advocate for your patients and staff, and take advantage of every benefit that comes your way.

If you’re feeling overwhelmed, give me a call. I’ve helped dentists navigate these transitions and can offer guidance based on real-world experience. Your next chapter should be one of growth, fulfillment, and success—not regret.

Sincerely,

Stan Kinder

and Your Team at Everything DSO

Everything DSO

Written by Everything DSO

 Stan Kinder

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