Unlocking a Deadlock: How to Resolve Dental Partnership Disputes

Jordan Uditsky • May 17, 2022

In many contexts, a 50/50 split is a sign of fairness and equity. But when equal owners of a dental practice find themselves at loggerheads over significant issues, a 50/50 split can lead to paralysis, tension, and acrimony that threatens the relationship between the owners and the future of the practice itself.

 

Whether a practice is a partnership, professional corporation (PC), or limited liability company (LLC), deadlocks are always a distinct possibility where equity interests and voting rights are evenly split among partners, shareholders, or members. Unless the practice owners have established a mechanism for resolving deadlocks, they may wind up in court asking for a judicial dissolution of the practice to resolve the stalemate. This is rarely in any party’s best interest. The best way to minimize existential disagreements and avoid such a litigious outcome is to include deadlock resolution provisions in the partners’ operative agreements.

 

Not Every Disagreement Equals a Deadlock

 

Rarely an hour goes by without a dental practice owner making some kind of decision involving the practice. But most day-to-day choices don’t require the assent or approval of a majority or all shareholders or members, nor do they implicate the direction or future of the company. Two practice owners with equal voting rights may disagree on what type of cake to order for an office party, but that is hardly the type of deadlock that a clause in a shareholder or operating agreement is there to address.

 

The kinds of matters that can lead to consequential deadlocks usually involve actions taken outside the ordinary course of business or that affect the fundamental direction of the practice, such as a merger, joining a dental service organization, or the sale of substantially all of the practice assets. That is why a deadlock provision should clearly define the types and scope of issues and disagreements that could trigger its resolution mechanisms.

 

Deadlock Resolution Mechanisms

 

The sports world has many different ways of resolving ties – overtime, extra innings, shootouts, and sudden death, to name a few. Similarly, practice owners have many options for deadlock resolution provisions in their governing documents. Three of the most common include:

 

Shotgun/Russian Roulette

 

Thankfully, the name of this type of deadlock provision is metaphorical. In reality, it is far less dramatic and simply refers to a “buy-sell” agreement or arrangement that can be triggered in the event of a deadlock.

 

Such provisions essentially allow one owner to offer to purchase the interest of the other deadlocked owner at a set price and terms. The offeree must then either accept the given price and terms or purchase the offeror’s interest for the same price and terms (assuming equivalent percentage interests).

 

A shotgun provision is a pretty blunt instrument. Often, the mere possibility that either of the deadlocked practice owners may find themselves out on the street (again, metaphorically) after the clause is triggered is enough motivation to find a way to settle their differences.

 

Auction

 

An auction is often a very workable solution when two or more practice owners compete for control amid a deadlock. It is similar to a shotgun approach in that the offering owner may have the chance to pay a price of their own choosing, even to pay a premium. However, it is very different from a shotgun because the auction process does not penalize the owner making a low offer since the other member only has to make a higher offer to avoid an unfair transaction.

 

Sealed Bid/“Texas Shoot-Out”

 

In this colorfully named cousin of a shotgun deadlock provision, each owner submits a sealed offer for the others’ shares to an independent third party. That third party opens the bids simultaneously and the highest sealed bid "wins," meaning the owner who had a higher bid will be required to purchase the others’ shares at the stated bid price.

 

Third-Party Tie-Breakers

 

When practice owners take their dispute to court, they are essentially putting their fate in the hands of a third party who may know the law but may or may not have adequate knowledge of the practice or the dental industry as a whole. While a tie-breaking deadlock mechanism gives a third party the authority to make the call as to how to resolve the deadlock or value the parties' interests, that third party is usually someone with more industry knowledge. That party can be the board of an affiliated entity, external or internal professional advisors such as dental broker, one or more mediators/arbitrators, or a dental industry expert.

 

Given the very real likelihood of deadlock among practice owners, and the existential threat that a stalemate can pose to a dental practice’s ongoing viability, owners should ensure that their shareholder or operating agreement contains robust and precise deadlock provisions.

 

Grogan Hesse & Uditsky: Lawyers For the Dental Profession

 

At Grogan Hesse & Uditsky, P.C., we focus a substantial part of our practice on providing exceptional legal services for dentists and dental practices, as well as orthodontists, periodontists, endodontists, pediatric dentists, and oral surgeons. We bring unique insights and a deep commitment to protecting the interests of dental professionals and their practices and welcome the opportunity to work with you.

 

Please call us at (630) 833-5533 or contact us online to arrange for your free initial consultation.

 

Jordan Uditsky, an accomplished businessman and seasoned attorney, combines his experience as a legal counselor and successful entrepreneur to advise dentists and other business owners in the Chicago area. Jordan grew up in a dental family, with his father, grandfather, and sister each owning their own dental practices. This blend of legal, business, and personal experience provides Jordan with unique insight into his clients’ needs, concerns, and goals.  

