The hottest topic in orthodontics, dentistry, and in fact, the wider medicine world is acquisitions.

There are a lot of misconceptions and half-truths flying around about transactions.

Matters are not helped that there are so many DSOs, OSOs, and other acronyms, each with different ways of valuing a practice and structuring equity packages.

Whether or not you want to sell, educating yourself on how the DSO/OSO model works is very important. Unfortunately, I see a lot of highly opinionated but uneducated voices out there.

In this episode, I am joined by Kevin Cumbus of Tusk Partners for an enlightening discussion on a wide range of topics touching on acquisitions.

Kevin is the Founder and President of TUSK Partners, an M&A Advisor for dental practices.

If you've ever wanted to know how valuations are done, EBITDA, equity deals structured, exit multiples, private equity, and much more, you'll be hard-pressed to find a better conversation.

But the key takeaway from this episode is that if you have even the slightest interest in the OSO model, you better get a practice valuation ASAP. It will save you millions of dollars when you decide to sell by avoiding the simple decisions hurting you in the long term.

Tune in to learn more.

Key Takeaways

- Kevin's background and interest in dentistry (01:01)

- The legal definition of an OSO (09:00)

- What is EBITDA, and how does it affect your valuation (13:27)

- Tax benefits of getting money upfront (19:15)

- How private equity transactions work in OSOs (27:26)

- Joining a small vs. established OSO (35:04)

- Will the DSO/OSO model collapse at some point in the future (44:33)

- Don't bring in an associate if you plan to partner with an OSO (51:47)

- Why you need to get an evaluation ASAP (58:01)

- Always work with an experienced M&A attorney (1:01:53)

Additional Resources

Contact Kevin Cumbus

🔹 Website: https://tusk-partners.com/

🔹 Phone: 704-654-0152

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