Acquisitions Anonymous - #1 for business buying, selling and operating - Two Veterinary Clinics for Sale - Dzmitry Miranovich - Co-Founder at Associated Veterinary Partners - e54
Episode Date: December 2, 2021It's a vet clinic episode! Our guest this week is Dzmitry Miranovich. He is Co-Founder at Associated Veterinary Partners, which is a roll-up of vet clinics. We look at two that are for sale right... now. Thanks to our sponsors this week: Tinyacquisitions.com - buy a business with a few clicks, most for less than $10,000 SMBash.com - THE conference for buying, operating, and investing in the SMB and Micro-PE space.-----* Do you love Acquanon and want to see our smiling faces? Subscribe to our Youtube channel.* Do you enjoy our content? Rate our show!* Follow us on twitter @acquanon Learnings about small business acquisitions and operations.-----Past guests on Acquanon include Nick Huber, Brent Beshore, Aaron Rubin, Mike Botkin, Ari Ozick, Mitchell Baldridge, Xavier Helgelsen, Mike Loftus, Steve Divitkos, Dzmitry Miranovich, Morgan Tate and more.-----Additional episodes you might enjoy:#62 Two Landscaping Businesses for Sale - Mike Loftus CEO of Connor's Landscaping#66 Analyzing Software Businesses for Sale with Steve Divitkos, experienced industry CEO#42 $900k Moving and Storage Company / $500k Rural Mini-Storage#61 Two Manufacturing Businesses for Sale - Brent Beshore - Founder and CEO at Permanent Equity#24 $5mm pool services and lifeguard staffing co / $2mm septic services business - featuring baller @WilsonCompanies as a special guest!#45 $800k/yr cleaning business in Midland, TX / a $565k/yr window cleaning business in San Antonio, TX #48 Two Landscaping Businesses for Sale - Mike Botkin of Benchmark Group--- Support this podcast: https://anchor.fm/dealtalk/supportSubscribe to weekly our Newsletter and get curated deals in your inboxAdvertise with us by clicking here Do you love Acquanon and want to see our smiling faces? Subscribe to our Youtube channel. Do you enjoy our content? Rate our show! Follow us on Twitter @acquanon Learnings about small business acquisitions and operations. For inquiries or suggestions, email us at contact@acquanon.com
Transcript
Discussion (0)
All right, everybody. Welcome back to another episode of Acquisitions Anonymous.
Really glad that you're here. We have a fun one today. I'm Mills Snell, one of your co-hosts, joined by Michael Girdley.
Our other co-host, Bill De Alessandro, isn't with us today. He's out gallivanting around with his wife.
But we have a really fun guest today in a really sweet episode. We have Dmitri Maranovitch.
Good afternoon. Did that say, all right?
Yeah, dude. It's perfect. All right. I took my college professors four years.
Dimitri is here with us as a subject matter expert.
We're going to have a couple of fun deals to talk about in the vet space.
And some of the consolidation that's going on there.
And I guess we don't really talk about a ton of roll-ups.
We talk about them from a distance,
but we don't necessarily talk about them in depth.
So, Dimitri, really glad that you're here, man.
We'd love for you to just give us kind of a little snippet about you
and maybe 60 seconds worth of an intro.
Yeah, absolutely.
Thanks, guys, for hopefully.
me. I love your podcast, so happy to be on.
Yeah, my name is Dimitri. As Mel said, I have background in finance. I did invest in banking
and private equity, you know, lived in New York for, what, eight, nine years, then moved to
Virginia to do this. I truly covered the best space of my last job and, you know, we invested
in several larger roll-ups in the space and like the industry, you know, has those, you know,
attractive economic characteristics and, you know, I love pets, a lot of animals.
and I ended up connecting with a friend, friend of a friend who's a veterinarian,
and the two of us collected from values and sort of where we wanted to take this.
And, yeah, so, you know, the two of us embarked on the journey of, you know, building this together,
and here we are.
That's awesome.
So you tell me, what do you guys, what do you own right now in terms of kind of number of practices
or however you would quantify and where are you in that journey?
Yeah, so we're, we're a relative.
early on. We have two clinics that we partnered with. So our ammo is a bit unique in a sense
that we partner with clinics. So in a typical scenario, we would, you know, by a majority
stake in a clinic, was the doctor who's the owner, committing to stay with us, usually for
four or five plus years in a true partner capacity in the sense that they benefit the economic
lift up from the growth on the same terms as we do. And so the incentives are really aligned.
and yeah, we get a committed partner on the ground.
So we've closed two partnerships so far.
Actually, both happened within the past months.
So it's been quite busy.
And then we're hoping to do maybe two or so by the end of the year.
And then, you know, we're working a handful of others as well.
And so you're buying a majority stake in these practices.
