October 2018 Nugget

the

October 2018

“FLOW-THROUGH INCOME” CHILD CREDIT CHANGES

20%

DEDUCTION AMT CHANGES SECTION 199A

LARGE SUV BUY TIME C CORP FLAT TAX REDUCTION 179 DEDUCTION

S CORP

CHANGES

Start Now!

Year End Tax Planning A PUBLICATION OF THE SACRAMENTO DISTRICT DENTAL SOCIETY

Get Ready For Our

UPCOMING EVENTS Continuing Education 7 CEU, CORE • $499

Adult Oral Conscious Sedation: DOCS

OCT

5

FRIDAY 8:30AM-4PM

Presented by Anthony Feck, DMD In addition to fulfilling continuing education requirements, this one-day course will cover the newest studies and research available, as well as updates on adult oral conscious sedation protocols. You will review the critical psychology of the sedation patient, expand on your knowledge of sedation pharmacology, and practice airway management and monitoring.

General Meeting 1 CEU, CORE • $75

OCT

9

TUESDAY 5:45-9PM

The State of Dentistry – The Good, The Bad, The Opportunity Presented by Anders Bjork, California Dental Association What a patient looks for in a dentist and a dental office as their “home” is changing. This session will examine the social and economic factors influencing change in dentistry with an update on DSO growth (in the US but especially in California); a look at how dentistry and medicine are integrating; and a case example on how disruptive innovation is realigning the orthodontic market.

Continuing Education 6 CEU, CORE • $199

OCT

12 FRIDAY 8:30AM3:30PM

Manual Day: Build & Complete Your OSHA, Employee & HIPAA Manuals in One Day! Presented by Mari Bradford, CEA and Teresa Pichay, CDA

2 CEU, CORE • $80

OCT

Common Pitfalls of Crown Prep

24

Presented by Eric Costa, Costa Aesthetics Laboratory (SDDS Vendor Member) This course will explore what works…and what doesn’t… when preparing a crown for your patient. What are the everyday pitfalls? How can they be avoided? Explore aspects of the “perfect prep,” potential pitfalls and how to deliver the best possible results for maximum patient satisfaction. Bring your assistants and key staff members to this program – the entire team will learn something.

WEDNESDAY 11:30AM1:30PM

Business Forum NO CEU • $75

OCT

Preparing for Your Fiscal Year End

25

Presented by Craig Fechter, CPA; Fechter & Company (SDDS Vendor Member)

THURSDAY 6:30-8:30PM

Did you know that the new tax laws take effect for the 2018 reporting year? Are you ready to incorporate the new provisions of the law in your office business plan?

SDDS Vendor Member, Craig Fechter, will share his insight and suggestions with SDDS member dentists to make sure they are up to date on all information regarding taxes, deductions and accounting.

Coming In November 2018...

NOV

9

NOV

Bring your laptops, or your notebooks, and make your mandatory manuals all in one day!

12

By the time you walk out the door at 3pm, all the manuals will be finished!

NOV

We will help you write and update your manuals and the experts will be here to answer your questions, and bring you the most current information.

Lunch & Learn

13 NOV

16

CPR BLS Course • Friday, 8:00-11:30am Advanced Registration Required (4 CEU, CORE)

Continuing Education • Monday, 6:30-9:00pm Getting a New Dental Practice Up and Running William Van Dyk, DDS (2.5 CEU, 20%)

General Meeting • Tuesday, 5:45-9pm Help... Our Service Sucks! How Patients Judge the Quality of our Dentistry William Van Dyk, DDS (3 CEU, 20%)

Licensure Renewal • Friday, 8:30am-3pm California Dental Practice Act, Infection Control & OSHA Refresher Leslie Canham, CDA, RDA, CSP (6 CEU, CORE)

Class registration times are 30 minutes prior to the listed time, excluding General Meetings and HR Webinars

Contents October 2018 VOLUME 64, NUMBER 8

Tax Planning 2018 Year End Craig Fechter, CPA; Fechter & Company CPAs

Tax Strategies for the New 2018 Tax Law Changes John Urrutia, CPA Partner; MUN CPAs

FEATURES

COVER IMAGE CREDIT: SHUTTERSTOCK

10 12 14

Tax Reform: An Overview for Dentists

Dave Sholer, CPA; Integrated Accounting Solutions

16 18

Best Advice - Call Your CPA! Tim Giroux, DDS, Broker; Western Practice Sales

Retirement Plans for Small Businesses

Thomas Chandler, CFP; Ameriprise Financial

Nugget Editorial Board Volki Felahy, DDS • Editor-in-Chief Nima Aflatooni, DDS • Herlin Dyal, DDS, MS Y. Vinny Huang, DDS, MS • Denise M. Jabusch, DDS Grace Lee, DMD, MD • Brandon Martin, DDS, MS Brian Ralli, DDS • Shikha Rathi, BDS, MS Joelle Speed, DDS, MS • Gaetan Tchamba, DDS Ash Vasanthan, DDS, MS

Editors Emeritus James Musser, DDS William Parker, DMD, MS, PhD Bevan Richardson, DDS

Awards

International College of Dentists (ICD) 2017 • Special Citation Award, unusual concept 2016 • Golden Pen, honorable mention Article / series of articles of interest to the profession

2015 • Special Citation Award, unusual concept 2014 • Outstanding Cover, honorable mention 2014 • Golden Pen, honorable mention 2013 • Outstanding Cover 2012 • Overall Newsletter 2010 • Platinum Pencil Outstanding use of graphics

2007 • Overall Newsletter 2007 • Outstanding Cover

Specials

20 22 26 28

CDA, CMA Fight Back Against Big Soda with Statewide Ballot Measure IRS, Treasury Issue Guidance on Pass-through Deductions 2019 SDDS and SDDF Election Results How to Prepare for a Transition into Practice Ownership

Regulars

5 6 7 9 11 24 29 30 33

President’s Message Cathy’s Corner From the Editor’s Desk You Should Know Job Bank Foundation Volunteer Opportunities Board Report YOU: The Dentist, The Employer

34 36 38 39 40 42 43 44

Committee Corner Membership Update Blowing Your Horn Vendor Member Spotlight Vendor Member Listings Advertiser Index Classified Ads SDDS Calendar of Events

The Nugget • Sacramento District Dental Society • www.sdds.org

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4 | The Nugget • Sacramento District Dental Society

CONTACT US TODAY! (916) 966-2260 info@bpelaw.com bpelaw.com

President's Message

According to Benjamin Franklin – “In this world nothing can be said to be certain except death and taxes.” A corollary to life’s two certainties is that taxes are the only one for which you can get an automatic extension.

Another difference between death and taxes is that Congress doesn’t meet every year to make death worse. (Anonymous humor)

5. Financial Success Happens Slowly. Be patient and you will see results.

Because of the new tax laws, many dental practice owners are in consultation or should be consultation with their financial advisors and/or accountants. Hopefully, this issue of the Nugget will give dental practice owners and associate dentists some guidance. We have several vendor members that are willing to help you. Just remember no amount of local anesthesia or even IV sedation can make paying your taxes painless.

8. Improve Yourself. Charlie Munger, Warren Buffett’s ‘counterpart’ said “Spend each day trying to be a little wiser than you were when you woke up.”

Along with the privilege of paying your taxes comes the need for investments. I found 15 quotes from Successful Investors that I thought you might enjoy before hitting your taxes.

These are quotes were compiled by Natalie Saar on Pocket Sense, updated 12/30/2017 (pocketsense.com). In addition to ‘money investing’ some of these quotes can be applied to other areas of your life.

1. Don’t Lose Money. According to one of the world’s best investors, Warren Buffett, he says “Rule number one: Don’t lose money. Rule number two: Don’t forget rule number one.”

2. Invest in Knowledge. Benjamin Franklin stated that “an investment in knowledge pays the best interest”. No wonder Ben’s picture is on the $100 bill. According to Oprah, Buffett and Bill Gates spend five hours a week learning something new.

3. Don’t Play it Too Safe. Robert G. Allen asked how many people you know that became wealthy investing in savings accounts.

4. Know Your Investments. Peter Lynch stated that you need to not only know what you own but why you own it.

6. Find Your Niche. Find out what you are good at and run with it.

7. Protect Your Reputation. Again, quoting Warren Buffett, “It takes 20 years to build a reputation and five minutes to ruin it.”

9. The 20 Percent Rule. This is the concept of not overextending yourself. If your income was cut by 20% you should still be able to pay your bills and maintain your same quality of life.

10. Don’t Fall into the Same Habit. This time it is not going to be different.

11. Figure Out Your Talents. What are you good at? Jamie Dimon said try writing down a list of things you’re good at and then see how you can make a living doing the ones you like.

12. Research Your Charities. Giving is investing. Remember SDDF 13. Learn Patience. Sometimes things take a while. Be patient and trust the process.

14. Surround Yourself with the Right People. Think about your staff, colleagues, friends, etc. “You are who you hang out with.”

15. Only Buy What You Can Afford. “If you can’t afford to buy it twice, you can’t afford it”.

Unknown author.

By Margaret Delmore, MD, DDS 2018 SDDS President

• October 5th – Oral Conscious Sedation Re-Certification (DOCS) – Continuing Education by Anthony Feck, DMD • October 9th - The State of Dentistry: The Good, the Bad and the Opportunity General Meeting by Anders Bjork (CDA) • October 12th – Manual Day: Build & Complete your OSHA, Employee & HIPAA Manuals in One Day! – Continuing Education by Teresa Pichay (CDA) and Mari Bradford (CEA) • October 24th – Common Pitfalls of Crown Prep – a lunch and learn with Eric Costa, Costa Aesthetics Laboratory (SDDS Vendor Member) • October 25th – Preparing for Your Fiscal Year End - Business Forum by Craig Fechter, CPA, Fechter and Co. (SDDS Vendor Member) Have a fabulous October! Happy Halloween!

Consider giving out sugarless gum. My neighborhood kids loved it. Make a difference.

Margaret Delmore, MD, DDS delmoremd@netscape.net So, do you know where homeless accounts live? In a tax shelter.

CARTOON FROM GOOGLE IMAGES BY TOM CHENEY

This Issue is Taxing…

Reflecting on quotes #2 and #8, peruse this October issue of The Nugget and invest in knowledge – learn about the new tax laws and how they affect your business and be a little wiser than when you woke up this morning.

You can further invest in your knowledge by attending one of the many programs offered by SDDS in the month of October.

Remember all you must do is invest five hours a week learning something new. Here are your potential investments for October:

It’s death, taxes, and four out of five dentists— are you in? www.sdds.org • October 2018

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Cathy's Corner LEADERSHIP

Get Involved –

It’s Time! It’s Fun!

By Cathy B. Levering

SDDS Executive Director

As the 2018 year comes to a close, it’s a great time to evaluate progress, regroup and plan for future goals and plans. Thanks to the more than 300 volunteers who have worked on behalf of SDDS, its programs, events, benefits and “all things membership!” And now, it’s time to gear up for 2019!

Included in this Nugget you will find a committee sign up flyer – we’d love you to participate in one or more committees.

BUT…PLEASE KNOW… It’s not a lot of work and not too taxing on your time! It’s a great way to meet your colleagues! We’re VERY organized, cognizant of your volunteer time, and want you to be involved! We just want you to be part of our organization.

Do you have a good idea? Do you have a member benefit that you think needs to be considered? Do you want to know more about what SDDS does for its members?

Here are the Committees and Task forces that have openings: • CPR Instructor Committee • Ethics Committee • Peer Review Committee • Leadership Development/Nominating Committee • Special Events Task Forces: • Membership: events, benefits, activities, recruitment, engagement • Oral Health – County initiatives Advisory Committees: • CE • Legislative • Nugget Editorial

• Fluoridation • Forensics • And more and more!

Committees for 2019 are being populated now through November.

Please sign up soon! 

2018 SDDS Committee Schedule Foundation

Task Force

Foundation Board | Nov 14

Member Engagement and Recruitment | Oct 8 New Dental School Task Force | Oct 2

Other SDDS HOD Caucus | Oct 29 CDA House of Delegates | Nov 9-11

Leadership Board of Directors | Nov 6 Executive Committee | Oct 5 • Dec 14

President: Margaret Delmore, MD, DDS Immediate Past President: Nancy Archibald, DDS President Elect/Treasurer: Bryan Judd, DDS Secretary: Carl Hillendahl, DDS Editor-in-Chief: Volki Felahy, DDS Executive Director: Cathy Levering Jagdev Heir, MD, DMD, FACS Greg Heise, DDS Kevin Keating, DDS, MS Beverly Kodama, DDS Matt Korn, DDS Lisa Laptalo, DMD Hana Rashid, DDS Wesley Yee, DDS Adrian Carrington, DDS Terry Jones, DDS

EXECUTIVE COMMITTEE

BOARD OF DIRECTORS

TRUSTEES

CPR: Craig Alpha, DDS Ethics: Lisa Dobak, DDS Nominating/Leadership Dev.: Nancy Archibald, DDS Peer Review: Morton Rosenberg, DDS

COMMITTEES

CE Task Force: Eric Grove, DDS Forensics Advisory: Mark Porco, DDS Amalgam Advisory: Viren Patel, DDS, Wai Chan, DDS Fluoridation Advisory: Kim Wallace, DDS / Rick Kennedy, DDS Strategic Planning Advisory: Bryan Judd, DDS / Carl Hillendahl, DDS Budget & Finance Advisory: Bryan Judd, DDS Bylaws Advisory: Nancy Archibald, DDS Legislative Advisory: Jenny Apekian, DDS Member Engagement: Jennifer Drew, DDS, MSD Member Recruitment: Rika Prodhan-Ashraf, DDS Legal Issues: Kevin Tse, DDS

TASK FORCES ADVISORY COMMITTEES

STANDING

Foundation: Viren Patel, DDS Golf Tournament: Charles Stamos, DDS SacPAC: Matthew Campbell, Jr. DDS

SPECIAL EVENTS OTHER

Cathy Levering | Executive Director Anne Rogerson | Office Manager Beth Heneger | Programs / Events Jen Jackson | Community Projects / Recruitment Jessica Luther | Graphic Designer Megan Gormley | Special Events / Engagement Rachel Sheets | Graphic Designer Sofia Gutierrez | Foundation Projects / CPR

SDDS STAFF

The Nugget is an opinion and discussion magazine for SDDS membership.

Opinions expressed by authors are their own, and not necessarily those of SDDS or The Nugget Editorial Board. SDDS reserves the right to edit all contributions for clarity and length, as well as reject any material submitted.

The Nugget is published monthly (except bimonthly in June/July and Aug/Sept) by the SDDS, 2035 Hurley Way, Ste 200, Sacramento, CA 95825 (916) 446-1211.

