Latest / Hey Docs! / The Financial Guide for Startups and Acquisitions with Matt Kroeker, Bank of America
Transcript
- 0:05Speaker 1: Welcome to the Hey Docs podcast with your host, Jill Allen. Today,
- 0:10Speaker 1: I am welcoming back Matthew Croker from Bank of America.
- 0:14Speaker 1: Matt works closely with doctors as they navigate the financial
- 0:18Speaker 1: side of practice ownership from building a practice from the
- 0:21Speaker 1: ground up to evaluating and purchasing an existing one. Deciding
- 0:26Speaker 1: how you want to step into ownership is a big decision.
- 0:29Speaker 1: There's a lot more to it than simply comparing the
- 0:32Speaker 1: price tags. In this episode, we're talking about startups versus acquisitions,
- 0:37Speaker 1: what lenders are actually looking for, how to evaluate what
- 0:40Speaker 1: you can afford, and the unique financial challenges orthodontists need
- 0:44Speaker 1: to understand before taking the next step. So let's take
- 0:47Speaker 1: a look. And now a word from the sponsors who
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- 2:27Speaker 1: us at go.solventum.com forward slash clarity. Again, that is go.solventum.com
- 2:40Speaker 1: forward slash clarity to learn more. Matt, I am so
- 2:48Speaker 1: excited to have you back on Hey Docs. Thanks for
- 2:50Speaker 1: being here again.
- 2:51Speaker 2: Of course. Thanks for having me. I'm excited.
- 2:53Speaker 1: Yeah, I feel like this is the perfect time. We've
- 2:56Speaker 1: had some changes in the market and okay, who better
- 3:00Speaker 1: than to have Matt back on with us. So in
- 3:02Speaker 1: the event that somebody maybe hasn't caught one of our
- 3:06Speaker 1: previous conversations, do you mind just giving us a real
- 3:08Speaker 1: quick refresher on who you are, your background and how
- 3:13Speaker 1: you're helping doctors when they're working with Bank of America?
- 3:16Speaker 3: Yeah, my name is Matt Croker, live out in Colorado,
- 3:19Speaker 3: cover Colorado and really the whole country with my entire
- 3:23Speaker 3: job is just helping doctors, dentists, specialists, including orthodontists, kind
- 3:28Speaker 3: of figure out if they want to start a practice,
- 3:30Speaker 3: buy a practice, grow their practice. Is it the right
- 3:32Speaker 3: fit for them? Working with doctors in school, figuring out, hey,
- 3:36Speaker 3: if this is in your plan, here's the things to
- 3:38Speaker 3: plan for.
- 3:38Speaker 2: So love it. It's very fun.
- 3:40Speaker 3: And I get to do stuff like this where we
- 3:42Speaker 3: just help educate and get people to feel comfortable making
- 3:46Speaker 3: a big life decision.
- 3:49Speaker 1: That is so true. And I think you and I
- 3:50Speaker 1: have these discussions all the time with doctors because this
- 3:54Speaker 1: is probably, besides maybe getting married and buying a house,
- 3:57Speaker 1: probably one of life's big, big decisions that somebody is
- 4:01Speaker 1: going to make, number one, to bet on themselves and
- 4:04Speaker 1: number two, to take on a pretty significant debt load
- 4:08Speaker 1: and say, all right, I got this and I'm going
- 4:10Speaker 1: to move forward with this. So I want to unpack
- 4:13Speaker 1: that a little bit and just kind of talk about
- 4:16Speaker 1: what we're seeing right now in the market when doctors
- 4:18Speaker 1: are kind of thinking about, do I do a startup?
- 4:21Speaker 1: I know you and I both live in this world
- 4:23Speaker 1: a lot with the startup loans. Do I do an acquisition?
- 4:27Speaker 1: When we're looking at those two opportunities, kind of what
- 4:30Speaker 1: does that look like? What are the things we need
- 4:32Speaker 1: to be thinking about when we're evaluating that? Maybe what
- 4:36Speaker 1: even factors kind of drive that decision when we're unpacking
- 4:40Speaker 1: all right what is going to be the best move
- 4:42Speaker 1: when we're looking at betting on ourselves.
- 4:44Speaker 3: Yeah i mean i think like you a lot of
- 4:46Speaker 3: that is the first thing is a mindset which the
- 4:49Speaker 3: financial point aside which we can get into it's really
- 4:52Speaker 3: determining can they see themselves taking what some people view
- 4:58Speaker 3: as a bigger risk and starting a practice where you're
- 5:00Speaker 3: going into a space that may or may not have
- 5:02Speaker 3: been a dental or an ortho office before. It could
- 5:06Speaker 3: have been a restaurant and you got to be able
- 5:07Speaker 3: to see a vision and there's a big runway there.
- 5:10Speaker 3: But the flip side of that is it's all yours.
- 5:13Speaker 3: You get to pick what it looks like. You get
- 5:15Speaker 3: to pick where it is. You get to pick the staff.
- 5:17Speaker 3: You get to pick what your brand is from the start,
- 5:20Speaker 3: which is really exciting. For some people, that's terrifying. And
- 5:24Speaker 3: they like the thought of, hey, I want to go
- 5:26Speaker 3: find a practice and I know what the cashflow looks
- 5:29Speaker 3: like and I'm moldable to go work with anybody anywhere.
- 5:33Speaker 3: So that's always more of the counseling session that I
- 5:37Speaker 3: go through anybody early on. That's trying to figure that
- 5:41Speaker 3: out more than just the banking and financing aspect of it.
- 5:45Speaker 3: And then it's really like, once you get past that,
- 5:47Speaker 3: if they decide they want to do startup, awesome.
- 5:49Speaker 2: And then we talk through here, the things that we,
- 5:51Speaker 2: we need to look.
- 5:52Speaker 3: At from a financial perspective, It's not like buying a
- 5:56Speaker 3: house where there's like a pre-approval process.
- 5:58Speaker 2: Every scenario is different.
- 5:59Speaker 3: Every doctor comes in with a different amount of debt
- 6:02Speaker 3: or a different lifestyle that they lived. And it's determining
- 6:05Speaker 3: how we can fit that in with what they're looking
- 6:08Speaker 3: to do, which generally we can. And it's just a
- 6:11Speaker 3: matter of kind of figuring out what that path looks
- 6:14Speaker 3: like and what decisions they've made going up to that
- 6:17Speaker 3: point that will set them up for it.
- 6:19Speaker 1: Yeah, yeah. And that kind of leads me into my
- 6:21Speaker 1: next question, because as you alluded to, it isn't just
- 6:26Speaker 1: a cookie cutter approach that you guys are taking with doctors.