So that means that like if, say, somebody came along after you do this with 50
them, everybody else will get dragged, all the minority partners would get dragged along with you
at a sale time. Okay. And that's some expectation, right? The structure is not that unique.
You know, there are a number of roll-ups in the Beth industry and, you know, dental dermatology
that have a similar structure in the sense that they have, you know, equity sitting in the
OECO versus the P. Sorry, versus the WholeCo. I think what's unique about?
our structure is the fairness of the economic incentives and how they're aligned and
how the economic values split between us and the clinical partners. I think that's unique.
The actual, you know, what's typically called the MSO-BSO structure is not that unique per se.
But yeah, so generally, you know, there's an expectation that at some point there will be an event
in the future and the partners will benefit from that event. And they'll, you know,
essentially get to tag along with us to that end.
And we are not rebranding clinics.
We're not changing their identity.
And that's also one of the selling points is that we'll tell them, hey, we'll preserve your
legacy.
A lot of the time, those clinics have been founded by either sellers, you know, 20, 30 years ago
or their, you know, mothers, fathers, you know, long time ago even before that.
And so I think, you know, that's an important part of our pitch is that, you know, we'll preserve
of likes for them and will be a good partner for them.
And, yeah, Josh.
All right.
Well, we have a couple of fun deals to talk about.
But before we get into those, Michael, you have one of our sponsors.
Yeah.
Yeah.
Well, in our never-ending quest to make this podcast break even, we have two sponsors today.
So the first one is the guys at SMB bash, SMB bash, I guess.
I'm still not straight on how to pronounce it.
But Mills, me, and Bill will actually be.
be recording an episode live at this conference in Orlando in February, and then both, I think, Bill
and I are preparing talks. So evidently, mine will be about hiring. So it should be pretty entertaining
to say the least. And this is really, it's something special that's come out of Twitter. It's an
intimate gathering of acquisition entrepreneurs and S&B entrepreneurs. So kind of what Moses Kagan's
reconvene, or what capital camp was for allocators or reconvene was for real estate, this is for
for S&B people. So being S&B people, we're excited to be part of it, and me, Bill, and Mills
will be there. We'll be doing a book signing. Did you know that, Mills? It's on your head, right?
We have to write a book first, but yeah. Yeah, yeah. But in all seriousness, check out Smbash.com.
The guys are working hard to put on a good intimate show, and thanks to them for sponsoring the
episode today. Awesome, thanks. All right, Michael, you have our first deal as well.
Yeah. Believe it or not, it is a veterinary clinic.
I have no idea why.
But yeah, so this one is actually on a biz buy-sell.
Mills, I know you're proud of me.
I pronounce it correctly, and that's because it's written on my screen.
But it's a nearly 50-year-old veterinary hospital for sale in Oregon.
In a true broker fashion, Chuck Atkins, the broker from Business Connection, did not put a photo up.
So thanks to Chuck for not putting your typical stock photo on the listing.
They're asking $900,000 for the business.
The cash flow is $230,000 a year, so $900,000 asking price, cash flow $230,000.
The gross revenue is $925,000, so they're selling for about one-time's revenue.
There is $250,000 in furniture, fixtures, and equipment, FF&E, and it was established in
1972 and has $0 in rent.
They go on to describe it as a well-established veterinary clinic in an excellent location,
nearly 50 years old, high-demand area.
It is the only veterinary hospital in its regional location and is on the highway through town.
It is a suburb of Portland, Oregon that is made up with two communities, according to the 2010 census, had a population of about 15,000, and they are growing, Columbia River Gorge, all that kind of stuff.
The reason for the sale is that it's because a larger veterinary business with multiple locations is hiring away their veterinarians.
That's kind of depressing.
But, yeah, so they've had vets here, and I guess they're, they're.
getting hired away for more money elsewhere.
The owner is a veterinarian that also owns another location in a neighboring community.
Due to shortage of veterinarians nationwide, the owner is having a challenging time competing
against the larger hospitals, finding replacement veterinarians when they are offering
$30,000 to $50,000 signing bonuses.
Since they are now in the situation, they don't feel like they can staff both locations.
They are now selling one of the two locations.
Man, that is like the most depressing teaser intro I've ever read.
They feel like they are selling the best of the two locations and they are selling
selling this one because the other one they own is in a community where I live.
The two locations support the owner and the four veterinarians that work between the two locations.
Two of the veterinarians are gone and one will be there through July and another through September.
So it sounds like we're buying a business here that is understaffed from the get-go and challenged
that way. Continually turning away business and the owner feels like this location could support
a new owner vet and another veterinarian with annual sales in the million dollar range.
They operate five days a week and the owner feels if it was open seven days a
we could support a third vet and be on track to go up 20 to 40% based on last year's sales.
Let's see here.
They didn't tell you how to value a veterinary hospital, which I guess is basically a key for
maybe they're looking for somebody who is not a vet to buy this or somebody already in the roll-up space.
