Strategies

Our investment teams have distinct strategies and focus on investing in mid-market companies in a variety of sectors in the US and Europe.

All strategies

Our investment teams have distinct strategies and focus on investing in mid-market companies in a variety of sectors in the US and Europe.

Flexible capital and strategic assistance for market-leading companies in high-growth sectors in North America and Europe

Equity capital for mid-sized companies in the DACH region and Italy

Growth capital and strategic assistance to software companies throughout Europe

Impact platform investing in climate and nature-based solutions

Private equity primaries, co-investments, and secondaries across North America and Europe

DentalXChange header image dental patient
Responsible Investing Case Studies

DentalXChange: Implementing ESG practices whilst on track for resilient growth

Sector: Software & services
Head office: Irvine, CA
Strategy: Bregal Sagemount
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DentalXChange is one of the largest independent dental payments and claims processing platform in the United States processing millions of patient claims annually through its integration into more than 40,000 dental practices and nearly all dental payers nationwide.

Its solutions streamline the remittance cycle by automating workflows, enabling digital information exchange, and embedding payments across the value chain.

Our investment opportunity

Financial profile: At the time of investment, the company generated more than $35 million in revenue run-rate, growing rapidly with strong FCF conversion as a Rule of 60+ SaaS business.

Payer and Provider retention: The company has a resilient model, demonstrated by 95% gross retention on claims volume.

Large proprietary data repository: With every patient visit, DentalXChange builds on top of an expansive trove of data, providing unique insights to provide payers and providers alike, spanning over 40 million annual claim-related events.

DentalXChange landscape image mobile screen

" Our connectivity and flexibility to provide payment solutions across the dental industry value chain allow us to effectively support customers at all levels. To enhance efficiencies for our dental customers, we will continue to be a trusted partner looking for opportunities to generate faster payment processing by reducing friction and reducing our carbon footprint. We are honoured to have supported the dental industry with our payment solutions since 1989, and look forward to meeting the demands of our customers. "

Paul Kaiser

Chief Executive Officer - DentalXChange

Material themes

Icons8 Cyber Security

Cyber security

Ensuring data privacy and cyber security are well managed with strong processes in place, including having extensive subject-matter expertise throughout the corporate hierarchy.

Icons8 Morale

Governance

Achieving best-in-class governance practices in ethics and compliance, social and labour conditions, and diversity and inclusion.

Icons8 People Working Together

Employee engagement

Developing an engaged and diverse workforce across the organisation.

Icons8 Climate Change

Climate action

Assessing baseline carbon footprint and implementing a decarbonisation plan to set and achieve science-based targets by 2030.

2021 highlights

35%
REVENUE GROWTH

As of December 2021

DentalXChange has continued its track record of resilient growth despite macro volatility, and we have been impressed with the speed by which the company has implemented good ESG practices.

Highlights include:

ESG integration into Alpha plan

DentalXChange is the first company to integrate priority ESG actions into the Growth Factors Alpha Growth Plan (Sagemount’s value creation plan) in the first 100 days after investment. ESG value creation is integrated into the exit readiness lever of value creation.

Good governance

The company implemented good governance practices, including an employee handbook outlining compliance protocols for employee conduct. It also introduced an online advertising and marketing content review process to comply with the CAN-SPAM Act[[1]].

Plus, it rolled out an anonymous whistleblower hotline for employees to raise concerns, and implemented annual anti-harassment and anti-discrimination training for all employees.

Data privacy and cyber security

The company has been HITRUST[[2]] certified since 2019, and conducts Health Insurance Portability and Accountability Act (HIPAA) assessments and SOC 1 audits regularly. In 2021, the company increased business continuity insurance coverage to $10 million, and it conducts internal and external mock incidence-response and penetration tests.

$10
MILLION INCREASE

In business continuity insurance coverage

Setting climate targets

DentalXChange has submitted science- based targets, and is the first Bregal Sagemount Fund III company to do so. As part of its decarbonisation plan, it procured renewable-electricity certificates from the Bonneville Environmental Foundation for its 2021 emissions, and is shifting its current plan to procure green electricity directly from the grid, from Southern California Edison.

ESG key performance indicators

1.72
CARBON INTENSITY

tCO2e/million US dollars

42%
FEMALE DIVERSITY

Compared with 35% in high tech sector[[3]]

46.3%
EMPLOYEE

Net Promoter score

ESG opportunities

Icons8 Ecosystem

ESG integration

Align with the Sagemount ESG Standard by end of Q2 2022.[[4]]

Icons8 Renewable Energy

Environment

Enroll in Southern California Edison’s Green Rate programme for 100% of energy needs.

Icons8 Sustainability

Sustainable development

Explore funding through the Sustainable Development Fund to work with dental providers in offering dental services to underserved communities in US semi-urban areas.

2022 Bregal RIR sunset clifftop landscape

Bregal Responsible Investment Report 2021-22

Read the full case study and find out how we championed a responsible investment approach in our 2021-22 report.

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