One of the largest IDSOs in the country announced their recapitalization last quarter. It has yet to close due to the U.S. regulatory review of their new investor; to our knowledge the first entry of a Sovereign Wealth Fund into the U.S. IDSO consolidation frenzy....
The Latest News on Dental Practice Valuation
Two Newish, Growing GP Groups Will Be Big Winners
When an IDSO is backed by proven financial sponsors with multiple IDSO experience, the risks are lower, and the odds of success and large returns are much higher. The boom in dental consolidation has attracted all types of investors. Some have a pedigree in dental...
Two New Dental Trifecta IDSOs Started Last Week Too!
The Dental Trifecta IDSO space is relatively uncrowded and can achieve rapid growth due to partnering with three specialties, instead of only one. These two new IDSOs are both regionally focused. Like the OMS above, I predict one wins, one does not, very specific...
Just For Fun, LPS Got a Proctology Exam (Audit)
Many people (mainly the little dental advisors who are jealous of LPS) do not believe the transaction volumes and values achieved and advertised by LPS. Soooo, we decided to quash our detractors by retaining a Top 5 international accounting/audit firm to confirm my...
General Dentists Have Multiple Options in IDSO Partnership
Larger LPS practice clients today are achieving values of 15 to 20% above 2019 value levels. As inflation and interest rates continue their ascent, driving up practice operating costs, all practices are at risk of profit margin compression and thus potential practice...
The Impact of Inflation and Higher Interest Rates on Practice Values
If you are like the 200+ doctors I talked to in May, your costs are going UP. Conversely your reimbursement rates from payors and your fee schedules are NOT going up. This usually results in some very simple math; your operating margins and profit (EBITDA) is...
NOW is the Time to Beat 2022 Tax Increase
LPS Completed over $91,000,000 of Transactions for Happy Clients, YESTERDAY. Yes, you read that correctly. Just yesterday, LPS completed transactions for nine very happy clients from Denver to Philadelphia. All were at record values for a total of over $91,000,000....
Young Doctors Only: Why Now, Not Later? The Biggest LPS Challenge
The young doctor’s alternative to growing by himself is partnering with a group of experts worth billions of dollars who want to help him create value. He is a great dentist, but his new IDSO partner has created billions of dollars in investment value. It takes six...
Silent Partners and the Invisible DSO | Invisible DSO’s
Of the over $200,000,000 in transactions LPS will close in Q2 2021, all have an earn-out component. An earn-out pays doctors additional consideration for future performance in the year or years, after an initial transaction. I quit college in 1978...
Unbelievable Practice Values? Our Five Secret Strategies Exposed! (Part 1)
Some doctors are skeptical when we list the extraordinary values, we have achieved for our doctor clients over the last year. When the “industry standard” valuation is 80% to 100% of collections, doctors are amazed when shown multiple...
Our Latest Media Appearances
The Dentalpreneur Episode 1842: DSOs, Multiples & Liquidation
On today’s episode, Mark sits down with Chip Fichtner, the principal of Large Practice Sales (LPS), to delve into the transformative trends of consolidation and investment in the dental industry. They discuss the significant impact of ‘invisible’ Dental Support...
Practice Partnership Podcast Ep 5: IDSOs, Inflation & Interest Rates – What Doctors Need To Know About Practice Values Today (with Maxwell Sellers)
Today, Chip speaks with Maxwell Sellers (Principal, Development & Buy-side Relations, LPS) to help us map the complex terrain of dental practice deals within the larger economy. Maxwell's diverse experiences (from J.P. Morgan to private equity and multi-site...
Very Dental Extra: The Advantages of an Invisible DSO
"One of the key attributes of an invisible DSO is the doctor is still an owner and therefore continues to lead the practice as an owner. He's making all of the crucial decisions...not the DSO." - Chip Fichtner, Large Practice Sales Alan from the Very Dental Podcast is...
Practice Partnership Podcast Ep 4: How to Grow Your Practice with a Dental Trifecta (with Brian Anderson)
In this episode, special guest Dr. Brian Anderson flips the script and interviews LPS co-founder and host Chip about his proven concept of a Dental Trifecta, where an IDSO partners with pediatric, orthodontic and oral surgery practices within the same community. As...
10 Things to Know Before Selling Your Practice to a DSO or IDSO
If you have a larger dental practice and have been contacted by one or more DSOs/IDSOs interested in buying your practice or partnering with you, then join Chip Fichtner, Co-Founder & Principal at Large Practice Sales (LPS), to learn how to maximize initial values, leverage multiple bidders, navigate tax implications, and more!
Practice Partnership Podcast Ep 3: The DIY Problem: Why You Shouldn’t Navigate an IDSO Partnership Alone
Are you ready to navigate the labyrinth of invisible DSO partnerships on your own? (Spoiler: you're probably not). Settle in as LPS co-founder and host Chip Fitchner guides you through the maze of variables and "gotchas" underlying the IDSO world, from employee...