The real estate is leased.
It's a 3,800 square foot space, six employees, and that's what we know about this one.
So what do we think about this nearly 50-year-old veterinary hospital for sale in Oregon?
Yeah, so first of all, I'm sympathetic with the seller.
I think it's a, you know, recruiting betweenernerants is challenging in certain parts of the country,
especially in rural hospitals.
Now, it's definitely not impossible, and I feel really bad for him, but yes, he essentially
seems like Shad one of the hospitals that he owns because his challenge, you know,
his challenge to retain illness, sorry, some internearines.
So what we've seen, I mean, first of all, I think it's a top deal, right?
Like, I don't know much about Oregon.
You know, there are certainly some areas where getting zoned for that clinic is difficult.
And so if that was one of those areas, they might be an angle whereby you buy into this business
to get that essentially lease or that zoning and then you staff it and, you know, you have a successful business.
I mean, here it sounds like you're basically buying a building with no vet staffing.
So I assume there is support staff is in there.
So maybe technicians, receptionists, maybe a practice manager and so forth, which is valuable.
But I think what's the core of what's lacking is bitternarians, right?
Because you can't produce revenue beyond sort of relatively minor amounts without veterinarians.
And so I think that's challenging.
I think it's interesting that they're being so upfront of the fact that there is one or two larger
insulators around there trying to coach, actually approaching their veterinarians and that they're struggling to retain them.
Yeah, I mean.
Dimitri, can I ask a couple of kind of maybe dumb questions?
Yeah, yeah, no, absolutely.
Sorry.
Is there a difference between a veterinary hospital?
hospital and a veterinary clinic?
No.
There's not the same thing.
It's not like the hospital's improved in some way.
No, no.
I think historically they might have been some difference, but in today's, you know,
no, it's the same thing.
Okay.
Yeah.
Is there, is there any difference in your mind?
I don't know a lot about vet clinics, but the one kind of delineation that I'm aware of
is like small animal versus large animal.
is there is there one that is better i mean i'm thinking about like the obvious differences right of
like hey this is my childhood pet and i want to spend a lot of money on it versus like this is just
you know another horse on my farm or something but is there any delineation or is one of them
preferred uh or or kind of better better liked in in your analysis yeah so most of the consolidation
is actually happening in the small animal space.
Small animal is a lot more attractive than large animal.
Now, equine that you mentioned is actually its own beast of its own.
Equine is very unique.
It's a very tight community.
It's almost like they don't let outsiders in.
Like they, you know, oftentimes they wouldn't even talk to you if you're not coming
from the equine background.
But usually large animals, you know, that large animal clinics, the business model is different,
right because a lot of the time that's a that's a rural hospital and a lot of the time they deliver
the service on the client's premises so you know they have a bath who jumps in truck or a van or
you know the vehicle and drives to a farm and then they made the minister into biotics or do like
the what's the the cattle like pregnancy tests and stuff like that i'm not using reticumannology
by the way but it's very different from your typical you know small animal clinic
which is where people come to use pets.
Some clinics do mixed animals successfully
where they would be an 80% small animal,
20% large animal,
maybe that's sort of some of the kind of side thing
that they have going.
There's also exotics that is out there,
you know, that's birds, lizards and things like that.
Usually it's a small, you know,
some small portion of any clinic's business,
And most lot of claims don't do exotics at all.
But I think at the end of the day, comes down to two things.
First is economic characteristics.
You know, the small animal is just a better business.
And then the two recruiting staff, because it is a lot harder to find a veterinarian
who's proficient in, you know, exotics, you know, lizards and birds versus
to find a veterinarian who's proficient in dogs.
And so that also comes down to your recruiting retention.
strategy. And that's actually one of the reasons why, you know, rural practices have struggled
is because they're struggling to attract younger bats who are interested in doing large animal work.
And so this clinic, you know, obviously they don't tell us, but I would suspect that they're
probably doing a good amount of large animal work. And that makes it more, you know,
harder to attract veterinarians as well. Yeah. Is there no, you know, in human medicine, we've
we started to stratify primary care or what doctors do, right? You have nurse practitioners and then
there's, and then there's specialist on the other end. Is there equivalent of like nurse practitioners
or nurses in the veterinary space or is it just like either you're a DVM, Dr. Vetting Medicine or you're
not? And are you able to solve some of this labor shortage through people whose training process is
maybe quicker? Yeah. So that's a endpoint. So yes, there is a,
similar certification, somewhat similar. It's called, you know, licensed vetting technician,
but this requires, on a comparative basis, less schoolwork than ORN registered nurse.
