Posts
Latest news and ideas
Dental Practice EBITDA Add-Backs: What Actually Counts in 2026 Calculating defensible Dental Practice EBITDA requires carefully sorting legitimate operating adjustments such as market-rate doctor compensation normalization, non-recurring professional fees, and owner-specific vehicle or travel expenses from discretionary write-offs that buyers routinely reject. Because private equity groups and Dental Service Organizations (DSOs) scrutinize add-backs during Quality of Earnings (QoE)…
Read More >>
“I don’t want my name coming off the building.” I have heard that sentence more times than any question about money. It usually arrives late in a conversation, almost apologetically, as though caring about it were unserious. It is not unserious. For a lot of owners it is the actual obstacle, and it is one…
Read More >>
The most valuable conversation I have is also the one that generates no fee for anybody. An owner calls, says they are thinking about selling in three or four years, and asks what they should be doing now. Then they wait, slightly embarrassed, as though they have called too early. They have called at exactly…
Read More >>
Key takeaways Roughly 15 states let anyone own a veterinary practice outright, about 18 restrict ownership to licensed veterinarians, and the rest sit somewhere in between. Counts vary by how you define “restricted,” so always check your own state’s statute. The corporate practice of veterinary medicine (CPOM) doctrine is the legal reason a PE-backed offer…
Read More >>
He negotiated for eleven weeks and won most of it. Better price, more cash at closing, a shorter commitment than the first draft. Fourteen months later he called me on a Tuesday afternoon, which I remember because he was calling from his car in his own parking lot, between patients, and he did not sound…
Read More >>