DSO Practice Valuation Methods: Comparables

March 28, 2023
|
Posted By: Dental Attorneys

The formal definition of fair market value is the price of an asset that would change hands between a willing and information buyer and seller. The practical definition is the price someone is willing to pay for an asset. 

Dental service organizations and private equity backed group dentistry practices have grown significantly in the past decade for several reasons. One of the primary reasons for this growth is that these organizations offer higher purchase prices for the practices. The focus of this article will discuss how these organizations value potential targets.  

What are Comparables (Comps)?

Comparables (comps) are used in valuations where a recently sold asset is used to determine the value of a similar asset. Professionals and those engaged in transactions will examine the characteristics and prices of similar deals and opportunities to establish a purchase or sales price. This method of valuation is also referred to as performing a “private comps analysis”.

This is similar to a home appraiser’s valuation of a home; professionals seek out and analyze private and public market data to assess the value of a particular company. To perform this yourself, you must examine the target company and then find and compare it to similar companies that have been sold or acquired within a relatively recent timeframe.  

The analysis is deeper than comparing EBITDA or gross collections. When performing a private comps analysis, additional financial factors must be considered, like profit margin, costs of goods sold, financial ratios and other industry benchmarks. The idea is that the firm in question should be evaluated and valued in comparison with its rivals.

Why Consider Comps?

Before you make any investment, it’s essential to be armed with the right kind of information. Knowing things like EBITDA, pre-and post-cash values, and multiples can help you analyze how successful your deal could be and uncover exit opportunities when the time comes to maximize returns on your money. Looking at similar companies in different sectors gives more insight than just examining public stocks – so dig deep before investing!

How Do I Perform a Private Comps Analysis?  

The method of performing a private comps analysis is straightforward. This analysis should be conducted before making or accepting an offer to acquire or sell a company – most often, the analysis should be conducted with professional support. Here are the steps generally taken when considering private comps:

1. Evaluate the Target 

Whether you are a buyer or seller, the first step is to evaluate the practice to be bought or sold from a high level. This analysis will deepen your understanding of the practice and prepare you to have an upper hand in negotiations. In your evaluation, consider the factors and attributes of the practice, including: 

  • Practice type
  • Location
  • Revenues 
  • Staffing 
  • Marketing 
  • Profitability 
  • Owner readiness
  • Payor Mix

2. Evaluate Recent Sales

The next step is to find sales information. This can be tricky as private practice sales comparables are generally not published. Start by reviewing trade publications, articles, broker listings and boastings about sales and valuations obtained, and review offers on similar practices. In addition, you will want to consider these factors: 

  • EBITDA 
  • Practice type 
  • Practice size 
  • Growth opportunity 
  • Demographics 
  • Transaction date 
  • Acquiror
  • Economic environment on transaction date 

3. Comparable Analysis

The final step is to compare the target practice with the valuation of similarly situated practices that have been sold recently. This requires an objective comparison of the data to determine a reasonable range at which the target can be acquired or sold. Critical to this process is understanding that the fair market value or an acceptable purchase/sale price for a practice falls within a range rather than being a fixed number. Depending on the intrinsic value of the practice to the seller or buyer, an acceptable price should fall within the range of acceptable values. A detailed discussion of intrinsic value is beyond the scope of this post, but is incredibly important to understand when evaluating a practice acquisition or sale. 

Comps Advice with Wood & Delgado 

At Wood & Delgado, we offer help at any step of the way. Our experienced dental lawyers have deep experience with practice transitions and were engaged on no less than 110 transitions in 2022. Wood and Delgado has also represented over 8,500 dentists since 1984 and focuses its efforts on supporting the dental community with their business needs. Contact us today for guidance at 866-764-8036.

Related Blog Posts
November 26, 2025
Legal Steps to Buying Real Estate for a Dental Practice

Purchasing real estate for your dental practice requires coordinating due diligence, financing approvals, entity structuring, and regulatory compliance within compressed timelines that protect your deposit and preserve practice operations. Understanding letter of intent contingencies, zoning requirements, environmental reviews, and lender documentation helps dentists close transactions that support long-term growth without unforeseen liabilities or cost overruns.

Planning a dental office purchase? Call (866) 307-3341 to discuss LOI review, financing coordination, and closing strategy.

 

Schedule a Free Consultation

 

Key Takeaways for Dental Real Estate Purchases

  • Entity structuring separates real estate ownership from clinical operations, typically with a holding LLC that owns the property and leases to the dental practice P.C. 
  • Letter of intent contingencies ...
July 6, 2024
Dental Practice Acquisition and Ownership Strategies

Dental practice acquisition and ownership strategies can present several issues and challenges for dentists. Whether you are considering purchasing an existing dental practice or looking to expand and establish your own practice, there are several factors to consider. These include:

  • Financial considerations such as securing funding and managing cash flow
  • Legal considerations such as negotiating purchase agreements and navigating regulatory requirements
  • Strategic considerations such as marketing and patient retention

With so much at stake, you should always have a knowledgeable and experienced legal team by your side. The right dental practice purchase agreements lawyers can offer invaluable guidance and support throughout the entire process. Take the first step towards a successful ...

July 3, 2024
Dental Use Exclusivity (Leases)

Is your dental practice entering a new commercial space or renegotiating the terms of your commercial lease? One important matter to consider is a dental use exclusivity clause, and you should never sign a commercial lease for your practice without discussing this – and other key terms – with a dental business lawyer.

Dental use exclusivity clauses restrict landlords from leasing to other dentists in a commercial development to ensure your practice’s exclusivity in a particular location. These clauses aim to protect the business interests of dentists by preventing other dental practices from operating in the same strip mall or building.

However, disputes can arise when interpreting ...