{"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 Independent Pharmacies","slug":"how-private-equity-is-buying-up-independent-pharmacies","published_at":"2026-07-18T04:43:53+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-independent-pharmacies","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-0121.mp3","audio_url":"https://audio.fexingo.com/business/the-buyout-show/episode-0121.mp3","summary":"In this episode of The Buyout Show, Lucas and Luna examine a quiet roll-up wave sweeping America: private equity's acquisition of independent retail pharmacies. They focus on the specific case of CAP Rx, a portfolio company formed by private equity firm Alpine Investors that has acquired over 40 independent pharmacies since 2021. Lucas breaks down the deal mechanics — how consolidators use a 'central fill' model to cut costs, how they negotiate with pharmacy benefit managers for better reimbursement rates, and why the average independent pharmacy sells for 4 to 6 times EBITDA. Luna raises the tension between efficiency and community care: when a pharmacy is owned by a private equity-backed roll-up, does the patient experience change? They discuss the regulatory guardrails — state boards of pharmacy that require a licensed pharmacist to own at least 51 percent in some states, and how deals are structured around 'management services organizations' to work around that. The episode closes on the question of whether these roll-ups are building lasting businesses or financial engineering plays. No prior episode has covered this specific consolidation trend. #PrivateEquity #PharmacyRollUp #IndependentPharmacies #CAPRx #AlpineInvestors #PharmacyBenefitManagers #CentralFill #MSOModel #HealthcareM&A #PharmacyConsolidation #Business #FexingoBusiness #BusinessPodcast #TheBuyoutShow #RetailPharmacy #EBITDA #RegulatoryHurdles #CommunityPharmacy Keep every episode free: buymeacoffee.com/fexingo","meta_description":"In this episode of The Buyout Show, Lucas and Luna examine a quiet roll-up wave sweeping America: private equity's acquisition of independent retail pharm…","key_points":[],"chapters":[],"topics":[],"duration_seconds":481,"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-independent-pharmacies/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-independent-pharmacies.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}