Acceptance of advertising in The Nugget in no way constitutes approval or endorsement by Sacramento District Dental Society of products or services advertised. SDDS reserves the right to reject any advertisement.

Postmaster: Send address changes to SDDS, 2035 Hurley Way, Ste 200, Sacramento, CA 95825.

6 | The Nugget • Sacramento District Dental Society

From the Editor’s Desk We Asked the Experts...

By Volki Felahy, DDS Editor-in-Chief

It’s that time of the year again when we all start thinking about taxes. This issue of the Nugget is devoted to tax planning and offers us an in depth look to the 2018 tax code changes. We asked our vendor members to give us their opinions and address some questions commonly asked by their clients regarding this topic.

The first article is by Craig Fechter, CPA of Fechter & Company, CPAs in Sacramento.

He reviews the five most common tax scenarios that affect our profession. He also explains the consequences of delayed billing, and gives reasons as to why we should accelerate vendor expenses. Also, he answers the 6000-pound question about cars and Section 179 deductions and outlines the benefits of funding a retirement plan and important funding deadlines.

John Urrutia of MUN CPAs, follows with an important article that breaks down tax savings. In a very thorough list, he works through deductions that may not be utilized by every dentist. He highlights new deductions (for example, the ability to deduct 25% of employee wages that are

on family leave) or the benefits of having your significant other on the payroll if they work in the practice. Overall this article will benefit your practice and generate questions that can be addressed by your own CPA.

in the article are changes to Section 179 limits and what qualifies as deductions.

Dr. Giroux also informs us of the new depreciation deductions that your practice can utilize within the new tax law.

Dave Sholer, CPA, who limits his private practice to dentists, provides us with the history of tax reform and breaks down AMT tax, child credits, changes in state and local taxes and the all-important business meals and entertainment reforms. He dispels the myths about the 20% deduction and gives a very thorough explanation of possible avenues for tax savings.

Thomas Chandler, Financial Advisor and Managing Director of the Chandler Group with Ameriprise Financial Services, lays out retirement plan options for small businesses and discusses the tax savings that are associated with each. A variety of plans are available and important information is included so you can decide which plan is right for you.

Timothy G. Giroux, DDS, broker and partner of Western Practice Sales, looks at the new tax laws and explores tax strategies that maximize allowable write-offs. Included

C CORP FLAT TAX

REDUCTION

SECTION 199A

179 DEDUCTION

I hope you enjoy the articles and that your tax planning for 2018 will be easier with this detailed information. 

LARGE SUV BUY TIME

CHILD CREDIT CHANGES

20% AMT CHANGES

DEDUCTION

S CORP

“FLOW-THROUGH INCOME” CHANGES www.sdds.org • October 2018

|7

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Dental Practices for Sale Fresno County: 3 ops | $675,000 | Extremely profitable general practice! One of only 2 dental practices in the immediate area, this is a truly fantastic opportunity! Well maintained office features 3 equipped ops and Dexis digital imaging.

Highly visible property l is beautifully landscaped and features plenty of parking and an incredibly affordable lease.

Central Valley: 6 ops | $300,000 | Remarkable perio practice features 6 well-designed treatment rooms (4 equipped) and a luxurious reception area. This practice has serious growth potential as lack of concentration towards implants allows the incoming clinician to significantly increase production.

Sacramento Area Perio: 3 ops | $620,000 | Room to expand with this well-established, updated perio practice. Set in a large medical complex, the office features 4 operatories, new computers, digital X-ray with new Nomad, and stunning views of lush wetlands. The area has been identified as one of the most desirable places to live in Northern California.

Chico: 3 ops | $200,000 | Small, profitable general practice. Clean, well-kept office is located in a busy shopping center with many big box anchor stores. Features 3 equipped operatories, iTero intraoral scanning, lab, office, 2 bathrooms, a very nice reception area, ample parking and EagleSoft. Perfect location in this beautiful northern California city!

Mariposa: 4 ops | $495,000 | Above the valley fog, below the Sierra Nevada snow. 45 minutes from Yosemite Valley.

No smog, no traffic jams. 40 year established crown and bridge practice, same Highway 140 location. 5 days of hygiene booked for 7 months solid. UCLA Dental School graduate dentist/owner will stay on to make the transition smooth.

Fort Jones: 2 ops | PRICE TBD | Outdoor enthusiast’s paradise! Perfect ‘Main Street, USA’ practice for a dentist who loves the outdoors and wants to practice in a relaxed environment. Features 2 ops, Eaglesoft, and casting lab. It’s the only practice in town and Fort Jones is a fantastic, safe community, and a perfect place to raise a family.

Sacramento: 5 ops | $550,000 | Established, modern general practice in affluent area of Sacramento. 1,581 sq/ft office located in a desirable community with excellent exposure and foot traffic. Features 4 ops (room for 5th), admin office, Adec chairs and units, Dexis digital x-ray, Adec intraoral camera, Digital Panorex, and 3D CBCT Planmeca.

Roseville: Coming Soon! Stunning, spa-like office in an upscale community!

San Jose: $600,000 | Coming Soon! Shopping Center Location directly off the 101!

Santa Clara: Coming Soon! Located at a busy intersection in a beautiful residential neighborhood.

DRE #01911548

8 | The Nugget • Sacramento District Dental Society

Broker-Owners: Darren Hulstine & Bill Kimball, DDS

YOU SHOULD KNOW PROPOSITION 65 NOTICE REQUIREMENT TAKES EFFECT IN AUGUST

FDA ADDRESSES INFECTION CONTROL IN DENTAL UNIT WATERLINES

No later than August 30, 2018, dental practices that employ 10 or more employees must post at the entrance of the office the new Proposition 65 warning notice, unless the practice chooses instead to provide a warning with an informed consent form. The form must be signed by the patient prior to exposure to the chemicals regulated by Proposition 65.

A webpage published recently by the Food and Drug Administration provides guidance on infection control in dental unit waterlines. Dental unit waterlines are regulated by the FDA, and although they typically cannot be sterilized, “they should be routinely cleaned and disinfected” to prevent risk of infection to patients, “particularly during surgical procedures by direct exposure of waterborne pathogens and to dental professionals due to inhalation of aerosols,” the FDA says.

Reprinted with permission from California Dental Association

The new single notice replaces the three separate notices for Bisphenol A (BPA), dental amalgam and other restorative materials, and nitrous oxide that dental offices and facilities were previously required to post to comply with Proposition 65, known as the Safe Drinking Water and Toxic Enforcement Act. A regulation adopted by the California Environmental Protection Agency’s Office of Environmental Health Hazard Assessment in fall 2016 revised the notice requirement for dental practices, as CDA first reported in November 2016 on cda.org and in the Update.

Dental schools and laboratories must also comply with the new posting requirement by the August deadline. And although Proposition 65 stipulates that only businesses with 10 or more employees are required to provide “clear and reasonable warning” if a product or business location may expose employees or consumers to a chemical known to cause cancer or reproductive toxicity, CDA Regulatory Compliance Analyst Teresa Pichay “strongly encourages” dental offices with fewer than 10 employees to post the new sign or use the warning notice. “The definition of ‘employee’ is broad, and dentists should err on the side of caution,” she advises.

CDA in 2003 began providing its members with a specific court-approved notice for dental amalgam and other restorative materials, and then began providing a notice for nitrous oxide, which was added to the OEHHA’s list of cancer-causing chemicals a few years later. CDA created a third notice for Bisphenol A (BPA), when that chemical was added to the list in April 2015.

In May 2017, CDA Practice Support updated and published its collection of Proposition 65 resources to include the new required single Proposition 65 notice, which is available in 16 languages. Many dental practices are already complying with the new posting requirement, as the regulation allowed them to do so as early as fall 2016 to allow for a reasonable transition period.

Additional Proposition 65 resources from CDA include FAQs for dentists and patients.

Dental offices that are not yet in compliance can access the new Proposition 65 notice and other resources under the “Regulatory Compliance” tab at cda.org/resourcelibrary.

SECT 199A: THE NEW 20% PASS-THROUGH DEDUCTION Submitted by Dave Sholer, CPA; Integrated Accounted Solutions

Section 199A is a new, 20% deduction provided on the net income from pass-through businesses including S-Corps, sole proprietorships, partnerships, and limited rental activities. However, because dental practices are considered a “specified services trade or business” (SSTB), the 20% deduction may be diminished once the taxable income of married taxpayers exceeds $315,000.

Once taxable income exceeds $315,000 for married taxpayers, the deduction is reduced based on a calculation involving wages and depreciable property. And when taxable income exceeds $415,000 filing jointly, no deduction is allowed for a dental practice’s SSTB income.

Visit www.fda.gov/MedicalDevices/ ProductsandMedicalProcedures/ DentalProducts for recommendations

LATEST TOOTH WHITENING FAD MAY HARM ENAMEL Reprinted with permission from ADA

The Wall Street Journal (8/12, Chaker, Subscription Publication) states that social media is full of videos endorsing charcoal products as a unique and effective way to whiten teeth.

ADA spokesperson Dr. Matthew Messina said these products, however, can wear away enamel and expose the yellow dentin layer below. In addition, the article notes a review published in The Journal of the American Dental Association found insufficient evidence to support claims that charcoal products are safe or effective for teeth.

Separately, TODAY (8/9, Freydkin) said when selecting a toothpaste, “a general guideline for consumers is to look for the American Dental Association’s ADA Seal of Acceptance, which began in 1931 and evaluates whether products are actually effective and safe.”

Ignore the finer details for a moment and focus on the following for joint filers. If taxable income for a married taxpayer is under $315,000, you get the 20% deduction on your business’ net income. If it’s over $315,000, your deduction may be limited. And if it’s over $415,000, your deduction may be zero.

Dental professionals can find additional information on whitening on an ADA Science Institute-developed Oral Health Topics page. The ADA also offers a brochure, Tooth Whitening for a Better Smile. Dental professionals can direct their patients to MouthHealthy.org, ADA’s consumer website, for evidence-based information about tooth whitening, including information on natural whitening methods.

The main issue is that your dental practice is considered a SSTB. A married taxpayer can have taxable income over $415,000, but at that point, the 199A deduction is only allowed on income from non-SSTB activity.

The ADA provides a complete list of toothpastes with the ADA Seal of Acceptance, including some with stain removal attributes.

NEW AND IMPROVED CDA JOB BANK: WWW.CDA.ORG/MEMBER-RESOURCES/CLASSIFIEDS www.sdds.org • October 2018

|9

END OF YEAR TAX PREP

Tax Planning 2018 Year End

By Craig Fechter, CPA

As year-end approaches, it is always important to take stock of your SDDS Vendor Member personal and business tax situation to be sure you’re taking advantage of the many opportunities out there to save on the taxes that you are Mr. Fechter is President of Fechter & Company, CPAs paying. This advice is particularly relevant given the overall changes located in Sacramento, CA. that have occurred as a result of the Tax Reform Act of 2017 and He has developed a number specifically, the 20% deduction on flow-through income. The below of firm specialties including audit/review/compila- are some ideas for every dental professional to consider as this year tion services; tax compliance comes to a close: Fechter & Company, CPAs

and consulting and other general accounting and taxation consulting. Mr. Fechter graduated from California State University - Sacramento with a degree in accounting.

He received his certification from the California Board of Accountancy in January of 2005 and has been an adjunct faculty of accounting at American River College and is presently teaching a business tax course for UC Davis Extension.

Delaying your billings – It is almost NEVER advisable to delay your billings for obvious reasons, but if for whatever reason you project lower income in 2019 or would simply like to avoid paying taxes on income that would have been received in 2018 until 2019, you could consider delaying your billings such that collections would not occur until January. Keep in mind that if you receive payment or otherwise are deemed to receive payment (such as a client offering to pay), such income must be included in 2018. The above is assuming that you are a cash-basis taxpayer. If accrual, income is accrued when earned irrespective of when the bill is sent out. Again, this takes particular importance given the income limitations that exist under the new flowthrough deduction.

Accelerating your expenses – You could consider accelerating payment of vendor invoices that would normally be paid in January.

An example of such invoices would be insurance, lab fees, dental supplies, utility bills, etc. Note that even if you are on the cash method of accounting, if such invoices are paid with a credit card they would still be deductible in 2018. Note that expenses may not be paid more than a year in advance in order to be deductible – again this is of particular importance

10 | The Nugget • Sacramento District Dental Society

if you are trying to lower your income to meet the income thresholds under the new 20% flow-through deduction.

If you are in the market for a large sports utility vehicle (one that weighs more than 6,000 pounds), you may consider purchasing it and placing it into service prior to the end of the year.

You will be able to depreciate it under Internal Revenue Code section 179 as long as the primary usage of the vehicle is for business. The maximum 179 deduction for a vehicle is $25,000 in the first year.

It is important to note that if business usage ever drops below 50% for the life of the vehicle, you will have to recapture the section 179 expense as income. Also note that in the event of an IRS audit, you must be able to show that business usage on the vehicle was was above a certain % and the best way to substantiate is through a mileage log. I should note that doctors with only one office may have a hard time proving greater than 50% business use to the IRS given that commute mileage to and from work is not deductible and doctors otherwise drive very few business miles.

Retirement plan contributions – one of the largest discretionary deductions available to any dental professional is that of a retirement plan contribution. There are a menu of

Job Bank

The SDDS Job Bank is a service offered only to SDDS Members. It is published on the SDDS website and provides a forum for job seekers to reach other Society members who are looking for dentists to round out their practice, and vice versa. If you are a job seeker, associate seeker, selling or buying a practice, contact SDDS at (916) 4461227. For contact information of any of the job bankers please visit www.sdds.org.

ASSOCIATE POSITIONS AVAILABLE retirement plan choices available; from a 401(k) plan, to a simple IR A plan, to a more complicated defined benefit plan (which could be advisable if you are over the age of 50, have few employees and have large amounts of taxable income). You typically must have plans administered by a third-party and contributions may be accrued even if not paid as of the end of the year even if you are a cash basis taxpayer. It is important to note that your defined contribution plan must already be in place in order to make contributions for the 2018 year but contributions to a regular IRA account can be made up through 4/15/2019 for the 2018 tax year. In addition, if you are a sole proprietor, you can make contributions to a self-employed retirement plan up through 10/15/2019 for the 2018 year.

Reasonable compensation for S corporations – if you operate your practice as an S corporation, make sure that the W-2 wage you pay yourself is reasonable given the services you provide to the Corporation. This is presently a huge IRS and state audit issue. If you do not pay yourself sufficiently, the IRS and EDD would be able to assess interest and significant penalties on underpayments of both payroll taxes and imputed withholdings (withholdings you would have had to remit to the state on your own salary). This is also a heightened issue due to tax reform.

