Interview: Kimball Carr of Inspire Veterinary Partners on Challenging Private Equity in Pet Care

The number of people owning pets is increasing worldwide, and the United States is also experiencing this trend.

By 2024, 66% of American households—approximately 86.9 million homes—had a pet.

From friendship to emotional comfort, animals have grown to be an essential element in their owners’ lives.

Americans are also spending an all-time high on their pet animals.

As per the American Pet Products Association, U.S. residents allocated $152 billion on their pets in 2024, with almost $40 billion directed toward veterinary services and associated products.

For private equity companies, this rising trend has created a profitable business chance.

According to data from PitchBook, private equity allocated $51.6 billion to the veterinary industry from 2017 through 2023, with an additional $9.3 billion invested in the first four months of 2024.

Nevertheless, the growing involvement of private equity in veterinary clinics has raised concerns among critics, who warn that its expanding influence might lead to similar outcomes as when private equity has taken over hospitals—such as higher costs, fewer services, and even clinic closures, all aimed at boosting profits for shareholders.

Amidst this context, Inspire Veterinary Partners (NASDAQ: IVP) is asserting its role as a different approach compared to the PE-backed model.

Its methodology highlights long-term clinical ownership, employee stock ownership plans (ESOPs), and growth initiatives centered around team investment, in contrast to the usual three-to-five-year asset consolidation and exit strategy commonly used by private equity firms.

“Inspire’s founders and leaders are veterinary professionals, and we choose clinics to acquire with the intention of maintaining them for the long term and developing growth strategies accordingly,” says Kimball Carr, CEO of IVP.Muara Digital Team in an interview.

We strive to create an alternative route for the consolidation of multiple clinic units, fueled by investing in our staff and, most importantly, offering a pathway to shared ownership.

Carr also discussed the company’s latest $10 million convertible preferred stock deal, its expansion approach, and how Inspire intends to tackle issues such as labor shortages and increasing veterinary expenses.

Excerpts:

Kimball Carr, Chief Executive Officer, Inspire Veterinary Partners

Difficulties associated with the private equity-funded veterinary clinic model in the United States

Muara Digital Team:Your site mentions that IVP provides a more effective approach to veterinary ownership compared to private equity firms. What are the challenges of private equity funds increasingly acquiring veterinary practices in the U.S., and how does your approach differ from theirs?

We strongly feel that there is no correct or incorrect decision when choosing a PE-funded acquisition of a veterinary practice compared to other structures, like Inspire Veterinary Partners.

With that in mind, we have also observed that the bulk of clinic consolidation in the past ten years has been driven by private equity-backed companies, which bring about challenges and complexities that we recommend sellers familiarize themselves with.

Initially, there is the brief period of two to five years that most private equity investors aim to hold an investment before seeking to exit it.

This frequently refers to myopic business objectives, burdensome financial pressures that seep into clinic operations, and occasionally, an absence of comprehension regarding how veterinary medicine is adversely affected by these funds aiming to ‘roll up’ revenue swiftly and exit an investment.

The founders and leaders of Inspire are veterinary professionals, and we choose clinics to acquire with the intention of keeping them operational for the long term while developing growth strategies.

We seek to establish a fresh approach to combining multiple clinic units through investment in our staff and, most importantly, offering a route to shared ownership.

How IVP is enabling employees to own a portion of the clinic’s equity

That raises another element that we strongly believe in.

Usually, private equity does not offer shared ownership in the company to all employees.

A typical clinic acquisition using a PE-backed structure may involve the seller receiving deferred equity over a period of two to five years, but it rarely offers equity or shared ownership to the rest of the staff.

Furthermore, any equity offerings are connected to fund exits and are not ongoing, indicating that the equity provided is a single occurrence and available only to those at ‘the top of the pyramid’.

Inspire plans to implement an Employee Stock Option Plan, or ESOP, that offers yearly grants to its employees, giving them the opportunity to build wealth and benefit from the overall success of the company, rather than just a single clinic.

This initiative will be available to the majority of our staff, not solely the physicians or shareholders.

Because our vision is focused on the long-term future and our primary objective is to improve and safeguard the veterinary field, we have also integrated our enthusiasm for our employees into creating one of the most extensive total compensation programs, covering salary, vacation time, and additional benefits, that any company in our industry offers.

As we implement these tools and keep investing in our clinics, we support Inspire’s unique approach and think it is better than other ‘roll up’ models for sellers who value their legacy and for teams that genuinely enjoy their work.

On IVP’s expansion plan via the purchase of clinics

Muara Digital Team:Your clinic portfolio currently includes 14 locations. Walk us through your expansion plan via acquisitions. What is the target number of clinics you hope to acquire within the next five years? Additionally, how have you made a positive difference at the clinics you’ve acquired so far?

We maintain a strong approach to business growth and a diverse team that plays a role in making acquisition decisions, along with annual targets focused on mergers and acquisitions.

These objectives are motivated by expansion goals, company achievements, and additional considerations instead of being solely based on the number of clinics.

This also connects to the earlier conversation regarding Inspire compared to a PE model.

We recognize the extended journey of development for IVP and aim to make today’s expansion choice in line with our comprehension of its impact on our future.

In short, we will expand and have shown that we understand how to grow the company, but it’s crucial for us to grow at an appropriate pace rather than focusing solely on achieving an exit.

That being said, the business will appear quite different over the next five years.

Our goal is to expand the business significantly beyond its current size through individual unit purchases, clinic growth, acquiring different types of clinics like specialty and emergency ones, buying multi-unit practices, and, in the near future, entering new business areas outside of clinic management and ownership.

Clinics that are part of Inspire’s workgroup have seen significant investment in the aforementioned areas, including pay structures, health and wellness, and integrated systems or tools throughout our full range of services.