And in the legal framework of most states, there is no framework for that individual to be able
to do as much as an R and is able to do as humans. So in some ways,
Batman is, you know, tougher than human medicine because, you know, you don't have that
paraprofessional to the same extent that they're able to do all the same things that
are in is able to do as humans and that's one of the problems and there are few schools there's uh i think
prudeau in indiana is working as a program that's targeting to create this you know sort of
paraprofessional uh profession uh within bat mad uh but then it comes down to state certifications and
where in which state they can actually practice what they are being taught that's number one and then uh
Yeah, and also like actually, funny enough,
telemedicine in some ways is more regulated with animals than it is humans in the sense that
with animals, you know, obviously animals can tell you what's wrong with them, right?
They can tell you all my life hurts and this is how it hurts.
And so most states have a framework whereby for your animal to be seen by veterinarian,
you know, there has to be a pre-existing relationship between the veterinarian and the animal.
and so that makes it harder to serve, you know, a lot of patients, you know,
unlike in human medicine, where that becomes an option in the instances.
Well, and so these guys are struggling and trying to solve for four times cash flow almost,
but they say they have this like strategic problem where they can't keep staff.
And it says here that the other like, I guess veterinary clinics of America,
some of the larger hospital chains in the vet space
are offering $30,000 to $50,000 signing bonuses
to steal away the vets that are working for this guy.
How much does a typical vet make?
So I'm going to give you that answer,
but it depends.
Usually vets make about 20% of production or so,
18 to 22% of production that they made,
which obviously differs very much.
across the country. And so, you know, it could be anywhere between $70,000 on the low end,
maybe like $65,000 in some rural small communities. But that would be an outlier up to, you know,
$100 plus $1,000. Now, I think, you know, specialists and people working emergency room
24-7 being on call or, you know, that's working like New York City in large metro areas.
make more. But yeah, I'd say, you know, I think that that's probably
the range. Those bonuses that they mentioned here are not they seem rich.
You know, it's not unheard of, but you know, for a small town in Oregon, that that
feels like a lot. Now, obviously, we don't know the local dynamics and what those
numbers actually imply, what they mean. So it's hard to actually engage that,
but that feels like a lot. Now, with your question about
valuation and, you know, sort of four times cash flow. I mean, this cash flow figure is not real,
right? Like, there's no, there's no cash flow, right? There is some cash flow because you
could steal around what's called tech appointments, meaning, you know, a technician could do
what you're cleaning and some other things. But, you know, that's a relatively small portion of
your entire business. And so if there is, if there are no veterinarians, there's no cash flow. So I think
the only buyer who would, so two buyers could buy this. One is a veterinarian who is, you know, wants
to live in the community and would buy this clinic and they would essentially become the production
themselves. And then the other type of buyers may be consolidated, maybe one of those larger ones
in the area would buy the clinic as a sort of hub and spoke on or just have like a satellite
location of some sorts. But with Beth clinics and that's actually not dissimilar for
dental clinics and, you know, physical therapy offices and whatnot.
Cashel figures that brokers often show are not representative of the actual cash flow that
you get as a owner because they're often not adjusted for between their ends compensation.
So, you know, in this instance, right, if the clinic is doing $900,000, you know, $1,000 of production,
I think it's probably doing
125 or so
150,000 dollars of EBIT at best
if it's like a very well-drawn
I mean really well-grown
well-operative clinic
of this scale it's probably doing 10 to 15%
evaluation and so
when they show you a casual figure that's way in excess of that
that tells me that they're either not factoring
in doctor production or like
doctor compensation, which is probably the case for rent because they show that the rent is
zero, but they also say that the building is leased. I would assume they factored in rent,
I would, I'm like 80% certain that they're not factoring, factoring in doctors' compensation.
So there are, one of the businesses I dug into once was veterinary Centers of America, VCA,
I think you see they're blue and white signs everywhere. So that's owned by, what's owned by
something weird like Mars Corporation or something like the candy people yeah it's on the Mars so why would
why would a big chain like that not be interested in a business like this it seems like that
that would be something they could potentially make work right because they have a ability to
recruit and transfer their people around and all that kind of stuff yeah VCA is i think VCA is
probably doing some sort of you know mapping
better than aliases and they think that they you know vCA is known for buying clinics and combining
clinics like they they could buy a few smaller clinics and getting them all together into one building
and made them more efficient that way and so you know these days they're usually buying two
two-three doctor clinics you know they own a clinic nearby they probably don't have a need to
buy this clinic they probably think they can just you know essentially approach clients and
make sense. With independent clinics, what really works is having a strong culture and that
sort of attracts veterinarians and stuff because, you know, all those like very large consolidators,
like VCA and MBA and that, or, you know, don't get me wrong, they in some ways they offer
great benefits, some of them do and, you know, they actually have a structure in place and process
that some employees very much appreciate,
but there's a subset of professionals,
there's a subset of professionals in the veteran space
that are opposed to that model.
And so they would actually much rather prefer to work
for an independent clinic.
