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The Silicon Review
“Our team has closed over $3 billion in deals, getting our clients the highest price while keeping their interests at the forefront.”
Dental Support Organizations (DSOs) are currently growing at an ever-increasing rate. The largest DSOs are growing their number of practices by approximately 14 percent per year. Regardless of current market disruptions, when calculating valuations, dental practice multiples remain at record highs.
For owners that would like to access the equity in their practice and continue working, now is the time to act. Dental practices will benefit from a phenomenal capital appreciation and flexible wealth creation opportunity, including a large up-front payout, rollover equity, and other growth investment options. As a result, doctors will be able to focus on their clinical passions and their patients so they receive the quality care the doctors uphold.
Moreover, consolidation continues to gain momentum in aesthetics and has marched onwards since 2014, when dermatology first transitioned from practice management integrations into a prime niche target for private equity portfolio investment.
In 2017, the business of plastic surgery became the next big target of private equity (PE) after a nascent dermatology run. It only made sense with people living longer and so many minimally and non-invasive procedures becoming available to the population as a whole.
Strategic alignment goes beyond the benefits of a PE-backed exit or growth strategy to increase shareholder value and relieve you of day-to-day backend operations, important though these are. Joining with the right PE partner means aligning with healthcare innovators who have your best interests at heart, so you can capitalize on the planned growth of your practice in a definitive time frame, with the terms you choose.
Besides, the benefits and financial options available today are tremendous, regardless of the temporary public health challenges we currently face. It is still possible to plan your exit and growth transition with operational freedom, create value with millions in investor backing, and mitigate your risks regardless of current market disruptions. However, it is imperative to engage a well-connected, knowledgeable M&A advisor to access the majority of your equity with a smart deal structure to assure your legacy.
Choosing the right M&A advisor will ensure your investor partner brings C-suite business savvy to the table and allows you to scale up into new geographies or procedures, without excessive leverage. The right advisor can also negotiate for you multiple bites at the apple, including initial cash payouts, equity, and bonus structures, as you benefit from economies of scale and bargaining power to boost your profitability.
In light of the foregoing, we’re delighted to present Viper Equity Partners — America’s leading M&A advisory and investment bank in dentistry and aesthetics representing dental, plastic surgery, and dermatology practice owners. The company’s exclusive relationships with private equity-funded DSOs and Medical Support Organizations (MSOs) and its experienced team of M&A professionals are like no other in the healthcare marketplace. The Viper team consults with every client from contracting to the closing table with high integrity, efficiency, velocity, and a one-of-a-kind, value-added approach.
With offices in Palm Beach and Miami, Florida, and Denver, Viper Equity Partners works with doctors in every U.S. state except for Wyoming, Montana, North and South Dakota, Alaska, and Hawaii.
Viper was founded in 2009 and is based in Palm Beach, Florida.
The Silicon Review reached out to David C. Branch, Principal at Viper Equity partners, who spoke about how the company is making a difference in this segment and leading the pack from the front. Below is an excerpt.
“We have your best interests at heart. We are a full-service investment bank with in-house financial and accounting, M&A, pre- and post-LOI, business development, marketing, and PR departments to best serve you. In other words, we are there, every step of the way. Our experienced team walks every client through the entire process, from the first phone call to the closing table. In 2021 we negotiated the highest price paid for a single dentist office as well as the most cash up from for another client in history.”
“We get you the best deals. We leverage our existing relationships with buyers to get practice owners the biggest offers and best deals. Importantly, we have the best negotiators. Our team has closed over $3 billion in deals, getting our clients the highest price while keeping their interests at the forefront.”
“Viper has set the bar, successfully completing several marquee aesthetics deals and a strong proprietary pipeline in the Southwest, including California, as well as the East Coast from New York to Florida,”
“Our latest focus of merging medical and cosmetic dermatology offices into non-integrated roll ups with each other and plastic surgeons has proved monumental, due to the cross-referral opportunities. Not to mention the cross-training opportunities using the latest high-tech surgical and cosmetic treatment trends.”
“Times have changed, and Viper is ahead of the curve. The time is now for practice owners to explore options to gain access to the equity and growth potential of the practices they have painstakingly created over years. Why wait and choose to be lost at sea, if you will?”
Testimonials | Clients’ Speak
“I am grateful for this deal of a lifetime enabled by the patience and creativity of Viper.” — Dr. Joseph S. Arnold
“Viper has shown great professionalism and patience with our complex situation. They have a valuable understanding of the dental industry in general. I would not hesitate to recommend them to other colleagues looking for integrating and partnering with DSO’s and/or private equity groups”. — Аndrey Mazo, DMD
“My experience with Viper has been amazing! They exceeded my expectations on every level. The deal they negotiated for me was exceptional.” — Dr. David Rankin, Founder, Aqua Plastic Surgery and Partner, Water’s Edge Dermatology
“Kudos to you and the Viper team! Thank you for making this M&A process palatable! At every turn, you have been there to assure me and kept infusing faith to “stay the course”! You never gave up, always taking care of me. I do believe this was the best outcome.” — Dr. Christine Lathuras
“My experience with Viper has been amazing! They have exceeded my expectations on every level. The deal they negotiated for me was exceptional.” — David Rankin MD, Plastic Surgeon
David C. Branch | Principal
Serial entrepreneur, with more than 300 companies built, bought, and sold; a recognized leader in finance selected for Top 100 People in Private Equity in 2018, retired Hall of Fame athlete, and 2010 APBA Sportsman of the Year—for David C. Branch, the drive to succeed is in his blood.
David founded Viper Equity Partners in 2009 with a vision to deliver value-added action and indispensable advice to medical clients and partners throughout the entire M&A process. Based in Palm Beach, Florida, the Viper Team consults with practice-owning doctors and groups from integration and marketing to offer negotiations and diligence to the closing table with high integrity and velocity.
Given the company’s rapid growth, David’s allegiance to his vision is serving both the firm and its clients well. Viper is now America’s leading growth transition and M&A advisory firm in dentistry, dermatology, and plastic surgery, with over $3 billion closed since its founding. The company saw exceptional growth in June alone, with its book of deal inventory rising to over $700 million during a summer that saw dental deals hit a record peak.
Working with single practice owners remains the firm’s core business. However, with roll-ups and multi-location deals rising in popularity, transactions have evolved from smaller practices of one to three offices to multi-office practices with 15 to 30 locations in concentrated geographies in prime states. In response, Viper is broadening its reach into larger, multi-location dental practice deals suitable for rapid value creation for its DSOs partners.
With the pace of medical practice consolidation continuing to accelerate and M&A deals reaching record highs, David’s financial skill, and his love of a challenge, spurred him to expand the firm to offer more services to its growing client base of multi-office practices with revenues over $40 million and new DSO and sub-DSO buy-side clients. Viper’s new North Palm Beach offices include an expanded finance division, which offers package development, financial modeling and forecasting, as well as practice audits, and the firm has established a multi-team closing division to facilitate post-LOI diligence through closing for all clients. Viper has also added a new department that focuses on groups of offices looking to integrate into a DSO, a collaboration that both structures them and boosts EBITDAs for market readiness.