Location Is Everything by David James

Location Is Everything

It’s essential to get strategic data about potential practice locations


by David James


Let’s get your career off to the best start possible! Smart grads don’t just strive to join a dental practice with a great doctor and operations; they also focus their due diligence on the No. 1 factor that determines the success of a practice: location strategy. Location strategy is the process of incorporating location factors and data into a practice’s strategic business plan. Regardless of whether you’re evaluating an associateship, starting a practice or buying one, conducting proper location strategy due diligence will have a huge impact on your career and financial success.

First, it’s important to have a long-term mindset: Evaluate associateship opportunities assuming you’ll eventually buy the practice and be there forever.

And prepare to insist that prospective practices provide the location strategy reports and data outlined in this article.


Evaluate the practice location’s market status

Location Is Everything
Table 1: Courtesy of Locate Strategy Rights Reserved

You need a current baseline of the practice market status. The key location strategy factors here are competition ratios, IdealRatios (more on than in a bit) and demographics.

Competition ratio: This is the No. 1 location strategy factor, and is calculated by dividing the population in a search area or market by the number of practitioners in that area.

IdealRatios: My company, Locate Strategy, uses this name for competition ratio standards for each practice type that indicate when a market is considered to be saturated. For general practitioners, the IdealRatio is 2,000; a ratio higher than that generally indicates room in the market for another practitioner. Strive for a ratio of 3,000 or above—the higher the better. A ratio lower than 2,000 generally means the market is oversaturated, and to grow you’ll likely need to spend more resources on marketing to cannibalize patients from other practices. If you go there, reduce expectations, plan cash flow carefully and proceed with extreme caution. Table 1 shows the IdealRatios for the main practice types.
Location Is Everything
Table 2

Demographics: Demographics are important, but not as important as competition. Great demographics will not overcome a bad competition ratio and an oversaturated market. You need both to be good, but it rarely makes sense to invest in a deep demographic dive unless the competition ratio is acceptable. Table 2 shows a list of key demographic factors to consider.


Get the right data

Use a location-consulting expert to provide the competition and demographic data reports, to help interpret them strategically and to assist with determining your next steps. Here’s what to look for to get relevant data and what to avoid.
  • The data for all search areas should be accumulated by adding up census block groups data. This is the most precise and relevant data. Do not use ZIP codes or concentric circle data; their boundaries rarely have any correlation to a true practice market.
  • Get two sets of data for the practice location— one with close proximity to the practice and the second to represent the overall practice market. For example, two common search areas for a suburban practice would be a 3-mile radius and a 12-minute drive time (Figs. 1 and 2).
  • Obtain current demographic data (2022) and projected 5-year forecast data (2027) to help understand the future demographic trends and assess growth prospects.
  • For demographic data interpretation, what’s “good” versus “bad” varies widely based on each location and individual preferences and situations. It is important to work with someone who can apply the data and contextualize it properly. It’s rare that 100% of the aspects of a location are perfect, but it’s important to understand the strengths and weaknesses so the business plan can be adjusted accordingly.
  • Competition ratio denominators (number of practitioners) are very difficult to get right but very important. There are no dental practitioner databases available that are good enough for this purpose. They are designed for mailing lists but do not have the precision needed to make life-changing decisions. There must be supplemental practice research conducted to ensure that the competition ratios are not materially misstated.
  • Ask the consulting firm if they have the means to do an overall market evaluation (for example, within a 30-minute drive time of the practice) to identify areas where ratios are favorable to consider adding an office, moving, etc.
Location Is Everything
Fig. 1
Location Is Everything
Fig. 2

These reports will be very useful when speaking to lenders and other professionals on your team. Reports should come with easy-to-understand, relevant maps.


Strategic questions to answer

Here are some other location strategy factors to evaluate:
  • Is the practice in a growing market or stagnant market?
  • Does the market support bringing you on as a new practitioner in that location?
  • What is the status of the office building—is it owned/leased, what is the lease duration, does it have adequate room to expand to support long-term growth or will it run out of room?
  • Are there areas where expansion and growth could happen?
  • If you don’t know where to start looking for an associateship or practice to buy, focus on practices in the areas with the most growth opportunities.

What to request from the practice

All of the above can be accomplished by just asking the practice to provide two reports:
  • A location study for the current office location that includes competition ratios and demographics. (See Fig. 3 for excerpt.)
  • A market study that identifies the top areas of opportunity in the market (Fig. 4).
Location Is Everything
Fig. 3
Location Is Everything
Fig. 4

If a practice won’t provide this information, I suggest you consider walking away.

All the best to you!


Author Bio
David James, CPA David James, CPA, has been CEO of Realscore (dba Locate Strategy) since its inception in 2009. James brings decades of extensive CPA and CFO experience to the dental industry, with a mission to provide location strategy education and affordable, world class tools, data and reports to enable dentists and the companies that serve them to succeed together by assisting with making vital location decisions. Website: locatestrategy.com



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