There are minimum amounts of W-2 wages that must be paid out in order to take advantage of this deduction.

We realize that tax planning can be a complicated and stressful process, but with proper consideration of your business’ financial needs, you can appropriately assess whether or not any of the above considerations could lower your tax liability for this year and the years to come. Tax planning this particular year is of heightened importance given this is the first full year of the tax act. While most taxpayers will pay less, careful planning could result in an even lower balance due. 

Han Do, DDS • Sacramento • FT • Ortho Dan Gustavson, DDS • Roseville • PT • GP Hossein Kazemi, DDS • Roseville • PT • GP Amy Woo, DDS • Sacramento • PT • GP Purvak Parikh, DDS • Roseville • PT • GP Weideman Pediatric • Citrus Heights • FT/PT • GP/Pedo Uriel Carranza, DDS • Sacramento • FT/PT • GP Hamid Shirazi, DDS • Davis • P/T (w/option for buy-in) • Perio R. Bruce Thomas, DDS • Davis • FT/PT • GP David Markham, DDS • PT • Ortho Charles Tran, DDS • Sacramento • FT/PT • GP Virender Grewal, DDS • Elk Grove • FT (w/option for buy-in) • GP Matt Comfort, DDS • Roseville • FT/PT • GP Clifton Nakatani, DDS, MSD • Sacramento • FT/PT • Perio Christopher Schiappa, DDS • Volcano • PT • GP Diane Liberty, DDS • Sacramento • PT (1-2 days) • GP Binh Dao, DDS • Roseville • PT • Endo/Oral Surgeon Ike Rahimi, DMD • Placerville • PT • GP Anthony Dang, DDS • Rancho Cordova • PT • GP Lynn Judd, DDS • Folsom • FT (w/option for buy-out) • GP Wesley Yee, DDS • Sacramento • PT • GP Camelia Cifor, DDS • Sacramento • FT/PT • GP Patrick Penney, DDS • Sacramento • PT • ENDO Quynh-Trang Pham, DDS • Sacramento • PT • GP Hoang Truong, DDS • Sacramento • PT • GP Eloisa Espiritu, DDS • Lincoln • FT/PT • GP Lisa Laptalo, DMD • Sacramento • FT/PT • GP/Pedo David Park, DDS • FT/PT • GP Gilbert Limhengco, DDS • Natomas/Citrus Heights • PT • Endo Hung Le, DDS • S. Sacramento • PT • GP Timothy Herman, DDS • Roseville/Lincoln • FT/PT • GP Kids Care Dental & Ortho • Calvine/Elk Grove • FT • GP, Ortho Elizabeth Johnson, DDS • various Wellspace locations • FT/PT/Fill-In • GP

DOCS SEEKING EMPLOYMENT Bruce Taber, DDS • Fill-In • GP Steve Saffold, DDS • (Emergency fill in only) • Sacramento • GP Steve Murphy, DMD • PT/FT • Endo

ASSOCIATES SEEKING EMPLOYMENT None! Are you looking? Call us.

www.sdds.org • October 2018

| 11

END OF YEAR TAX PREP

Tax Strategies for the New

2018 Tax Law Changes

By John Urrutia, CPA Partner MUN CPAs

SDDS Vendor Member

Mr. Urrutia is a partner and handles the Dental division of the practice. MUN CPA’s is an established and respected full-service accounting firm. The firm is setup to cater to the business client and expects the business owner to look to them not as just a tax preparer but more as a strategic partner.

The firm combines the services of a large scale firm with the personalized attention of a smaller business.

Now that summer has come to an end, it is important that you spend the next few months working with your CPA to discuss yearend tax strategies, review required estimated tax payments and, if you are an S Corporation, that your salary is reasonable.

With the new tax law that was passed last year, there are many deductions that are still available to you: Section 179 Deduction limits for 2018 have been increased to 1 million dollars.

Qualified Improvement Property placed in service starting in 2018 now qualifies for the Section 179 Deduction and includes the following improvements to the doctor’s office building and commercial real estate - roofs, heating, ventilation and air conditioning, fire protection and alarm systems & security system.

Bonus depreciation for new and most used property acquired has been increased from 50% to 100% through the end of 2022, 80% in 2023, 60% in 2024, 40% in 2025, 20% in 2026 and zero thereafter.

Before 2018 when acquiring a passenger vehicle, it made more sense to lease than purchase. That has changed as now. In the first three years you can deduct $10,000– $16,000–$9,600 and $5,760 every year after.

Pay your spouse for work they are doing for the practice. This will also allow you to fund retirement for them.

12 | The Nugget • Sacramento District Dental Society

Review your current type of retirement plan with your financial advisor to make sure the one you have is maximizing your tax benefits.

Beginning this year, the new law allows a tax credit of up to 25% of wages paid to qualifying employees when they are out on family and medical leave for up to a maximum of 12 weeks. That is provided the salary paid to the employee is at least 50% of the wages normally paid. In order to qualify, you must have a written policy allowing all qualifying full-time employees at least two weeks of annual paid family and medical leave and part-timers must be eligible for leave on a pro rata basis.

There is a potential additional deduction for those whose taxable income is under $415,000. You should speak with your CPA to see if there are any options available to lower the total taxable income below this threshold to take advantage of the new deduction.

Make sure your CPA has gone over the effect of the new limits on state individual income, sales and property taxes paid. As well as new limits on the deductibility of newly acquired home mortgage interest and the new limits for home equity debt.

So please make time to visit with your CPA before the end of the year to discuss the above items and to ensure there are no surprises come tax time! 

dental Practice Brokerage TEAM SACRAMENTO

PRACTICE SALES • VALUATIONS/APPRAISALS • TRANSITION PLANNING • PARTNERSHIPS • MERGERS • ASSOCIATESHIPS

Jay Harter

LIC #01008086 12 Years in Business (916) 812-0500

Jay.Harter@henryschein.com This is a sample of our listings.

GREATER PLACERVILLE: Price Reduced! Selling for less than 50% of 2017 collections of $699K. 25 min. from El Dorado Hills. Owner wants to retire, priced for quick sale.1500+ sq ft, 4 Ops. Dentrix, 2 Schick sensors, new server & CPUs. #CA407 GREATER ROSEVILLE: 3 equipped Ops in 4 Op, 1320 sq ft office. Dentrix, Dexis digital sensors (2), new computers, $70K in equip. & tech purchased in 2016. 3 days hyg/wk. 2017 GR $481K+ on 20 Dr. hrs/wk. #CA490 GREATER ROSEVILLE/ROCKLIN: 5 Op, PPO practice. 1495 sq. ft. Softdent, Suni digital sensor, laser, & I/O camera. 2017 GR $527K+ on 3 day/wk. #CA513 GREATER SACRAMENTO: 4 Ops, Pano, digi X-rays, Cerec. 2017 Collections $1.0M+. Stand-alone building selling with practice. #CA479 GREATER SACRAMENTO PERIO PRACTICE: Well-established, 4 days/wk, digital X-rays, laser, I/O camera. Seller relocating, but willing to work with buyer for smooth transition. #CA480 GREATER SACRAMENTO: 4 Ops, approx. 1500 sq. ft. in professional building on major thoroughfare, equipped w/ digital X-rays, digital Pan, I/O camera, laser, and CAD/CAM. Relocating. #CA516 SACRAMENTO: 1150 sq. ft. w/ 4 Ops, I/O, Dexis digital X-ray, Carestream software. Established over 30 years, 2017 GR $558K. #CA424 SACRAMENTO: New Listing! 3 Op. PPO practice, in approx. 1,050 Sq Ft in busy office/mixed use commercial building. Same location for 30 years, plus can expand into adjoining space if desired. Eaglesoft, digital sensors, I/O camera. 2017 GR of $668K on 4½ day week. #CA519 SACRAMENTO: 1000 sq. ft. w/ 2 equipped Ops, 2 add'l plumbed. DentalMate software. 2015 GR $110K. #CA332 SACRAMENTO: Efficiently run practice, 4 fully equipped Ops, Practice Web software, I/O Camera, digital X-ray. 2017 GR $1M. Low overhead. #CA510

NORTHERN CALIFORNIA OFFICE

www.henryscheinPPT.com

Dr. Thomas Wagner LIC #01418359 40 Years in Business (916) 812-3255

DrThomas.Wagner@henryschein.com For more information, visit: www.henryscheinPPT.com

1.800.519.3458

Henry Schein Corporate Broker #01233804 6/7/18 9:30AM

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 Construction Management  Site Development  Space Planning  Interior Design

 Budgetary Consulting & Analysis

gpdevelopmentcorp.com | 916.332.2300 10604 Industrial Avenue, Suite 150, Roseville, CA 95678

www.sdds.org • October 2018

| 13

END OF YEAR TAX PREP

Tax Reform:

An Overview for Dentists

By Dave Sholer, CPA

Integrated Accounting Solutions

Mr. Sholer works exclusively with local dentists. He provides a unique full-service approach to real-time bookkeeping, payroll, financial reporting, proactive year-round tax planning, business filings, and unlimited support.

Learn more at OnlyDentalCPA.com.

The Tax Cuts and Jobs Act of 2017 was signed into law on December 22, 2017.

Most of the tax reform became effective on January 1, 2018 and will remain for 7 years before reverting to the old law. Due to space constraints, the following discussion is an incomplete summary of the changes that affect dentists, and you’re advised to discuss with your CPA. Decreased Tax Rates Individual tax rates have been reduced by roughly 1-3%, and the tax brackets have been expanded. The highest tax rate is lower and it takes more income to get to that point. The result is that everyone will take advantage of these lower tax rates.

C-Corp owners will enjoy the new 21% flat rate corporate tax, reduced from the previous 35% and now permanent. Most dental practices will continue to benefit from the S-Corp structure, and all owners should seek professional advice before considering a change to their legal entity.

Changes to Standard & Itemized Deductions While the standard deduction has been roughly doubled, the personal exemptions ($4,050 per family member in 2017) have been eliminated. For taxpayer’s previously subject to the Alternative Minimum Tax (AMT), the loss of the personal exemption will not be much of a detriment.

State and local taxes (SALT) were previously fully-allowed as an itemized deduction but will now be capped at $10,000. This includes your property taxes, states taxes, and DMV fees all combined. For taxpayer’s previously subject to the AMT, this may not be quite as bad as it seems, since your deduction was previously limited due to AMT.

14 | The Nugget • Sacramento District Dental Society

The mortgage interest deduction on new home purchases is limited to the first $750,000, and “miscellaneous itemized deductions” (e.g. union fees, tax preparation fees) have been eliminated. However, the income-based itemized deduction limitation has also been eliminated, so higher-income filers could potentially deduct a much greater amount of charitable contributions, for example, without the limitation that existed previously.

Child & Dependent Credits The Child Tax Credit used to be $1,000 per child, and began phasing-out at income of only $110,000 for joint taxpayers. The new credit is $2,000 per child and the phaseout doesn’t begin until income is above $400,000 for joint taxpayers. Additionally, there’s a new $500 “family credit” for dependents age 17 and older.

Alternative Minimum Tax (AMT) Changes The AMT was introduced in 1982 as a means to ensure a minimum level of taxation for taxpayers falling within a range of higher income. A taxpayer arrives at their ordinary income tax after reducing their taxable income by all allowable deductions.

However, a secondary calculation is required in which many allowable deductions (e.g. property taxes) are added back to taxable income to determine the “tentative minimum tax”. If the regular tax is less than the tentative minimum tax, a difference is shown as AMT on the tax return. The intent was to ensure that taxpayers with lots of deductions pay something. Unfortunately, the AMT wasn’t indexed for inflation, so the percentage of taxpayers subject to the additional tax increased well beyond the original intention.

The recent tax reform significantly increases the exemption amounts included in the AMT calculation, and ensures they’ll be indexed for inflation going forward. The overall result is that fewer taxpayers will find themselves subject to AMT, and those still subject to AMT will likely pay less beginning in 2018.

Business Reform Previous to the reform, 50% of both business meals (e.g. taking a business contact to dinner) and business entertainment (e.g. taking a supplier to a sporting event) were deductible by the business. Beginning in 2018, business meals continue to be 50% deductible, but the deduction for entertainment is no longer allowed.

Depreciation & Section 179 Under the previous tax law, a business could deduct an extra 50% of certain depreciable property in the first year as “bonus depreciation”. For the next 7 years, 100% of eligible property can be expensed in the first year. Additionally, used equipment can now qualify for the 100% “bonus depreciation”.

Previously, Section 179 allowed the first-year expensing of up to $500,000 of equipment and other assets. While the newly-increased “bonus depreciation” essentially matches this benefit, Section 179 has been increased to $1 million per year.

CEREC & New 20% Deduction Previously, revenue from CEREC machines was used to factor the Domestic Production Activities Deduction (DPAD) under Section 199. The tax reform repealed Section 199 and therefore eliminated the 9% deduction from DPAD effective 2018.

Section 199A is a new, 20% deduction provided on the net income from passthrough businesses including S-Corps, sole proprietorships, partnerships. The

deduction can start to be reduced for joint filers with taxable income above $315,000, and another article in this issue discusses this in greater detail.

IRS Proposed Regulations Since the tax reform was enacted in December 2017, many have speculated as to how the IRS will interpret the new tax code.

Practice owners have likely heard potential strategies to circumvent the 199A phase-out limits, with the goal being the development of income from non-SSTB sources.

On August 8, 2018, conveniently just before the deadline for this article, the IRS finally released proposed regulations providing the first glimpse of guidance on Section 199A. These proposed guidelines take the wind from the sail of most of the proposed strategies.

Segregate Management & Lab Functions?

Before guidelines were released, some had suggested practice owners divide their practice into distinct functions, for example, segregating the administrative and in-house lab functions into separate corporations. The idea of the strategy was to create non-SSTB income eligible for the 199A deduction. The IRS’ proposed regulations discuss the idea and state, “Such a strategy is inconsistent with the purpose of Section 199A”, and the IRS has proposed a substance test. If a separate entity (e.g. practice management corporation) shares at least 50% common ownership and provides more than 80% of its product or services to a SSTB (e.g. your dental practice), the separate entity is also considered a SSTB. Increase Rent on Self-Rentals?

Similarly, since the tax code as written allows the 199A deduction for rental activity, some suggested those who own their office building increase rent to push

income into the non-SSTB. While the recent IRS guidance excludes most rentals that aren’t a “trade or business”, they made an exception for businesses directly rented to a commonly-owned trade or business.

However, they clarified that if a SSTB rents from a commonly-owned rental, the rental is also considered a SSTB. In fact, the proposed IRS regulations specifically use a dental practice as their example!

