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 LPS Blog
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...
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...
Our Latest Media Appearances
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...
DEO Growth Secrets EP 213: 2025 M&A Trends Every Dental Entrepreneur Must Know
How will the 2025 M&A landscape shape your dental practice’s future? Chip shares his insights.
Practice Partnership Podcast Ep 13: IDSO Performance in 2024
In this episode, host Chip Fichtner explores the $5 billion investment wave that reshaped the IDSO industry in 2024. Discover how partnering with an Invisible Dental Service Organization (IDSO) can reduce administrative burdens while unlocking substantial equity...