Dentists and Non-Competition Agreements in Illinois: Is Yours Worth the Paper It’s Printed On?
Jordan Uditsky • October 15, 2019
There are over 4,800 dentists currently practicing in Illinois, according to the Bureau of Labor Statistics. Only four states have more dentists than the Land of Lincoln. That number makes for a competitive market, as well as one that provides a rich environment for dental professionals to find and seize new opportunities, either by joining another practice or starting their own.
As attorneys for the dental profession, we often receive questions about what limitations, if any, dentists can face from or impose on colleagues with whom they currently practice. Specifically, many dentists have signed or will be asked to sign non-competition or non-solicitation agreements, either as stand-alone documents or as part of an employment agreement.
But just because something is in writing doesn’t mean its worth the paper it's written on. Illinois courts will not enforce non-competition provisions that are unreasonably and unjustifiably broad or those unsupported by consideration. Poorly drafted – and thus unenforceable - agreements can give an employer a false sense of security, or cause a dentist to unnecessarily reject job offers or other opportunities.
This is not to say that all non-competition agreements in Illinois are invalid – those that meet the law’s requirements can be enforced. Therefore, it is important that dentists understand precisely what the law permits and what it doesn’t, no matter what side of a proposed agreement you may be on.
Non-Competition vs. Non-Solicitation
People often use the term “non-compete” as a catch-all for two related, but distinct,
limitations on future employment. But non-competition clauses and non-solicitation provisions are very much different, and the law treats them as such.
Typically, a non-competition agreement will purport to limit an employee’s ability to engage in their current profession or occupation within a specified geographic area for a set time. For dentists, this can mean that they agree not to treat any patients in the identified area until the end of that period.
Non-solicitation agreements, on the other hand, only limit an employee’s ability to actively seek the business of the employer’s current patients/clients/customers for a given period, though they are free to set up shop and do business.
Typically, courts will look at non-solicitation agreements less skeptically than they will non-competition agreements, as they are more limited in scope and more tailored to protect a business’ legitimate business interest in their existing clients. Dentists and physicians, however, can’t ethically stop a current patient from going to a former dental associate for treatment on their own volition if the dentist did not affirmatively solicit them.
Reasonableness
Every year, employees and employers file scores of lawsuits in Illinois seeking to enforce or strike down non-competition agreements. This has given Illinois courts ample opportunity to opine on these contracts and develop the contours of what is and what is not permitted. These contours have evolved over the years, generally in the direction of limiting the ability of employers to keep their former associates from making a living how, where, and when they choose.
The two primary factors that a court will consider when evaluating a non-competition agreement are its reasonableness and whether it is supported by sufficient consideration. Specifically, for a non-compete to be enforceable:
• Its geographic and temporal limitations must be no greater than needed to protect a legitimate business interest;
• Its restrictions must not impose an undue hardship on the employee; and
• Its restrictions must not be detrimental to the public.
This evaluation is very fact-specific. For a dental practice, what may be considered a reasonable geographic restriction in Arlington Heights, where ample opportunities to practice exist and hundreds of thousands of patients live nearby, may be significantly different than what would be reasonable in the 383 square miles of downstate Bond County, population 16,948.
Consideration
In terms of consideration, a necessary element in any enforceable contract, the promise of continued employment used to be seen as sufficient consideration for a non-competition provision. It still may be, but courts have begun to look at the totality of the circumstances in each individual case to make the determination. A promise of continued employment for an at-will employee has been found to be adequate consideration to render a restrictive covenant enforceable, but only if the employment lasted at least two years after the agreement was signed.
Where there is no additional compensation, such as a raise or special benefits, given to the employee in exchange for signing the non-compete, and the employee leaves less than two years after executing the restrictive covenant, courts have determined that the consideration is insufficient and the restrictive covenant is unenforceable.
Proposed or existing dental non-competition agreements can’t be evaluated in a vacuum; they must be drafted carefully and in the context of the specific practice and the market in which its provisions would be enforced. Any dentist wishing to or asked to enter into a non-competition agreement should consult with an experienced attorney who can help them make informed decisions about their rights.
You Focus On Your Patients. We’ll Focus On You.
At Grogan, Hesse & Uditsky, P.C., we focus a substantial part of our practice on providing exceptional legal services for dentists and dental practices, as well as orthodontists, periodontists, endodontists, pediatric dentists, and oral surgeons. We bring unique insights and deep commitment to protecting the interests of dental professionals and their practices and welcome the opportunity to work with you.
Please call us at (630) 833-5533 or contact us online to arrange for your free initial consultation.
Jordan Uditsky, an accomplished businessman and seasoned attorney, combines his experience as a legal counselor and successful entrepreneur to advise dentists and other business owners in the Chicago area. Jordan grew up in a dental family, with his father, grandfather, and sister each owning their own dental practices, and this blend of legal, business, and personal experience provides Jordan with unique insight into his clients’ needs, concerns, and goals.
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We focus a substantial part of our practice on providing exceptional legal services for dentists and dental practices, as well as orthodontists, periodontists, endodontists, pediatric dentists, and oral surgeons. We bring unique insights and deep commitment to protecting the interests of dental professionals and their practices and welcome the opportunity to work with you. Jordan Uditsky, an accomplished businessman and seasoned attorney, combines his experience as a legal counselor and successful entrepreneur to advise dentists and other business owners in the Chicago area. Jordan grew up in a dental family, with his father, grandfather, and sister each owning their own dental practices, and this blend of legal, business, and personal experience provides Jordan with unique insight into his clients’ needs, concerns, and goals.