The net result is that taxpayers are mostly handcuffed by the income phase-out limitations previously discussed.

Other Means of Reducing SSTB Income For taxpayer’s facing a 199A phase-out due to taxable income being too high, there are a couple of other strategies that can help those near the phase-out border. Owners with minor children would be wise to consider employing their kids to reduce the SSTB’s income. Certain married taxpayers may also consider filing separately to assist the 199A calculation. All taxpayers will have until the due date of their tax return to determine whether to profit share into the practice’s 401(k), and fully-funding the plan may significantly benefit an owner’s 199A deduction if they’re on the border of the phase-out.

Closing Notes The Section 199A deduction can allow for significant tax savings, although it may require proactive strategizing to ensure businesses are adequately managed each year. There are two important limitations to communicate: (1) the proposed 199A regulations were only recently released and are not yet finalized; and (2) all taxpayer situations are unique and it’s important to discuss your specific situation with your CPA.  www.sdds.org • October 2018

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END OF YEAR TAX PREP

Best Advice Call Your CPA!

By Timothy G Giroux, DDS, Broker

Western Practice Sales SDDS Vendor Member

Edited By John Urrutia, CPA Partner MUN CPAs

SDDS Vendor Member

Hailing from the greater Chicago area, Dr. Giroux established his own dental practice in Scottsdale, Arizona, upon graduation from Creighton University, School of Dentistry in 1983. Relocating to Northern California with his wife, Mona Chang, DDS (LLUSD ’84) upon selling his highly successful practice after 15 years, Dr. Giroux brings a unique perspective and personal experience in dental associateships, practice start-up, sales, and work-back situations to serve and assist you during your exciting transition! Dr Giroux writes the widelyread monthly “Ask the Broker” feature, is a regular contributor to Dental Economics, has been a Featured Speaker for CDA, as well as providing numerous dental transition presentations.

After reviewing several articles concerning the new tax law, I can safely say that all dentists should contact their accountant ASAP to properly plan for this tax year.

Congress seems to have determined the boundaries of income for middle class, upper middle class and wealthy individuals.

The 24% tax bracket ends at $157,500 for single tax payers and $315,000 for married tax payers as the next tax bracket jumps to 32%. Congress also added Section 199A which allows a 20% deduction of qualified business income or practice profits for “pass through entities” such as sole proprietors or S corporations, (currently the vast majority of dentists.) These deductions are phased out for higher earners and work slightly different for each entity.

Once the earners reach $207,500 as a single or $415,000 as married, the deductions are either limited or phased out entirely.

…there are tax strategies to maximize the allowable write-offs.

If that is not confusing enough already, for those earners in that “middle earning” area, there are many rules pertaining to the total of your companies w-2’s given to employees in that year as it applies to the minimum - or maximum deduction you can take. This might change the way you pay yourself, and your associate dentists if you are paying them as independent contractors. California is relatively strict on Independent Contractor rules and if you and your contractor agree on this status, you probably need to insist that

16 | The Nugget • Sacramento District Dental Society

they also become S corps and have a written agreement between you (whatever entity you are) and their S Corp. Those of you who are not owners can then also take advantage of these same benefits if your S corp is employed by a practice. However, you also need to speak with your accountant as you might need more than one office to work at to qualify for this.

The conclusion was unanimous at the end of each of these articles that it is too soon to tell what entity will provide the most protection, and that generally the IRS will clarify some of the rules to even out the playing field as the same practice should pay similar taxes no matter what entity it operates under.

Having said that, there are tax strategies to maximize the allowable write-offs. Most of these strategies have all been used in the past to reduce one’s taxable income, but they might take on an additional benefit by helping the doctor not only get into a lower bracket, but take advantage of the additional 199A deductions. Below are some of the ideas you can speak to your accountant.

There are new depreciation deductions that you should be aware of for your practice.

In the past it made more sense to lease a passenger vehicle but not anymore as the new depreciation deduction has been increased to the following: - $10,000 for the year the vehicle is placed in service - $16,000 for the second year - $9,600 for the third year - $5,760 for each year thereafter until full

Also, Bonus Depreciation for new and most used property has been changed to the following: - 50% to 100% through the end of 2022

The maximum amount of business assets that qualify for the Section 179 deduction has been increased to $1,000,000 beginning in 2018.

Also new for 2018 the following improvements to the doctor’s office building and other commercial real estate now qualify for Section 179 expensing:

- 80% in 2023 - 60% in 2024 - 40% in 2025

- Roofs

- 20% in 2026, and none thereafter

- Heating & ventilation - Air conditioning

…it is never too early to begin these discussions…

In addition, Bonus Depreciation for luxury automobiles remains at $8,000 for vehicles purchased after 9/01/17 and before 1/01/23 and works for both new and most used cars.

- Fire protection & security systems The $25,000 Section 179 deduction for SUVs lives on and can still be taken. This includes both new and used purchases.

The new law also allows Section 179 expensing for qualified improvement property, including leasehold improvements, made after 12/31/17.

If you are way past the maximum allowed income, a defined benefit plan or cash

WESTERN PRACTICE SALES John M. Cahill Associates

balance plan can significantly reduce one’s taxable income. Each of your children can be employed by the practice and earn up to $12,000 a year, a significant increase from 2017. Some large practices set up corporations with family members that own the dental equipment and lease it back to the practice. Others set up a dental management corporation that manages staff and other practice management issues. Doctors that own their building can also set up a separate corporation to lease the property to the practice. Each of these entities can also then separately take advantage of the abovementioned section 199 code. However, all of these strategies need to be properly monitored with your attorney and accountant to make sure they pass IRS muster.

As you can see, it is never too early to begin these discussions of cost savings vs additional accounting and legal costs to implement any of these strategies. It is not too late to change your own employment status or level of income if you do that now! 

What separates us from other brokerage firms?

Our extensive buyer database allows us to offer you

800.641.4179

A Better Candidate A Better Fit A Better Price Tim Giroux, DDS

Assistance Designed to Enhance Practice and Team Performance

Jon Noble, MBA

Contact us today for your onsite “customized” Practice Enhancement Workshop

• Consulting & Management • One Time, Month-to-Month or On-Going Projects

916.784.6982 • gayles@dmsolutionsinc.com www.sdds.org • October 2018

| 17

END OF YEAR TAX PREP

Retirement Plans for Small Businesses

from SIMPLE to Sophisticated

By Thomas Chandler, CFP ®

Ameriprise Financial

Mr. Chandler is a Financial Advisor and Managing Director of The Chandler Group a financial advisory practice of Ameriprise Financial Services, Inc. in Roseville, CA. He specializes in feebased financial planning and asset management strategies and has been in practice for 25 years.

To contact him, Thomas.

Chandler@ampf.com.

If you’re self-employed or own a small business and you haven’t established a retirement savings plan, what are you waiting for?

Tax Advantages A retirement plan can have significant tax advantages: • Your contributions are deductible when made • Your contributions aren’t taxed to an employee until distributed from the plan • Money in the retirement program grows tax deferred (or, in the case of Roth accounts, potentially tax free) Types of Plans Retirement plans are usually either IRAbased (like SIMPLE and SEP IRAs ) or “qualified” (like 401(k)s, profit-sharing plans, and defined benefit plans). Qualified plans are generally more sophisticated and expensive to maintain than IRA-based plans because they have to comply with specific Internal Revenue Code and ERISA (the Employee Retirement Income Security Act of 1974) requirements in order to qualify for their tax benefits. Also, qualified plan assets must be held either in trust or by an insurance company. With IRA-based plans, your employees own (i.e., “vest” in) your contributions immediately. With qualified plans, you can generally require that your employees work a certain numbers of years before they vest.

Which Plan is Right for You? With a dizzying array of retirement plans to choose from, each with unique advantages and disadvantages, you’ll need to clearly define your goals before attempting to choose a plan. For example, do you want: • To maximize the amount you can save for your own retirement?

18 | The Nugget • Sacramento District Dental Society

• A plan funded by employer contributions? By employee contributions? Both?

• A plan that allows you and your employees to make pre-tax and/or Roth contributions?

• The flexibility to skip employer contributions in some years?

• A plan with lowest costs? Easiest administration?

The answers to these questions can help guide you and your retirement professional to the plan (or combination of plans) most appropriate for you.

SEPs A SEP allows you to set up an IRA (a “SEPIRA”) for yourself and each of your eligible employees. The plan must cover any employee aged 21 or older who has worked for you for three of the last five years and who earns $600 or more. For 2018, your contributions for each employee are limited to the lesser of 25% of pay or $55,000. Most employers, including those who are self-employed, can establish a SEP. The SIMPLE IRA Employees can elect to make pre-tax contributions in 2018 of up to $12,500 ($15,500 if age 50 or older). You must either match your employees’ contributions dollar for dollar — up to 3% of each employee’s compensation — or make a fixed contribution of 2% of compensation for each eligible employee. (The 3% match can be reduced to 1% in any two of five years.)

Each employee who earned $5,000 or more in any two prior years, and who is expected to earn at least $5,000 in the current year, must be allowed to participate in the plan.

Profit-sharing Plan Typically, only you, not your employees, contribute to a qualified profit-sharing plan. Your contributions are discretionary — there’s usually no set amount you need to contribute each year, and you have the flexibility to contribute nothing at all in a given year if you so choose (although your contributions must be nondiscriminatory, and “substantial and recurring,” for your plan to remain qualified. A separate account is established for each participant that holds your contributions and any investment gains or losses. Contributions for any employee in 2018 can’t exceed the lesser of $55,000 or 100% of the employee’s compensation.

You can also make employer contributions to your 401(k) plan — either matching contributions or discretionary profit-sharing contributions. Combined employer and employee contributions for any employee in 2018 can’t exceed the lesser of $55,000 (plus catch-up contributions of up to $6,000 if your employee is age 50 or older) or 100% of the employee’s compensation.

The above sections are not exhaustive, but represent the most popular plans in use today. Current tax laws give retirement plan professionals new and creative ways to write plan formulas and combine different types of plans, in order to maximize contributions and benefits for higher paid employees and business owners.

Defined Benefit Plan

Thomas Chandler, CFP®, CIMA®, CPWA®, is a Financial Advisor and Managing Director of the Chandler Group with Ameriprise Financial Services, Inc. in Roseville, Ca. He specializes in fee-based financial planning and asset management strategies and has been in practice for 25 years. To contact him, 916-380-3194. 1420 Rocky Ridge Dr. Suite 200, Roseville, CA 95661

401(k) Plan

A defined benefit program sets out a formula that defines how much each participant will receive annually after retirement if he or she works until retirement age. This is generally stated as a percentage of pay, and can be as much as 100% of final average pay at retirement.

The 401(k) plan has become a hugely popular retirement savings vehicle for small businesses. With a 401(k) plan, employees can make pre-tax and/or Roth contributions in 2018 of up to $18,500 of pay ($24,500 if age 50 or older). These deferrals go into a separate account for each employee and aren’t taxed until distributed.

In general, defined benefit plans can provide the largest benefit of any retirement plan, and therefore allow the largest deductible employer contribution, defined benefit plans can be attractive to businesses that have a small group of highly compensated owners who are seeking to contribute as much money as possible on a tax-deferred basis.

Finding a plan that’s right for you.



www.ameripriseadvisors.com/thomas.chandler CA Insurance #0821683 Ameriprise Financial, Inc. and its affiliates do not offer tax or legal advice. Consumers should consult with their tax advisor or attorney regarding their specific situation.

Investment advisory products and services are made available through Ameriprise Financial Services, Inc., a registered investment adviser.

Ameriprise Financial Services, Inc. Member FINRA and SIPC. © 2018 Ameriprise Financial, Inc. All rights reserved.

You’ve worked hard to achieve success.

You deserve a financial advisor who works as hard for you.

Call me today and discover the personal service you deserve.

You’ve worked hard to achieve success. And wealth often results in complex financial situations that call for highly personalized strategies. As Managing Director for The Chandler Group, I have the qualifications and experience to help you grow and preserve your wealth. Whether it’s investment management, tax or legacy planning strategies, you can count on my knowledge and commitment in helping you manage your sophisticated financial needs.

THOMAS CHANDLER, CFP®, CIMA® Financial Advisor Managing Director The Chandler Group A financial advisory practice of Ameriprise Financial Services, Inc. 1420 Rocky Ridge Drive, Ste 200 Roseville, CA 95661 916.789.9393 Ext. 03197 thomas.chandler@ampf.com ameripriseadvisors.com/thomas.chandler CA Insurance #0821683

Ameriprise Financial cannot guarantee future financial results.

Ameriprise Financial Services, Inc., Member FINRA and SIPC. © 2015 Ameriprise Financial, Inc. All rights reserved.

www.sdds.org • October 2018

| 19

LEGISLATIVE UPDATE

CDA, CMA Fight Back Against Big Soda With Statewide Ballot Measure

Reprinted with permission from California Dental Association

A ballot measure to protect public health through a state soda tax was filed for the November 2020 ballot by CDA and the California Medical Association.

The July 2 filing came four days after the multibillion-dollar soda industry proposed a ballot measure that jeopardized the fiscal outlook of local governments, forcing the state to pre-empt local authority and pass an unprecedented 12-year moratorium on any local soda tax.

Dustin Corcoran, CMA chief executive officer, and Carrie Gordon, CDA chief strategy officer, said in a statement:

“The 2020 ballot initiative by CDA and CMA would implement a statewide tax of 2 cents per fluid ounce on sugar-sweetened drinks...”

Specifically, the soda industry’s proposal would have required all cities and counties in California to achieve a two-thirds vote instead of the current 50 percent vote threshold to raise taxes, “potentially starving them of revenue,” stated a July 5 U.S. News & World Report article. The industry withdrew the proposal after Gov. Jerry Brown signed the legislation (Assembly Bill 1838) enacting the tax moratorium.

The 2020 ballot initiative by CDA and CMA would implement a statewide tax of 2 cents per fluid ounce on sugar-sweetened drinks, providing at least $1.7 billion in revenue for critical health programs and constitutionally preserving the ability of California’s local communities to make their own decisions regarding future soda taxes.

20 | The Nugget • Sacramento District Dental Society

In the face of growing public support for local health taxes on sugar-sweetened beverages, the billion-dollar global soda industry last week put corporate profits ahead of public health and forced an ultimatum upon the leadership of California’s state government.

Big Soda may have won a cynical shortterm victory but, for the sake of our children’s health, we cannot and will not allow them to undermine California’s long-term commitment to health care and disease prevention.

There is overwhelming evidence of the link between obesity, diabetes, tooth decay and heart disease and the consumption of sugary-sweetened beverages such as soft drinks, energy drinks, sweet teas and sports drinks.

