Type of DSO |
|
Illustrative Data |
|
Clinical Focus (General vs. Specialty vs. Both) |
|
general |
|
Patient Focus (Pediatric vs. Adult vs. Both) |
|
pediatric |
|
DSO Ownership Type (Independent, PE, Hospital, Payer) |
|
independent |
|
DSO Footprint & Structure |
|
|
|
Geographic Presence |
|
|
|
# of States Served |
1 |
|
|
# of Clinic Office Locations |
10 |
|
|
Avg. # of Clinics / State |
10 |
|
|
|
|
|
|
Provider Composition |
Total |
Per Clinic |
|
# of General Dentists |
10 |
1 |
|
# of Specialists |
10 |
1 |
|
Total # of Providers |
20 |
|
|
|
|
|
|
% of Total Dentists > 65 years old |
20% |
|
|
% of Total Dentists < 40 years old |
60% |
|
|
|
|
|
|
Entity Architecture |
Total |
Per State |
|
# of Clinical Tax IDs / State |
1 |
1.00 |
|
# of Clinical Entity Brands |
3 |
3.00 |
|
# of EMRs |
2 |
2.00 |
|
# of Practice Management Systems |
2 |
2.00 |
|
|
|
|
|
Patient Consulations |
|
|
|
Total Consultation Growth Rate |
8.00 |
|
|
New Patient Cosnultation Growth Rate |
10.00 |
|
|
New Patient Consultations as % of Total |
2.00 |
|
|
|
|
|
|
Procedural Volume |
|
|
|
Total Volume Per General Dentist |
20.00 |
|
|
Total Volume Per Specialist Dentist |
8,000.00 |
|
|
|
|
|
|
Breakdown of Volume (% of Total ) |
Total |
New Patient |
|
General Dentistry |
0.05% |
0.03% |
|
Orthodontics Active Patients |
0.00% |
0.00% |
|
Oral Surgery |
0.00% |
0.00% |
|
|
|
|
|
Pediatrics |
0.00% |
0.00% |
|
Adult |
0.00% |
0.00% |
|
Total |
0.05% |
0.03% |
|
|
|
|
|
Clinic Footprint Expansion Strategy |
|
|
|
# of De Novo Clinics Added |
2 |
|
|
# Add-on Clinic Locations Acquired |
10 |
|
|
# of Net Incremental General Dentist Hires |
20 |
|
|
# of Net Incremental General Specialist Hires |
10 |
|
|
# of Net Incremental Hygienist Hires |
10 |
|
|
|
|
|
|
DSO Service Strategy |
|
|
|
|
Service Outsourcing (Yes / No) |
|
|
RCM |
yes |
|
|
Credentialing |
Yes |
|
|
Payer Contracting |
Yes |
|
|
Marketing |
Yes |
|
|
IT |
Yes |
|
|
Compliance |
Yes |
|
|
Finance |
Yes |
|
|
|
Centralized vs. Local |
|
|
RCM |
Centralized |
|
|
Credentialing |
Local Clinic |
|
|
Payer Contracting |
Local Clinic |
|
|
Marketing |
Local Clinic |
|
|
IT |
Local Clinic |
|
|
Compliance |
Local Clinic |
|
|
Finance |
Local Clinic |
|
|
Call Center |
Local Clinic |
|
|
Facilities |
Local Clinic |
|
|
Quality and Risk Teams |
Local Clinic |
|
|
|
|
|
|
Provider Compensation & DSO Ownership |
|
|
|
Breakdown of General Dentist Compensation (Avg. Breakdown as % of Total Individual Comp. Package) |
|
|
|
% Base |
60% |
|
|
% Productivity-Based |
20% |
|
|
% Other Bonus |
10% |
|
|
% Benefits & Other |
10% |
|
|
Total (100%) |
100.00% |
|
|
|
|
|
|
Breakdown of Specialists Compensation (Avg. Breakdown as % of Total Individual Comp. Package) |
|
|
|
% Base |
60% |
|
|
% Productivity-Based |
20% |
|
|
% Other Bonus |
10% |
|
|
% Benefits & Other |
10% |
|
|
Total (100%) |
100.00% |
|
|
|
|
|
|
Dentists DSO Ownership |
|
|
|
% of General Dentists with DSO Equity Ownership (National or Regional) |
60% |
|
|
% of Specialists Dentists with DSO Equity Ownership (National or Regional) |
20% |
|
|
|
|
|
|
Clinical Service Composition Mix |
|
|
|
By Clinical Service (as % of Total Revenue) |
|
|
|
General Dentistry |
60% |
|
|
Orthodontics |
20% |
|
|
Aligners |
10% |
|
|
Oral Surgery |
10% |
|
|
|
|
|
|
By Patient Type (as % of Total Revenue) |
|
|
|
Pediatrics |
20% |
|
|
Adult |
80% |
|
|
Total |
100.00% |
|
|
|
|
|
|
By Payer Line of Business (as % of Total Revenue) |
|
|
|
Capitation (all lines of business) |
50% |
|
|
Gov. Medicaid FFS |
10% |
|
|
Managed Medicaid FFS |
10% |