- 6:29Speaker 1: I mean, you're really evaluating where they're at. There's all
- 6:32Speaker 1: these different factors that go into what type of a
- 6:36Speaker 1: loan they're going to be able to qualify for, how much,
- 6:38Speaker 1: all of that. And I'm wondering if you can... I
- 6:42Speaker 1: know on previous discussions in the past, you've kind of
- 6:44Speaker 1: talked about this a little bit, but especially now from 2026,
- 6:49Speaker 1: 2027 forward standards, you know, what is it that the
- 6:54Speaker 1: banks are looking for right now? Maybe there's been some
- 6:56Speaker 1: changes out there in making somebody a strong borrower. What
- 7:01Speaker 1: are some of those key things that we should be
- 7:02Speaker 1: thinking about?
- 7:04Speaker 3: Yeah, so I think that goes back to where are
- 7:07Speaker 3: they right now in their lives?
- 7:09Speaker 2: Again, a lot of that's financially driven.
- 7:11Speaker 3: I mean, we get doctors that are right out of
- 7:13Speaker 3: residency that are ready to go start a practice.
- 7:15Speaker 2: And generally, we expect them to have student loans.
- 7:19Speaker 3: We expect them to have some sort of potentially a
- 7:21Speaker 3: car payment, some sort of mortgage payment. How big those
- 7:24Speaker 3: are and how much of a burden potentially that is
- 7:28Speaker 3: will factor into the startup piece of it, especially. My favorite,
- 7:33Speaker 3: which is not... We don't run into it a ton,
- 7:35Speaker 3: but like, hey, I have student loans. I have a
- 7:37Speaker 3: car payment. I'm living in an apartment. My number one
- 7:40Speaker 3: goal is to start a practice. And so I'm open
- 7:43Speaker 3: to moving anywhere, but I'm keeping payments low. It doesn't
- 7:47Speaker 3: happen a ton, but that's great.
- 7:50Speaker 2: And if truly owning a practice is... the top priority.
- 7:54Speaker 3: I would love more people to have that mindset of, look,
- 7:58Speaker 3: you're going to come out of school making really good money.
- 8:00Speaker 3: And you've been in school a long time. So absolutely
- 8:02Speaker 3: enjoy it. Just know all of the little things do
- 8:06Speaker 3: add up. And so the more we can limit really
- 8:09Speaker 3: the monthly costs that you're paying on the personal side,
- 8:13Speaker 3: that's all we're doing to try to make it work
- 8:15Speaker 3: when we're looking, especially at a startup. And fitting it
- 8:19Speaker 3: into a box where the first, second, third years are
- 8:22Speaker 3: the most crucial, you're going to have lower income than
- 8:25Speaker 3: you will in years four on.
- 8:28Speaker 2: Obviously, everybody knows that.
- 8:29Speaker 3: But being able to control the constants, which is kind
- 8:33Speaker 3: of the personal debt load that you've taken on or
- 8:36Speaker 3: you plan to take on, that's somewhat of a controllable,
- 8:39Speaker 3: maybe outside of the student loans. So that's where it's
- 8:41Speaker 3: just be very conscious of it. And just making sure
- 8:44Speaker 3: you're talking to somebody financially that can help guide you
- 8:47Speaker 3: on that stuff.
- 8:48Speaker 1: Yeah, that is a tough one, right? Because there's so
- 8:50Speaker 1: many different views and perspectives and what should you do
- 8:54Speaker 1: and what should you not do. And I think that
- 8:56Speaker 1: kind of can sometimes even lead us into financial mistakes
- 9:01Speaker 1: that doctors may get like, oh, pay off all your
- 9:04Speaker 1: student loan debt. Or I'm not saying that that's necessarily
- 9:07Speaker 1: a bad thing, but sometimes wiping out all of your
- 9:09Speaker 1: savings is maybe not the best solution. And so I'm
- 9:14Speaker 1: wondering if you can also talk a little bit about that.
- 9:18Speaker 1: Like what would be good advice? Maybe what might not
- 9:21Speaker 1: be great advice? What are some mistakes that we should
- 9:24Speaker 1: be aware of that have kind of gotten people into
- 9:27Speaker 1: some trouble potentially and getting the loan that they want?
- 9:30Speaker 2: Yeah.
- 9:30Speaker 3: I think the big thing to remember is it's not
- 9:33Speaker 3: about how much debt you have. It's more about what
- 9:37Speaker 3: the monthly payments that you're making looks like. So as
- 9:40Speaker 3: you're fast forwarding and what are the banks looking for,
- 9:43Speaker 3: how can we control the monthly number that you're responsible for?
- 9:46Speaker 3: So whether that's student loan payments, great. I deal with
- 9:49Speaker 3: this every day and it's still hard for me to
- 9:51Speaker 3: keep track of what the repayment options are. But at
- 9:55Speaker 3: the end of the day, the more we can stretch
- 9:57Speaker 3: it out and lessen your responsibilities, especially as you're starting
- 10:02Speaker 3: and growing a practice, the better for your sake from
- 10:06Speaker 3: a monthly perspective. So again, talking to somebody that's got
- 10:10Speaker 3: 500 or 600,000 in student debt, which is a ton
- 10:12Speaker 3: of money and way more than we would have seen
- 10:14Speaker 3: 10 years ago.
- 10:16Speaker 2: It's not uncommon now, but going.
- 10:18Speaker 3: After the, Hey, I was offered a 2% rate to
- 10:21Speaker 3: pay that back in 20 years. Well, that may be
- 10:24Speaker 3: a $ 6, 000 a month payment that you have to make,
- 10:26Speaker 3: whether you're making a hundred thousand or 500,000. So that
- 10:30Speaker 3: definitely comes into play. I would say the debt that's
- 10:33Speaker 3: a no-brainer to pay off is credit card debt, which
- 10:36Speaker 3: sometimes is you just can't get around it, especially when
- 10:40Speaker 3: you're going through school and your income is limited. That
- 10:42Speaker 3: calculation from the bank's perspective is, hey, how much money
- 10:46Speaker 3: do you have set aside? And they subtract out the
- 10:49Speaker 3: credit card debt, and that's the number we're taking. So
- 10:51Speaker 3: that's definitely one that you're getting a 15% to 25%
- 10:54Speaker 3: interest rate on it. It's crazy how much you're paying
- 10:59Speaker 3: some of these credit card companies. definitely pay that off.