Around the world and in local communities, reasonable soda taxes have been proven effective in dramatically reducing consumption of sugary drinks and improving the public health, especially among children.

California’s health care provider community is united behind ensuring that California voters have the opportunity to protect our children’s well-being — not the profit margins of soda conglomerates.

Sugar-sweetened beverages are the single largest source of added sugar in the American diet and a primary cause of dental decay — the most common chronic childhood disease, experienced by more than twothirds of children in California. And soda is the most consumed beverage in the U.S. with more than 60 percent of teenagers drinking at least one sugar-sweetened beverage daily.

The frequent consumption combined with the high levels of sugar and acid make these beverages exceptionally damaging to teeth.

California jurisdictions that already impose sugar-sweetened beverage taxes — Albany, Berkeley, Oakland and San Francisco — are allowed to maintain the taxes and are not affected by the statewide bill signed by Gov. Brown. CDA supported the Albany, Oakland and San Francisco initiatives that passed at the polls in 2016, citing that they would not only discourage consumption but fund programs to combat dental disease, obesity, diabetes and other disease tied to excessive consumption of sugar-sweetened beverages.

“The frequent (soda) consumption combined with the high levels of sugar and acid make these beverages exceptionally damaging to teeth.”

Please join us for the 2018

Holiday Party December 14, 2018 • 6-11PM Del Paso Country Club

RSVP Today with inclosed insert or online! $120 per person until December 3rd

Donate to the Silent Auction. Help Support the Foundation.

This year we plan to offer our guests the most fabulous silent auction to date. In order to pull off such a feat we need your help! You may think you have nothing to contribute but you do.

• Your friend who owns that cool restaurant could donate a private chef dinner for 8.

• Your vacation house or timeshare could be donated for a week’s stay.

• Your neighbor who is a local artist could donate a piece of art.

• Your King’s tickets, a magnum of Pinot, that putter you bought and never used…

• Your go-to jeweler where you go to get special gifts could donate a bauble.

It’s easy, all you have to do is ask. The best silent auctions are those where you’re given the opportunity to bid on one-of-a-kind items and special experiences.

If you have questions, email sdds@sdds.org! Silent Auction donation deadline will be on December 3rd, so make sure to let us know before then!

Come and celebrate the holidays with your SDDS Family!

YOUR TAXES

IRS, Treasury Issue Guidance on PASS-THROUGH DEDUCTIONS Washington — In a conference call with the Association and other stakeholders, the Internal Revenue Service confirmed Aug. 8 that small businesses with income below $315,000 for joint filers and $157,500 for single filers will be eligible for a 20 percent tax deduction on pass-through income.

The call took place just prior to the IRS and U.S. Department of Treasury issuing proposed guidance on a provision of the Tax Cuts and Jobs Act that allows owners of sole proprietorships, partnerships, trusts and S corporations to deduct 20 percent of their qualified business income. Eligible taxpayers can claim the new deduction — also known as the Section 199A deduction or pass-through deduction for qualified business income — on their 2018 federal income tax returns, the IRS said in an August 8 news release. View it here: www.irs.gov/newsroom/irs-issuesproposed-regulations-on-new-20-percentdeduction-for-passthrough-businesses.

This confirms the previous ADA position that the dental profession will benefit from the tax reform law that Congress enacted at the end of 2017.

By Jennifer Garvin, Washington Editor American Dental Association

In addition to the small business guidance, the Treasury Department said:

11011-section-199a-deduction-for-qualifiedbusiness-income-faqs.

• The proposed rules provide “clarity and flexibility” for filers over the $315,000 and $157,500 income thresholds by “including aggregation rules for filers with pass-through income from multiple sources; issuing guidance relating to specified service, trade or business income above the thresholds, which may be subject to limitation for the purposes of claiming the deduction; and allowing a de minimis exception to avoid unnecessary compliance costs for businesses earning only a small percentage of to specified service, trade or business income.”

For information on calculating W-2 Wages in regards to Section 199A, view here: www. irs.gov/pub/irs-drop/n-18-64.pdf.

• Establish “anti-abuse safeguards to prevent improper tax avoidance schemes, such as relabeling employees as independent contractors.”

The IRS and Treasury Department will also be issuing worksheets and other tools to assist individuals and businesses with their tax preparation. The ADA will provide updates as soon as materials become available. The ADA cannot assist with individual tax advice and is encouraging dentists to consult with their accountants.  Please note: Your ADPAC at work for you!

Feel free to contact Dr. Gary Ackerman for information on how you can get involved.

Contributions are always welcome.

View the guidance here: www.irs.gov/ pub/irs-drop/reg-107892-18.pdf. The IRS has also issued a FAQ here: www.irs.gov/ newsroom/tax-cuts-and-jobs-act-provision-

39th Annual MidWinter Convention & Expo

Early Bird Pricing LOWEST PRICE AVAILABLE NOW!

$375 for Dentists $225 for Staff discount ends November 2, 2018

22 | The Nugget • Sacramento District Dental Society

JOIN OUR MEDICAID NETWORK

Join our network and experience:  Mixed Compensation Model o Monthly guaranteed payment with capitation o Supplemental payments o Quarterly and annual bonus opportunities  Ease of Administration  Dedicated Provider Relations team  One on One Staff Training  Provider Satisfaction  New Provider Tools

Foundation of the Sacramento District Dental Society

Smiles for Kids

Nurse Meetings Have Begun!

In late August, we had the first of our School Nurse Meetings! We had school nurses come in and get information and supplies for their upcoming school screenings in the fall.

We are hoping to have 20,000-25,000 children from the 5 county areas screened at the school screenings in the fall. Wish the nurses luck!

Say Hello to Esther!

Esther’s family was worried about her: she was losing weight and couldn’t eat. They called SDDF for help. Now, she is so grateful for her upper dentures. She’s a 98 year old Smiles for Big Kids patient that Dr. Bryan Judd was able to treat. Thank you Dr. Judd!

Are you a member of our Foundation?

We’re trying to make it to 500 this year!!! (460 of our SDDS members are members of the Foundation) Go to sdds@sdds.org and say “SIGN ME UP FOR THE SDDF!” Our Foundation does so much good!

24 | The Nugget • Sacramento District Dental Society

A Tribute to Mary Ann Harris We are saddened to hear that our friend and Foundation Board member Mary Ann Harris passed away peacefully on August 26th after battling cancer. She will always be remembered for her vibrancy and unceasingly optimistic outlook on life.

She loved our Dental Society and enjoyed all the events and activities with her late husband, Past President of SDDS (1970) and one of the Founders of our Foundation, Dr. Gordon Harris. After Dr. Harris passed away, Mary Ann served on the Foundation

Board of Directors until this year. Her love and passion for our Smiles for Kids program, and her constant support for the work of the Foundation, was unending. We will miss her smile, her jokes, her generosity, compassion, dedication and fun-loving laughter.

For all whose lives were impacted by Gordon and Mary Ann, including those of us who were fortunate to have been mentored by them, we all have been blessed by that experience. Mary Ann will be missed.

A couple like Gordon and Mary Ann don’t come along very often! We were very fortunate to have them both in our profession and community.

- Kevin Keating, DDS, MS

We are honored that the family requests donations in Mary Ann’s name to the Foundation’s Smiles for Kids program or St. John’s Lutheran Church. We are all blessed to have known them both.

- Matt Campbell, DDS

SACRAMENTO DISTRICT DENTAL FOUNDATION DOES…

broadway

THURSDAY, NOVEMBER 1, 2018 ON YOUR FEET

THURSDAY, APRIL 4, 2019 CATS

This jukebox musical is based on the lives and music of Grammy Award-winning husband-and-wife team Gloria and Emilio Estefan, from their humble beginnings in Cuba to their rise to international superstardom. It is performed primarily in English, with some songs and brief dialogue in Spanish.

Cats—the beloved Andrew Lloyd Webber musical with breathtaking music, including one of the most treasured songs in musical theater, “Memory.” Winner of seven Tony Awards® including Best Musical. Featuring new sound design, direction and choreography for a new generation!

THURSDAY, JANUARY 3, 2019 WAITRESS

WEDNESDAY, MAY 22, 2019 ALADDIN

Jenna struggles in an abusive relationship with her husband and with an unplanned pregnancy. Jenna sees a pie contest and its grand prize as her chance to get out, and along the way rediscovers who she is and her own strength.

THURSDAY, FEBRUARY 7, 2019 STOMP Stomp is explosive, provocative, utterly unique and appeals to audiences of all ages. The return of the percussive hit also brings some new surprises, with some sections of the show now restructured and the addition of two new full-scale routines, utilizing props like tractor tire inner tubes and paint cans.

Discover a whole new world at Disney’s Aladdin, the hit Broadway musical. From the producer of The Lion King comes the timeless story of Aladdin, a thrilling production filled with unforgettable beauty, magic, comedy and breathtaking spectacle.

Sign Up Today!

The 2018-2019 shows in our Dentists Do Broadway Series are available now!

Have a great night out of theater while supporting a good cause; proceeds benefit the Sacramento District Dental Foundation!

Use the included insert to get signed up today! www.sdds.org • October 2018

| 25

Announcing the Results of the

SDDS/SDDF ELECTIONS SOCIETY SDDS EXECUTIVE COMMITTEE

TRUSTEES (continuing)

President: Bryan Judd, DDS President Elect/Treasurer: Carl Hillendahl, DDS Secretary: Volki Felahy, DDS Immediate Past President: Margaret Delmore, MD, DDS

Terry Jones, DDS (2017-2019) Adrian Carrington, DDS (2018-2020)

BOARD OF DIRECTORS

Lisa Dobak, DDS Kelly Giannetti, DMD, MS Jag Heir, MD, DDS

(for 2019-2020 term)

Jag Heir, MD, DDS (2nd term) Brock Hinton, DDS (1st term)

Kevin Keating, DDS (1st term) Wesley Yee, DDS (2nd term)

(continuing their 2018-2019 term)

Greg Heise, DDS (2nd term) Matt Korn, DDS (2nd term)

Hana Rashid, DDS (1st term)

DELEGATES TO THE CDA HOUSE (2018-2019 term)

Kevin Keating, DDS Kart Raghuraman, DDS

(Executive Committee, continuing)

Nancy Archibald, DDS Margaret Delmore, MD, DDS Volki Felahy, DDS

(continuing 2017-2018 term)

Gary Ackerman, DDS Bev Kodama, DDS

Carl Hillendahl, DDS Bryan Judd, DDS

Viren Patel, DDS

Appointed to fill vacancy: Hana Rashid, DDS

FOUNDATION BOARD OF DIRECTORS

Continuing Terms in 2018-2019:

(for 2019-2020 term)

Wai Chan, DDS (additional term) Robert Daby, DDS (additional term) Kent Daft, DDS (additional term) Margaret Delmore, MD, DDS (2019 term only) Volki Felahy, DDS (2019 term only) Bev Kodama, DDS (additional term) Viren Patel, DDS (additional term) Dennis Peterson, DDS (additional term)

Wallace Bellamy, DMD (1st term / 2018-2019 term) Bryan Judd, DDS (2nd term / 2018-2019 term) Kelly Giannetti, DMD, MS

Congratulations and Thank You for Serving!

Sign up for CDA Cares Modesto The CDA Foundation is seeking volunteers for the next CDA Cares event, October 26-27, at the Modesto Centre Plaza. To help provide oral health care services at no charge to the large number of expected patients, we need volunteer dentists and staff, including oral surgeons, pediatric dentists, dental hygienists, assistants, dental lab technicians, physicians, nurses and pharmacists. Volunteers can register for one six-hour shift or multiple shifts per day during the following times: • Thursday, October 25: Clinic setup from 9 am to 6:30 pm (no patients) • Friday, October 26: Dental clinic from 5 am to 7 pm • Saturday, October 27: Dental clinic from 5 am to 8:30 pm (including clinic breakdown)

Sign up today: cdafoundation.org/cda-cares 26 | The Nugget • Sacramento District Dental Society

Reaching the Peak in Building for the Dental Industry Construction Management Remodels and Renovations Tenant Improvements New Construction

BlueNorthernBuilders.com

916.772.4192

CA Lic #820947

www.sdds.org • October 2018

| 27

CE OPPORTUNITIES

It’s a New World Out There How to Prepare for a Transition into Practice Ownership

By William Van Dyk, DDS SDDS Member

Dr. Van Dyk is a full time private practicing general dentist in San Pablo, CA. In addition he serves as an associate professor at the University of the Pacific Dugoni School of Dentistry in the Department of Practice Management.

He graduated from the University of the Pacific in 1973; served three years in the U.S Army; and purchased a practice in 1976. Since 1985 he has been speaking to dental audiences on various aspects of practice management.

He was instrumental in the development of the ADA Success Seminar Series to dental school students, giving them real world information on starting a dental practice. He served on the ADA Council on Dental Practice for seven years and is a member of both the American and the International College of Dentists.

Dental school does a wonderful job of preparing students to enter into dental practice. They can accomplish most of the procedures that are asked of them. What it doesn’t do is generate the ability to pick the right practice, take over a business from the senior dentist, and guide a team toward excellent patient care. Yet these things are essential to provide quality care.

This article discusses important planning that can help the young dentist transition smoothly into dental practice. Obviously there is a lot to learn about a dental business and some will inevitably need to be absorbed in the practice itself over time, but the time spent prior to making big commitments can really help.

Once a dental student sees a live patient, he or she begins to formulate a philosophy of practice. If the student looks at the patient as mainly a vehicle to get to graduation, that’s a philosophy. If that first patient becomes the students first effort to make the person feel as comfortable and calm as possible, that’s a philosophy. These beginnings can often be transferred directly into practice. Is the patient an opportunity to maximize the production per mouth? Or is the patient a fellow human who needs VIP treatment to insure that they enjoy their time in the office?

The first thing a new dentist needs to do is spend some time in introspection deciding what his or her philosophy of dentistry really is. I don’t mean level of quality because every dentist should strive for the utmost quality. I mean, do you enjoy treating children? Does the city or the country seem more interesting?

Are you looking forward to cosmetics, or perio., or endo, or a simple suburban practice?

What are your reasons for providing dentistry?

How would you like to treat your patients?

What is the value of the dental team? How important is community involvement? What do you envision as great service? It needs to

28 | The Nugget • Sacramento District Dental Society

be written down so that it can be used to see if there is a match with a potential employer.

If the philosophy of the practice and the new associate match, the likelihood of success increases significantly. And the opposite is also true.

The second and an equally important effort should go toward the study of dental business.

There are volumes of information available to help a new dental businessman get started.

Dental school should have given you a base of information in practice management.

