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 LPS Blog
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
Unveiling the Unseen: Inside the World of Invisible DSOs with Chip Fichtner!
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”?
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...
Practice Value Update for 2023 and Impact of Environment, Social and Governance (ESG) on Dental Practices
Invisible Dental Support Organization (IDSO) partnerships with dental practices of all types continued to accelerate during 2023. Many LPS clients achieved new, record high values. A large influx of new IDSO bidders empowered by billions of dollars of fresh global,...
Q4 2023 Dental Practice Value Update; Plenty of Bidders, Values Stable, But…
While several formerly active IDSOs have stopped or reduced their activities in seeking new partners, they have been replaced by multiple new and recapitalized legacy IDSOs with literally billions do invest. Multiple IDSOs with capital and capacity (debt & equity) are eagerly bidding for LPS clients at record values.
Our Latest Media Appearances
Practice Partnership Podcast Ep 12: Why Doctors in Their 30s and 40s Partnering with Invisible DSOs
Can selling a majority stake in your dental practice be the key to professional freedom and financial growth? In our latest episode, host Chip Fichtner talks about why young dentists, especially those in their 30s and 40s, are increasingly turning to partnerships with...
Very Dental Extra: IDSOs and the Future of Dental Practice
Alan is joined once again by Chip Fichtner of Large Practice Sales to talk about Invisible DSOs. Learn more about how IDSOs are a valuable partnership opportunity for dental practices.
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...
Ep 1663 Chip Fichtner on Invisible DSO Partnerships : Dentistry Uncensored with Howard Farran
Chip is the Co-Founder of Large Practice Sales (LPS), the largest transaction advisor to GP and specialty dental practices in the U.S. LPS has completed over $1.0 billion of IDSO partnerships in the last 24 months. The unique LPS bidding process ensures doctors consider all of their options in an IDSO partnership and achieve the highest values from the right IDSO partner.
Very Dental Extra: Getting Multiple Bidders for Your Practice
Alan is joined again by Chip Fichtner of Large Practice Sales to dive a little deeper into Invisible DSOs. Chip starts with a story of a large practice owner who almost “took the first offer” who was leaving money on the table.
Think Oral Health: Invisible DSO Partnerships and Organic Growth with Chip Fichtner
In this episode, Chip Fichtner, co-founder of Large Practice Sales, joins to unpack the concept of “Invisible DSOs” and their transformative impact on the dental industry. He delves into how these partnerships go beyond financial gains, being customized to align with the culture and values of individual practices, significantly boosting both economic value and patient care.