- 11:01Speaker 3: But the rest of it, we sort of expect, but
- 11:04Speaker 3: we would love more than anything to make sure our
- 11:07Speaker 3: doctors have a cushion so that, I mean, COVID 2.0,
- 11:11Speaker 3: if that ever happens, which hopefully it doesn't, but offices
- 11:14Speaker 3: shut down for whatever unforeseen reasons, like you have money
- 11:18Speaker 3: set aside To not just support your practice, but support you,
- 11:22Speaker 3: your family, and everything else. Again, we expect debt to
- 11:26Speaker 3: be out there. We expect our doctors to borrow money
- 11:28Speaker 3: for student loans, you know, to buy a house, whatever.
- 11:30Speaker 3: It's not as important to pay that down as quickly
- 11:33Speaker 3: as it is to pay down things that would hurt
- 11:36Speaker 3: you in the long term, which is credit card debt.
- 11:38Speaker 3: And then, you know, making sure you have something set aside.
- 11:40Speaker 2: Along the way.
- 11:42Speaker 1: Yeah, yeah. I almost think of it this way and
- 11:44Speaker 1: tell me if you guys kind of see it this
- 11:45Speaker 1: way too. It's like when I'm talking to doctors, when
- 11:48Speaker 1: we're looking at doing a startup, let's just use that
- 11:51Speaker 1: as our example. What the banks are looking for is
- 11:55Speaker 1: they're looking for, can you keep yourself safe on your
- 11:57Speaker 1: personal side? So that debt to income ratio with that
- 12:01Speaker 1: associateship job and all that's going to come there because
- 12:05Speaker 1: those financial obligations are already in place. And we know
- 12:09Speaker 1: that our loan is set up to give us a
- 12:13Speaker 1: ramp up to be able to build up our practice.
- 12:17Speaker 1: But what we don't want is thinking that our loan
- 12:19Speaker 1: for our practice is going to be able to cover
- 12:22Speaker 1: the startup and your personal. And so we kind of
- 12:26Speaker 1: have to have that perspective of we've got two different
- 12:30Speaker 1: things that the bank is looking for. You guys understand
- 12:33Speaker 1: the numbers of what it takes to get a startup
- 12:36Speaker 1: practice and the runway with working capital and all of that.
- 12:39Speaker 1: And we know that doctors are not going to be
- 12:42Speaker 1: making money in that first year or maybe even that
- 12:44Speaker 1: second year, but we're kind of setting it up knowing
- 12:47Speaker 1: that that income is coming, but we've got to keep
- 12:50Speaker 1: them safe. And I think that that's the piece where
- 12:52Speaker 1: I think sometimes doctors miss is they think that, The
- 12:56Speaker 1: loan for the startup should cover everything. And well, if
- 12:59Speaker 1: I just bet on myself and quit my associateship job,
- 13:02Speaker 1: my startup will start faster and I'll be more successful.
- 13:05Speaker 1: And unfortunately, as much as I would love that and
- 13:09Speaker 1: you would love that, it isn't necessarily the case. There
- 13:12Speaker 1: are some very specific ramp ups in how a startup goes.
- 13:16Speaker 1: And it's very, very rare. The doctors are able to
- 13:19Speaker 1: cover both sides of that.
- 13:20Speaker 2: Yeah, agreed.
- 13:22Speaker 3: And it's one of those things too, because not in
- 13:24Speaker 3: every scenario we require a doctor to have an associate
- 13:27Speaker 3: position to start. A lot of them we do because
- 13:29Speaker 3: of what you just talked through, but it doesn't mean
- 13:32Speaker 3: it's still not the right thing for them. And that's
- 13:34Speaker 3: where they still have to factor in, hey, there's more
- 13:38Speaker 3: going on in life than just me building this practice up.
- 13:42Speaker 2: You still have to be able to balance it.
- 13:44Speaker 3: And that's where, again, just having a conversation and making
- 13:46Speaker 3: sure that you understand where everything is, is huge early on. Yeah.
- 13:50Speaker 1: Yeah, for sure. For sure. Has there been any changes
- 13:53Speaker 1: in what you guys look for from liquidity or savings
- 13:59Speaker 1: or anything there that you're seeing that maybe from the
- 14:02Speaker 1: past time we've talked till now that we're looking for
- 14:05Speaker 1: there at all?
- 14:06Speaker 2: Not really.
- 14:07Speaker 3: I mean, we, again, speaking hopefully more in banking terms
- 14:11Speaker 3: than Bank of America terms, I mean, we've always been
- 14:13Speaker 3: a little more conservative making sure that doctors have some
- 14:16Speaker 3: money set aside and we're not giving a million dollar
- 14:19Speaker 3: startup loan when there's not just obviously debt, but they
- 14:23Speaker 3: don't have much in case something happens.
- 14:25Speaker 2: More than anything, it's stayed pretty steady.
- 14:29Speaker 3: I mean, we look at the success of the portfolio
- 14:31Speaker 3: and we know that We're going to look at a
- 14:34Speaker 3: doctor right out of residency differently than somebody that's been
- 14:37Speaker 3: practicing for 10 years that now they've decided it's time
- 14:40Speaker 3: for them. And that's just, again, goes back to kind
- 14:43Speaker 3: of the character of the borrower in our case. And
- 14:46Speaker 3: the doctor is, hey, what have they done to show
- 14:50Speaker 3: if they've been out of school for a while and
- 14:52Speaker 3: practicing and hopefully making some good money, what have they
- 14:56Speaker 3: done to show that they can save money and.
- 14:57Speaker 2: Be responsible with it?
- 14:59Speaker 3: Whereas somebody out of school, we're not expecting them to
- 15:01Speaker 3: have hundred thousand dollars in savings sometimes we do which
- 15:05Speaker 3: is awesome but not everybody has that yeah we want
- 15:08Speaker 3: to make sure they have something and and that there's
- 15:10Speaker 3: a backfall just in case but it's definitely more driven
- 15:13Speaker 3: by the age or how long they've been out versus
- 15:17Speaker 3: a standard number.
- 15:18Speaker 1: Yeah yeah again and what i really appreciate about you
- 15:20Speaker 1: guys is that it isn't just this cookie cutter you
- 15:23Speaker 1: only fit in the box or it doesn't work So
- 15:26Speaker 1: let's talk a little bit about qualifying for financing. And
- 15:30Speaker 1: you and I both know, I mean, we've watched the
- 15:33Speaker 1: numbers over the years that we've been in this. You know,
- 15:35Speaker 1: it used to be that, ah, we're high end. If
- 15:38Speaker 1: you're 500,000 for a startup, you know, like that's just crazy.