 



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Whether you are the associate or the practice owner in such an anticipated transaction, you should consult with an experienced dental practice attorney to understand your options and determine which structure provides you with the most value. Your discussions with your attorney will likely include some or all of these common dental associate buy-in arrangements: Cash Purchase A cash purchase is the most straightforward buy-in model. With either cash on hand or through financing (the more likely scenario), the associate purchases an agreed-upon percentage of the practice (for example, 25% or 50%) for a lump sum based on the appraised value of the practice. That appraisal will likely use metrics such as collections, earnings before interest and taxes (EBIT), or a percentage of annual gross revenue. The main advantage of a cash purchase is its simplicity and immediacy. The associate becomes an owner right away, while the practice owner receives a clean and full payout for the equity sold. However, obtaining the needed financing may be easier said than done for an associate dentist, and a large cash payout may also come with unwanted tax ramifications for the owner. Buy-in documents for a cash purchase should address governance rights, profit distribution, and exit mechanisms. They should also define what happens if an associate departs, how future buyouts are valued, and whether non-compete or non-solicitation covenants apply. Installment Sale An installment sale allows the associate to purchase equity over time, making periodic payments instead of an upfront lump-sum payment. After the practice value is determined, the associate agrees to buy a certain percentage of ownership through regular payments (e.g., monthly or quarterly) over several years. Payments may include interest, and ownership may be transferred incrementally or upon full payment. This is a good option for associates who do not have the means for a full cash buy-in immediately. For owners, this arrangement provides a steady income stream – so long as the associate does not leave before completing payments. That is why the documentation should clearly outline the timing of ownership right transfers and provide robust default remedies, such as forfeiture of prior payments or reversion of ownership interests. Sweat Equity In a sweat equity buy-in, the associate essentially cashes in their years of service, earning ownership over time based on their contribution to the practice’s growth or profitability rather than through an immediate cash investment. In a typical sweat equity arrangement, the associate receives equity credits or options tied to measurable performance benchmarks, such as production levels, collections, or tenure. Once those targets are met, a portion of ownership is granted or sold at a reduced price. This structure enables talented but liquidity-challenged associates to become owners without initial financial strain. It also incentivizes them to grow the practice and stay long-term. Shadow Account (a/k/a Phantom Equity) As I discussed in detail in this post , a shadow account (also known as a phantom equity plan) is an increasingly popular buy-in model, especially when the owner is not yet ready to transfer real equity but wants to reward the associate as if they were an owner. In this model, the associate receives the right to cash payments equal to the value of the shares at a specified later date or distribution event. That value can be established through an appraisal or an agreed-upon formula. The selected events that give an associate a right to a payout can include such things as achieving performance goals, termination, or retirement. There are two types of shadow account/phantom stock plans. In an "appreciation only” plan, the cash payout upon vesting does not include the value of the underlying shares, only the increase in value of that stock since it was granted. In a “full value” plan, the practice pays both the underlying value of the stock and the amount the stock has appreciated while held by the associate. Like actual stock, phantom stock has a defined value and tracks the practice’s performance, but an associate holding phantom stock typically does not have either minority shareholder rights or voting rights in the practice. This makes phantom stock plans attractive for owners who want to provide associates with a sense of equity ownership without giving up any actual control. The practice has broad discretion and flexibility in designing the plan, including valuation formulas and vesting conditions, and the administrative burdens are less than for traditional stock option plans. As noted, the “best” buy-in structure depends on the unique goals of both parties. No matter which model is ultimately adopted, well-crafted documentation, preceded by careful consideration and consultation with counsel, is essential. That is because these deals do more than just transfer ownership - they can lay the foundation for a stable, profitable partnership that preserves the practice’s legacy and rewards everyone’s investment, financial or otherwise. We Focus on You So You Can Focus on Your Patients At Grogan Hesse & Uditsky, P.C., we focus a substantial part of our practice on providing exceptional legal services for dentists and dental practices, as well as orthodontists, periodontists, endodontists, pediatric dentists, and oral surgeons. We bring unique insights and deep commitment to protecting the interests of dental professionals and their practices and welcome the opportunity to work with you. Please call us at (630) 833-5533 or contact us online to arrange for your free initial consultation. Jordan Uditsky, an accomplished businessman and seasoned attorney, combines his experience as a legal counselor and successful entrepreneur to advise dentists and other business owners in the Chicago area. Jordan grew up in a dental family, with his father, grandfather, and sister each owning their own dental practices. This blend of legal, business, and personal experience provides Jordan with unique insight into his clients’ needs, concerns, and goals.
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