And that's actually, frankly, what we do at the APP is
we position ourselves as being vet founded,
the vet lab, not pride equity back.
And that helps us to, that's our culture.
And so we partner with clinics that they're like-minded, right?
that they have this feeling of being an independent clinic.
They have this very strong culture.
And so if you do have a strong culture, then generally speaking,
you're a much better position to recruit someone if you don't have a strong culture.
And I know this is very subjective.
Yeah, it's such you feel it's very subjective.
But it's true and it's very hard to gauge in the first visit or the first time you see the clinic.
But sort of when you come in and you speak with the staff,
where it becomes apparent.
Yeah.
Well, reading this teaser for this veterinary clinic in Oregon,
it just smells like a place that's not good to work.
You talked about the vets typically have an incentive plan
where they're taking a percentage of their income generated for the clinic.
It wouldn't surprise me if these people haven't even gone there.
They're just like, oh, like it's 1965, we'll keep paying you a salary
and no incentive plan, no nothing.
Yeah, it's surprising.
Yeah, you could be right.
It's surprising.
So the clinic has been around for 50 years, right?
And that's great.
I mean, usually that's a great sign, right?
There is usually the legacy.
And I mean, I have utmost respect for the owner.
I think, right?
Like, they've done a great job keeping in this clinic, running it for 50 years.
I'm wondering if that's not the culture aspect, if it's just fatigue aspect,
where the owner has two clinics and maybe.
Maybe they're approaching an age or already eight, you know, at an age where they just don't, you know, they just don't have energy to deal with all kinds of issues that come up and they just find it hard to compete.
So it might not be culture issue at all.
They might have great culture and that might be a wonderful hospital.
So the one who's a very family style and true independent hospitals, but they're just struggling because, you know, the owner is, you know, exhausted from, you know,
trying to compete with others and also running to hospitals at the same time.
It does, I mean, it's interesting, one of the things when I'm looking at these businesses,
I'm thinking about, what am I buying, right?
And when you're going in and partnering with these vets, you're actually solving the biggest
problem that appears that these guys have, which is who's going to do all the work?
And, you know, it's tough to see a lot of value in something like this if you're not already
a vet or you don't have an ample supply of them.
Right.
You're right.
you're right
if this business
had been healthy
right
if they weren't
like bleeding
off physicians
or practitioners
what I mean
are they right
is the rule of thumb
correct
is it kind of
one times
revenue or maybe
four-ish times
cash flow
even though
that maybe
doesn't reconcile
with EBAD
truly
yeah so
the
the
the four times
cash flow
well we were just
talking
um
is Michael about this
the cash
flow here
must be a significant lower than that, right?
Because typically a vet hospital of this size
would have a 10 to 15% EBITDA margin,
and, you know, which would be $90,000 to $355,000 roughly.
You know, here they're showing a much larger figure.
My bet is that they're not factoring in a veterinarian compensation
in that figure.
So, you know, usually vats are compensated,
you know, roughly speaking 18 to like 20%.
20% of production.
And so that usually comes out of that, obviously,
your EBDA before you get to actually
EBDA or from your operating income before you get to your EBITDA.
I bet they're not doing it here.
I bet they're viewing this as like a cash flow that's available to you.
If you're the veterinarian and you buy this clinic.
So if I'm a vet, then I buy this clinic,
I'll be generating 230K of cash flow to me,
but that includes my compensation as a clinician.
Yeah, like a seller's discretionary earnings.
One times revenue sounds about right.
I think it depends again on geography and other factors,
but that generally sounds right.
You also have to look at the composition of revenue
because especially more rural clinics,
they would sell a lot of product and not a lot of service.
So service is a lot higher margin component of your revenue, right?
and services, you know,
any sort of exams, tests.
It's actually
could be characterized differently,
but it's like surgeries and whatnot.
And then products is basically,
you know, anything that oftentimes you can get
in truly. And so
products are lower margin.
And again, at the time, some products are
higher margin, but general rule of thumb
is that products are
lower quotes of revenue.
And so you would want to know what
split is before making that
assumption, but generally speaking,
like a one-time sales is a
good estimate.
But then again, if your margin, if you
sell, if your sales makes it such that
your margins are less than
your thing, then you know, you'd probably go
with less than one-time's revenue. Or you
could go more than one-time's revenue.
I think that's really high
quality revenue. Sure.
Let's move on. Let's move on.
You should move on to deal number two.
Yep. Yep.
Yeah.
That's good.
You got our sponsor first.
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So back over to you, Mills.
Awesome.
Thanks to the tiny acquisitions.
So our second veterinary practice deal for the day, Michael's going to pull up the website for it.
But this is one that Dimitri sent over to us and that we kind of talking ahead of time found online.
So this is in California.
It's a veterinary practice for sale.
