A Balanced Plan by David Ranney

A Balanced Plan 

Cash balance plans can help dentists defer taxes, save more for retirement and retain employees


by David Ranney


Among high-earning professionals, dentists take on an unusually large amount of debt, both from their education and from purchasing or starting up a practice. Combined with the additional costs of raising a family and buying a home, many practice owners start to fall behind in retirement savings soon after opening their practice.

When we have financial planning and retirement conversations with dental practice owners, most say their retirement relies on the successful sale of their practice one day. But there’s no guarantee the price for the sale of your practice will be right 20 years down the line, so this is not a safe option.

There is another path toward a safe and secure retirement: Selling your practice twice. Sell is not to be taken in the literal sense here; rather, many dental practice owners can explore a cash balance plan as a means to accelerate the buildup of their retirement savings. When it comes time to hit the fairway, the beach, the mountains or wherever retirement takes you, the proceeds from the sale of your practice, the balance of your 401(k) plan and the balance of a cash balance plan can help you get there.

A cash balance plan, when combined with a 401(k) and profit-sharing plan, allows for higher retirement contributions for the practice owner and some key employees. It also offers much higher tax-deferral opportunities than a 401(k) plan and can be used as a staff retention tool when offered to select team members.


How cash balance plans work
Cash balance plans are defined benefit plans and do not require contributions from participants. Think of them more like a traditional pension plan: The employer provides a defined monetary benefit, a credit in the participant’s account each year. This can be a fixed percentage of the employee’s compensation, and can be designed so that the practice owner receives the majority of the overall contribution to the plan.

A 401(k) plan, meanwhile, is a defined contribution plan. These plans allow but do not require employees to participate. Employers may match contributions made by employees, but participants are responsible for choosing their contribution levels.

Cash balance plans typically provide much higher tax-deferral opportunities than 401(k) plans. The amount will vary by individual situation, but Fig. 1 shows 2023 deferral numbers for a typical 55-year-old client. Cash balance plans are relevant for dental practice owners, who tend to have high income, relatively stable earnings from year to year, and high turnover rates of critical office personnel.
Dental Investments
Fig. 1: Cash balance plan example for a 55-year-old client.


Key benefits
  • Tax savings. Cash balance plans allow annual contributions up to the deadline of the filing of the practice’s tax return, and therefore serve as an excellent tool to move profits to the business owners, who can set aside incredibly large amounts of income. Practice owners who are older than 60, for example, can put aside more than $300,000 annually in tax-deferred money. Fig. 2 shows the maximum deferrals for 2023.
  • Staff retention. The cash balance plan is not only a great way to save for retirement but also a powerful staff retention tool. These plans can be offered to a limited number of staff or to an entire practice. Depending on actuarial testing, this could include just the owner and a few high-value members of staff the practice owner hopes to retain. This is especially relevant in the dental sector where turnover is high.
Dental Investments
Fig. 2: Maximum deferrals in 2023.

The retirement plan options for other employees do not have to impact a cash balance plan; both 401(k) plans and 401(k) profit-sharing plans can still also be used as a staff benefit. This ability to combine plans and work with your advisor and actuary to select who is eligible for each can be used to retain high-value employees. We have worked with practice owners who’ve used a cash balance plan to retain hygienists who have received higher pay offers from other practices. We have encouraged the owners to position this benefit as a raise the hygienists aren’t taxed on.


Considerations
  • A cash balance plan is permanent in nature, and unless there is a major change in the business, such as a significant downturn in income or the closing or sale of the business, the plan will remain in place. Practice owners should expect the plan, and their contributions to it, to remain in existence for at least three years. When an employee retires or the plan closes, the practice owner must offer a lifetime annuity option or a lump sum. The individual participant’s plan balance can be rolled over into a traditional IRA or Roth IRA.
  • Cash balance plans are also more complex to set up than 401(k) plans, and in addition to setup fees, cash balance plans also require annual actuarial reviews. Expect setup costs between $2,000 and $5,000 and annual administrative fees from $2,000 to $5,000.
  • Cash balance plans, like 401(k) plans, also have investment management fees. While traditional providers have fees and total costs of between 1.5% and 2.5% of assets under management (AUM), some forms (including Rebalance) have much lower fees and total costs of between 0.25% and 1% AUM.
Despite these drawbacks, cash balance plans can be a beneficial option for dental practice owners looking to save for retirement. Cash balance plans are ideal for practices with consistent cash flow and stable profitability. They are also ideal for practices owned by individuals, minority partners or multiple highly compensated employees who need a way to defer taxes and for whom a 401(k) plan is not enough. Finally, organizations with less competitive pay can also use cash balance plans to retain valuable, experienced employees.

Author Bio
David Ranney David Ranney brings deep experience to his role as vice president of sales for Rebalance’s premier small business 401(k) offering, BetterK. Before Rebalance, Ranney spent more than two decades at Fidelity. He partners with small businesses throughout the United States, educating owners on how to avoid high 401(k) fees, optimize asset allocation, increase plan participation and utilize retirement planning.
Email: dranney@rebalance360.com


Sponsors
Townie Perks
Townie® Poll
Who or what do you turn to for most financial advice regarding your practice?
  
Sally Gross, Member Services Specialist
Phone: +1-480-445-9710
Email: sally@farranmedia.com
©2025 Dentaltown, a division of Farran Media • All Rights Reserved
9633 S. 48th Street Suite 200 • Phoenix, AZ 85044 • Phone:+1-480-598-0001 • Fax:+1-480-598-3450