Tag
#Exit Strategy
11 articles
The Dental Practice Data Room: What to Build, How to Structure It, and Why Starting 5 Years Early Changes Your Multiple
Most sellers assemble data rooms in 60 days. Here's the forensic-grade folder structure PE buyers actually expect — and why building it early changes your multiple.
The Merry Go Round Tax: What High Turnover Is Really Costing Your Practice
High turnover is not a staffing problem. It is a tax — paid in lost production, eroded patient trust, training drag, and a QoE audit fingerprint that costs you at the multiple.
The Data Room Nobody Builds: What Buyers See That Sellers Never Prepare
A QoE team spends 30 days dismantling the story you spent 30 years building. Sellers who pre-audit their data room dictate the terms of their exit.
The Silent Margin Collapse: Clinical Judgment as Enterprise Value Destruction
A single D4910-to-D1110 downgrade costs $70. Repeated daily across 3 locations, it erases $504,000 in enterprise value at a 6x multiple.
The Practice That Should Have Sold: What Dentists Get Wrong About Selling
A practice with strong collections sat on the market for 30 months because the operational narrative went cold. The three-year mistake explained.
The Due Diligence Ambush: How PE Weaponizes Your Data to Hijack Your Exit
Private Equity QoE teams extract raw PMS data to systematically dismantle your EBITDA. A $3M group lost $13.8M in enterprise value to unsanitized data.
Eyes Wide Open: What I Wish Every Dentist Knew Before Signing a DSO Contract
DSO contracts are built to maximize platform EBITDA, not doctor compensation. Realization rate traps, capitation true-ups, and non-competes explained.
The EBITDA Illusion: Why DSOs Buy You at 5x and Trade at 14x (And How to Keep the Difference)
Why dental DSOs trade at 14x while acquirers pay 5x — understand the Multiple Arbitrage mechanism that transfers wealth from practices to PE.
The Myth of the "Unsellable" Practice: Why Rural Dentistry is the Ultimate Diamond in the Rough
As a former Operations Director for some of the largest DSOs in the country, I have sat in the "War Rooms" where acquisition targets are chosen. I've seen the playbook corporate dentistry uses to domi.
The Two-Year Exit: Why Smart Practice Owners Start Planning Their Departure 24 Months Out
Most dentists wait to sell until they're emotionally ready—by then, it's usually too late to shape the outcome. If you want maximum value, less stress, and true leverage when it matters most, you can'.
The $2 Million Mistake: What DSO Valuations Don't Tell You
The $2M acquirer playbook: how DSOs systematically underpay practices through selective EBITDA add-backs and legacy debt restructuring.