Reopening those notes should give you the subjects to delve into more. Look at every meeting with a dentist as an opportunity to ask about the business aspects of care. How does the practice follow the patient from the initial phone call to the completion of treatment. How does the practice insure that they will return. Who talks money with the patient and who works with their insurance.

Make an effort to shadow dentists at every opportunity. Try to establish a mentor, not necessarily an employer, but someone to ask questions with and get answers from.

Overall, the new dentist needs to realize that he and she are going to be the leaders whether they want to be or not. The more leadership skills the dentist acquires, the better the practice will run. One very good volume on leadership that has been a virtual bible for all business leaders over the last 30+ years is the Seven Habits of Highly Effective People. As much as the world has tried to expand on the work of Steven Covey, his book still distills the essence of leadership into seven simple (but often difficult to achieve) rules. Put first things first, begin with the end in mind, 2+2=5, and the others will guide any dentist toward a successful business.

Another often recommended but too often ignored recommendation that makes a world of difference is the engagement of a competent (ask other dentists for their recommendations)

Volunteer opportunities dental consultant. New dentists are unwilling to spend the money to hire a consultant at the time when they need one the most. As most consultants will explain, the dentist waits until he and she have gotten themselves into serious business problems before turning for help. If they spend the money up front, they can move more quickly on a successful path without having to learn from the school of hard knocks.

Taking over an existing business or starting a business from scratch are both great opportunities to take care of people, provide a life saving and changing service, and earn a decent income. The more the new dentist spends time focusing on becoming a leader, learning to run a business, and absorbing information from others, the better he and she will be able to accomplish all these things with fantastic success. 

SMILES FOR KIDS VOLUNTEERS NEEDED: Doctors to “adopt” patients for Smiles for Kids for follow-up care.

TO VOLUNTEER, CONTACT: SDDS office (916.446.1227 • smilesforkids@sdds.org)

SMILES FOR BIG KIDS VOLUNTEERS NEEDED: Dentists willing to “adopt” patients for immediate/emergency needs in their office.

TO VOLUNTEER, CONTACT: SDDS office (916.446.1227 • sdds@sdds.org)

continuing education October 25-28, 2018 • Modesto March 8-9, 2019 • Solano September 27-28, 2019 • San Bernardino

Getting a New Dental Practice Up and Running: Advice for Dentists on Building a Successful Practice

TO VOLUNTEER: www.cdafoundation.org/cda-cares

William Van Dyk, DDS AUBURN RENEWAL CENTER CLINIC

2.5 CEU, Core | $99 Monday, November 12, 2018 6:00pm • Registration & Light Dinner 6:30pm – 9:00pm • Class SDDS Classroom | 2035 Hurley Way, Suite 200 Sacramento, CA 95825

1

VOLUNTEERS NEEDED: General dentists, specialists, dental assistants and hygienists.

TO VOLUNTEER, CONTACT: Dr. Steve Holm (916.425.6766 • sholm@goldrush.com)

THE GATHERING INN There are many ways to get a dental practice on the road to success. You can start from scratch, buy into an existing practice, buy out a dentist and take over. No matter what method you decide on, taking that first step into the practice can be the beginning of a short climb to success or a fall down an elevator shaft. There are a few basic considerations that will insure a good beginning.

Whether you are the new dentist heading up the hill or the senior dentist turning over the practice, this program should help you make the right choices and avoid the typical mistakes.

Course Objectives: • Learn what parts of the planning process are most important • Identify ways to attract the right patients into the practice • Understand the role of the dental team in the success of the new practice

Sign Up Today!

VOLUNTEERS NEEDED: Dentists, dental assistants, hygienists and lab participants for onsite clinic.

TO VOLUNTEER, CONTACT: Kathi Webb (916.743.5351 • kwebbft@aol.com)

CCMP

(COALITION FOR CONCERNED MEDICAL PROFESSIONALS)

VOLUNTEERS NEEDED: General Dentists, Specialists, Dental Assistants and Hygienists.

TO VOLUNTEER, CONTACT: CALL! (916.925.9379 • CCMP.PA@JUNO.COM)

EVERYONE FOR VETERANS SDDS is partnering with the national program, Everyone for Veterans, to provide care for COMBAT veterans and their families who cannot afford, nor have military coverage, dental care. Can you adopt a vet? Hope so!

Call SDDS (916.446.1227), or email us (sdds@sdds.org), to help us with this wonderful program.

For More Information: everyoneforveterans.org/for-dentists.html www.sdds.org • October 2018

| 29

Board Report September 4, 2018

Carl Hillendahl, DDS

Highlights of the Board Meeting President Call to Order and Welcome President Dr. Margaret Delmore welcomed everyone and promptly called the meeting to order at 6:00pm; a quorum was present.

There were no additions, corrections nor conflicts of interest.

Consent Agenda

Treasurer’s Report

New Business

Dr. Judd presented the final Midwinter Financial Report. All expenses have been disbursed and the numbers analyzed. This year’s Midwinter was our best performance yet, resulting in the largest net to date.

Treasurer Judd also reported that 100% of Board members are supporters of the SDDS Foundation.

The upcoming CDA House of Delegates was discussed. Our SDDS member, Dr. Debra Finney, was elected by the Board of Trustees to serve as the new Speaker of the House.

However, the election will be contested by another candidate and the Delegates will vote at the House in November.

The members present reviewed Minutes from the May Board Meeting, the list of 2018 Important Dates and details, the unreconciled August month end financials, and the final Report of the SDDF Golf tournament. There was no need for corrections or changes and it was M/C to approve the consent agenda.

Executive Director’s Report

President’s Report

The 2018-2019 education season had begun; thanks to the recommendations from the surveys and the CE Task Force this year, our CE program is filled with excellent CE opportunities right here in Sacramento.

President Delmore encouraged Directors’ attendance at SDDS events. The Board members attending the September General Membership meeting will be assigned to a new member as a welcoming host during the GM. This will be continued at all GMs. Ex Comm, at the August meeting, discussed the upcoming CDA Cares event in Modesto and approved a $500 to CDA Cares in Modesto; the Board concurred.

Secretary’s Report Dr. Hillendahl reported on the stats of SDDS membership for August month end.

Our market share is now 82% of the dentists located in our area are current members. The retention rate from 2017 is 96% and our current engagement rate is 66%. SDDS has a healthy membership. Board members will be reaching out to non-members and discuss the benefits of membership.

Secretary

Cathy Levering, our Executive Director, talked about our continuing involvement with the Dental Transformation Initiative grant. We continue to work with Sacramento County, and other counties with Prop 56 funds, to continue our oral health initiatives.

It was M/C to change the SDDS Post Graduate Student Dues to $0; this will include specialty school post grads and dentists in their residency year.

It was M/C to support the new dental school in Sacramento, California Northstate University, scheduled to open with their first class in 2021.

It was M/C to create an SDDS Task Force to brainstorm curriculum suggestions. This task force will be a short term task force and report back in November to the Board.

Trustees Report

Midwinter 2019 is sold out for our Expo – two months ahead of schedule. Registration is now open for doctors and allied team members.

The next CDA Board of Trustees meeting be October 5, 2018.

Old Business

President Delmore adjourned the meeting at 8:34pm

Dr. Judd reported on the progress of our Botox and Dermal Filler Resolution. As a result of many discussions, both CDA staff and dentists, it is our recommendation that the background and resolution be presented to the CDA Board of Trustees for the purpose of establishing a task force to report back to the HOD in 2019. It was M/C to have our trustees present this resolution for task force consideration at the next BOT meeting.

30 | The Nugget • Sacramento District Dental Society

Adjournment

Next Board Meeting: November 6, 2018 at 6pm

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32 | The Nugget • Sacramento District Dental Society

YOU

YOU ARE A DENTIST. You are also an employer. Employee evaluations, hiring and firing, labor laws and personnel files are an important part of that. This monthly column, will offer current employment law information pertinent to you —

THE DENTIST, THE EMPLOYER

Pay for Training Time OVERVIEW

the dentist, the employer.

BER MEM IT! F E N E B

SDDS HR Hotline NEW EXCLUSIVE NUMBER FREE TO SDDS MEMBERS!

888.784.4031

By Mari Bradford; California Employers Association

Employees who spend time at lectures, work courses, employer sponsored training programs or employee meetings must count that time as hours worked for pay purposes unless: 1. Time is outside of normal working hours; 2. Course work is unrelated to the employee’s regular job (such as learning the requirement of a new or higher rated job); 3. Attendance is strictly voluntary (except for continuing education training); and 4. No production work is performed.

Attendance at employee meetings, employersponsored training programs, lectures, work courses, or meeting is not deemed voluntary if required by the employer or if the employee is led to believe that his/her non attendance would adversely affect his or her current working conditions or continued employment.

Training is directly related to the employee’s job if it aids them in performing the present job more effectively, as distinguished from training for another labor skill.

Training is not considered directly related to an employee’s job if the intention of such training is to prepare them for advancement to a higher skill.

DLSE Enforcement policies and interpretations manual sec 46.6.4

Questions: 1. A dental hygienist must take continuing education courses to keep her certification.

Must the employer be required to pay for the cost of the course and/or pay the employee for the time they spend in the class? No. As long as the course is required to maintain her certification, this is non compensable time.

2. A dentist takes his entire office to a dental convention in Las Vegas. Costs involved include: travel expenses, hotel expenses, meal expenses, the employees’ time. For which expenses is the dentist required to compensate his staff? If the trip is completely voluntary the dentist is not required to pay for any of the time. If the trip is mandatory, the dentist needs to pay for all expenses the employee incurs that he/she would not normally incur if they did not go on the trip. For example, meals do not have to paid because an employee would normally be responsible for their own meals.

3. An architect requires her entire staff to take a CE course – does she have to pay for this course and for the employees time spent in the course? Yes. 4. Can a different rate of pay be given for training time vs. regular office/work time?

Yes as long as it is complies with CA Labor Laws (min. wage or more), is established in advance and documented. 

HR Webinar

Presented by California Employers Association One hour online and audio seminar you can listen to with co-workers while you have your lunch or while you are on the road. You will only need a telephone, cell phone and/or computer (computer not required). All you need to do is dial, listen and ask questions if you desire.

Sign up online at sdds.org

NOV

14

7 Safe Steps for Legal Terminations 1 CEU, 20% • $59

There can be many reasons for ending an employment relationship. It may be due to an employee quitting, a department downsizing, or the more challenging reason, due to an employee’s poor performance. Before you decide to show the employee the door, you need to be sure you have followed several important steps to ensure a safe and legal termination.

JAN

30

2019 Employment Law Changes 1 CEU, 20% • $59

California Labor Laws protect the rights of California employees. CEA is here as the employers’ advocate. The best way to protect your rights is to be informed of CA’s ever changing employment laws. Join us to learn more about the new laws employers must follow in 2019.

www.sdds.org • October 2018

| 33

Committee Corner It’s all the Buzz... Sacramento Dental School Coming Soon!

Want to have a hand in what students are learning in Dental School?

The California Northstate University’s proposed dental school has initiated the approval process to be a CODA accredited dental school. The first phase budget, approved by the California Northstate University Board of Trustees, covers the hiring of the CODA application required Deans and academic curriculum development consultants.

The CNU Board of Trustees are fully committed to moving forward with adding a dental school here in Sacramento to their University. This would add a College of Dentistry to their School of Pharmacy, School of Medicine, and undergraduate degree program. The undergraduate degree program is currently focused on health care sciences.

What is particularly important about the CNU effort, is CNU is a private school model which allows for a nimbler and more creative model of education. The target is to have the first class of the CNU College of Dentistry start in 2021.

Drs. Wai Chan, Jag Heir, Stephanie Sandretti, Eric Wong, Rosemary Wu, Deb Finney, and myself. We also have Dr. Huong Le from SFDS because of her service on the Dental Board of CA and for being the Director of two Federally Qualified Healthcare Centers, one of which also has a General Practice Residency. A goal of the Task Force and University is to strategize and develop an educational model that is a more efficient, cost-effective, patient-based college than the traditional dental education models.

The SDDS Board of Directors voted to support the efforts of CNU and the CNU Dental School Task Force at their September Board meeting. Thank you SDDS for your

The CNU Dental School Task Force is composed predominantly of SDDS members. They have been exceptional in their contributions of time, energy, thoughtfulness and their commitment to dental education.

Thank you to the following SDDS members for their thoughtful contributions to this process:

34 | The Nugget • Sacramento District Dental Society

By Kevin Keating, DDS, MS Chair, Dental School Task Force

support. Sacramento District Dental Society has had a long history of commitment to dental education. SDDS leadership and members were instrumental in helping start the dental hygiene program that is now at Carrington College on Folsom Blvd.

Thanks to those dentists above who have started their involvement. We are all excited to help in this process. Many of our SDDS members will likely become clinical faculty.

Here’s to many more getting involved.

Join in the “buzz”! 

What’s next?

It’s really a quick turnaround and we need 20-30 dentists to participate in a SHORT-TERM task force to brainstorm on dental school curriculum for future dentists. If you would like to serve on this task force, we will be meeting in October to brainstorm. Please email SDDS (sdds@sdds.org) and let us know you’d like to be participate in this brainstorming session. If you can’t participate, you are welcome to send in your suggestions and we’ll compile the list.

The Commission on Dental Accreditation (CODA) requirements for a dental school curriculum do allow for enhancements that improve the scope and quality of experience for the students. If you have a desire to help develop a College of Dentistry that we all can be proud to have in our community, this is your opportunity to serve.

Justin Bryan Northern CA & NV 916-573-0793

JustinB@lumadent.com

www.LumaDent.com | info@lumadent.com | 775-829-4488

Our Foundation needs you!

The Foundation is the charitable arm of your dental society. This non-profit branch of your society was created to enable us to do some wonderful things for our community.

SDDS members have been our greatest resource from the beginning. Together we have created a fund that has made some of our visions a reality. Please see the enclosed insert to make a donation.

Together we can make a difference. www.sdds.org • October 2018

| 35

TOTAL MEMBERSHIP (as of 9/15/18:)

1,740 MARKET SHARE: 82% RETENTION RATE: 96.2% ENGAGEMENT RATE: 69%

New Members N. MICHELLE BORG, DDS

General Practice

Retired!

Dr. Borg earned her dental degree at Loma Linda University in 1987. Fun Fact: Dr. Borg just moved here from Chico.

BRENDA BOYTE, DDS

General Practice

ck!

Welcome Ba

Dr. Jennifer Elmer earned her dental degree at USC Herman Ostrow School of Dentistry in 2012.

Fun Fact: Dr. Elmer lives in Rescue.

TOTAL STUDENT MEMBERS: 10

OKSANA KULINICH, DDS

General Practice

General Practice

ck!

