Dear Reader,
Let’s say you’re doing well. Collections are solid. Overhead’s under control. Maybe you even had your best year yet.
You’re not desperate to sell. Not even close. In fact, the plan sounds something like this:
“I’ll just wait a few more years… grow a little more… and then I’ll look at DSOs.”
But here’s the problem no one’s talking about:
Waiting could cost you millions.
Yes — even if your numbers go up.
Yes — even if your team’s strong.
Yes — even if the market looks like it’s still hot.
Because selling your dental practice isn’t like selling a house. You’re not pricing off square footage. You’re not dealing with a handful of hungry buyers on Zillow.
You’re playing a game with private equity timelines, market consolidation curves, interest rate fluctuations, and buyer saturation — and every one of those factors can shift underneath you while you’re focused on adding another operatory.
Let’s break this down together…
The Hidden Cost of “More Time”
We recently ran projections for a practice doing just under $2M in collections.
The owner wanted to grow to $2.5M before selling — figured it’d boost the valuation.
Here’s what we showed him:
- His current value was pegged at $8.2M based on today’s EBITDA and buyer activity.
- Waiting 3 years might push that up to $8.9M — if the market holds.
- But here’s the kicker: By then, the DSO he'd be most aligned with would already have maxed out its platform.
- Instead of getting a premium “platform multiple,” he’d be offered a lower “tuck-in” multiple.
Net result?
His $700K gain in collections would cost him $1.2M in equity value.
What the Brokers and Buyers Won’t Tell You
There’s a sweet spot in every DSO deal. And it’s not just about your revenue. It’s about timing.
- Are buyers flush with capital and under pressure to deploy it?
- Is your specialty in high demand?
- Are roll-ups in your region just getting started—or nearly maxed out?
- Are recapitalizations happening, giving sellers a second bite at equity?
When the stars align, practices get scooped up at premium multiples. When the window closes, that multiple drops—and it doesn’t care how much more you produced this year.
The Smart Move? Know Where You Stand Now
You don’t have to sell tomorrow. But you do need to know your value today. Because if you don’t, you could spend the next three years chasing numbers that don’t matter, while the window quietly shuts behind you.
We’ve seen it happen. And it’s painful.
That’s why we do this:
So smart doctors don’t get left holding a profitable practice that no one’s willing to pay top dollar for anymore.
Want to Know Where You Really Stand?
Let’s run the numbers.
We’ll give you a private, no-pressure valuation — and help you understand your real options while the market’s still working in your favor.
Your future doesn’t start when you sell.
It starts when you plan to sell smart.
To your unstoppable success,
Your Team at Everything DSO