{"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-2","published_at":"2026-06-25T16:48:29+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-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-0074.mp3","audio_url":"https://audio.fexingo.com/business/the-buyout-show/episode-0074.mp3","summary":"Private equity has been quietly consolidating dermatology for years, but the pace has accelerated dramatically. In this episode, Lucas and Luna examine the roll-up strategy behind U.S. Dermatology Partners, one of the largest PE-backed dermatology platforms, and break down the economics: why dermatology offers recession-resistant recurring revenue, high margins, and a fragmented market of 11,000 independent practices. They discuss the role of mid-level providers, the tension with referring physicians, and whether patients actually benefit. Specific numbers include the 40 percent EBITDA margins typical of mature dermatology clinics and the 8 to 12 times EBITDA multiples PE firms are paying. If you've ever wondered why your dermatologist suddenly has a new logo on the door, this episode explains what's happening behind the scenes. #PrivateEquity #Dermatology #RollUps #HealthcareInvesting #USDermatologyPartners #PEBackedPlatforms #FragmentedMarkets #Consolidation #EBITDA #MidLevelProviders #PhysicianPracticeManagement #RecessionResilient #BusinessAcquisitions #TheBuyoutShow #FexingoBusiness #BusinessPodcast #HealthcareConsolidation #DermatologyPractice Keep every episode free: buymeacoffee.com/fexingo","meta_description":"Private equity has been quietly consolidating dermatology for years, but the pace has accelerated dramatically. In this episode, Lucas and Luna examine th…","key_points":[],"chapters":[],"topics":[],"duration_seconds":463,"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-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-dermatology-practices-2.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}