Your Dental Practice Likely Has New, Complicated, and Rapidly Approaching Reporting Obligations Under The Federal Corporate Transparency Act

Jordan Uditsky • February 22, 2024

Dental practices already have a long list of regulatory obligations that require their compliance, from those related to licensing to billing to patient privacy to employment policies and practices. But as of January 1, 2024, practice owners now have a new, non-negotiable, and complicated disclosure requirement to add to the pile.

 

That is because almost every dental practice is considered a covered “Reporting Company” under the federal Corporate Transparency Act (CTA). Under this law, dental practices will need to provide the federal government with detailed information about their ownership and identify any other individuals who exert control over their practice.

 

With mandatory reporting deadlines approaching, and with steep penalties awaiting practices that fail to comply, practice owners need to act now to ensure that they understand and comply with the CTA’s disclosure mandates.

 

What Is The CTA?

 

The CTA was signed into law in 2021 as part of the federal government’s efforts to combat illegal money laundering and "the use of shell and front companies by illicit actors who use them to obfuscate their identities and launder ill-gotten gains through the United States."

 

Accordingly, the focus of the CTA is on revealing the identities of the individuals and entities that actually own or control a business. This is accomplished by requiring all covered companies to disclose "Beneficial Ownership Information" (BOI) to the Financial Crimes Enforcement Network (FinCEN) division of the U.S. Treasury Department.

 

While dental practices may seem like unlikely vessels for money laundering and similar nefarious activities, it does not matter. In fact, the CTA is focused on smaller businesses like individual practices since most larger companies already have ownership reporting obligations under various federal regulatory schemes. That is why the government estimates that approximately 90% of all businesses and organizations in the U.S. will need to comply with the CTA’s reporting requirements. 

 

Almost Every Dental Practice Is a Covered "Reporting Company" Under the CTA

 

As defined in the CTA, a "Reporting Company" that must comply with the CTA is any corporation, limited liability company, or any other entity created by filing a document (e.g., Articles of Incorporation) with a secretary of state or equivalent agency. This includes “professional corporations” established under most state laws, the corporate form that most dentists choose for their practices. Entities like general partnerships or sole proprietorships that can be created without such filings are not subject to the CTA's disclosure and reporting requirements (but any dentist who practices as such should remedy that dangerous and ill-advised situation immediately).

 

While the CTA includes a long list of entities exempted from the CTA, it is unlikely that any active small or mid-size dental practice will fall into any of these categories. Unless your counsel determines that your practice is exempt, you should presume that you will need to provide FinCEN with your practice’s BOI. 

 

What Is The “Beneficial Ownership Information” Practices Must Disclose?

 

In addition to basic corporate information such as name, address, and tax ID number, Reporting Companies must provide FinCEN with BOI about two groups of individuals: "Company Applicants" and "Beneficial Owners."

 

A "company applicant" is "the individual who directly files the document that first creates the domestic reporting company" and "the individual who is primarily responsible for directing or controlling such filing if more than one individual is involved in the filing of the document." Effectively, the person who filed the documents with the secretary of state forming the practice entity is a "Company Applicant" whose BOI must be reported.

 

Notably, the reporting of applicant information only applies to Reporting Companies created from and after January 1, 2024. Such new Reporting Companies need not provide FinCEN with updates regarding Company Applicant information after their initial disclosure.

 

"Beneficial Owners"

 

All Reporting Companies must also disclose information about their "Beneficial Owners." As defined in the Final Rule implementing the CTA, a "Beneficial Owner" is any person who, directly or indirectly, either:

 

  • Owns or controls at least 25% of a reporting company's ownership interests; or
  • Exercises “substantial control” over a reporting company.

 

Who Has "Substantial Control" Over a Dental Practice?

 

Determining whether a person exercises "substantial control" over dental practice such that they are considered a "Beneficial Owner" involves an analysis of the person's actual authority and the actions they are empowered to take on behalf of the practice. Under the Final Rule, an individual has "Substantial Control" over a practice if they:

 

  • Serve as a senior officer of the practice;
  • Have authority over the appointment or removal of any senior officer or a majority of the board of directors (or similar body) of the practice; or
  • Direct, determine, or have substantial influence over important decisions made by the practice, such as:
  • Entry into and termination of contracts.
  • Acquisition, sale, or lease of the practice's principal assets.
  • Reorganization, dissolution, or merger.
  • Amendment of any governance documents of the practice.

 

BOI That Dental Practices Must Be Report to FinCEN

 

Non-exempt dental practices must provide FinCEN with the following information regarding individuals who qualify as Company Applicants or Beneficial Owners:

 

  • Full legal name.
  • Date of birth.
  • Street addresses (identified as a current residential or business street address).
  • Non-expired state identification document or passport.

 

Reporting Deadlines Depend On When Practice Was Established

 

The CTA's compliance deadlines largely depend on when the "Reporting Company" was formed.

 

  • Entities Formed in Calendar Year 2024: Covered Reporting Companies created or registered on or after January 1, 2024, and before January 1, 2025, must submit their BOI report within 90 days after the date of the entity's formation (i.e., the filing date of its Articles or Certificate).

 

  • Entities Formed Before January 1, 2024: Covered Reporting Companies formed before 2024 must report their BOI on or before January 1, 2025.

 

  • Entities Formed on or After January 1, 2025: Covered Reporting Companies formed after 2024 must file their BOI within 30 days after its date of formation.