The asking price is $795,000.
It says that they're a very successful, long-established practice.
located in Humboldt County. They're a small animal practice, 68% canine, 31% feline, and 1% exotic.
So that kind of matches up with what Demetri was saying earlier. It's a rural town of about 136,000 people.
It's a great opportunity for the practice to gross over 1.45 million, so 1,450,000.
The practice is open five days a week. It's a beautiful landmark building, just under 4,000.
4,000 square feet, and it includes an on-site residence, which allows plenty of space on this 10-acre
parcel. Interesting. So business has been around since 1985. The building is also for sale in conjunction.
I'm not sure if it doesn't specify if it's included in this asking price or not. The demographic is rural.
They have three operating kind of exam lanes. They kind of give some description about the design of
the building, a reception area, nine large kennels, two large cages, 24 medium and 11 small cages,
kind of three treatment examines, three surgery, three recovery rooms, three laboratory, three x-rays.
They do medications, vaccinations, lab, surgery, professional services, and offer pet supplies.
And then their 2020 gross revenue was, you know, that $1,450,000, 2019 gross was about,
about $100,000 less, kind of below $1.3 million.
Staff-wise, they have two full-time receptionists, two full-time assistants,
and one full-time office manager, which makes me think that it's probably just a one bet,
but we'll get Dimitri to chime in on that.
They, let's see, it looks like 900 patient visits a month and about 40 new patients a month.
And there's some nice pictures of the inside.
Dimitri, take us to school on this one.
Yeah, so I have questions,
but my God's reaction is that this might actually be interesting.
Now, Kevin, that we don't look, you know,
we will look at clinics through the Midwest, East Coast, South.
We don't go to the West Coast.
We don't go to California.
There's some regular variant issues there that make it harder to operate,
but that's sort of setting this aside.
So clinics specifically,
so they're saying they did
1.5 million of revenue, gross revenue last year.
This is actually a decent size.
You know, I would think this is probably a 2-Bet clinic.
Maybe one full-time, two-part-time bets.
Could even be like 2-5-bets, frankly,
depending how productive they are.
And also depends on the pricing environment in that area specifically.
But this could actually be, you know,
pretty interesting on that standpoint.
The staff here,
frankly is a leap.
I don't know if they've listed everyone.
I do have a question because they don't list any.
So I guess they list two assistants.
There are no technicians.
I would think that,
so it's quite challenging to produce
one and a half million revenue without more support staff.
So usually a good roll thumb
as you have two to three assistance
slash technicians per veterinarian.
So there is two vets here, which is my assumption,
you know, they probably need to add another, you know,
two assistants or two technicians.
And so my guess is that the clinic,
as currently a staff, is actually understaffed.
And so if you add more support staff,
you could probably leverage more reductional de viztrianians.
And so there's potentially some upside there.
I also have some upside for more suspension
because obviously, well, not obviously,
but every incremental dollar of the Trenuio and production
has a higher margin than the prior dollar
because of the fixed cost base of the clinic.
So, yeah, I mean, the fact that it's listed as rural,
like, it doesn't concern it at all in it.
It's a town with, you know, 130,000 people.
It's not that rural, right?
Like, in my playbook rural, it towns, like 3,000 people.
This is actually, you know, like a decent size town.
frankly. What else? Yeah, I bet the building is not included. It's priced. I think it's
interesting. You know, they're pricing it less than, you know, roughly, you know, 0.6 times
revenue. I bet there's something going on there. Maybe the owner is retiring. Maybe the owner's a
full-time scenario and he's retiring. Maybe Mills, you're right. Maybe it's a
a one and a half. I mean, I doubt it's a solo clinic. Maybe it's a one and a half clinic and then
the owner is just extremely productive like we've seen the tournarians doing over a million on their own
who are just like extremely hardworking and overworked. So maybe the owner is retiring and so
the production is going to go from one and a half million to half a million. I don't know. Maybe
that's what's driving the price because if this was a clinic that has, you know,
truly want to have middle of the production, like you would sell them for more than $800,000.
Yeah.
Well, you've got the one sign that I came back to is the clinic was established in 1985.
So if you do the math, that's 37 years ago.
Like, okay, yeah, like, it is precisely the time in which I'd expect somebody who's been
working their butt off for the past 37 years to be tired, ready to just get out of it,
move on to their next thing.
Yeah, that's fair. I mean, a lot of, like, you know, one of the claims that we part in ways was actually founded by the current owner's father, right? And so the clinic has been around for, I can, I'm facing it's like 50 or 60 years, but she's only been running it for, you know, 20 roughly, maybe slightly more years. Yeah. But yeah, you're right. I mean, that's right. A lot of the time, that's, you know, that's a good, good rule of thumb.
You know, yeah.
So something like this, it sounds like the first place you'd kind of go is the same problem the first deal had, which was, how are you going to staff the clinic?
