LPS client values in some cases set new records in the first half of 2024, but not all. How did LPS get 10x EBITDA for one GP practice but only 7.5x for another? Or what about the pedo/ortho practice that achieved 11x EBITDA, but another practice in a better geography...
Insights
Practice Partnership S2 E2: The IDSO Blacklist: How to Choose the Right Partner
Venture into the hidden dangers of Dental Support Organizations with me, Chip Fitchner of Large Practice Sales, as we dissect …
The New Ortho Practice Value Reality of April 2024
Orthodontic practices have achieved exceptional values in LPS client IDSO bidding processes for over seven years. In 2023, LPS client values exceeded 4X COLLECTIONS for several ortho practices and over 12.2x EBITDA for a nine-office client. In the last 24 months, LPS...
The LPS Secret Sauce, Part 1: Our Advisory Board
You don’t get to be the biggest advisor achieving the highest values for your dental practice clients without a unique strategy. One of LPS advantages is our “insider information” not just in dental, but across the general economy and geopolitical landscape; all which...
Endo Upended; Do You Really Know What is Happening in Your Area?
Endodontic specialists to some degree live on referral island. Isolated from the vicissitudes of new patient marketing now required by general dentists, orthodontists, oral surgeons and periodontists to achieve double digit growth rates, endodontists blissfully rely...
New IDSO Partnership Opportunities for Periodontists in 2024
Contrary to popular belief, dental practice values in the U.S. are still setting new records in 2024. Yes, interest rates have impacted some Invisible Dental Support Organizations (IDSO) but just in Q1 2024, over $3.3 BILLION of new capital/credit was invested in...
Top 12 Points About Practice Values in 2024 in IDSO Partnerships
Record Values Growing practices are setting new record values. If you are a younger doctor with one or more partners or associates and have collections in 2024 above 2023, values are still high. Record Number of IDSO Bidders Many IDSOs have stopped new partnerships...
Timing and Earn Outs; Get Paid for Your FUTURE Performance
Since the onset of Covid, four years ago, every one of the IDSO partnerships created for LPS clients ($1.0+ billion in the last 24 months) has included an Earn Out component. Doctors get paid for their incremental growth in EBITDA or collections in the two years AFTER...
The Top Nine Concerns of Entering an IDSO Partnership
Many dentists have concerns of entering into an IDSO partnership. I’m going to debunk the top 9 that I hear often.
Dentistry Unmasked: Inside the world of invisible DSOs | with Chip Fichtner
In this episode of “Dentistry Unmasked” with Dr. David Rice and Dr. Pamela Maragliano-Munz, guest Chip Fichtner of Large Practice Sales dives into the dynamic and often misunderstood world of dental practice consolidations and DSO (Dental Service Organization) partnerships
Top 10 Dental Practice Attributes for Highest Values
Practice values in an IDSO partnership vary based upon a number of factors. Timing cannot be stressed enough. With more than 1000 IDSOs and DSOs searching for dental practices to partner with our purchase, values will change significantly depending upon who wants...
The Big Picture for IDSO Partnership; 2023 Results & 2024 Forecast
In 2023 many LPS clients including GP and all specialties achieved record value IDSO partnerships after considering a record number of qualified bidders. Our record for the year was a $43 million partnership at 14+x EBITDA. A miracle not to be repeated in 2024, I am...
Dental Practice Consolidation: The Risks, Rewards, and Trends
Over the past three decades, thousands of doctors have sold their practices to a dental support organization (DSO) or quietly partnered with invisible DSOs (IDSOs). American Dental Association reports issued in 2023 indicate more dentists are affiliating with DSOs....
Increase the Value of Your Practice Real Estate With an IDSO Partner
When doctors own their practice real estate and partner with an invisible dental support organization (IDSO), the value of their real estate can increase substantially. Dental practices have large investments in tenant improvements which historically decrease the risk...
Why Doctors Choose IDSO Partnership vs. Remaining Independent in 2023
Ultimately, if LPS is unable to find the ideal IDSO partner for our doctor clients at an exceptional value, doctors are never obligated to do anything at all. They can learn about all of their options, confirm our estimated value and fully understand if an IDSO...
Understanding and Improving Dental Practice EBITDA
In the ever-evolving landscape of dental practice sales and Invisible Dental Support Organization (IDSO) partnerships, a fundamental factor reigns supreme: Earnings Before Interest, Taxes, Depreciation, and Amortization (EBITDA). However, the art of calculating dental...
The Doctor Matters: The Doctor’s Personality and Plan Impacts Practice Value
Practice value is enhanced by the potential that a doctor can create and articulate, not just about their practice. Earnings Before Interest, Taxes, Depreciation and Amortization (EBITDA) is important (Net Income, see LPS EBITDA Memo), but a doctors’...
Another Do It Yourself Deal Saved; $2.0+ Million More for the Doctor
Doctors are naively attempting transactions directly with IDSOs and leaving money on the table, every single time. In this case study, we achieved an extra $2.0 million net for the doctor after eight bidders weighed in on the practice’s real value. I had to check on...
Two New OMS IDSOs Launched Last Week
Two more OMS IDSOs were launched last week, one national and one regional. OMS consolidation bidders now 15+, some with better strategies than others. I predict one of these new ones will soar and one will flounder. The two new OMS IDSOs launched last week are very...
Selling Your Dental Practice to Private Equity
The Truth About Private Equity in Dental Practice Consolidation For some unknown reason, dentists seem to think that Private Equity (PE) is the only buyer of dental practices. In reality, while PE is the financial sponsor of many Dental Support Organizations (DSO) and...