Welcome Ba

Trasferred from Tulare-Kings Dental Society General Practice

TOTAL AFFILIATE MEMBERS: 16

Dr. Khoury earned his dental degree at Midwestern University in 2018, and practices at Forest Ridge Dental in Shingle Springs.

POLIN COLLINS, DDS

JENNIFER ELMER, DDS

TOTAL DUAL MEMBERS: 6

ELIAS KHOURY, DMD

General Practice

Dr. Kulinich earned her dental degree Internationally in 1998.

Dr. Polin Collins earned her dental degree at UCSF School of Dentistry in 2013 and practices at Parish Family Dental in Carmichael. Fun Fact: Dr. Collins is married to Dr. Jonathan Collins.

TOTAL RETIRED MEMBERS: 275

2018

Dr. Boyte earned her dental degree at USC Herman Ostrow School of Dentistry in 2005, and practices in Sacramento.

General Practice

TOTAL ACTIVE MEMBERS: 1,373

October

ANDRE GUERRERO FERNANDES, MD, DDS

JASMEET S. PANNU, DMD

Dr. Pannu earned her dental degree at Midwestern University in 2016, and did her residency at Lutheran Medical Center in 2017. Dr. Pannu practices at Parkway Dental Group and Chapa de Indian Health.

JYOTHSNA REDDY SABALAM, DMD

General Practice

Dr. Reddy Sabalam earned her dental degree at University of Pennsylvania 2018, and is practicing at Smile Care Family Dental in Folsom.

R. CHRISTIAN SOLEM, DMD, MS

Orthodontics

NAVNEET KAUR, DMD

Dr. Solem earned his dental degree at Harvard School of Dental Medicine in 2010, and earned a graduate degree from UCSF School of Dentistry in 2013 with a specialty in Orthodontics. Dr. Solem is an orthodontist at Weideman Pediatric Dentistry and Orthodontics in Citrus Heights. Fun Fact: Dr. Solem just moved to Sacramento in January, and likes running, cycling, surfing, snowboarding, hiking and backpacking.

Dr. Navneet Kaur earned her dental degree at University of Illinois at Chicago in 2018.

General Practice

Oral and Maxillofacial Surgery

Dr. Guerrero earned his dental degree at UCSF School of Dentistry in 2009, and earned a graduate degree from Loma Linda University in 2015 with a specialty in Oral and Maxillofacial Surgery.

General Practice

AMINE KHOURY, DMD

General Practice

ember!

Af filiate M

Dr. Khoury earned his dental degree at Loma Linda University in 2002, and practices in Napa.

MICHAEL STOUT, DDS

Dr. Stout earned his dental degree at UOP Arthur A. Dugoni School of Dentistry in 2014 and did his residency at UOP Arthur A. Dugoni School of Dentistry in 2017. Dr. Stout practices at Folsom Hills Dentistry and Orthodontics.

TOTAL CURRENT APPLICANTS: 7 TOTAL DHP MEMBERS: 50 TOTAL NEW MEMBERS FOR 2018: 94

WELCOME to SDDS’s new members, transfers and applicants.

IMPORTANT NUMBERS: SDDS (doctor’s line) . . . . . (916) 446-1227 ADA . . . . . . . . . . . . . . . (800) 621-8099 CDA . . . . . . . . . . . . . . . (800) 736-8702 CDA Practice Support . . (866) CDA-MEMBER

(866-232-6362)

TDIC Insurance Solutions . (800) 733-0633 Denti-Cal Referral . . . . . . (800) 322-6384 Central Valley Well Being Committee . . . (559) 359-5631

BRITTANY VACURA, DDS

General Practice

Dr. Vacura earned her dental degree at UCSF School of Dentistry in 2017,and did her residency and University of Nevada, Las Vegas in 2018.

Dr. Vacura practices at Elica Health Centers and Smith Family Dental.

STEVEN WALLS, DMD

General Practice

Dr. Steven Walls earned his dental degree at Temple University School of Dentistry 1989, and did his residency at Army Dentac in Ft. Ord in 1990. Dr. Walls practices at Golden Hills Family Dental in El Dorado Hills.

SUMERA ZEESHAN, DDS

General Practice

Dr. Zeeshan earned her dental degree at UOP Arthur A. Dugoni School of Dentistry in 2015, and practices at Gentle Dental in Rocklin.

Pending Applicants:

Paul Cater, DDS – Dual – Returning Natalie La Rochelle, DDS Dino Lirio, DDS Quoc Nguyen, DDS Ngoc Pham, DMD Andrew Tong, DMD Vinh Vo, DDS – Returning

In Memoriam Dr. Richard Quessenberry died several years ago and SDDS was just informed.

He had been a member since 1964.

Congratulations to Our New Retired Members!

Dr. Andre J. Monier passed away August 2, 2018. He graduated from UOP in 1957. He was a Sacramento District Dental Society life retired member when he passed.

Fritz Harrold, DDS Davis Ralston, DDS Glen Tueller, DDS Mark White, DDS Jerard Wilson, DDS Gerald Wong, DDS

RUVIM ZHUK, DMD, MSD

Endodontics

Dr. Philip Cummings passed away July 5, 2018.

He graduated from CA-UCLA School of Dentistry in 1979.

Dr. Zhuk earned his dental degree at Arizona School of Dentistry and Oral Health in 2015, and earned a graduate degree from University of Washington in 2017 with a specialty in Endodontics. Dr. Zhuk is practicing at Sacramento Valley Dental Specialists.

20% OFF YOUR LO B BY

SDDS

MEMBER PROMOTION

C U STO M S H A D E R O O M

FIRST CASE

•••••••••••••••

916.407.2500 INFO@COSTA-ESTHETICS.COM

C A D/C A M

T E C H N I C I A N STAT I O N

Located in the beautiful foothills of California, Costa Aesthetics is a modern, clean, sophisticated

dental laborator y. As a production laborator y with a boutique flare, we emphasize on natureʼs

approach to an esthetic smile and work hard to ensure no detail is overlooked.

Team up with Costa Aesthetics for unparalleled qualit y & world class customer ser vice! Custom

shades are of fered on-site and our cad/cam

depar tment proudly accepts files from: itero & trios digital files.

PROUD MEMBERS OF

C O S TA - A E S T H E T I C S . C O M www.sdds.org • October 2018

| 37

We’re Blowing your horn!

Congratulations to...

Samer Alassaad, DDS, FAGD and Margaret Delmore, MD, DDS, on both being awarded Fellowship in the Pierre Fauchard Academy. (1) Matt Comfort, DDS; on working to get a parking spaces in his parking lot specifically for veterans! (2) Aly Elsayed, DDS, on opening his very first practice! His practice is located in Roseville on Douglas Blvd. (3)

1

Fritz Harrold, DMD, on his retirement and to Todd Andrews, DDS on buying Dr. Harrold’s practice! Congrats to them both!

Executive Director, Cathy Levering, on celebrating her birthday! The Board got her a carrot cake from Ettore’s! Her favorite! Happy Birthday Cathy! (4) Rob Meaglia, DDS, on selling his practice to fellow SDDS Member, Jaclyn Pak, DDS. Dr. Meaglia is very grateful to have her continue on his family legacy and carry the practice on to the next level!

Mark White, DDS, on retiring and selling his practice to fellow SDDS Member, Jordan Gaddis, DDS. Happy retirement to Dr. White!

4 38 | The Nugget • Sacramento District Dental Society

2

3

SPOTLIGHTS: New Vendor Member!

LumaDent provides the best option available for high quality loupes and headlights at the best price! Combined with unbeatable customer service LumaDent truly is The Brighter Choice!

Products and Services: Loupes and LED Headlights

Benefits or Special Pricing for SDDS Members: Best Value $550.00: 2 Prolux batteries, headlight, mount wires and accessories

Jose Gallardo events@lumadent.com ph: (775) 829-4488 LumaDent.com

Integrity Practice Sales is a full-service dental practice brokerage covering the entire state.

Products and Services: • • • •

Practice Sales Evaluations Purchases Opinions of Value

Benefits or Special Pricing for SDDS Members: Free opinion of value for your practice.

Brian Flanagan brian@integritypracticesales.com IntegrityPracticeSales.com ph: (855) 337-4337

Western Practice Sales is the only brokerage firm which represents Sellers and locates Buyers throughout California, Nevada, Arizona and Utah, operating out of a main Corporate Office in Northern California.

MUN CPAs specializes in the Dental Industry, we offer year round financial services to fit your dental practice needs.

Products and Services:

Products and Services:

As one of the largest dental practice brokerages in western United States, our 7,000+ Buyer Database, steady stream of referrals, strong professional network and commitment to excellence makes us outstanding in the industry!

Benefits or Special Pricing for SDDS Members: At Western Practice Sales, we have unsurpassed expertise and experience to help guide dentists seamlessly through the sale of their most valuable asset, along with an extensive Buyer Database and incomparable Exposure, which allows us to offer: A BETTER CANDIDATE, A BETTER FIT AND A BETTER PRICE!

Tim Giroux, DDS cell: (530) 218-8968 WesternPracticeSales.com ph: (800) 641-4179 fax: (530) 674-9765 wps@succeed.net

• Structure & Planning • Making sure your practice is incorporated correctly for tax purposes • Year round tax planning • Tax Preparation • Accounting Services • Audit and Review Services • Practice Valuation and Due Diligence • Litigation Support & Investigative Services • Recruiting Services • Real Estate tax strategies

Benefits or Special Pricing for SDDS Members: Complimentary three-year review of the business and personal returns.

John Urrutia, CPA jru@muncpas.com Debra Griffin dlg@muncpas.com MUNcpas.com ph: (916) 724-3980 fax: (916) 774-4230

www.sdds.org • October 2018

| 39

DESCO Dental Equipment

Robert Kiddoo, Regional Manager 916.784.8200 burkhartdental.com

Tony Vigil, President 916.259.2838 descodentalequipment.com

LumaDent, Inc

Patterson Dental

408.649.8921 KulzerUS.com

Jose Gallardo, Sales Manager

Roy Fruehauf, Branch Manager

775.829.4488

800.736.4688

lumadent.com

pattersondental.com Since 2018

Since 2005

Parc Studio-Interior Design

David Olson 209.366.2486 olsonconstructioninc.com

Claire Blocker / April Figgess 916.476.3982 parc-studio.com

Since 2018 Since 2015

Since 2018

Jim Ryan 800.333.9990 stargrouprefining.com

Western Practice Sales

Ray Irving 415.899.8580 PPSsellsDDS.com

Tim Giroux, DDS, President John Noble, MBA 800.641.4179 westernpracticesales.com

40 | The Nugget • Sacramento District Dental Society

of The Great West

Since 2017

Professional Practice Sales

Brian Flanagan 855.337.4337 integritypracticesales.com

Since 2014

Integrity Practice Sales

Since 2014

Practice Sales

Since 2016

our Vendor Members!

Nicole Costa / Jack Pherigo 916.407.2500 costa-aesthetics.com

Since 2009

we love

kidscaredental.com

Star Group Global Refining

LaDonna Drury-Klein 916.358.3825 thefade.org

Since 2017

Since 2016

Debbie Day 916.661.5754

The Foundation for Allied Dental Education

Since 2007

Costa Aesthetics Laboratory

Mike Johnstone / Greg Sconce 916.988.2323 infostarproductions.com

Education

Infostar

Dental Refining

Since 2016

Kim Gusman, Executive VP Mari Bradford, HR Hotline 800.399.5331 employers.org Since 2004

CA Employers Association

Keith B. Dunnagan, Senior Attorney 916.966.2260 bpelaw.com/dental-law

Lisa Geraghty 916.817.9284 business.comcast.com

Since 2004

Olson Construction, Inc.

Gary Perkins 916.332.2300 gpdevelopmentcorp.com

Practice Growth

Practice Services

Comcast Business

THIS COULD BE YOU!

GP Development Inc.

Dental Laboratory

Dental Practice

Kids Care Dental

DENTAL

Morgan Davis / Lynda Doyle 916.772.4192 bluenorthernbuilders.com

Since 2007

Office Construction HR & Legal

BPE Law Group, PC

Mark Lowery, Regional Manager 916.626.3002 henryschein.com

Since 2003

Kulzer, LLC

Blue Northern Builders, Inc.

Henry Schein Dental

Since 2012

Since 2004

Since 2011

Burkhart Dental Supply

Steve Shupe, VP 888.928.1068 asimedical.com

Since 2015

Dental Supplies, Equipment, Repair

Analgesic Services, Inc.

CareCredit

Shannon Mitchell, VP, Business Banking Officer 916.648.3470 bannerbank.com

Angela Martinez 714.434.4508 carecredit.com

US Bank

Access Dental Plan

Health Net of California

LIBERTY Dental Plan

Martha Cisneros-Campos 916.679.7001 premierlife.com

Felisha Fondren 818.543.9007 hndental.com

Danielle Cannarozzi 800.703.6999 libertydentalplan.com

Since 2018

First US Community Credit Union Gordon Gerwig, Business Services Mgr 916.576.5650 firstus.org

Since 2010

Since 2017

Swiss Monkey Christine Sison 916.500.4125 swissmonkey.co

Since 2003

Since 2016

Debbie Kemper 916.993.4182 resourcestaff.com

The Dentists Insurance Company Julia Moore 800.733.0633 tdicsolutions.com Since 2011

Insurance Services

Staffing

Resource Staffing Group

Since 2018 Since 2018

Since 2017

John Urrutia, CPA, Partner 916.774.4208 muncpas.com

Christopher Nunn Doug Van Order 916.878.3341 northerncalifornia.massmutual.com Since 2005

Since 2009

Kimba Lee, Business Acquisition 916.678.3654 wellsfargo.com

Since 2017

Wells Fargo

Tom Collopy 916.924.4546 usbank.com

MUN CPAs

MassMutual Northern California

Since 2016

Craig Fechter, CPA 916.333.5360 fechtercpa.com

Since 2016

Financial Services

Banner Bank

Brandon Dena 916.767.4462 bankofthewest.com

Since 2017

Financial Services

Fechter & Company

Dental Plan

Bank of the West

Jason Mata 800.455.0986 dentalmortgage.com

Since 2016

Financial Services

American Pacific Mortgage

SDDS VENDOR MEMBERSHIP SUPPORT IS A WIN-WIN RELATIONSHIP! SDDS started the Vendor Member program in 2002 to provide resources for our members. No, Vendor Members are not exclusive, and we definitely have some competitive companies who are Vendor Members. But our goal is to give SDDS members resources that would best serve their needs. We suggest that members reach out to our Vendor Members and see what is a best “fit” for their practice and lifestyle.

