{"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 Dental Support Organizations","slug":"how-private-equity-is-buying-up-dental-support-organizations-2","published_at":"2026-06-21T16:55:59+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-dental-support-organizations-2","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-0066.mp3","audio_url":"https://audio.fexingo.com/business/the-buyout-show/episode-0066.mp3","summary":"In this episode of The Buyout Show with Fexingo, Lucas and Luna dive into one of the hottest and most controversial roll-up plays in healthcare: dental support organizations, or DSOs. Private equity firms have backed over 400 DSOs in the last decade, aggregating thousands of independent dental practices under management. Lucas breaks down the economics — how DSOs claim to save dentists 30% on overhead through centralized billing, procurement, and HR — but also raises the hard question: does consolidation actually improve patient outcomes? They look at the case of Heartland Dental, the largest DSO with over 1,700 offices, and the recent failed IPO of SmileDirectClub as cautionary tales. Luna pushes back on the narrative that PE is purely extractive, pointing to data showing DSO-affiliated dentists report higher job satisfaction. The episode lands on a nuanced take: DSO roll-ups create real efficiencies, but the long-term risk is that profit pressure leads to assembly-line dentistry, favoring volume over care. Recorded June 21, 2026. #PrivateEquity #DentalSupportOrganizations #DSO #RollUp #HealthcareConsolidation #HeartlandDental #SmileDirectClub #Business #Acquisitions #Dentistry #PE #RollUpStrategy #FexingoBusiness #BusinessPodcast #TheBuyoutShow #Lucas #Luna #PracticeManagement Keep every episode free: buymeacoffee.com/fexingo","meta_description":"In this episode of The Buyout Show with Fexingo, Lucas and Luna dive into one of the hottest and most controversial roll-up plays in healthcare: dental su…","key_points":[],"chapters":[],"topics":[],"duration_seconds":576,"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-dental-support-organizations-2/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-dental-support-organizations-2.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}