|
|
Commercial FFS |
10% |
|
|
Self Pay FFS |
7% |
|
|
Other |
6% |
|
|
Total |
93.00% |
|
|
|
|
|
|
Financial Performance |
|
|
|
Consolidated Financial KPIs |
|
|
|
Revenue Growth Rate |
|
|
|
Clinic Four Wall Profit Margin |
20% |
|
|
DSO Corporate EBITDA Margin |
20% |
|
|
|
|
|
|
Leverage Ratio - Net Debt / EBITDA |
3,5x |
|
|
|
|
|
|
Bad Debt as % of Revenue |
2% |
|
|
Patient Collection Rate - Self Pay |
25% |
|
|
Patient Collection Rate - Patient Responsibility |
25% |
|
|
|
|
|
|
Average Revenue Per Day |
|
|
|
General Dentist |
$1000 |
|
|
Hygienist |
$1000 |
|
|
Orthodontist |
$1000 |
|
|
Oral Surgeon |
$1000 |
|
|
|
|
|
|
Capital Expenditures as % of Revenue |
|
|
|
Building Maintenance |
2% |
|
|
Equipment |
2% |
|
|
IT Infrastructure |
2% |
|
|
Digital Solutions (e.g., application development) |
2% |
|
|
Acquisitions |
2% |
|
|
De Novo Development |
2% |
|
|
|
|
|
|
Expense Management / Cost Savings |
|
|
|
Non-Provider Clinic-Level FTEs (i.e Hygienists/Dental Assistants/MA's/Support) |
|
|
|
Total |
20.00 |
|
|
Per Clinic |
20.00 |
|
|
Per Provider |
1.00 |
|
|
|
|
|
|
Clinic Level Expenses ($) |
Per Clinic |
Per Provider |
% of Revenue |
Consumable Materials / Supplies (Non-Drug) |
$100,000.00 |
$50,000.00 |
20,00% |
Lab Supplies |
$100,000.00 |
$50,000.00 |
20,00% |
General Dentist Compensation (Ex. Benefits) |
$100,000.00 |
$50,000.00 |
20,00% |
General Dentist Benefits |
$100,000.00 |
$50,000.00 |
20,00% |
Specialist Compensation (Ex. Benefits) |
$100,000.00 |
$50,000.00 |
20,00% |
Specialist Benefits |
$100,000.00 |
$50,000.00 |
20,00% |
Hygienist Compensation (Ex. Benefits) |
$100,000.00 |
$50,000.00 |
20,00% |
Hygienist Benefits |
$100,000.00 |
$50,000.00 |
20,00% |
Dental Assistant Compensation (Ex. Benefits) |
$100,000.00 |
$50,000.00 |
20,00% |
Dental Assistant Benefits |
$100,000.00 |
$50,000.00 |
20,00% |
Total Clinic Level Compensation (Ex. Benefits) |
$100,000.00 |
$50,000.00 |
20,00% |
Total Clinic Level Benefits |
$100,000.00 |
$50,000.00 |
20,00% |
Clinic Rent |
$100,000.00 |
$50,000.00 |
20,00% |
|
|
|
|
Non-Clinical Services |
Per Clinic |
Per Provider |
% of Revenue |
HR - Excluding Recruitment |
$100,000.00 |
$50,000.00 |
20,00% |
Recruitment |
$100,000.00 |
$50,000.00 |
20,00% |
RCM Department |
$100,000.00 |
$50,000.00 |
20,00% |
IT Systems |
$100,000.00 |
$50,000.00 |
20,00% |
IT Department Team |
$100,000.00 |
$50,000.00 |
20,00% |
Finance Department |
$100,000.00 |
$50,000.00 |
20,00% |
Marketing Department Team |
$100,000.00 |
$50,000.00 |
20,00% |
Marketing Spend |
$100,000.00 |
$50,000.00 |
20,00% |
Executive C-Suite Compensation |
$100,000.00 |
$50,000.00 |
20,00% |
|
|
|
|
Team Satisfaction, Development & Investment |
|
|
|
Turnover & Retention |
|
|
|
Turnover Rate |
|
|
|
General Dentist |
60% |
|
|
Specialist |
20% |
|
|
Hygienist |
10% |
|
|
Management |
10% |
|
|
Total Central Office Staff |
10% |
|
|
Total Clinic Non-Provider Staff |
10% |
|
|
|
|
|
|
Provider Tenure |
|
|
|
Average General Dentist Tenure (Years) |
5 |
|
|
Average Specialist Dentist Tenure (Years) |
5 |
|
|
Average Hygienest Tenure (Years) |
5 |
|
|
|
|
|
|
Quality, Service & Satisfaction |
|
|
|
Patient Service Metrics |
|
|
|
Patient Satisfaction Score |
90% |
|
|
Avg. patient appointment wait time (days) |
10 |
|
|
Patient complaints as % of Patient Visits |
0,00% |
|
|
|
|
|
|
Qualiy Metrics & Adverse Events Occurrence |
|
|
|
Infection Rate |
100% |
|
|
Malpractice claims per provider (avg) |
5,00 |
|
|
Payor litigation |
1 |
|
|
Provider litigation |
0.0 |
|
|
Regulatory claims/Gov. investigations |
1 |
|
|