{"podcast":{"title":"The Buyout Show with Fexingo: Private Equity, Roll-Ups, and Business Acquisitions","slug":"the-buyout-show-with-fexingo-private-equity-roll-ups-and-business-acquisitions-7871630","podcast_index_feed_id":7871630,"rss_url":"https://feeds.fexingo.com/business/the-buyout-show.xml","website_url":"https://www.fexingo.com/","image_url":"https://audio.fexingo.com/business/the-buyout-show/cover.png","author":"Fexingo","episode_count":122,"summary":"Lucas and Luna examine private equity through the lens of actual deals — roll-ups in HVAC, veterinary clinics, and funeral services; buy-and-build strategies; and the mechanics of leveraged buyouts. Each episode dissects a specific transaction, from sourcing to exit, using real numbers, term sheets, and public filings. The show serves founders weighing an offer, analysts building models, and investors tracking the industry. Expect critical discussions on valuation multiples, earnouts, debt covenants, and the cultural friction between PE operators and portfolio-company management. Lucas, a journalist with a decade covering dealmaking, guides the numbers; Luna, an engaged interlocutor, presses on execution risk and founder psychology. Together they ask: What separates a value-destroying roll-up from a platform that compounds for a decade? No hype, no jargon — just the tradecraft of buying and scaling businesses. #PrivateEquity #LBO #RollUp #BuyAndBuild #PE #DueDiligence #Valuation #MergersAndAcquisitions #FamilyBusinessExit #SearchFund #EBITDA #DealSourcing #SMB #BusinessAcquisition #FexingoBusiness #BusinessPodcast #Finance #Podcast Keep every episode free: buymeacoffee.com/fexingo","last_synced_at":"2026-07-19T04:18:12.773861+00:00","page_url":"https://stenobird.com/podcast/the-buyout-show-with-fexingo-private-equity-roll-ups-and-business-acquisitions-7871630"},"episode":{"title":"How Private Equity Is Buying Up Ambulance Companies","slug":"how-private-equity-is-buying-up-ambulance-companies","published_at":"2026-06-19T04:36:57+00:00","page_url":"https://stenobird.com/podcast/the-buyout-show-with-fexingo-private-equity-roll-ups-and-business-acquisitions-7871630/how-private-equity-is-buying-up-ambulance-companies","show_page_url":"https://stenobird.com/podcast/the-buyout-show-with-fexingo-private-equity-roll-ups-and-business-acquisitions-7871630","url":"https://audio.fexingo.com/business/the-buyout-show/episode-0061.mp3","audio_url":"https://audio.fexingo.com/business/the-buyout-show/episode-0061.mp3","summary":"Private equity has moved into emergency medical services, acquiring ambulance companies across the United States. In this episode, Lucas and Luna examine the rollout of American Medical Response and Global Medical Response, and how private equity consolidated the fragmented ambulance industry. They discuss the economics of emergency transport, the impact on response times and paramedic pay, and the controversy over surprise billing. Lucas explains that private equity firms were attracted to the steady cash flows from Medicare and insurance reimbursements, but critics argue that cost-cutting has hurt service quality. They also look at how the pandemic changed the landscape, with higher call volumes and staffing shortages. Luna asks whether the model can work in rural areas where call volumes are low. The episode includes a donation segment where the hosts note that listener support keeps the show ad-free. #PrivateEquity #AmbulanceCompanies #GlobalMedicalResponse #AmericanMedicalResponse #EmergencyMedicalServices #HealthcareInvesting #RollUps #ParamedicPay #SurpriseBilling #MedicareReimbursement #RuralHealthcare #PandemicResponse #Business #Finance #FexingoBusiness #BusinessPodcast #TheBuyoutShow #PodcastEpisode Keep every episode free: buymeacoffee.com/fexingo","meta_description":"Private equity has moved into emergency medical services, acquiring ambulance companies across the United States. In this episode, Lucas and Luna examine…","key_points":[],"chapters":[],"topics":[],"duration_seconds":549,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/the-buyout-show-with-fexingo-private-equity-roll-ups-and-business-acquisitions-7871630/episodes/how-private-equity-is-buying-up-ambulance-companies/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/the-buyout-show-with-fexingo-private-equity-roll-ups-and-business-acquisitions-7871630/how-private-equity-is-buying-up-ambulance-companies.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}