We have given our clinics more buying power than individual hospitals typically have, and we have developed recognition models, reward and incentive programs, along with our seasoned leadership team offering guidance, growth opportunities, and hands-on support for each clinic’s staff.

Today’s Inspire is based on integrated systems and tools that enable us to manage 14 clinics, but was designed with future growth in mind, allowing us to expand to 140 or even 1,400 clinics using these same systems.

All of this has led to numerous clinics experiencing significant year-over-year growth and meeting other notable growth objectives, as our full range of services demonstrates robust momentum and enterprise-wide key performance indicators are moving in a very positive direction.

Target to finalize new acquisitions by the end of 2025 to 2026; strategy aims to reach cash-flow break-even.

Muara Digital TeamWhat are your short-term objectives for increasing sales and achieving profit, and what strategies do you intend to use to accomplish them?

Our everyday activities concentrate on expanding our current business, known as vertical growth, along with horizontal growth achieved through ongoing acquisitions as we grow in a suitable manner.

We are aware of the internal growth and external expansion projected figures needed to reach our upcoming financial goals, and we keep using insights from the successful integrations of our existing 14 clinics as we carry out processes that help us grow and improve the efficiency of our current portfolio, so both of these factors are working together daily.

By the end of 2025, our goal is to finalize new acquisitions and maintain this progress into 2026, when we intend to reach cash-flow break-even through the previously mentioned vertical and horizontal expansion.

On the $10 million convertible preferred stock transaction

Muara Digital Team:What do you anticipate the $10 million convertible preferred stock deal will do to enhance Inspire Veterinary Partners’ financial position and aid in its extended growth plans?

Inspire’s latest funding follows our first two years as a publicly traded company, and we have utilized the knowledge gained during that time.

As a small-cap publicly traded company, it is equally crucial for us to decline the wrong types of capital offerings as it is to accept those that align with our needs while maintaining a disciplined approach to the funding we pursue.

We are confident that this recent funding not only enables us to implement our expansion plan but also allows us to collaborate with suitable financial partners, striving to prevent structures that could negatively impact our capital and financial position.

We have also implemented this funding with a clearly projected coordination of capital raising timelines that are planned in conjunction with scheduled value-adding events such as acquisitions, ensuring we can continue demonstrating to our shareholders how incoming funds can be directly utilized to drive business growth.

Prefer to secure funding as required rather than accumulating a large reserve of cash

Muara Digital TeamSome investors might interpret this deal as an indication of financial pressure, particularly considering the potential for share dilution. How do you address worries that Inspire is depending excessively on equity-based funding rather than improving its operations and cash flow?

We will accomplish both tasks—expand the current business and secure funding in a prudent manner to broaden our entire portfolio.

Both fields are essential, and we have a strong understanding of expanding our company in a way that reduces the effect of funding rounds on the value offered to investors.

As previously noted, our team is highly concentrated on expanding the current business, and we feel that the latest quarterly outcomes demonstrate that we have started to witness the effects of our hard work from the last four to eight quarters.

It’s also crucial to recognize that we have always been conscious of our scale from the start. As a small-cap company, we chose early on to raise funds only when necessary, rather than accumulating a large cash reserve, which could have involved restrictive conditions and, in certain situations, led to poor choices due to the pressure to utilize that money.

The alternative to that method, implementing smaller increases during growth moments such as acquisitions, is considered a more secure strategy in our view, and enables us to secure higher valuations as the company develops.

ESOPs, mental health benefits aimed at addressing the shortage and turnover in the veterinary workforce

Muara Digital Team: Staff shortages are a common issue in the field of veterinary care. How is Inspire tackling the hiring, keeping, and well-being of its employees in its clinics?

It is undeniable that drawing in and keeping skilled professionals within the veterinary field is the top issue for all veterinary businesses.

I cannot stress enough how our method for addressing this issue is fundamental to our Company.

The advantages, pay packages, and stock options that Inspire has implemented and developed were all designed to position us as a top employer.

As we focus on the upcoming goal of establishing our ESOP, which will vest over multiple years of employment for our team members, Inspire seeks to significantly improve our capacity to retain professionals for a longer duration compared to our competitors. This advantage will be used to support financial growth, strengthen doctor-to-client relationships, and ensure long-term stability.

We have also expanded our benefits packages to include mental health services, and we cover 100% of the premiums for eligible employees’ health insurance, among several other ways we support our team.

All of this means we have not focused on incremental methods for keeping top talent – our goal is to bring about significant change by offering team members ownership and superior benefits and pay.

Can IVP maintain affordable prices despite increasing pet care costs?

Muara Digital TeamThe increase in pet ownership since the pandemic has increased demand, yet the affordability of pet care continues to be an issue. How do you think the industry will handle the conflict between rising expenses and access to care?

Within the industry, and especially for Inspire, the cost of care is a priority as veterinary service providers work to help pet owners keep their pets healthy.

Although there have been some price hikes throughout the industry, on behalf of Inspire, we have adopted a cautious strategy regarding pricing to reduce the effect on our clients.

Our world is more costly than it was one, two, and five years back, and this situation affects all businesses, so we need to be practical about it.

in addition to the reality that having a pet and providing proper care involves a responsibility and financial commitment.

With all that considered, we keep implementing efficiencies to maintain low costs, ensuring pet care remains accessible. Additionally, each of our teams utilizes strong relationships with their clients to make the best collaborative decisions, always prioritizing the pet’s well-being.

The post Interview: Kimball Carr from Inspire Veterinary Partners discusses how their shared equity approach seeks to compete with private equity in the pet care industry. appeared first on Muara Digital Team

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