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Key takeaways JAB is the ultimate owner. NVA is the operating company, and published records describe JAB as a privately held investment group controlled by the Reimann family. NVA and Ethos are distinct platforms. The 2023 separation placed general-practice operations with NVA and specialty-and-emergency operations with Ethos, while both remained connected to JAB. The contract…
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The conversation is almost never a surprise by the time it happens. Usually there were months of signals. Fewer days. Less interest in the equipment decision. A slightly different tone about the five-year plan. Then one afternoon your partner says they are thinking about winding down, and a question you had been avoiding becomes the…
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Key takeaways No universal percentage is defensible: the useful target depends on which profit measure you use and what the practice must fund. The numerator changes the answer: operating profit, normalized EBITDA, and net profit do not measure the same thing. Owner labor still has a cost: treating a working owner’s clinical or management work…
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For about fifteen years, a lot of owners ran the same plan. Hire a young associate. Bring them along. Sell them the practice when the time comes, probably on friendly terms, probably with some seller financing. Everyone wins. The patients keep their dentist, the team keeps their jobs, and the owner walks away knowing the…
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Key takeaways Scale and transferability are different. A full doctor schedule looks impressive, but buyers pay for earnings and client relationships that can continue when the owner steps back. Doctor-level production carries more weight than headcount. Buyers map revenue, appointment demand, client concentration, and available capacity by clinician before deciding how durable the practice really…
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