- 15:42Speaker 1: And then went up after COVID and it's went up,
- 15:44Speaker 1: you know, again after COVID. And we know that we're
- 15:47Speaker 1: kind of right now around 850 to a million for
- 15:51Speaker 1: a startup in financing. And I want you to talk
- 15:54Speaker 1: a little bit about about that. Because I think sometimes
- 15:58Speaker 1: doctors can maybe get it in their head that, well,
- 16:01Speaker 1: I got a million, so I got to spend a million.
- 16:03Speaker 1: I got 950, so I got to spend 950. And
- 16:05Speaker 1: I really want you to talk a little bit, maybe
- 16:11Speaker 1: give some counsel here on what we should be thinking about.
- 16:15Speaker 1: What does that really mean when we're looking? Because those
- 16:18Speaker 1: are big numbers. I mean, I always say it's easy
- 16:22Speaker 1: to get that loan, but you still got to pay
- 16:24Speaker 1: back that loan, you know, and you got to understand
- 16:26Speaker 1: what you're doing with it.
- 16:28Speaker 2: Yeah, for sure.
- 16:29Speaker 3: My first point will be, we're not going to give
- 16:32Speaker 3: somebody 900 or a million dollars that we don't feel
- 16:36Speaker 3: like is going to be in their best interest. Hopefully
- 16:38Speaker 3: that goes without saying. There's that side of it. But
- 16:41Speaker 3: to your point, just because you get a million dollar
- 16:43Speaker 3: startup loan doesn't mean you should spend a million dollars
- 16:46Speaker 3: on your startup loan. So one, having the right team
- 16:51Speaker 3: around you. If they're a client of yours and your team,
- 16:53Speaker 3: you're going to make sure the doctor is surrounded with
- 16:55Speaker 3: people that we can trust, with contractors that aren't going
- 16:58Speaker 3: to take advantage. Every equipment person in the country wants
- 17:02Speaker 3: to sell them $ 400, 000 worth of equipment to make the
- 17:06Speaker 3: practice look awesome from day one.
- 17:08Speaker 2: It doesn't mean it's the right thing.
- 17:11Speaker 3: Sometimes maybe, sometimes maybe not, but just because you can
- 17:16Speaker 3: doesn't mean that you should. So I do think there's
- 17:19Speaker 3: the financial responsibility of it, but there's also the team
- 17:22Speaker 3: that you have around you ensuring that everybody's on the
- 17:25Speaker 3: same page with what the vision of the practice is.
- 17:28Speaker 2: And if we can get away with doing a.
- 17:30Speaker 3: Practice for $ 500, 000, Awesome. I mean, that's less money a month.
- 17:36Speaker 3: It's quicker to pay back. It's more equity in the
- 17:38Speaker 3: practice sooner if you want to expand. Otherwise, as soon
- 17:42Speaker 3: as you pay that loan off, that's more money in
- 17:44Speaker 3: your pocket or to reinvest.
- 17:46Speaker 2: In your practice. I guess really two things.
- 17:48Speaker 3: We're not going to give the doctors the budget if
- 17:50Speaker 3: we don't feel like they can handle it and afford
- 17:53Speaker 3: it with everything they have going on. But ensuring that
- 17:57Speaker 3: the team around you is all rowing in the same
- 18:00Speaker 3: direction with your best interest at heart. That's where all
- 18:02Speaker 3: of this really comes into play to make sure that
- 18:06Speaker 3: what you're spending is going to come back. It's an
- 18:09Speaker 3: investment that's going to make sense.
- 18:11Speaker 1: Yeah, yeah, absolutely. And now a word from the sponsors
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- 18:56Speaker 1: exclusively for my listeners. I'm wondering if you'll indulge me
- 19:05Speaker 1: here for a minute. And I kind of want to
- 19:06Speaker 1: talk about the loan as a whole and kind of
- 19:09Speaker 1: go on a little rabbit trail here just a little bit.
- 19:13Speaker 1: But one of the things that I think doctors a
- 19:16Speaker 1: lot of times miss is that they think that they're
- 19:19Speaker 1: just getting this big lump sum of money that they
- 19:21Speaker 1: just get to spend however they want. And I want
- 19:24Speaker 1: to kind of break it down into, I kind of
- 19:26Speaker 1: try and explain it like you kind of have buckets
- 19:29Speaker 1: that the bank is going to kind of break your
- 19:31Speaker 1: loan down into. There's a certain amount of money that
- 19:34Speaker 1: they're allocating for construction. And there's a certain amount of
- 19:37Speaker 1: money that they're allocating for equipment. And there's a certain
- 19:41Speaker 1: amount of money that we're allocating for working capital and this, that,
- 19:44Speaker 1: or the other. Would you mind talking through that a
- 19:48Speaker 1: little bit? Because I think especially... and I want to
- 19:50Speaker 1: go through each of those buckets a little bit, but
- 19:53Speaker 1: I think what I see, especially with where things are
- 19:57Speaker 1: at right now in our economy and where the cost
- 19:59Speaker 1: of construction is and why the banks, your consultant, why
- 20:04Speaker 1: we're all scrutinizing things so much is It's really easy
- 20:09Speaker 1: to have kind of to your point of be oversold
- 20:11Speaker 1: on equipment. It's also very easy to be oversold on
- 20:15Speaker 1: your construction costs. And even if we've got a million
- 20:18Speaker 1: dollar loan and somebody says, oh, you know, 650 in
- 20:22Speaker 1: your build out, when you look at what's left... That's
- 20:25Speaker 1: not a lot like realistically for what we need to do.
- 20:28Speaker 1: So I'm wondering if you can kind of help us
- 20:31Speaker 1: understand what you guys are looking for and why you're
- 20:36Speaker 1: asking doctors like, hey, we need to see your construction
- 20:40Speaker 1: bid before we open things up. And I'd also, if
- 20:44Speaker 1: you don't mind, I want you to unpack a little
- 20:46Speaker 1: bit why you guys kind of scrutinize where their rent
- 20:50Speaker 1: is going to be to kind of all in on that.
- 20:53Speaker 1: I know it's because we're trying to keep them safe.
- 20:55Speaker 1: But I think that there's kind of this misconception out
- 20:58Speaker 1: there that they're just trying to control everything where that's
- 21:01Speaker 1: not the case at all. So do you mind unpacking
- 21:03Speaker 1: that a little bit for us?
- 21:05Speaker 2: Yeah.