We currently have 38 Vendor Members. They pay $3,900 per year; that includes a booth at Midwinter, three tables at General Meetings, advertising in The Nugget, and much more. Our goal is to provide Vendor Members with the opportunity to connect with and serve our members. We realize that you have a choice for vendors and services; we only hope that you give our Vendor Members first consideration.

The Vendor Members program and the income SDDS receives from this program helps to keep your dues low. It is a wonderful source of non-dues revenue and allows us to provide yet another member benefit. Additionally, we reach out to our Vendor Members for articles for The Nugget (nonadvertising!).

Our Vendor Members are financial, investment and insurance companies, legal consultants, dental equipment and supply companies, media and marketing companies, hr consultants, construction companies, billing consultants, practice sales and brokers, practice resource and staffing consultants, technology, HIPAA and security consultants, and even our Crowns for Kids refining partner!

www.sdds.org • October 2018

| 41

Advertiser INDEX Dental Supplies, Equipment, Repair Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member

Analgesic Services Inc. . . . . . . . . . . . . . . . . . . . . . . 40 Burkhart Dental Supply. . . . . . . . . . . . . . . . . . . . . . . 40 Desco Dental Equipment. . . . . . . . . . . . . . . . . . . . . 40 Henry Schein Dental. . . . . . . . . . . . . . . . . . . . . . . . . 40 Kulzer, LLC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 LumaDent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35, 40 Patterson Dental. . . . . . . . . . . . . . . . . . . . . . . . . 27, 40

Dental Laboratory Vendor Member

Costa Aesthetics . . . . . . . . . . . . . . . . . . . . . . . . 37, 40

MEMBER MEMBER GET A

CONTEST

Dental Practice Vendor Member

Kids Care Dental . . . . . . . . . . . . . . . . . . . . . . . . . . . 40

Dental Services Dental Management Solutions . . . . . . . . . . . . . . . . . 17

Education Vendor Member

The Foundation for Allied Dental Education. . . . . . . 40 Dr. Pieter Linssen . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

Financial Services Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member

American Pacific Mortgage . . . . . . . . . . . . . . . . 28, 41 Amerprise Financial – The Chandler Group . . . . . . . 19 Bank of the West . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 Banner Bank . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 Care Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32, 41 Fechter & Company. . . . . . . . . . . . . . . . . . . . . . . . . 41 First US Community Credit Union . . . . . . . . . . . . . . 41 MUN CPAs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 MassMutual. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 US Bank . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31, 41 Wells Fargo. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

Human Resources & Legal Vendor Member Vendor Member Vendor Member

BPE Law Group . . . . . . . . . . . . . . . . . . . . . . . . . . 4, 40 California Employers Association (CEA) . . . . . . . . . . 40 Wood & Delgado . . . . . . . . . . . . . . . . . . . . . . . . . . . 40

Insurance Services Vendor Member Vendor Member Vendor Member Vendor Member

SDDS is partnering with the CDA and ADA for the 2018 MGAM Promotion! Each month, until November 2018, SDDS will have a drawing for members who recruit new members. Here’s how it works: • When a potential member completes an application, they list who referred the for membership (hoping it will be YOU!) • If your name is listed as the referring doctor, you will be entered into the SDDS drawing for a $25 Amazon gift card.

• The referring doctor will also receive $100 cash from CDA and $100 American Express card from ADA. That’s $200 folks!

• All referring members will be placed into the GRAND PRIZE DRAWING at the end of November. The prize?

SDDS will pay your SDDS dues for 2019!

Good luck – start recruiting!

Access Dental Plan . . . . . . . . . . . . . . . . . . . . . . 23, 41 Health Net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 LIBERTY Dental Plan . . . . . . . . . . . . . . . . . . . . . . . . 41 TDIC & TDIC Insurance Services . . . . . . . . . . . . 31, 41

Office Design & Construction Vendor Member Vendor Member Vendor Member Vendor Member

Blue Northern Builders, Inc. . . . . . . . . . . . . . . . . 27, 41 GP Development Inc. . . . . . . . . . . . . . . . . . . . . . 13, 41 Olson Construction . . . . . . . . . . . . . . . . . . . . . . . . . 41 Parc Studio. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40

Practice Growth Vendor Member

InfoStar. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40

Practice Sales Vendor Member Vendor Member Vendor Member

Henry Schein Financial . . . . . . . . . . . . . . . . . . . . . . 13 Integrity Practice Sales . . . . . . . . . . . . . . . . . . . . 8, 40 Professional Practice Sales . . . . . . . . . . . . . . . . . . . 40 Western Practice Sales . . . . . . . . . . . . . . . . . . . 17, 40

Practice Services Vendor Member

Comcast Business. . . . . . . . . . . . . . . . . . . . . . . . . . 40

Staffing Vendor Member Vendor Member

Resource Staffing Group . . . . . . . . . . . . . . . . . . . . . 41 Swiss Monkey . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

Waste Management Services Vendor Member

Star Group Global Refining . . . . . . . . . . . . . . . . . . . 41

42 | The Nugget • Sacramento District Dental Society

Recent Month’s Winners!

January 2018 - No Referrals February 2018 - Dr. Ramesh Thondapu March 2018 - Dr. Pamela Caviness April 2018 - No Referrals May 2018 - Dr. Wai Chan June 2018 - Dr. Wallace Bellamy July 2018 - Dr. Hana Rashid August 2018 - Dr. Kelvin Tse September 2018 - TBA

Classified Ads EMPLOYMENT OPPORTUNITIES

FOR LEASE

PRACTICES FOR SALE

Associate general dentist for private office. Located in a medical/dental complex near downtown in the Pocket area. Potential buy in. Please call Dr. Maroni, 01/15 916-421-3815.

Professional healthcare office space available in South Lake Tahoe, California. Lower ground level space of -/+2400 square feet with two restrooms and ADA compliant. Upper floor of the building houses a longstanding general dental practice. We would like a convenient referral source/location on the property. It is our intent to find someone to develop a Denti-Cal office/ clinic on the available space. Negotiable for the right doctor and will help with all that is necessary to assure your success. One block from hospital, 35+ parking spaces, forested grounds with beautiful setting. 10/18c

SACRAMENTO AREA DENTAL PRACTICE FOR SALE Room to expand! Well-established, updated practice in medical complex, 4 operatories, digital X-ray, new Nomad, and desirable neighborhood! $620K Call Brian 10/18 805-714-2115 DRE#01911548

Space available in existing dental/medical clinic currently occupied by multiple specialists and dentists. Beautifully remodeled inside. 8689 Folsom Blvd. Sacramento. Call 10/18c (510) 468-9830

SAN LUIS OBISPO PERIO PRACTICE FOR SALE Incredible practice in the “happiest city in the USA”! 4 operatories, Dentrix, and easy access from 101. $640K 10/18 Call Brian 805-714-2115 DRE#01911548

OROVILLE LEASE ~2500 sqft., 6 beautiful ops directly across new hospital expansion. Ideal specialty practice location. Lease with/without equipment options and improvement allowance as needed. Oroville needs 8-9/18 specialists! 530-403-9770

Practice for sale in the Sacramento Greenhaven/ Pocket Area. General Practice with 30 plus years of goodwill. The office occupies approximately 1,100 sq. ft and consists of 3 fully equipped ops. This practice generates revenue of about $260K. Please send your 10/18c CV to: sacramentodmd@gmail.com

WELLSPACE HEALTH ORGANIZATION (an FQHC) is taking applications for fill-in/part-time/full-time dentists. Send your resume/CV to eljohnson@ 01/15 wellspacehealth.org.

Kids Care Dental & Orthodontics seeks Dentists to join our teams in the greater Sacramento and greater Stockton areas. We believe when kids grow up enjoying the dentist, healthy teeth and gums will follow. As the key drivers of our mission—to give every kid a healthy smile—our dentists, orthodontists and oral surgeons exhibit a genuine love of children and teeth.

A good fit for our culture means you are also honest, playful, lighthearted, approachable, hardworking, and compassionate. Patients love us...come find out why!

Send your resume to talent@kidscaredental.com. 06-7/17 Kids Care Dental & Orthodontics seeks Orthodontists to join our teams in the greater Sacramento and greater Stockton areas. We believe when kids grow up enjoying the dentist, healthy teeth and gums will follow.

As the key drivers of our mission—to give every kid a healthy smile—our dentists, orthodontists and oral surgeons exhibit a genuine love of children and teeth.

A good fit for our culture means you are also honest, playful, lighthearted, approachable, hardworking, and compassionate. Patients love us...come find out why!

Send your resume to talent@kidscaredental.com. 06-7/17

EQUIPMENT FOR SALE E4D package Purchased in 2011 and fully upgraded in 2014. Basically brand new and rarely used. Maybe 20 crowns max. Package includes 2 portable laptop computers (so not the old large machine), E4D scanner, mill, and Ivoclar oven and extras. Price negotiable.

Please email or call for more info. christy.rollofson@ gmail.com 916-685-2105 4/18 Zeiss Pico Microscope for sale $15,000 (cost new would be $30,000). Upgraded Xenon light. Excellent optics and condition, wall mount included. Professional installation available. Call Dr. Koehn @ 916-941-9888 or email: eldoradoendo@yahoo.com.

1/18

Dental Office for lease in Pocket area. Garden setting with outside windows. 1,000 square feet, 3 operatories plumbed. Modern professional building of 12,000 square feet. Total rent, $1,500 includes all utilities and janitorial.

8-9/18 Call Dr. Maroni, 916-421-3815 Elegant, furnished dental suite (2000 sq. ft) Located in custom East Sacramento dental building w/on-site parking. All upscale amenities including 4 operatories, lab, business office, private Drs. Office w/full bath, plus bonus room w/storage. Long-term lease available.

For apt. or further info call 916-346-0041 and leave 1/18 message.

EXCLUSIVE, PRIVATE DENTAL SUITE; 1200 sq. ft., completely remodeled w/upscale amenities: 3 operatories, lab, reception, business office w/ breakroom, private Doctor's office w/bath. Suite is located in a custom dental building w/on-site parking and handicapped access near Country Club Center. If requested, owner will furnish finish equipment upfront: amortize over long term lease (5-10 years). For appt.

5/16 or further info, call 916-346-0041 SACRAMENTO DENTAL COMPLEX has one small suite which can be equipped for immediate occupancy. Two other suites total 1630 sq. ft which can be remodeled to your personal office design with generous tenant improvements. 2525 K Street. Please call for details: 10/11 916-448-5702.

6,000 sf Dental Bldg for sale/lease with abundant parking:125 Ascot Dr, Roseville, CA; 820-955 sf Dental suites for lease 5615 Manzanita, Carmichael, CA; Ranga Pathak 916-201-9247, Broker Associate, RE/MAX Gold, 8-9/18 BRE01364897

SACRAMENTO DENTAL PRACTICE FOR SALE Excellent exposure! Modern office, 4 ops, Adec chairs/ units, Dexis digital x-ray, office, intraoral camera, Digital Panorex, and 3D CBCT Planmeca. $550K Call Brian 10/18 805-714-2115 DRE#01911548

A long established practice for sale in the foothill town of Sutter Creek. This office is very spacious and fully equipped. Close to mountain recreation, shopping and cities, this practice has a strong and loyal patient base and potential for considerable growth. Private and limited PPO patient base. If you are interested or have any further questions, please call 209-223-2183.

8-9/18 A completely furnished and equipped dental office for sale. Located in Orangevale, this dental office is surrounded by shopping, restaurants, and of course, people. The office is located at a busy intersection. It has been a satellite practice but has great potential for growth. If you are interested or have any further questions, please call 209-223-2183.

8-9/18

PROFESSIONAL SERVICES MONEY IS WALKING OUT THE DOOR. Have implants placed in your office and keep the profits. Text name and address 916-769-1098.

12/14 LEARN HOW TO PLACE IMPLANTS IN YOUR OFFICE OR MINE. Mentoring you at your own pace and skill level.

Incredible practice growth. Text name and address to 916-952-1459.

04/12

Selling your practice? Need an associate? Have office space to lease? SDDS member dentists get one complimentary, professionally related classified ad per year (30 word maximum). For more information on placing a classified ad, please call the SDDS office at 916.446.1227. www.sdds.org • October 2018

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PRSRT STD US POSTAGE PAID PERMIT NO. 557

2035 Hurley Way, Suite 200 • Sacramento, CA 95825 916.446.1211 • www.sdds.org

SACRAMENTO, CA

ADDRESS SERVICE REQUESTED

SDDS CALENDAR OF EVENTS OCTOBER 5

ExComm Meeting 7am / Offsite

9

Continuing Education Oral Conscious Sedation CE Re-Certification (DOCS) Anthony Feck, DMD 8:30am / SDDS Office CHECK TIME General Membership Meeting The State of Dentistry: The Good, the Bad, and the Opportunity!

Anders Bjork, California Dental Association Hilton Sacramento Arden West 5:45pm Social / 6:45pm CE Dinner & Program

CE

12 Continuing Education Manual Day: Build & Complete Your OSHA, Employee & HIPAA Manuals in One Day! Teresa Pichay, CDA; Mari Bradford, CEA 8:30am / SDDS Office 24 Lunch & Learn Common Pitfalls of Crown Prep Eric Costa, Costa Aesthetics Laboratory (SDDS Vendor Member) CE 11:30am / SDDS Office 25 Business Forum Preparing for Your Fiscal Year End Craig Fechter, CPA; Fechter and Company (SDDS Vendor Member) 6:30pm / SDDS Office CE

NOVEMBER 1

Dentists Do Broadway On Your Feet

5

Member Recruitment & Engagement 6:15pm / SDDS Office

6

Board Meeting 6pm / SDDS Office

9

CPR BLS Renewal 8:00am / SDDS Office

CE

For more calendar info and to sign up for courses ONLINE, visit: www.sdds.org

The 39th Annual MidWinter Convention & Expo

iss it!

Don’t M Date e Save th

February 21-22, 2019

9 F E B 2 01

General Meeting 1 CEU, CORE • $69

OCT

9

TUESDAY 5:45PM-9PM

The State of Dentistry: The Good, the Bad, and the Opportunity!

Presented by Anders Bjork, California Dental Association

What a patient looks for in a dentist and a dental office as their “home” is changing. This session will examine the social and economic factors influencing change in dentistry with an update on DSO growth (in the US but especially in California); a look at how dentistry and medicine are integrating; and a case example on how disruptive innovation is realigning the orthodontic market.

5:45pm: Social & Table Clinics 6:45pm: Dinner & Program Hilton Sacramento Arden West (2200 Harvard Street, Sac)

ARE YOU REGISTERED FOR THE GENERAL MEETING?