Medical Morons

The Exit Strategy: Navigating Private Equity & DSOs with John Grossi


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Welcome back to Medical Morons! In this episode, Kylie and Michael sit down with John Grossi, a lawyer and founder of Healthcare Advisory Solutions, to discuss why you need an exit plan the day you open your doors.

John’s firm operates as a boutique sell-side investment bank. He specifically handles the heavy lifting of selling medical and dental practices to corporate groups and DSOs. We dive into a complete M&A 101 for healthcare, breaking down the basics of private equity, consolidation, and how to increase your EBITDA.

Your practice is likely your most valuable asset. John explains how to build your business from day one to be attractive to future buyers and highlights the current trends in healthcare—what is actually working in the market right now and what isn't. As practitioners, we can be vulnerable to massive corporations banking on our naivety. This conversation is about leveling that playing field and ensuring you have a strategy that maximizes your value.

We Discuss:

  • The "Day One" Exit Plan: Why your end game dictates your current growth.

  • M&A 101: Understanding the terminology of healthcare consolidation.

  • Market Trends: What corporate buyers are looking for in 2026.


    Timestamps:

    00:00 - Kylie/Michael Catch Up

    06:25 Intro to John Grossi

    07:40 Maximizing Practice Value in M&A

    09:35 The Benefits of Joining a DSO

    15:42 Tax Implications and Financial Strategies

    24:20 Key Features of Desirable Practices

    29:45 Market Demand for Dental Practices

    33:35 The Evolution of DSO Acquisitions

    34:45 Funny Stories/Wrapping Up



    https://www.healthcareadvisorysolutions.com/

    https://www.linkedin.com/in/john-grossi-62735a217/


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Medical MoronsBy Kylie and Michael Schlesinger