- 21:06Speaker 3: So I guess just moving chronologically, generally, how we're looking
- 21:09Speaker 3: at this is you get your approval and you have
- 21:12Speaker 3: a general budget, which obviously is very exciting and important,
- 21:15Speaker 3: but really doesn't come into play until the lease is
- 21:18Speaker 3: finalized and we start getting contractor bids on what the
- 21:22Speaker 3: construction is going to look like.
- 21:23Speaker 2: To your first point, which comes up first on the
- 21:25Speaker 2: rent amount, absolutely.
- 21:28Speaker 3: Those first four years, I mean, not just even the
- 21:31Speaker 3: first four years, prior to you even opening, making sure
- 21:35Speaker 3: that the doctor is either not paying much or paying very,
- 21:39Speaker 3: very little, hopefully in most scenarios to where there's some
- 21:42Speaker 3: sort of free rent period because there's no revenue coming.
- 21:45Speaker 2: In to be able to make that payment.
- 21:47Speaker 3: And then those first four years are the most crucial
- 21:51Speaker 3: in bringing on patients, bringing on referral partners, just getting
- 21:56Speaker 3: your brand out into the community. And so we are
- 21:58Speaker 3: very much looking at those numbers to where there's projections
- 22:01Speaker 3: on what we expect to our doctors to be doing
- 22:04Speaker 3: in terms of total collections and revenue and how rent
- 22:07Speaker 3: plays into it. Because if rent, which is a fixed
- 22:11Speaker 3: cost that once you sign that lease, you.
- 22:13Speaker 2: Very, very rarely are going to ever be.
- 22:15Speaker 3: Able to adjust it for five to 10 to 15 years.
- 22:20Speaker 3: So we're looking at that to ensure that it's putting
- 22:22Speaker 3: you in the best scenario from a cashflow perspective so
- 22:26Speaker 3: that you can make money and pay staff and do
- 22:28Speaker 3: everything else.
- 22:28Speaker 1: Yes.
- 22:29Speaker 2: So Yes, we care.
- 22:31Speaker 3: Yes, there's oversight, but that is for very good reason
- 22:34Speaker 3: because that's something you'll never be able to change or
- 22:37Speaker 3: you won't be able to change for a long time.
- 22:38Speaker 1: Yeah.
- 22:39Speaker 2: So once that lease.
- 22:40Speaker 3: Is signed or very close to being signed, doctors start
- 22:43Speaker 3: getting bids from contractors to figure out how much construction
- 22:46Speaker 3: is going to cost. Because for the most part, and
- 22:48Speaker 3: there's a lot that goes into construction, but for the
- 22:52Speaker 3: most part, that is going to be the largest chunk
- 22:54Speaker 3: of the budget. And that's going to dictate, hey, do
- 22:56Speaker 3: I need to spend 900,000 or can I spend 700,000?
- 23:00Speaker 3: So no, we're not just giving money to the doctors
- 23:04Speaker 3: and saying, Hey, good luck. We are going to monitor
- 23:07Speaker 3: the process the whole time to ensure that contractors aren't
- 23:11Speaker 3: taking advantage of you, that the contract that they give
- 23:13Speaker 3: you into us is matching what's coming through on the invoices.
- 23:18Speaker 3: And that goes for kind of everything throughout the process.
- 23:22Speaker 3: So the way that the loan works again, you're not
- 23:24Speaker 3: just taking on $ 900, 000 of a loan. the loan starts
- 23:29Speaker 3: to accumulate a balance as invoices go out. So generally
- 23:33Speaker 3: you're going to make a lease deposit. That could be
- 23:36Speaker 3: the first payment. An architect is going to be soon
- 23:38Speaker 3: after that because they're going to draw the space, which
- 23:40Speaker 3: then makes way for the contractor to be able to
- 23:43Speaker 3: give a bid to our doctors. And so these little 5,000, 10,000, $ 20, 000
- 23:48Speaker 3: payments to some of these people as they go out, yes,
- 23:51Speaker 3: now you have a loan of 40,000 or 50,000. And
- 23:53Speaker 3: then the big stuff comes when the contractors start their
- 23:57Speaker 3: work and.
- 23:58Speaker 2: You know, they need chunks of 100 or 150,000, which.
- 24:01Speaker 3: Again are all very big numbers, but it's going to
- 24:04Speaker 3: a team that's monitoring this so that we know throughout
- 24:08Speaker 3: your project, everything is staying within budget on plan. And again,
- 24:14Speaker 3: fast forward and signage and equipment and supplies and consulting
- 24:19Speaker 3: and everything in there. You could say there are three
- 24:23Speaker 3: buckets with 20 things in each one, or you could
- 24:25Speaker 3: say there are 20 buckets with, you know, a couple
- 24:27Speaker 3: of things in each one.
- 24:28Speaker 2: Just depending on how you want to look at it.
- 24:30Speaker 3: But at the end of the day, as the money
- 24:32Speaker 3: goes out the door, that's what ends up being your
- 24:35Speaker 3: final loan amount. And then ultimately at the very end
- 24:38Speaker 3: of the project is when we will give the remainder
- 24:40Speaker 3: of the working capital to our doctors.
- 24:42Speaker 2: And that goes into a checking account.
- 24:44Speaker 3: And that is something that once they open their doors,
- 24:47Speaker 3: that's money for them to use for staff and for
- 24:50Speaker 3: marketing and for whatever else from a cashflow perspective, that's
- 24:53Speaker 3: going to help them get through this first few months
- 24:57Speaker 3: to a year as they're getting patients in the door
- 25:00Speaker 3: and starting clients and things like that. Yeah.
- 25:03Speaker 1: I really appreciate you kind of going through that because
- 25:05Speaker 1: I do think there's been over the years, you know,
- 25:07Speaker 1: kind of this misconception that I opened my loan and
- 25:10Speaker 1: they just dropped 900,000 into my account. And, you know,
- 25:13Speaker 1: I can go buy that second house because they don't
- 25:15Speaker 1: really care what I do with it. And no, that
- 25:17Speaker 1: isn't it. And, And I do think that even though
- 25:19Speaker 1: it's oversight, what I want everybody to hear is this
- 25:22Speaker 1: is for everybody to stay safe. And I think that
- 25:26Speaker 1: it's good, especially if you've never done this before. It's
- 25:29Speaker 1: good to know that you've got a team of professionals
- 25:32Speaker 1: that are looking, you know, just making sure that, hey,
- 25:34Speaker 1: that invoice doesn't look right or that bid looks exceptionally high.
