Tag
#Exit Strategy
21 articles
The Point Guard: The Key-Person Risk Financial Diligence Can't See
The owner produced 4.8% of the practice — and originated 24.6% of everything it diagnosed. Diagnostic dependency is the key-person risk no QoE report measures.
The Second Bite: How Rollover Equity Works and Who Gets Paid First
Rollover equity is a security — minority, illiquid, leveraged, with an exit you don't control. The five questions that decide whether it's a second bite or a second haircut.
The Moving Target: How Dental Practice Earnouts Are Measured and Controlled
An earnout is not a number — it is a measurement system administered by the buyer for 3-5 years. The five clauses that decide whether yours pays $2.1M or $0.
The Blind Claim: The Three Hidden Failure Points Where Your Enterprise Value Is Actually Decided
Buy-side diligence rebuilds your EBITDA from your PMS data. The three failure points where enterprise value is decided — and how sellers defend each one.
The Retirement Gap: How Operating Habits Follow You to Exit
Retirement shortfalls are usually operating problems surfacing at exit: how daily habits shape practice transferability, and why measurement starts years early.
The Fifth Seat: I Asked an AI to Build a Seller's Advisor Team. It Named Four.
I asked an AI to build a dental practice seller's advisor team. It named four seats and omitted sell-side diligence — the one seat paid to defend your number.
Dental Practice Exit Strategy: The 5-Year Forensic Blueprint for an Institutionally Auditable Sale
A year-by-year dental practice exit strategy for building a practice that institutional buyers pay premium multiples for — the forensic blueprint starting 5 years before you sell.
Governance Debt: The Compounding Liability Silently Eroding Your Practice's Enterprise Value
Governance debt — compliance gaps, undocumented SOPs, key-person risk — compounds silently and surfaces during due diligence. Here's how to quantify and eliminate it before a buyer's algorithm does.
Before the First Pitch: What Opening Day Teaches About Building a Practice That Lasts
A-Rod's career framework — focus, visualization, work ethic, and resilience — maps directly to the practices that exit at premium multiples. The outcome is decided before the first pitch.
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
Brokers call rural practices unsellable. The data says otherwise: 2–4 dentists per 10K, 15–20 year patient tenure, $50–$100 acquisition cost. Three paths to a real exit.
The Data-Driven Practice Advantage: Predictable Revenue, Minimized Risk, and EBITDA That Survives the Buyer's QoE
The data-driven practice advantage is not dashboards or software — it is predictable revenue, quantified risk, and an EBITDA figure that survives the buyer's Quality of Earnings audit without adjustment.
The Two-Year Exit: Why Smart Practice Owners Start Planning Their Departure 24 Months Out
Buyers and lenders underwrite the trailing 12–24 months, so a six-month runway sells the practice as-is. What a 24-month window buys: $100K of proven profit at 2.5x, and the right to choose the buyer.
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.