{"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 Medical Billing Companies","slug":"how-private-equity-is-buying-up-medical-billing-companies","published_at":"2026-07-06T04:39:46+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-medical-billing-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-0096.mp3","audio_url":"https://audio.fexingo.com/business/the-buyout-show/episode-0096.mp3","summary":"Episode 96 of The Buyout Show dives into the quiet consolidation of medical billing companies by private equity. Lucas and Luna explore why firms like R1 RCM and Athenahealth have become acquisition targets, and how PE is betting on the backend of healthcare. They discuss the business model: billing companies take a percentage of reimbursements, and by rolling up smaller players, PE can gain pricing power with hospitals and insurers. The hosts zero in on a specific deal: the 2023 take-private of R1 RCM by New Mountain Capital and TowerBrook Capital, valued at roughly $8.2 billion. They unpack the logic — medical billing is fragmented, cash-flow heavy, and resistant to tech disruption. But they also raise the question: when PE owns the billing infrastructure, who gets squeezed — hospitals, insurers, or patients? A sharp, concrete look at a slice of healthcare most people never think about. #PrivateEquity #MedicalBilling #R1RCM #Athenahealth #HealthcareM&A #RevenueCycleManagement #NewMountainCapital #TowerBrookCapital #TakePrivate #HealthcareFinance #BusinessPodcast #BuyoutShow #FexingoBusiness #Consolidation #BackendHealthcare #MergersAndAcquisitions #VentureCapital #HealthTech Keep every episode free: buymeacoffee.com/fexingo","meta_description":"Episode 96 of The Buyout Show dives into the quiet consolidation of medical billing companies by private equity. Lucas and Luna explore why firms like R1…","key_points":[],"chapters":[],"topics":[],"duration_seconds":676,"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-medical-billing-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-medical-billing-companies.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}