- 25:39Speaker 1: Or I say this all the time when I'm looking
- 25:41Speaker 1: at equipment. To your point, I just am not sure
- 25:44Speaker 1: that we need this much equipment for a startup, you know.
- 25:48Speaker 2: Ha ha!
- 25:49Speaker 1: We need to use that money for marketing to getting
- 25:52Speaker 1: patients in the door. So it's good to have, you know,
- 25:55Speaker 1: extra set of eyes that are looking at it and
- 25:57Speaker 1: to have a better understanding of how that loan is
- 25:59Speaker 1: dispersed and really how you're going to be working with that. Now,
- 26:03Speaker 1: I want to kind of switch gears a little bit
- 26:05Speaker 1: and talk about acquisitions now, because we work a lot
- 26:09Speaker 1: with doctors who that camp of, you know, I don't
- 26:12Speaker 1: think of startups for me. I still want to be
- 26:14Speaker 1: a practice owner. And I've got this really great opportunity.
- 26:20Speaker 1: to do an acquisition, but I don't know what I'm
- 26:23Speaker 1: looking at. And I don't know if this is a
- 26:25Speaker 1: good deal or not. And I'm wondering if you can
- 26:28Speaker 1: now talk a little bit about that side of it,
- 26:31Speaker 1: because you and I both get in the weeds here
- 26:33Speaker 1: with doctors about that too. And we don't just say,
- 26:37Speaker 1: oh yeah, they asked for that. So yep, therefore we
- 26:40Speaker 1: will pay that. You know, like there's a lot that
- 26:41Speaker 1: goes into that evaluation. Do you mind talking about that
- 26:45Speaker 1: and kind of how a loan works with that too?
- 26:47Speaker 2: Yeah, so.
- 26:49Speaker 3: I think my disclaimer first is the bank is never
- 26:52Speaker 3: going to be the one to say, hey, they're asking $ 900, 000.
- 26:56Speaker 2: We think it's worth $ 800, 000. Not necessarily our role.
- 27:00Speaker 3: Our role is to look at, just like we do
- 27:02Speaker 3: in a startup, to look at the overall picture for
- 27:04Speaker 3: that specific doctor and can that practice support borrowing money
- 27:09Speaker 3: to pay for that practice and support them and their
- 27:13Speaker 3: family and everything else that they have going on.
- 27:16Speaker 2: Do we have a very good idea of if a
- 27:17Speaker 2: practice is overpriced? Of course.
- 27:19Speaker 3: And I will always give my opinion, but not necessarily
- 27:23Speaker 3: in our lane. Where I'm really coming in is I
- 27:26Speaker 3: will give my opinion on that. But also, I think
- 27:28Speaker 3: even more importantly at times, looking at trends of the practice.
- 27:32Speaker 3: And again, what's the practice making? If we take that
- 27:35Speaker 3: owner out and we put you in, what expenses leave today?
- 27:39Speaker 3: And then what are you bringing to the table in it?
- 27:41Speaker 3: And is the practice, does it make sense for you?
- 27:43Speaker 3: Because you could look at five practices. And three of
- 27:46Speaker 3: them may make sense and two of them may not
- 27:48Speaker 3: make sense. And it's practice dependent. It's always very much
- 27:53Speaker 3: a case by case scenario, but I'm always diving into
- 27:57Speaker 3: what expenses are they paying that are industry norms are
- 28:02Speaker 3: very close. Are there things that are sticking out from
- 28:06Speaker 3: one year to the other? I mean, did the practice
- 28:08Speaker 3: increase 15% in collections from 25 to 2026?
- 28:10Speaker 1: Great.
- 28:14Speaker 3: It doesn't tell me anything other than there's something going
- 28:16Speaker 3: on and we want to know what it is because
- 28:18Speaker 3: at the end of the day, yes, that may be
- 28:20Speaker 3: a good thing. Maybe it's a bad thing for you
- 28:23Speaker 3: because they're part of some group that's bringing in a
- 28:25Speaker 3: lot of referrals and that's not going to happen anymore. Again,
- 28:30Speaker 3: these are just examples of, it doesn't tell you what's
- 28:34Speaker 3: going on. It tells you something's going on and we
- 28:36Speaker 3: want to know. And like I've seen practices that have
- 28:39Speaker 3: doubled from year over year, but then you look that.
- 28:41Speaker 2: They spent $ 80, 000 in marketing one year.
- 28:42Speaker 3: Well, Okay, that just means you're going to need to
- 28:46Speaker 3: count on doing the same thing and understand what they're doing.
- 28:50Speaker 3: It's just looking at it and helping evaluate the financial health.
- 28:54Speaker 3: And I a lot of times instead of answering questions,
- 28:58Speaker 3: I bring more to the table and say, Hey, here's
- 28:59Speaker 3: what I think. But here's the five to seven things
- 29:02Speaker 3: I think you should go back and ask, because this
- 29:05Speaker 3: is really going to determine Is this the right fit
- 29:08Speaker 3: for you or not? But again, and then at the
- 29:11Speaker 3: bottom line, we're going to make sure from a cash
- 29:13Speaker 3: flow perspective, from an income perspective.
- 29:15Speaker 2: For the doctors. Yes, it makes sense.
- 29:18Speaker 3: I just want to along the way, make sure they
- 29:21Speaker 3: know what they're getting into and really uncover anything that's
- 29:24Speaker 3: going to be helpful. So they're not surprised, you know,
- 29:26Speaker 3: week one, they get into the practice and they're like,
- 29:28Speaker 3: what the heck? I just get myself into.
- 29:30Speaker 2: That's what we're all here for is to avoid that.
- 29:33Speaker 1: Yeah, absolutely. I'm sure you can think back through the
- 29:35Speaker 1: years and think of you know, things, but is there
- 29:38Speaker 1: anything that are maybe whammies or red flags that doctors
- 29:43Speaker 1: should be aware of? I know you kind of said,
- 29:45Speaker 1: you know, a whole lot of income, but is there
- 29:48Speaker 1: anything that kind of jump out to you that you're like,
- 29:51Speaker 1: these might be a couple of things that you just might,
- 29:53Speaker 1: we as a bank will pay attention to, but you
- 29:55Speaker 1: should also from a financial health standpoint, pay attention to?
- 29:59Speaker 2: Yeah. I mean, the fixed costs are always the toughest
- 30:02Speaker 2: to change.
- 30:03Speaker 3: So I think if somebody's paying a lot in rent,
- 30:07Speaker 3: there's only so much you're going to be able to
- 30:08Speaker 3: change with that. If the wages are really high because
- 30:12Speaker 3: certain staff members have been there forever and they're the
- 30:14Speaker 3: staple of the practice.
