August 12, 2024

Planning on awarding bonuses? – We’ve got tips from a Dental CPA

Article by: Andrew Hinrichs, CPA & CEO

Establishing an effective dental practice employee bonus structure is not a straightforward process. Lucky for you, Engage Advisors put together this incentive guide for dental practices.

Why Implement a Bonus System in Your Dental Practice? 

Implementing a bonus system is a strategic move for any growing practice. If done correctly, it can significantly impact both employee satisfaction and profitability.

  • Reduced Turnover Costs: Establishing a culture of recognition, including bonuses, can significantly reduce turnover costs. Lower turnover rates lead to savings on recruitment and training, ultimately boosting your practice’s bottom line. (1) 
  • Improved Accuracy: Happy employees are more accurate in their tasks, reducing errors and enhancing overall business performance. Studies show that employee satisfaction can improve accuracy by up to 19%. (2) 
  • Revenue Growth: Employee happiness, often bolstered by recognition and bonuses, can lead to a 37% increase in revenue. Motivated employees are more likely to hit revenue targets and contribute to your practice’s growth. (2)
  • Increased Productivity: Practices that implement incentive programs report an average productivity increase of 22%. A well-structured bonus system can be a powerful motivator for your team to achieve higher performance levels. (3)

5 Crucial Steps to Complete Before You Give Your Dental Staff Bonuses  

Implementing a bonus program requires careful planning. It’s best to start the planning process in August or September to ensure ample time for budget assessment and strategy development. By getting a head start and following a few crucial steps before handing out bonuses, you can establish a successful and sustainable bonus program tailored to your practice.

1. Review Your Finances

Start off by having a clear understanding of your practice’s financial health.

This includes analyzing:

  • Income Statements
  • Balance Sheets
  • Cash Flow Statements

Ensure that your practice has sufficient cash reserves to cover the bonuses without compromising your operational needs. Look for trends in revenue and expenses to make informed decisions.

This is where working with an experienced dental CPA & advisor is beneficial as they get a detailed analysis of your financial statements and provide insights into your practice’s financial stability.

 

2. Establish a Bonus Allocation Strategy: Collections vs. Net Income 

When determining how much money to allocate to the bonus pool, it’s important to recognize that every dental practice is unique. An allocation strategy will usually focus on two major factors: collections and net income. 

  • Collections-Based Bonus Allocation 
    • Collections refer to the total revenue received by the practice from patients and insurance companies. 
    • Rewarding employees based on collections incentivizes them to increase productivity, improve patient service, and enhance revenue-generating activities. 
    • For example, if your practice sets a monthly collections goal of $100,000 and exceeds it, a bonus is given. If collections reach $110,000 with a 10% bonus rate, the bonus pool would be $1,000. 
  • Net Income-Based Bonus Allocation 
    • Net income is what remains after all expenses are deducted from collections, representing the practice’s profitability. 
    • Tying bonuses to net income encourages employees to focus on cost efficiency and the financial health of the practice. 
    • In this case, a percentage of profit above a base overhead figure is set aside as a bonus pool.
       

3. Set Clear Performance Metrics

Bonuses should be tied to measurable performance metrics to ensure fairness and transparency. Define the criteria for earning bonuses, such as patient satisfaction scores, production goals, or efficiency improvements. Communicate these metrics clearly to your staff so they understand what is expected of them.

Tip: Use a combination of individual and team-based metrics to encourage collaboration and a sense of shared responsibility among your staff.

4. Evaluate Tax Implications

Bonuses can have significant tax implications for both your practice and your employees. Ensure that you understand the tax consequences of issuing bonuses. This might include some of the following considerations:

  • Deductibility: Bonuses paid to employees are generally deductible as business expenses, provided they are given as compensation for services rather than as gifts.
  • Withholding Taxes: Bonuses are considered supplemental wages and are subject to federal income tax withholding, Social Security tax, Medicare tax, and federal unemployment tax.
  • Timing: For cash-method businesses, the bonus must be paid by the end of the tax year to be deductible, while accrual-method businesses can deduct bonuses paid within 2½ months after the year-end under the 2½-month rule.
  • Deferring Bonuses: If a substantial bonus might push an employee into a higher tax bracket, consider deferring the bonus to the next year to manage the employee’s tax liability more effectively.
  • Retirement Contributions and Charitable Donations: Employees can reduce their taxable income by contributing their bonuses to retirement accounts like a 401(k) or a Health Savings Account (HSA), and making charitable donations can increase itemized deductions.

5. Plan for Future Growth

While rewarding your staff is important, it’s equally crucial to plan for the future growth of your practice. Ensure that the bonuses you give today do not hinder your ability to invest in new equipment, technology, or staff training. Balance immediate rewards with long-term investments that will benefit your practice and your team in the years to come.

Tip: Create a budget that includes a bonus pool as a regular expense. This will help you plan for bonuses without disrupting your financial stability.

 

Sources 

  1. Gallup 
  2. Harvard Business Review 
  3. Incentive Research Foundation 

 


Keep Your Bonus Program Sustainable – Make sure to monitor and adjust as you go.

Once your dental practice employee bonus structure is in place, it’s crucial to regularly monitor your practice’s financial health and adjust your budget accordingly. For example: 

  • If patient collections decrease during the winter months, temporarily lower bonus targets to align with reduced revenue. 
  • Regular quarterly reviews of your profit and loss statements and performance metrics can help identify necessary adjustments, ensuring your bonus program remains sustainable without straining finances. 

Given the importance of these regular financial assessments, working with a dental CPA becomes invaluable. A dental CPA can handle the ongoing monitoring and adjustments needed to keep your bonus program effective and sustainable.  

With specialized expertise in dental practices, Engage Advisors understands the unique financial challenges and opportunities in this field. They offer a comprehensive approach to financial planning, utilizing tools like the Elements® system to provide a complete and accurate view of your financial health. 

  • Engage Advisors Services Include: 

At Engage Advisors you’re not just working with one CPA, you’re working with a team of CPAs. Collectively they are keeping your personal and practice finances organized and proactively identifying opportunities for growth and savings. Their collaborative approach ensures that every aspect of your financial health is meticulously managed, allowing you to focus on providing excellent care to your patients. With Engage Advisors, you gain peace of mind knowing that your financial future is in expert hands.