And also, like, if the current owner is very productive, like, what does that mean for future production?
And maybe this vet clinic is priced around what reality is when you get a mere mortal vet in there at some point, as opposed to the superhuman one or pair of vets and doing closer to $800,000 as opposed to $800,000, as opposed to one point.
million. I'm just
curious about this scenario. We talk a lot
on the podcast about like buyer business
fit and obviously that's a really critical
component here. You have a partner
who is a vet and that kind of
gives you guys,
opens up the door to you.
I'm also wondering though about
transferability of ownership
and how, you know,
kind of client relationships can
weigh. Obviously, if this is the only
bet in this town, I'd be kind of surprised
with that population. There's got to be multiple.
you know, when you step into this, a buyer like you, you're anticipating, right,
you're at least going to have to hire a bet.
If you can't partner with existing management, which is kind of y'all's thesis and y'all's
playbook.
But if you just were buying this and you didn't have a bet, it was going to stay and you're
going to have to hire a bet to be there, I mean, one, it seems like you're going to have
to really dial in their incentives and make sure that your interest are all on because
you're kind of putting all your eggs in that person's basket.
but assuming you can do all that and your partnership is great with the vet who's going to be
carrying all the all the revenue i mean how transferable are these you know relationships with
with you know i guess not patients in this case but clients how sticky are those relationships
through transition i'll address your question before i do that i'll just i'll say something else
in many states in the U.S.
medical businesses like that,
whether it's a vet clinic or physician's office
or a dental office are not allowed to be owned by non-professionals.
So I don't know the rules in California.
We've never done a deal in California,
but for example, in the state of Texas,
you know, you're not allowed to own a vet clinic
between a lot of the veterinarian.
Now, there are structures around that.
It's called, you know,
VSO or MSO structure.
So there's a way to structure a deal around that, which is fine.
But when we start talking about transferability and buying this clinic as a non-withternarian,
I think it's very difficult, right?
Unless you have a group behind you that has a recruiting arm
and you have a full-time recruiter, a full-time recruiters,
able to get on the road that starts trying to hire a veterinarian.
You know, you should have, well, in many states,
you can't buy this business, and in most other states, you shouldn't.
But then to address your actual question with regard to transferability,
I mean, usually there's a, it's almost like a, I don't know, not genetic,
but there is a memory, right?
Like, people come to the place and they know that there's a vet clinic there.
And, okay, maybe now there's a different doctor.
But if you preserve the culture and if you preserve the feel of that clinic and you treat
your customers well.
I mean, they'll keep coming back.
Right. Yeah. So that's a good,
you know, that's part of the right thesis that we
want to be anti-corporate in some ways.
If we don't want to change the name of the clinic,
we don't, you know, we want to honor that
legacy. We want to honor the doctor
who found the clinic and so forth.
And so, and I
wouldn't worry about that too much, frankly.
If you wear a, Nils, if you wear
this scenario and then you wanted to buy this
clinic and just, you know, start the
business there. Like, I'm sure you'll be
fine. Like, you know,
assure there will be some
intrusion because, you know, maybe
someone really loved that one vet
was there. But, you know, most
people will come back and
if they feel like they're treated well, they'll
come back. Yeah, yeah.
Demetri, in terms of your acquisition
model, how are
you guys funded? Are you just
internally doing this and then doing more acquisitions
from cash flow, or did you go out and raise
money? And is that
you're going to go raise money, future
money at some point? Or are you a fund?
on a holdco? What is what is the model in terms of how y'all are approaching stuff?
Yeah, it's a hybrid fund slash holdco, but yeah, we just raise outside capital from a small
group of investors, you know, who and, you know, who have relative, relevant skill sets to what we do,
you know, someone has a financial expertise, someone has role of expertise. There's actually
few people who have role of expertise, but, but yeah, so we did raise outside capital.
How much just kind of order a magnitude?
Did it take to start doing what you're doing?
I will ignore that question or I'll pass on that question.
But yeah, look, I mean, it frankly depends if you want to do it right or not.
If you want to do it right, you have to start building infrastructure.
You have to start like day one.
You have to start investing your accounts insisting your ERP system.
you have to hire people.
And so that obviously takes resources.
And so I've actually been approached by several searchers,
the research funds are trying to buy a vet clinic or a few vet clinics.
And, you know, they're struggling because it's because of the ownership rules
and because of, you know, just complexity around the industry,
it's very difficult to go and buy a clinic, right?
Because you could buy like a clinic if it's like a large clinic,
but you should, you know, large clinics go for very high multiples.
And so if you're trying to do like a role of strategy,
you do need to invest in infrastructure.
And that obviously takes resources.
So like, for example, we hired a, you know,
we have now four people, including head of recruiting,
head of HR, we call Success Center.
And then we have a practice management officer.