- 30:16Speaker 2: Again, you're not going to be able to change that.
- 30:18Speaker 2: I don't know.
- 30:19Speaker 3: Individual red flags is tough. Other than if I hear
- 30:22Speaker 3: a doctor say, I love this practice. But in three
- 30:26Speaker 3: to five years, I want to move this practice closer.
- 30:28Speaker 2: To me or whatever.
- 30:30Speaker 3: Again, location is something that is so difficult to change
- 30:34Speaker 3: that if that's a goal right from the start that, hey,
- 30:37Speaker 3: I don't want to be here long term. It may
- 30:39Speaker 3: not be a red flag of the practice, but it's
- 30:41Speaker 3: definitely something that this may not be the right fit
- 30:44Speaker 3: for you specifically. I think it's very case by case
- 30:47Speaker 3: of what the doctor is looking for. But the red
- 30:50Speaker 3: flags are generally the trends of year to year versus
- 30:53Speaker 3: one specific category for the most part.
- 30:55Speaker 1: Yeah, yeah, that's perfect. And I know I was kind
- 30:57Speaker 1: of putting you on the spot there a little bit,
- 30:59Speaker 1: but audience loves to hear, you know, okay, is there
- 31:01Speaker 1: something I should be watching for, should be looking out
- 31:05Speaker 1: for as they're going along here?
- 31:06Speaker 3: Yeah.
- 31:07Speaker 1: So I want to jump back to startups now. And
- 31:10Speaker 1: I think this could apply a little bit to acquisitions,
- 31:12Speaker 1: but you and I both know that startups have this
- 31:15Speaker 1: really unique challenge, right, of purchasing. our ramp up between
- 31:19Speaker 1: opening our doors and, you know, getting going. And, you know,
- 31:22Speaker 1: I talk to doctors all the time about, for the
- 31:24Speaker 1: most part, most of my docs in a startup in
- 31:26Speaker 1: their first year are going to have between $ 20, 000 and $ 25, 000
- 31:28Speaker 1: in fixed expenses. And kind of use this example of
- 31:32Speaker 1: our expenses are here and our income is here. And,
- 31:35Speaker 1: you know, we're waiting on AR to kind of even
- 31:37Speaker 1: us out before we're actually making any type of income.
- 31:41Speaker 1: I'm wondering if you can talk a little bit about,
- 31:45Speaker 1: because again, as a bank, you guys are also anticipating
- 31:49Speaker 1: that deficit of expense to income. And I'm wondering if
- 31:54Speaker 1: you can just kind of talk a little bit about that.
- 31:57Speaker 1: And maybe that plays into how you guys deal with
- 32:00Speaker 1: working capital or leaning into that. Hopefully they're getting TI
- 32:03Speaker 1: expenses and some of that. But can you kind of
- 32:06Speaker 1: talk to that and what you guys are looking for
- 32:09Speaker 1: or at there? Yeah.
- 32:10Speaker 3: It's all expected, which is why, again, going back to
- 32:13Speaker 3: the team you put together around you, you guys do
- 32:17Speaker 3: a great job. We're going to help with that also
- 32:19Speaker 3: and ensuring that the expenses that we can control, like rent,
- 32:24Speaker 3: in the first few years, there is sort of that
- 32:26Speaker 3: gradual increase, hopefully, from a rent perspective. As revenue increases,
- 32:32Speaker 3: rent's going to increase. Same thing with the loan as well.
- 32:34Speaker 3: So it all gets taken into account. And we know
- 32:39Speaker 3: we're the biggest critics because we want to get paid back.
- 32:42Speaker 3: We're looking at anything and everything for those first four
- 32:45Speaker 3: years to ensure there's nothing there that's going to prevent
- 32:48Speaker 3: you from not being able to practice. We expect that
- 32:52Speaker 3: expense and income ratio to flip over time, but it's
- 32:56Speaker 3: going to be very gradual. So it's, do the loan
- 32:59Speaker 3: payments increase? Does it give you the biggest runway? Does
- 33:02Speaker 3: the rent increase and give you a big runway? And then, yeah,
- 33:05Speaker 3: to your point, there will be generally on most startups
- 33:09Speaker 3: about $ 100, 000 in working capital that can be used for
- 33:12Speaker 3: a variety of things.
- 33:15Speaker 2: Ideally, at the end of your project, you have a.
- 33:18Speaker 3: Very big chunk of that that's going to get you
- 33:20Speaker 3: through that initial period to where, yes, hopefully a lot
- 33:22Speaker 3: of these expenses are still low.
- 33:25Speaker 2: But.
- 33:26Speaker 3: it will get you through some of those months. And
- 33:29Speaker 3: that's huge because again, if we need to use personal funds, fine.
- 33:33Speaker 2: Generally, we're trying to keep them separate. You already talked
- 33:36Speaker 2: about that.
- 33:36Speaker 3: We're trying to keep those separate and we'd love for
- 33:38Speaker 3: the practice to sustain itself. And so there's going to
- 33:41Speaker 3: be a chunk of money there that you need to
- 33:44Speaker 3: talk to you or to us and figure out, is
- 33:46Speaker 3: it good to put towards marketing? Do I need to
- 33:48Speaker 3: plan on using this for staff wages? That is a
- 33:50Speaker 3: combination of both. And there are plenty of our clients
- 33:54Speaker 3: that they go through it in the first six months
- 33:57Speaker 3: and then it starts to come away and they aren't
- 33:59Speaker 3: having to dip into it. And we have some clients
- 34:02Speaker 3: that 100,000 sits in their checking account for the entirety
- 34:05Speaker 3: of the first year. And then they come back to
- 34:07Speaker 3: me and they're like, hey, can I just pay this
- 34:08Speaker 3: back on the loan? Which yeah, you can, but it's
- 34:11Speaker 3: there as a safety net. It's not a bad thing
- 34:14Speaker 3: to use it. It doesn't mean it's a good thing
- 34:16Speaker 3: that you're not using it. I mean, again, there's no
- 34:18Speaker 3: right or wrong answers in any of this. It's really
- 34:20Speaker 3: just being able to grow your practice at the pace
- 34:24Speaker 3: that it needs to, to be successful. And those first
- 34:27Speaker 3: few years, they're going to be growing pains along with it.
