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Valuations for Specialty Practices at an All-Time High...

Posted by Kevin Cumbus on Mar 25, 2021 10:53:55 AM

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. 

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Tags: Dental Practice Brokerage, Dental Practice Selling, Selling your dental practice DSO, how much is my dental practice worth?

Sell Now Or Wait 4+ years...

Posted by Kevin Cumbus on Mar 4, 2021 11:16:38 AM

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:

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Tags: Company News, Dental Practice Brokerage, Dental Practice Selling, Selling your dental practice DSO, how much is my dental practice worth?

Everyone Has a Plan Until You Get Punched in the Mouth...

Posted by Kevin Cumbus on Mar 2, 2021 11:09:58 AM

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

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Tags: Dental Practice Brokerage, Dental Practice Selling, Selling your dental practice DSO, how much is my dental practice worth?

Working with TUSK As A Sell-Side Representative..

Posted by Kevin Cumbus on Feb 27, 2020 12:30:00 PM

Top 3 (not so) Obvious Reasons to Engage TUSK as Your Sell-Side Advisor

As you all know by now, there are more buyers for dental practices in the market than ever before. Additionally, the value of your practice or group is likely as high as it ever has been (and ever will be). And finally, it would shock me if anyone who is reading this blog (and owns a group or large practice) has NOT received an unsolicited offer from a buyer.

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Tags: Dental Practice Brokerage, Selling your dental practice DSO, how much is my dental practice worth?, DSO vs group practice

Who Will Buy My Dental Practice?

Posted by Kevin Cumbus on Feb 3, 2020 12:13:11 PM


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.

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Tags: Dental Practice Brokerage, Dental Practice Selling, Selling your dental practice DSO, how much is my dental practice worth?

2019 State of the Dental Economy

Posted by Kevin Cumbus on Jan 20, 2020 1:02:47 PM

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.

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Tags: Dental Practice Brokerage, Dental Practice Selling, Selling your dental practice DSO, how much is my dental practice worth?

TUSK Partners Releases New Podcast Series

Posted by Perrin DesPortes on Jan 9, 2020 11:36:40 AM

FOR IMMEDIATE RELEASE: January 9, 2020

Perrin DesPortes

TUSK Partners

718-314-0980

perrin@tusk-partners.com

 

TUSK Partners Releases New Podcast Series

New Content Format Promises to Increase Audience Reach

Charlotte, NC: Today TUSK Partners announced the release of a new Podcast series called “Group Dental Practice Fundamentals,” which addresses the entrepreneurial dentists who are looking to learn more detail about how to grow and exit their business. “Group Dental Practice Fundamentals” complements the company’s educational content-driven marketing strategy and is expected to make an impact in the areas of new audience outreach. The doctor-founded, debt-funded group practice segment is the fastest growing sector of the entire dental economy and the company has earned a reputation for their detail-oriented marketing philosophy.

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Tags: Dental Practice Brokerage, Selling your dental practice DSO, how much is my dental practice worth?

What is the Value of my practice?... Value to whom?

Posted by Kevin Cumbus on Nov 20, 2019 9:59:33 AM

I have been in the business of valuing and selling dental practices since 2007. Over that time a lot has changed. 

In 2007, I joined well-established dental practice valuation and transition company. We worked exclusively with dentists to help them establish a value for their business for the purposes of either a 100% sale or for a buy-in from the associate or future partner. Our valuation process was always the same. We would request a stack of documents, including tax returns, P&Ls, historical production and collections reports, and payer by source reports. In return our client would mail us 7-11 inches of paper to wade through. We would pour all of this data into a financial model and turn it into information. Next, we would work with the doctor to establish the net income from the business then perform 7 intricate valuations methodologies and weigh each one based on various qualitative aspects of the business. It was a thorough and rigorous process that took days to complete.

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Tags: Selling your dental practice DSO

PODCAST: Top 3 Metrics to Measure in a Group Dental Practice

Posted by Perrin DesPortes on Apr 2, 2019 10:16:00 AM

 

For those of you who have been subscribers to our blog for a while, you know that we write a lot of “content-heavy, long-form” pieces.  It’s safe to say that we’ll probably always fall back on that approach because it’s what you’ve come to expect from us.  That being said, we’ll also start trying some new approaches to sharing valuable information.

Here’s the THIRD “new approach” in an effort to make our content more easily digestible…

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

PODCAST: Top 3 Things to Know When Acquiring Practices

Posted by Perrin DesPortes on Mar 26, 2019 10:46:00 AM

 

For those of you who have been subscribers to our blog for a while, you know that we write a lot of “content-heavy, long-form” pieces.  It’s safe to say that we’ll probably always fall back on that approach because it’s what you’ve come to expect from us.  That being said, we’ll also start trying some new approaches to sharing valuable information.

Here’s the SECOND “new approach” in an effort to make our content more easily digestible…

Read More

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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