2026 IDSO Market Update:
Protective Advisory Policy

The IDSO Blacklist

Not all Invisible DSOs are created equal. LPS actively blacklists undercapitalized, overly leveraged, or high-turnover DSOs to protect our client doctors from disastrous equity rollovers.

Why LPS Implements the IDSO Blacklist

In an IDSO partnership, you roll over 20% to 49% of your practice value into parent equity. If the acquiring IDSO has toxic debt covenants, clinical interference history, or unstable private equity sponsors, that equity rollover can become worthless.

14+ Blacklisted DSOs Confidential Bidding Protection

Blacklisting Criteria: How We Protect Our Dentists

01

Excessive Debt Leverage

DSOs carrying unsustainable debt ratios or facing imminent interest rate reset covenants are barred from bidding on LPS clients.

02

Loss of Doctor Autonomy

DSOs that mandate clinical protocols, dictate staff salaries, or force specific supply vendors violate our fundamental autonomy guarantee.

03

Track Record of Failed Recapitalizations

If an IDSO's equity has previously failed to yield liquidity events or subordinated doctor equity behind preference shares, they are blacklisted.

04

Litigation or Regulatory Sanctions

Entities facing active DOJ, state dental board, or shareholder litigation are strictly excluded from our competitive process.

Are You Considering a Direct DSO Offer?

Before signing an LOI or accepting a DIY offer, verify if the buyer is on the LPS Blacklist or if we can generate 100%+ higher competing bids from vetted buyers.