United in heart. Connected by smiles.
As a member of the NexusDSO affiliate family, we are united by a common goal of success and independence for your dental practice. We support you through our inovative non-clinical services so that you can focus on what you do best-creating beautiful smiles.
Who we are
NEXUSDSO is the Oral Health operating arm of Allorre, a company dedicated to the delivery of a large portfolio of medical services and applications.
NEXUSDSO is designed to bring together a growing network of affiliated dental practices into a unified platform capable of achieving the advantages of scale, including increased purchasing power, access to institutional capital, proprietary technology solutions, operational efficiencies, enhanced branding, and broader market recognition.
NEXUSDSO is strategically positioned to pursue scalable growth through the efficient use of public-market capital and a technology-enabled operating model.
The platform’s structure is designed to support:
● the acquisition of affiliated practices with lower reliance on traditional debt financing and improved free cash flow potential
● greater operational and capital efficiencies through access to public-market infrastructure and institutional investment opportunities
● stronger alignment among clinicians, management, and shareholders through a shared-growth and performance-driven model
Who we are.
NexusDSO is a Dental Support Organization (DSO) who is passionate about providing full service business and administrative support to dental practices. Our member partners also have unique and exclusive access to capital, investment opportunities and technologies to grow their practices while maintaining their independence. Our "Doctors First" mission frees dentists from the non-clinical parts of their practices so that they have more time to ensure patient satisfaction and to achieve personal and professional fullfilment.
Learn More
Q&A
Owning a dental practice can be comparative to working two full-time jobs. One job is your passion, the dental work. At this job, you get to focus on helping people achieve exemplary oral health. Your work is rewarding, and if this was your sole focus you would feel content. Unfortunately, if you own a dental practice there is a second job that you are obligated to take on. It is the operational and business side of your practice. This job fills your days with a range of tasks that take away from your production time. If operating the business side of the practice has become overwhelming for you, it is time to ask the question, "Is becoming part of a DSO right for me?"
It is a common question these days. The answers (and opinions) will most likely shift your perspective one way or another. What's important to the discussion is getting clear on the facts. Then you can determine whether you fit the demographic.
Q: What are DSOs?
A: Dental Service Organizations (DSO) provide non-clinical administrative services to dental practices that are affiliated with their company. They are specifically in charge of the practice’s management and operations, while the licensed dentists conduct the actual doctor/patient interaction and care. The DSO model appeals to dentists desiring a more part-time business role in exchange for more full-time patient care it makes sense to understand the appeal.
Q: How are DSOs Impacting the Dental Industry?
A: The ever-present business side of dentistry demands a significant amount of time and energy. The exertion that should be spent on quality dental work has now been allocated to mundane daily business tasks.
Dental support organizations provide welcome business and management support. Their help on the business side allows you to stay in a practice leadership role without sacrificing your care standards. DSOs partner with many dental practices, and their large-scale support network gives you access to quality services such as:
● New and emerging dental technology
● Insurance reimbursement support
● Reducing the professional overhead burden for new dentists
● Incentives for joining and the elimination of dental education debt
● Skill training and collaboration with colleagues
We will go into these specific benefits momentarily. But first, let's explore the scope of DSOs across dentistry.
Q: How Many Dental Service Organizations (DSOs) Are There?
A: In the past 20 years, DSOs have experienced unabated growth in the dental industry. The steady expansion of these companies indicates that US dental practices can see the value in the DSO model. The exact number of DSOs is difficult to calculate. But the top DSOs in the U.S. represent nearly 4,000 locations.
Q: What Are the Growing Trends of DSOs?
A: The American dental industry provides dental practices a variety of business models. The issue that dentists run into with these models is that they require a high investment of not only time and training, but financing as well. If you're a private practice dentist, it will ease your mind to know that DSO's provide secure (low-risk) financial backing. Single and group practices throughout the United States have improved their financial future through affiliation with a DSO. Being financially secure, debt-free, and off-loading the tasks associated with the business of dentistry are dominant trends with DSOs.
Q: What is Drawing Dental Practices to DSOs?
A: Your desire to focus on patients can be disrupted by many tasks including non-clinical operations and other challenges associated with operating a practice. Allowing the dentist to focus on dental care is a huge draw among others to the DSO model. Independent practices affiliated with DSOs can care for their patients without being overwhelmed by the business of dentistry. This alone might attract you to consider affiliation. As you're processing all the information that comes with the DSO model it might help to consider the common advantages along with a disadvantage or two.