- 34:29Speaker 3: But financially, we just want to make sure we're putting
- 34:32Speaker 3: you in the right position so that that part, I mean,
- 34:36Speaker 3: financial is always going to be in the back of
- 34:38Speaker 3: your mind, but you should have enough money to get
- 34:40Speaker 3: through it. And then it's just a matter of, Hey,
- 34:41Speaker 3: what's the strategy to do it and how quickly.
- 34:44Speaker 1: Yeah, I love that. It is strategy because I think
- 34:47Speaker 1: that's exactly it. We're trying to stay as safe as possible.
- 34:50Speaker 1: We know we're going to have those fixed expenses in
- 34:52Speaker 1: that first year. We know that they're going to increase
- 34:55Speaker 1: a little bit in year two. But if we're smart
- 34:58Speaker 1: about the way we're growing the practice and we're smart
- 35:00Speaker 1: about the way we're incurring expenses. You know, I always
- 35:04Speaker 1: tell docs like there is no invisible expense. If you
- 35:07Speaker 1: commit to paying it, you're committing to paying for it
- 35:09Speaker 1: and it will show up on your P & L.
- 35:11Speaker 1: So what takes you from 20 to 25,000 to 30
- 35:15Speaker 1: to 35,000? And as we're growing that AR and offsetting
- 35:19Speaker 1: that difference, there's a lot of strategy there. And if
- 35:22Speaker 1: we're smart about it and smart about how we're going
- 35:24Speaker 1: about it, ultimately what I want is my docs to
- 35:27Speaker 1: be making money. You want that? I want that, right?
- 35:32Speaker 1: Paying their bills and making the money. And so I
- 35:34Speaker 1: think we just have to be really careful. And I just, again,
- 35:37Speaker 1: I'm going to go back to, there's a lot of
- 35:39Speaker 1: strategy and how we think about that from what we're
- 35:43Speaker 1: doing with TI to what we're getting from our bank
- 35:46Speaker 1: with our working capital and how we're a strategically kind
- 35:49Speaker 1: of planning that out, in my opinion, over the first
- 35:51Speaker 1: two years, that to me is like really make it
- 35:54Speaker 1: or break it our first two years. And if we
- 35:56Speaker 1: can get that in place and set aside, you know,
- 35:59Speaker 1: three to six months worth of savings for a rainy day.
- 36:02Speaker 1: And then from there, we're pulling income. That's what I'm
- 36:05Speaker 1: ultimately looking for, for, for everybody out there. So I
- 36:09Speaker 1: know that you and I could just talk and talk
- 36:11Speaker 1: and talk about this. And, you If somebody wants to
- 36:16Speaker 1: connect with you, if they want to have a conversation
- 36:19Speaker 1: and just, you know, like, hey, I've been thinking about this.
- 36:22Speaker 1: I'm not sure what Matt's going to be the best
- 36:24Speaker 1: way that they can reach out, talk to you, get
- 36:26Speaker 1: some information about whether it's an acquisition or a startup
- 36:30Speaker 1: and what you guys are offering loan-wise.
- 36:32Speaker 3: Yeah.
- 36:33Speaker 2: I mean, they can always reach out to you and
- 36:34Speaker 2: you can connect us.
- 36:35Speaker 1: Yeah.
- 36:36Speaker 3: Anybody can email me. My email is matthew.croker.com. at bofa.com.
- 36:41Speaker 3: And then my cell phone 720-338-1165.
- 36:46Speaker 2: Always happy to help.
- 36:47Speaker 3: Awesome. Awesome.
- 36:48Speaker 1: Well, I appreciate what you guys are doing. And you
- 36:51Speaker 1: guys take such good care of all the docs that
- 36:53Speaker 1: I know that work with you guys. And so thanks
- 36:56Speaker 1: for being a good resource out there too, Matt, for us.
- 36:58Speaker 2: Thank you. Likewise. Likewise.
- 37:03Speaker 1: And now a word from the sponsors who make this
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- 38:00Speaker 1: how I like to finish up HeyDocs? I like to
- 38:02Speaker 1: finish us up with a little speed round. Are you
- 38:04Speaker 1: ready for the speed round challenge?
- 38:06Speaker 3: All right. Okay.
- 38:07Speaker 1: What is one thing people would be surprised to learn
- 38:11Speaker 1: about you?
- 38:12Speaker 3: My friends wouldn't be, but I do love a good
- 38:14Speaker 3: karaoke night out.
- 38:16Speaker 2: Ah, I love that.
- 38:17Speaker 1: That's great.
- 38:18Speaker 3: Okay.
- 38:19Speaker 1: What's a job you think you'd be surprisingly good at
- 38:22Speaker 1: besides the one you have?
- 38:24Speaker 3: One of my retirement plans, I would love to go
- 38:27Speaker 3: and teach high school business class and be a high
- 38:30Speaker 3: school basketball coach.
- 38:32Speaker 2: Oh, fun.
- 38:32Speaker 1: I love that.
- 38:33Speaker 3: Okay.
- 38:34Speaker 1: And last one, what is one thing you think people
- 38:37Speaker 1: should delegate a little bit sooner?
- 38:39Speaker 2: The small stuff.
- 38:40Speaker 3: We can be good at tasks that Others can certainly
- 38:44Speaker 3: do instead and make sure that we're in the areas
- 38:47Speaker 3: that are bringing business in, supporting our clients. So you
- 38:51Speaker 3: need to be comfortable getting rid of the small stuff
- 38:54Speaker 3: and trusting other people along the way.
- 38:56Speaker 1: Yeah. Oh, that's such a good one and such a
- 38:59Speaker 1: hard one.
- 38:59Speaker 2: It's very hard. It's very hard. I struggle with it
- 39:02Speaker 2: every day.
- 39:04Speaker 1: Me too. Me too. And I think about it too.
- 39:06Speaker 1: And yeah, it's so important and so hard at the
- 39:09Speaker 1: same time. So, well, Matt, thank you so much for
- 39:12Speaker 1: being on Hey Docs and just giving us some good information. Again,
- 39:16Speaker 1: I always love it when you're able to make time
- 39:18Speaker 1: for us.
- 39:18Speaker 2: Love it as well. Thanks so much.
- 39:20Speaker 3: All right.
- 39:20Speaker 1: See ya.
- 39:21Speaker 2: See ya.
- 39:23Speaker 1: Are you ready to start a practice of your own?
- 39:26Speaker 1: Need a new fresh set of eyes or some advice
- 39:29Speaker 1: on your existing profession? If so, reach out to me,
- 39:32Speaker 1: Jill Allen at www.practiceresults.com. If you like what we're doing
- 39:38Speaker 1: here on Hey Docs and want to hear more of
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