 

Penalties for Non-Compliance

 

Covered dental practices that fail to comply with the CTA's reporting requirements face significant penalties. Any entity or person that "willfully provides, or attempts to provide, false or fraudulent information or willfully fails to report when required" faces civil penalties of $500 per day, criminal fines of up to $250,000, and a maximum of five years in federal prison.

 

While this new federal obligation may be another annoyance for practice owners, the consequences of failing to comply are far more than an inconvenience. For questions and assistance with your practice’s reporting under the Corporate Transparency Act, please contact Grogan Hesse & Uditsky today. 

 

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.

 

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, and this blend of legal, business, and personal experience provides Jordan with unique insight into his clients’ needs, concerns, and goals.  


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Unlike traditional DSOs that often impose centralized control over management and branding, IDSOs operate discreetly - almost “invisibly” - in the background. IDSOs allow dentists to keep their brand identity and operational independence without having to rebrand under a corporate umbrella. As important, dentists in an IDSO can still make clinical decisions without external interference – for the most part. Key Features of an IDSO That retention of leadership and control comes with many of the benefits of group affiliation within a traditional DSO, including: Equity Partnership Model. Dentists sell a portion of their practice (typically 51% to 80%) to the IDSO in exchange for a combination of cash and equity in the more extensive dental group. This allows dentists to "de-risk" their financial position while still maintaining ownership and influence over the practice. Operational and Administrative Support. 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If you are a dental professional considering a sale or merger, please contact us at ddslawyers.com at (630) 833-5533 or contact us online to arrange for your complimentary initial consultation. 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. 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, and this blend of legal, business, and personal experience provides Jordan with unique insight into his clients’ needs, concerns, and goals.
By Jordan Uditsky January 15, 2025
Many dentists and dental practices offer financing arrangements as a way to help patients, especially the uninsured, pay for their care and treatment. For those who utilize third-party vendors for such financing, recently enacted amendments to the Illinois Dental Practice Act impose new disclosure and transparency obligations on dentists and practices and place limits on what staff can do and say in their interactions with patients regarding the subject. The amendments became effective January 1, 2025. With other states enacting or considering similar legislation regarding external patient financing for health care providers, these changes serve as a reminder to dentists in every jurisdiction about the importance of staying up to date on changes in their state’s laws and regulations. Here is what you need to know and do about these changes in order to ensure compliance once the calendar turns to the new year. No Establishing, Promoting, or Assisting With Third Party Financing A dentist, employee of a dentist, or agent of a dentist may not “arrange for, broker, or establish financing extended by a third party for a patient.” That term encompasses and prohibits submitting an application to a third-party creditor, lender, or creditor's intermediary for approval or rejection on behalf of a patient. It also prohibits dental practices from providing patients with software, links, or QR codes that have been customized with the practice’s branding. Practices can, however, provide patients with a third party’s marketing and advertising materials so long as they are not customized to the practice. Beyond providing or displaying generalized third-party advertising materials, dentists and staff cannot do much more in terms of helping a patient apply for or obtain financing. Anyone associated with a practice cannot do any of the following: Complete any portion of an application for financing extended by a third party for a patient or patient's guardian. Provide the patient or patient's guardian with an electronic device to apply for financing extended by a third party. Promote, advertise, or provide marketing or application materials for financing extended by a third party to a patient who has been administered or is under the influence of general anesthesia, conscious sedation, moderate sedation, or nitrous oxide; is being administered treatment; or is in a treatment area, including, but not limited to, an exam room, surgical room, or other area when medical treatment is administered, unless an area separated from the treatment area does not exist. Mandatory Disclosure When discussing or providing applications for financing extended by a third party, a dentist, employee of a dentist, or agent of a dentist must provide the following written notice in at least 14-point font: DENTAL SERVICES THIRD-PARTY FINANCING DISCLOSURE This is an application for a CREDIT CARD, LINE OF CREDIT, OR LOAN to help you finance or pay for your dental treatment. This credit card, line of credit, or loan IS NOT A PAYMENT PLAN WITH THE DENTIST'S OFFICE. It is a credit card, line of credit, or loan from a third-party financing company. Your dentist does not work for this company. Your dentist may not complete or submit an application for third-party financing on your behalf. You do not have to apply for a credit card, line of credit, or loan. You may pay your dentist for treatment in another manner. Your dentist's office may offer its own payment plan. You are encouraged to explore any public or private insurance options that may cover your dental treatment. The lender or creditor may offer a "promotional period" to pay back the credit or loan without interest. After any promotional period ends, you may be charged interest on portions of the balance that have already been paid. If you miss a payment or do not pay on time, you may have to pay a penalty and a higher interest rate. If you do not pay the money that you owe the creditor or lender, then your missed payments can appear on your credit report and could hurt your credit score. You could also be sued by the creditor or lender. If your dentist's office has completed or submitted an application for third-party financing on your behalf, you may file a complaint by contacting the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/admin/dpr/dprcomplaint.html or by calling (312) 814-6910." Penalties for Non-Compliance A violation of these new rules and limitations is punishable by a fine of up to $500 for the first violation and a fine of up to $1,000 for each subsequent violation. IDFPR has the power to take additional disciplinary action as well. If you have any questions about these new requirements or third-party financing for dental services generally, please contact Jordan Uditsky at Grogan Hesse & Uditsky. 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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