And those, you know, it's two guys.
They're awesome.
And, you know, they are.
some ways instrumental in us being able to do deals and persuade sellers to partner with us.
And so that takes resources and that's an upfront cause that you have to bear.
Dig it. Okay. Well, and then on this deal, it sounds like the price sounds pretty good.
There's things that you would want to know as to whether it fits for your model or whether it would
fit for anybody's model. Is that kind of what I'm hearing? Yeah, I think that's right.
And then price seems attractive.
Now the question is, like, what's in there?
Like, what are you buying?
When you guys ask that question, yeah, I mean, what are you buying?
If you're buying a, if you're buying into a cleaning that has one or two doctors who are staying on board,
then maybe when you partner with them, maybe you, you know, sign a partnership-type deal,
maybe there is an associate,
maybe the seller who's the owner
retiring, but then there is a younger associate
maybe offered that associate's some equity
to stay there
and to become the new, you know,
the medical director, the culture
care, so to send the brown,
that's one way to do it. But yeah,
you have to know
what's the run rate production at the clinic
now and what's the wrong rate production
the clinic going to be after you close
because all this to that. That's the most
challenging. You pointed
really well, Michael.
That's the most challenging aspect of those businesses,
whether it's a vet clinic or dental clinic,
is that the production aspect of it
and having those veterinarians or doctors
in your clinic doing work.
And yeah, in some, you know,
hiring a veterinarian is not an easy fit.
And there is a relative shortage.
And it's not critical, right?
And, you know, vet schools are graduates
to more and more vets.
But it's region-specific, I would say that.
So in some regions, it's very challenging to hire that.
And this could be one of those or not.
Is it kind of like the doctor shortage where there's a significant doctor shortage in the major metropolitan areas,
but then in rural areas or less desirable areas, there's an acute problem there.
That's what I've heard about human medicine.
Is it that way for doctors of veterinary medicines, or is it different?
Yeah, I wouldn't call it in large metro areas or in, I would say places where most people would want to live, it's not that huge of a problem.
But it becomes an acute problem in, like, truly rural areas.
Like we're talking about towns was, you know, 3,000 people population, 10,000 population, you know, I think that that's a real problem.
And part of the problem is because, you know, realistically, vets services are not priced where they should be, right?
Like that, you know, if you think about it, you know, doing an orthopedic surgery on a dog, it's more complicated to doing an orthopedic surgery in the human, right?
Because for many reasons, it's a dog is smaller to begin with, right?
But then the cost or doing dental, right, like for was human, right, you could just, the dentist could do your dental work and you're fine.
This dog, you have to sedate them, you have to do anesthesia.
Like, you know, doing x-rays is more complicated because it's smaller.
So it's point being is, but then the cost is, like, the price that you get as a consumer is way different, right?
Like an orthopedic surgeon and doc, it depends where it goes for like thousand bucks,
but does a human, it's going to cost you like $20,000?
And so, and that trickles down to the fact that bats are, you know, paid less than they should be paid.
and, you know.
So you're saying we just need to go back to,
we need to replicate the human system with the pets.
No, I'm not saying that.
I'm just saying that.
Oh, no, I'm not either.
It's terrible.
As a human, I hate it.
Yeah, I'm just saying that.
And that's actually, by the way,
that's an interesting topic to chat about real quick.
Like the nature of accounts receivable in Batman is awesome, right?
Like, you would collect revenue, usually the same day or two.
two days later, depending on the credit cards, it's two days later, it's cashed the same day,
the service was rendered. We pay our vendors anyway between 30 and six days later.
So there's a negative working app, though, that obviously funds your operations and whatnot.
In human medicine, you flip it, right? In dental or whatever, like we actually, in my job,
our firm invested in a dental roll-up and dermatology roll-up as well. And yeah, those are very different
and cash flow profiles.
But larger businesses,
which makes it easy to consolidate too.
That's something that's on the offsetting side.
That's good. This has been really, really informative to make sure it's fun to hear you talk about it.
Any ways that our listeners can kind of support you and follow along with what you're doing
and any way we can be helpful to you?
Yeah, and then look, I think they should support their local vets,
support the profession.
I think it's important.
They could follow me on Twitter.
I am at Dimitri D-Z-M-I-T-R-Y-9.
And they could, yeah, if they know vet clinics or vet owners who are looking to partner
with someone like us who's vet founded, vet lab, non-Givac.
Send them my way.
Or if they know vets or if we know who went to work for an organization like that,
send them my way too.
Awesome. Well, really glad you joined us today.
Yeah. Also, thanks to our sponsors,
thanks to our sponsors, Esham Bash and Tiny Acquisitions
supporting us on our quest to break even. We're almost there.
Thanks, guys. We appreciate this. This is great. Super fun.
Thank you, Metri. Appreciate you joining us.
