Congratulations – you received an unsolicited offer. 

So did every other dentist and group in America.  If you have a practice with over $1M of collections or more than 1 location, it is safe to safe to say that you have been contacted by a buyer and possibly received an unsolicited offer from them. 

Buyers in our market love to connect with dentists and groups directly to help inform them of their EBITDA and value.  Why wouldn’t they!  They get to control the story, the financials, and the process.  This puts them in the driver’s seat in the relationship as they work hard to win you over and shield you from other opportunities in the market.  The less you know, the better for them. 

FOR IMMEDIATE RELEASE (September 8th, 2021)

Kevin Cumbus

TUSK Partners

704-302-1043

Kevin@Tusk-Partners.com

TUSK Partners Advises Today’s Dental Network On Its Recapitalization And Growth Capital Led By HealthEdge Investment Partners & Synergistic Capital Partners...

CHARLOTTE, N.C., September 8th, 2021 — TUSK Partners acted as exclusive financial advisor to Sarasota, FL-based Today’s Dental Network (“TDN”) on its recapitalization and growth investment led by HealthEdge Investment Partners and Synergistic Capital Partners. TDN is a leading multi-location multi-specialty group in Florida, with 18 clinic locations across the state. The transaction, which closed July 11^th, 2021, will support TDN’s continued growth and future add-on acquisitions as the company expands into new markets and new specialty practice areas.

FOR IMMEDIATE RELEASE (MAY 27th, 2021)

Kevin Cumbus

TUSK Partners

704-302-1043

Kevin@Tusk-Partners.com

TUSK Partners advises Spark Orthodontics on its recapitalization and growth capital led by Rock Mountain Capital...

CHARLOTTE, N.C., May 27th, 2021 — TUSK Partners acted as exclusive financial advisor to Bethlehem, PA-based Spark Orthodontics on its recapitalization and growth capital led by Rock Mountain Capital. Spark Orthodontics is a leading multi-location Ortho group in Pennsylvania, with 10 clinic locations across the state. The transaction, which closed April 19, 2021, will support continued growth and future acquisitions as the company expands into new markets.

FOR IMMEDIATE RELEASE: (MAY 20th, 2021)

Kevin Cumbus

TUSK Partners

704-302-1043

Kevin@Tusk-Partners.com

TUSK Partners advises LADD Dental Group on its sale to LEAD Capital Partners...

What's Happening in the Space Today...

The M&A markets are white hot, and our clients have been the beneficiaries of it.

In the last 30 days, TUSK has closed 6 transactions resulting in over $160,000,000 of Transaction Value to our clients.  Our clients have enjoyed multi-generational wealth events for their families are partnered with premier DSOs and Private Equity Groups that will likely result in well over another $100,000,000+ in value once their new partners recapitalize / sell their businesses. 

These deal deals included both large solo practice deals and large groups in both the GP and Specialty Dental sectors.

An evolution of thoughts towards DSOs...

Over the past couple of years, I have been lucky to spend a lot of time with my father.  We have been brought together as a family for celebrations and memorials (sadly) over the years.  Each time we get together, he asks me about the ever-changing landscape in the DSO M&A markets.  You see, my father is a pediatric dentist.  He started his practice in 1976, grew the practice to a multi-doctor single location, saw 100+ children a day in the summertime, and ultimately sold his practice to his associate about 7 years ago.  Over the course of my 14-year career in the business of dentistry, my father and I have always talked shop. 

3 Reasons to Sell Your Large Practice or Group Today

(or wait 4+ years to attain the same after-tax benefit)

When demand exceeds supply, prices go up. Today, demand from DSOs and Private Equity Groups (PEGs) far exceeds supply for dental practices and dental groups.  On all deals we have taken to market in 2021, we have noticed a remarkable phenomenon: we have more aggressive bidders than ever (more than 2019) and higher offers than we ever thought attainable.  Below are some real examples of what our clients are experiencing:

2020 M&A Year In Review

As 2019 ended, the M&A markets in the DSO markets were white hot.  Every deal that we took to market enjoyed multiple bids and our clients were continually awarded extremely lucrative valuations for their businesses.  The buy-side was voracious: there were more buyers than ever and new ones appearing every day willing to pay more and more to enter the DSO space.  The debt markets were strong, the money was cheap, and lenders were clamoring for deals.  It was truly a sellers’ market and the valuations kept creeping higher and higher.

Internally, our plan was to scale the business as we were picking up more and more mandates on the sell-side and saw an ever-deepening pool of investors and buyers.

“Everyone has a plan until they get punched in the mouth”

Mike Tyson

Dad’s Story...

Around 2008, my father, Dr. Ben Cumbus, a pediatric dentist from Montgomery, AL, was looking to sell a portion of his practice to an associate. Leading up to that decision to sell, my father worked diligently as a solo doctor each week for over 30 years to serve our city’s children to meet their oral healthcare needs. Although the practice had a humble beginning in a small office park, he moved the business to its permanent location in a beautiful standalone building with a caboose on the front that served as a waiting room for the kids. Over the years, his team and business grew, and the practice (and the caboose) became a bit of an icon in the city.

Whew – what a year! 2019 was a whirlwind of activity at TUSK and in the DSO economy. We saw a significant amount of change, growth, M&A activity and new entrants into the market that it is hard to keep track of. Before we dive into 2019, let’s reflect on how the year started by looking at how 2018 ended:

- We saw transformational growth of some of the enterprise level DSOs including Heartland and Pacific Dental both adding 100 practices or more and NADG growing the number of affiliated practices by 49% in just one years’ time.  New doctor-founded, debt-funded groups were popping up on our radar regularly.

- Attendance at almost all DSO conferences were up big – interest in the space was growing.

- We were getting a call from a new Private Equity Group interested in the DSO space a couple of times a month.

- At TUSK, we sold more practices than ever before, across all specialties at multiples well above our client’s (and frankly our expectations) and worked with well over 70 groups to help them START, GROW or SELL their practice or group.