SCALE Healthcare Leadership Conference on October 18, 2023 at 8:00 AM-6:00 PM. Click here to register
Home Survey DSO – cloudwebi – 2024-02-12

Survey DSO – cloudwebi – 2024-02-12

Illustrative Exec. Dashboard

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

Log in

If you are a community member

Thanks for visiting!

Put your email and we promise we won’t spam you. We have so much to show you.

Join SCALE Community

We are excited for you to share in the benefits of SCALE community’s healthcare focus materials. If you are not currently a member sign up now to get unlimited access to all our materials.