{"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 Dermatology Practices","slug":"how-private-equity-is-buying-up-dermatology-practices","published_at":"2026-06-12T16:45:46+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-dermatology-practices","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-0048.mp3","audio_url":"https://audio.fexingo.com/business/the-buyout-show/episode-0048.mp3","summary":"Lucas and Luna examine the rapid consolidation of dermatology practices by private equity firms. They focus on the specific case of U.S. Dermatology Partners, which has merged over 80 clinics into a single platform since 2020. The hosts break down the economics: why dermatology—with its high volume of elective procedures, favorable reimbursement mix, and recurring patient visits for skin checks—has become a prime target for roll-ups. They discuss the typical acquisition structure, where PE firms buy a platform practice and then add smaller clinics at 4–6 times EBITDA, levering up to boost returns. Luna questions whether the model will hold as interest rates stay elevated, and Lucas points to the shift toward value-based care and teledermatology as potential disruptors. The episode also touches on the tension between clinical autonomy and operational standardization, and what this trend means for patients searching for a dermatologist in 2026. #PrivateEquity #Dermatology #HealthcareConsolidation #RollUp #USDermatologyPartners #Business #Finance #Acquisitions #HealthcareM&A #SpecialtyMedicine #EBITDA #ValueBasedCare #Teledermatology #ElectiveProcedures #PlatformAcquisition #AddOnAcquisitions #FexingoBusiness #BusinessPodcast Keep every episode free: buymeacoffee.com/fexingo","meta_description":"Lucas and Luna examine the rapid consolidation of dermatology practices by private equity firms. They focus on the specific case of U.S. Dermatology Partn…","key_points":[],"chapters":[],"topics":[],"duration_seconds":868,"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-dermatology-practices/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-dermatology-practices.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}