Michael Makabeh | Peak Commercial California DRE #01411477
Editorial Advisory

Dental Practice Transition Insights

Thorough, candid guidance on practice valuations, commercial leases, and transaction mechanics specifically tailored for Southern California dentists.

How Dental Practices Are Valued: The Shift to Adjusted Cash Flow

For decades, practitioners relied on crude rules-of-thumb, such as 70% of gross collections. Today, dental underwriters, SBA lenders, and private buyers look almost exclusively at adjusted EBITDA and Debt Service Coverage Ratios (DSCR). Discover how non-recurring add-backs and hygiene margins influence your final exit valuation.

Key Topics: Normalized EBITDA • Personal Add-backs • Hygiene Profitability • Active Patient Recare
Read Valuation Framework

What Happens to Your Commercial Lease When You Sell Your Practice?

More dental practice transactions collapse over landlord negotiations than buyer financing issues. From securing complete releases on personal guaranties to negotiating 10-year term options for the buyer's loan, learn the exact lease covenants that must be addressed before entering escrow.

Key Topics: Landlord Consent • Assignment Clauses • Personal Guarantee Release • Relocation Clauses
Read Lease Assignment Guide

Practice Sale vs. Practice + Real Estate: Liquidate or Become the Landlord?

If you own your dental building or medical office condo, you hold two distinct assets. Should you sell the building alongside the practice for maximum liquidity, or structure a triple-net (NNN) lease to the buyer and enjoy inflation-protected retirement income? We compare both paths.

Key Topics: Fee-Simple Sales • NNN Leases • Cap Rates • 1031 Exchange Considerations
Read Real Estate Strategy

Buying Your First Dental Practice: Why Cash Flowing Goodwill Wins

Associate dentists often dream of designing their own office from an empty vanilla shell. However, high tenant improvement construction costs, city permitting backlogs, and negative operating cash flow make scratch startups exceptionally risky. Discover why purchasing existing clinical cash flow is preferred by lenders.

Key Topics: Day-One Collections • SBA 7(a) 100% Financing • Overhead Ratios • Staff Continuity
Read Acquisition Guide

Have a Specific Transition Question?

Every dental practice transition is unique. Discuss your practice valuation, lease terms, or acquisition timeline directly with Michael Makabeh.

Schedule Confidential Consultation