In short, you sure do. The question is—are they people you need to meet? Join Chip Fichtner and get the stone cold truth on what's working, what isn't, who actually gets 10x EBITDA, who doesn't, why, and what to do about it. With five billion in injected money since...
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...
Venture into the hidden dangers of Dental Support Organizations with me, Chip Fitchner of Large Practice Sales, as we dissect …
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...
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...
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...
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...
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...
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...
Many dentists have concerns of entering into an IDSO partnership. I’m going to debunk the top 9 that I hear often.
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
Embarking on a partnership with a Dental Service Organization (DSO) can be a daunting decision for dentists, fraught with uncertainties about autonomy, practice dynamics, and professional perception. Will patients and peers view the move as “selling out”?
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...
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...
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....
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...
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...
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...
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’...
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...