Contrary to popular belief, practice values in IDSO (invisible dental support organization) partnerships continued to achieve new records in the first half of 2024 for larger, growing Large Practice Sales (LPS) clients nationally. Fortunately, new investors in IDSOs are not just private equity.
The LPS Blog
5 billion dollars, do you have invisible DSOs in your town?
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 Closed $153+ Million of IDSO Partnerships in July
LPS completed over $153,000,000 (one hundred and fifty-three million dollars) of IDSO partnerships for GPs and specialists in July with seven different IDSOs in seven states. More importantly, over $50 million of these IDSO partnerships were valued at over 10x EBITDA.
Racing Techniques Create Higher Practice Values
When LPS has a larger client in a region that will command a dozen or more eager bidders at very high values, other LPS clients in the area can often get a significant value increase.
The Haves and the Have Nots For Practice Values
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...
In the last nine months, LPS clients have become the platform practices for two NEW IDSOs
Two young and growing LPS clients were eager to help build an IDSO from scratch. After 10+ qualified bidders each, we partnered each of them with two very experienced IDSO investors.
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...
Our Latest Media Appearances
Practice Partnership Podcast Ep 17: Practice Attributes for High Value IDSO Partnerships
On today's episode, host Chip Fichtner guides you through the key attributes of high-value practices in 2025. Chip shares strategic tips on how younger doctors and healthy profit margins work together to create a compelling offer that DSOs simply can't ignore. We'll...
Practice Partnership Podcast Ep 16: How One IDSO Recapitalized at a Multi-Billion Dollar Value
This episode explores the recent $3.7 billion recapitalization of the largest invisible DSO in the U.S., unlocking massive equity gains for participating doctors in a short period of time. Host Chip Fichtner breaks down why this is a game-changer for the industry, and...
Practice Partnership Podcast Ep 15: Election Impact on Practice Values
In our latest episode, Chip dives into how the results of last year's election will positively impact practice values in 2025 and beyond. We'll examine tax implications, the acceleration of consolidation, Medicaid reimbursement increases, and strategic growth...
Dr Bicuspid: What to Know About Dental Practice Consolidation and IDSO Partners in 2025
In this episode, Editor-in-Chief Kevin Henry spoke with Chip Fichtner, co-founder of Large Practice Sales, about the growing trend of invisible dental support organizations (IDSOs) and their impact on dental practices.
Practice Partnership Podcast Ep 14: The Surprising Drivers of High-Value Practices
Join host Chip Fichtner, co-founder of Large Practice Sales, as he reveals surprising strategies to significantly boost the value of your dental practice. Learn how to stand out in an Invisible DSO partnership by reducing team turnover, increasing top-line...
Decisions in Dentistry: The Rise of Invisible DSOs
In this episode of Decisions in Dentistry magazine’s podcast, host Art Wiederman interviews Chip Fichtner, cofounder and principal of Large Practice Sales, and a renowned expert in the DSO market. With billions of dollars in closed transactions, Chip shares insights...