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Think about why you would choose a particular location for your practice. Aside from the features of the space itself, it is likely because of favorable characteristics like foot traffic, accessibility, parking, and the lack of other similar practices in the surrounding area. If, after conducting demographic research and spending time and resources selecting the perfect location for your practice, your landlord could wipe out those efforts with the stroke of a pen by leasing space nearby to a competing practice, it could be a devastating blow. Negotiating an Exclusive Use Provision Most commercial leases are initially prepared by the landlord. As such, they are unsurprisingly skewed in favor of the landlord’s interests. It is unlikely that a landlord would voluntarily and preemptively tie their hands by limiting the pool of potential tenants. That is why the burden is usually on the tenant to push for and negotiate an exclusivity provision. When negotiating the terms of your dental practice lease (which you should only do with the help and counsel of an experienced attorney), the goal will be to get your landlord to agree not to rent space to other dental practice tenants. If your landlord refuses to limit their ability to lease space to other dentists generally and you nevertheless want to pursue the desired space, you may be able to be more specific and agree to a provision that restricts the landlord’s ability to lease to a particular competing specialty such as pediatric dentists, orthodontists, periodontists, etc. Protecting Yourself From a Landlord’s Breach of an Exclusivity Clause The contracts most likely to be broken are those with few, if any, consequences for violating their terms. That is why the value of an exclusivity provision is directly related to the price that the landlord will pay for entering into a lease with a competitor despite the clause in your lease. Given the potentially catastrophic impact of having a neighbor in the same building siphoning off your patients and diluting your hard-earned goodwill, that price should be significant. Several different penalties can serve to protect your practice from a breach of an exclusivity provision: Rent Abatement. One of the most straightforward and commonly used remedies is rent abatement. If the landlord allows a competing business to open in violation of the exclusive use clause, an abatement penalty can entitle you to a full or partial reduction in base rent or other charges. This abatement typically remains in effect until the violation is cured or the competing tenant leaves. The lease should specify the amount of rent to be abated (e.g., 50% of base rent) and whether the abatement applies to other charges such as common area maintenance fees or percentage rent. Termination Right. A strong lease will give the tenant the option to terminate the lease entirely if the landlord fails to cure the violation within a specified period after notice. This is a significant penalty that underscores the seriousness of the exclusive use protection. Liquidated Damages. Liquidated damages provide a pre-agreed amount that the landlord must pay if it breaches the exclusive use clause. This can be calculated based on the tenant’s projected loss in revenue, estimated lost profits, or some other measurable metric tied to the tenant’s business performance. Injunctive Relief. Ideally, the lease should give you the right to seek injunctive relief from a court to stop the violation of the exclusive use provision, such as requiring the landlord to terminate the lease or evict the competing tenant. Getting a landlord to agree to a strong exclusivity provision with equally strong penalties for breaches of it requires deft and persuasive negotiating skills, and is yet another reason why dental practice owners should never enter into or negotiate a lease without the assistance of experienced counsel. If you are considering a lease for your practice, please contact Grogan Hesse & Uditsky today at (630) 833-5533 or contact us online to arrange for your free initial consultation. We focus a substantial part of our practice on providing exceptional legal services for dentists and dental practices, as well as orthodontists, periodontists, endodontists, pediatric dentists, and oral surgeons. We bring unique insights and deep commitment to protecting the interests of dental professionals and their practices and welcome the opportunity to work with you. Jordan Uditsky, an accomplished businessman and seasoned attorney, combines his experience as a legal counselor and successful entrepreneur to advise dentists and other business owners in the Chicago area. Jordan grew up in a dental family, with his father, grandfather, and sister each owning their own dental practices, and this blend of legal, business, and personal experience provides Jordan with unique insight into his clients’ needs, concerns, and goals.
Recent amendments to the Illinois Dental Practice Act (the “Act”), which Gov. JB Pritzker is expected to soon sign into law, will make it easier for newly minted dental professionals to begin practicing while their license applications are pending. The amendments, which would take effect on January 1, 2026, establish the following criteria under which license-pending dentists and dental hygienists can practice under the delegation of a licensed general dentist: The Applicant has completed and passed the IDFPR-approved licensure exam and presented their employer with an official written notification indicating such; The Applicant has completed and submitted the application for licensure; and The Applicant has submitted the required licensure fee. Once obtained, authorization for dentists and dental hygienists to practice under these provisions can be terminated upon the occurrence of any of the following: The Applicant receives their full-practice license; IDFPR provides notification that the Applicant’s application has been denied; IDFPR requests that the Applicant stop practicing as a license-pending dentist/dental hygienist until the Department makes an official decision to grant or deny a license to practice; or Six months have passed since the official date of the Applicant’s passage of the licensure exam (i.e., the date on the formal written notification of such from the Department). IDFPR has yet to post anything on its website regarding these amendments, but we will provide an update if and when it does. If you have any questions about these new provisions regarding the employment of license-pending dentists and hygienists, please contact Grogan Hesse & Uditsky today at (630) 833-5533 or contact us online to arrange for your free initial consultation. We focus a substantial part of our practice on providing exceptional legal services for dentists and dental practices, as well as orthodontists, periodontists, endodontists, pediatric dentists, and oral surgeons. We bring unique insights and deep commitment to protecting the interests of dental professionals and their practices and welcome the opportunity to work with you. Jordan Uditsky, an accomplished businessman and seasoned attorney, combines his experience as a legal counselor and successful entrepreneur to advise dentists and other business owners in the Chicago area. Jordan grew up in a dental family, with his father, grandfather, and sister each owning their own dental practices, and this blend of legal, business, and personal experience provides Jordan with unique insight into his clients’ needs, concerns, and goals.
