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Perrin DesPortes

Recent Posts

Begin with the End in Mind (Part #2): What Are You Trying to Build…and WHY?!

Posted by Perrin DesPortes on Feb 7, 2019 2:00:00 PM

In our last blog post, we talked about “the End in Mind” being more financially-oriented as it related to exit strategy and deal structure, specifically around the aspects of: transaction value and actual structure of the sale; requirements post-sale; and strategy necessary to achieve the intended outcome. 

All of those considerations were focused on the actual sale or exit of the business, which ignored something pretty critical to actually getting to that point…

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Tags: Growing Your Dental Practice or DSO, Selling your dental practice DSO

Begin with the End in Mind (Part #1): Linking your Exit Strategy to your Growth Strategy

Posted by Perrin DesPortes on Jan 29, 2019 6:00:00 AM

Over the course of 2018, we were fortunate to host over 50 different businesses in our office. Some of these were private equity groups and search funds; others were established, founder-led group practices; and some were solo doctors with only one or two locations under their belt.  That’s quite a variety, but they all shared two things in common…

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Tags: Growing Your Dental Practice or DSO, Selling your dental practice DSO

TUSK Partners Announces New Addition to the Team

Posted by Perrin DesPortes on Jan 10, 2019 6:07:00 AM

FOR IMMEDIATE RELEASE: (January 7, 2019)

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Tags: Company News

No Matter the Size of Your Group Practice Retention is Key to Growth

Posted by Perrin DesPortes on Nov 15, 2018 6:00:00 AM

As the Wall Street Journal notes, a high employee turnover rate can cost “twice an employee’s salary to find and train a replacement.” Not only are there financial repercussions, a high turnover rate can also lower the knowledge base in your company and decrease performance and morale. If you want to avoid this negativity, it’s best to retain your best employees.

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Tags: Growing Your Dental Practice or DSO


Posted by Perrin DesPortes on Nov 6, 2018 9:00:00 AM

Consulting and M&A Advisory Firm Releases Associate Equity Compensation Model for Group Dental Practices

TUSK Partners, the fastest growing middle market consulting and M&A advisory firm in the dental industry, today announced the public launch of Partnership Pathways. The innovative program is designed to attract key talent, minimize turnover, and increase the value of equity among employees within group dental practices. Partnership Pathways joins a list of other industry-leading services TUSK provides to group dental practices and DSOs.

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Tags: Company News

The One Metric You Need to Know When Scaling Your Group Dental Practice or DSO

Posted by Perrin DesPortes on May 24, 2018 7:59:27 AM

We work with a lot of clients in our Blueprints for Scale strategic consulting program as well as those who visit our offices for one-on-one sessions (called “Full Day Deep Dives”) that inevitably want to know:

“What’s the magic formula for building a successful group dental practice or DSO?” 

They know – and we know – that there’s no “magic formula” or “silver bullet” for success. Having said that, there are some metrics you should know to determine if you’re “on track” for building a successful business.

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Tags: Growing Your Dental Practice or DSO

The Top 3 Things Dentists Struggle with Most when STARTing a Group Practice

Posted by Perrin DesPortes on Apr 20, 2018 8:00:00 AM

It seems like everyone these days is starting a group practice or DSO.  And by now, we all know someone who just sold their business for some ungodly amount of money.  Figure it this way: you’re at 1 location, so you’re only 841 away from being the next Heartland Dental, right? 

I mean, really – how hard can it be?...

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Tags: Growing Your Dental Practice or DSO

Industry Experts Weigh In on Tax Law Changes and Potential Impacts to Group Dental Practices & DSOs

Posted by Perrin DesPortes on Mar 29, 2018 5:30:00 AM

Unless you’ve been living under a rock for a few months, you’ve probably heard that Congress passed sweeping tax reform for 2018.  The impacts of this legislation will be felt far and wide, but the general consensus is that the reform will be good for both companies and individuals.  If that bears out to be true, the economic outlook for the United States should be very favorable for the years to come.

But, what does is mean for the dental industry and for DSOs in particular?  Everybody’s got an opinion, so we asked some friends to share some feedback.

Here’s what they had to say…

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Tags: Company News, Dental Practice Brokerage, Growing Your Dental Practice or DSO

Healthcare Valuations, DSO Outlook & Tips for Sellers – a Recap from the McGuireWoods Healthcare PE Conference

Posted by Perrin DesPortes on Feb 27, 2018 5:52:20 PM

Last week my partner,Kevin Cumbus, and I braved the cold of Chicago to do some networking and educate ourselves at the McGuireWoods Healthcare PE Conference.  The action is fast, and education comes courtesy of a firehose.   

Here are the three main things we learned.

Key Healthcare Business and Market Trends & Opportunities:

Everyone wants to know if we’re “at the top of the overall healthcare market” as it relates to valuations.  The short answer is that nobody really knows, but the good thing is that in our world valuations are driven by earnings – not eyeballs.  2017 was phenomenal and the M&A sell side has been robust for 18-24months.  Equity markets have been strong and debt markets have been very favorable.  The great lending environment has been great for buyers using both debt and equity.

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Tags: Company News, Growing Your Dental Practice or DSO

When selling your group dental practice, you need to know "Your Number"

Posted by Perrin DesPortes on Feb 18, 2018 6:00:00 AM

We work with clients all over the U.S. and inevitably hear comments like: “My five-location group generates about $12,000,000 in revenue.  I’d like to build it up over the next five years and sell it for $50,000,000.” 

OK…if you say so. 

Do you want to borrow $49,000,000 to make that happen?  I kinda doubt it.

What do you care more about: the amount of the sale or the amount you put in your bank account?  If your answer is the latter, then you need to pay more attention to the amount of debt you take on and the impact that the tax rate will play because both of those will be paid off before the sale proceeds are deposited into your account.

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Tags: Growing Your Dental Practice or DSO, Selling your dental practice DSO

TUSK Partners

We help you START, GROW and SELL your Group Dental Practice or DSO.

TUSK provides Industry-Leading Resources to Group Dental Practices and DSOs, such as:

  • Full Day Deep Dive
  • "2nd Stage" Financing
  • Modular & Strategic Consulting Services
  • Exit Strategy

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