HighFive Healthcare

HighFive Healthcare

DSO powering endodontics and oral surgery

Overview

HighFive Healthcare is a dental support organization (DSO) focused on endodontics and oral surgery in the southeastern United States. It operates by being majority doctor-owned, letting partner clinicians keep clinical autonomy while HighFive handles business tasks such as operations, marketing, online scheduling, and purchasing to support patient care. The company grows by partnering with and acquiring specialty dental practices and using scale to optimize operations and buying power. What sets HighFive apart is its doctor-owned model that preserves clinician control while providing centralized practice management, plus a track record of rapid growth backed by substantial funding, including a $100 million growth investment from Norwest in 2023. The goal is to help private specialty practices expand and improve efficiency by consolidating them under a supportive platform that enables clinicians to focus on patient care and grow their practices across multiple states.

About HighFive Healthcare

Simplify's Rating
Why HighFive Healthcare is rated
B
Rated B on Competitive Edge
Rated A on Growth Potential
Rated C on Differentiation

Industries

Consulting

Healthcare

Company Size

51-200

Company Stage

Growth Equity (Venture Capital)

Total Funding

$102.2M

Headquarters

Homewood, Alabama

Founded

2018

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Simplify's Take

What believers are saying

  • January 2026 credit agreement extended capital for acquisitions and organic growth.
  • HighFive signed 12 specialty doctors in 2025, expanding reach across ten states.
  • Enterprise rollout of unified digital marketing and patient access platform should lift utilization.

What critics are saying

  • March 2025 Law360 reported a $7 million enhanced-damages class dispute.
  • Heavy dependence on Comvest and Goldman Sachs Alternatives keeps refinancing pressure alive.
  • Rapid doctor additions across ten states risk integration failures and inconsistent patient experience.

What makes HighFive Healthcare unique

  • Majority doctor-owned DSO preserves clinician autonomy in endodontics and oral surgery.
  • Chad Trull built HighFive from Birmingham in 2018 into a nine-state platform.
  • Specialty focus on oral surgery and endodontics creates deeper operator expertise than general DSOs.

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Funding

Total Funding

$102.2M

Above

Industry Average

Funded Over

2 Rounds

Growth Equity VC funding comparison data is currently unavailable. We're working to provide this information soon!
Growth Equity VC Funding Comparison
Coming Soon

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

Paid Time Off

401(k) Company Match

Growth & Insights and Company News

Headcount

6 month growth

-2%

1 year growth

0%

2 year growth

-2%
The Business Journals
Sep 20th, 2023
HighFive Healthcare secures financing to refinance debt

The financing will also support near-term acquisitions.

PR Newswire
Jun 21st, 2023
HighFive Healthcare Secures $100 Million Investment Led by Norwest to Fuel Growth of Oral Surgery and Endodontic Practices

/PRNewswire/ -- HighFive Healthcare (HighFive), a leading specialty dental partnership organization focused on endodontics and oral surgery today announced...

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