In this engaging discussion, Brannon Moncrief, CEO of McLerran & Associates, shares his expertise in selling dental practices. He breaks down the differences between private equity and DSO purchases, shedding light on the critical role of EBITDA in valuations. Listeners learn what makes a practice attractive to potential buyers and the vital considerations post-sale, including performance incentives. Brannon emphasizes how a strong leadership team and strategic alignment can greatly influence a practice's selling potential.
Understanding the differences between private equity and DSO purchases is vital for owners to navigate the sale of their dental practices effectively.
EBITDA plays a critical role in dental practice valuations, necessitating careful calculation and transparency for maximizing sale outcomes.
Deep dives
Understanding Private Equity vs. DSO Sales
Practice owners need to educate themselves about the differences between private equity sales and Dental Service Organization (DSO) purchases, especially regarding valuations and structures. Private equity usually seeks practices with an EBITDA (Earnings Before Interest, Taxes, Depreciation, and Amortization) of $2 million or more, viewing these businesses as platforms for growth. Conversely, DSOs often have established infrastructure, which allows them to offer lower multiples on higher EBITDA figures, as they do not require the existing practice's systems. The choice between these options ultimately depends on the specific goals and conditions of the practice owner.
The Impact of EBITDA on Valuation
EBITDA is a crucial metric that significantly drives the valuation of dental practices, particularly when considering a sale to either private equity firms or DSOs. A common issue is the manipulation or miscalculation of EBITDA, which can lead to discrepancies in value. DSOs may adjust the EBITDA figures based on assumed market salaries for clinical roles, affecting the final bid. Therefore, understanding how EBITDA is calculated and ensuring transparency with an advisor is essential to maximizing the practice's valuation.
Strategy for Selling and Infrastructure Considerations
As practices grow, the question of when to invest in infrastructure and leadership teams arises. Building a C-suite or centralizing operations can lead to increased overhead and a lower EBITDA margin, which may affect valuations negatively when selling. It's suggested that practice owners should be cautious and strategic about scaling their operations and consider the right timing for these investments. Many owners may overlook the need to reassess their business's structure before pursuing a sale, risking complications later.
Geographic Factors and Market Demand
The location of dental practices can heavily influence their attractiveness to buyers, particularly private equity firms and DSOs. Urban or suburban practices typically command higher multiples due to greater demand compared to rural practices, where lower competition can result in better EBITDA margins. However, this also means that rural practices may often trade at lower valuations due to diminished interest from buyers. Therefore, prospective practice owners should consider these geographic factors and how they align with their long-term goals when deciding where to establish their practices.
In this episode of Dental Unfiltered, hosts Matt and Andrew sit down with Brannon Moncrief, CEO of McLerran & Associates, to delve into the intricacies of selling dental practices. They explore key differences between private equity and DSO purchases, the importance of EBITDA in valuations, and what makes a practice appealing to buyers. The discussion also highlights essential post-sale considerations, including performance incentives and the value of expert guidance throughout the sale process.
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