When weighing the Pros and Cons of DSOs here are a few advantages to think about:
Upgraded Technology AdvancesDental technology is advancing as we speak. But the financial and implementation challenges can be daunting.DSOs provide the research, cost negotiation, and the necessary implementation, training, and ongoing tech support required by emerging technologies.
Compliance monitoring and assistanceDental industry regulations are a constant concern when owning a practice. HIPAA and OSHA violations can put your practice at risk, but all the rules you need to follow can feel daunting when you are taking it on alone. DSOs monitor compliance trends including patient communication and the new regulatory laws impacting dentistry. Their assistance can save you time and provide the security of knowing you're compliant.
Career growth and peer collaborationDSOs have a built-in community of peer support, training, and problem-solving collaboration that you might not have as an independent dentist. If an issue arises at work that goes beyond your current level of expertise, you have an entire network behind you to help. Their specialist relationships provide you hands-on access for professional growth and expanded services.
Insurance assistanceTime is money. Production suffers daily when your staff is tied up dealing with Policy changes, issues with claim acceptance, or reimbursements. It can slow down your entire day, which will inevitably hurt your bottom line. DSOs have the ability to negotiate better rates with a broader network of insurance providers. Their insurance divisions are equipped to assist you with answering most of the questions your patients have about claim filing and reimbursement at a faster pace.
Healthy work-life balance Achieving a healthy work-life balance can feel unattainable when treating patients and managing a practice. You want to focus on the dental side of your career, but the small daily business tasks get in the way, causing longer hours for you and your team. To help you avoid career burnout, DSOs take most of the management tasks off your plate. That gives you more freedom to focus on patients and maintain a life outside of the practice.
Q: How is NexusDSO different from a typical DSO?
A: Allorre, through its wholly owned subsidiary NexusDSO, creates unique shareholder value is primary on two fronts.
1. State-Of-The-Art Financial Technology, (FinTech), intended to enhance systems and processes for Dental practices as well as other Allorre operations as we grow.Dental Practice Acquisitions through NexusDSO. Studies have shown 2
2. Dental Practices are very undervalued in the private market. This low value relates to the fact that not everyone can own a Dental or Medical practice!In other words, if folks want to buy a typical business in the private market, they can do that all day long. But only Doctors buying practices directly, or through a more sophisticated group such as a DSOs with Doctors running them, are allowed to acquire dental and medical practices. The result is a small buyer pool in the private market, hence lower valuations.
At Allorre we have uniquely identified that demand is high for public equity investors looking to buy into Dental and Medical practices, but again…no supply. Related to Dental; this means all the DSOs in the Private Market continue to reap the benefits by acquiring many practices at low multiples only to deliver limited upside to Doctors. This is due to the fact that a PE firms typical focus is acquiring and flipping their holdings to other private investors at lower multiples than currently found in the public market. And keep in mind PE firms typically use heavy debt leverage when making acquisitions.
In Allorre’s unique model however, we addressed this opportunity head on by securing a public market vehicle to reverse merge Allorre into. This allows Doctors participating in our program to capture more upside, through participation in HMI stock, being made available to a much larger audience, i.e., the general public market individual and institutional investors, both domestically and internationally. Again, the public market typically trades at a higher multiple of earnings than the private market. And keep in mind we accomplish our mission using very little debt leverage. Heavy debt can be very detrimental to companies.
To make sure the above runs professionally NexusDSO has a very savvy and experienced management team in place who have been very successful in this space. They know what works, but better yet they know what doesn’t work which will serve our Practice Members very well.
In Summary: Allorre, in conduction with its wholly owned subsidiary NexusDSO, captures shareholder value through 1) transitioning Dental Practices, found in the lower valued private market to the more efficient public market where higher multiples are typically attained and 2) enhancing the practices with our experienced management team and a variety of ever growing and dynamic FinTech solutions.
Final Thoughts
Many DSOs have great operators but run into challenges with rapid growth in a number of areas including, but not limited to, access to a variety of Capital Resources, Business Administration, Technology Integration, Coordination of Consolidation and a Duplicable Franchise model. Allorre meets these challenges head on as a public vehicle, combined with our management team who has been there, done that. They are augmented with a strong number of key strategic relationships, enhanced systems, unique products, and proven processes. We are not talking about doing this, our management team has done it and will bring this success to all our Members.
How we compare
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Factor
Private Practice
Other DSOs
Nexus DSO
A simple yet powerful and efficient process
1. Analysis & research
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2. Execution
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3. Launch
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Hear what our great customers say
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