{"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":"Why Private Equity Is Buying Up Dental Support Organizations","slug":"why-private-equity-is-buying-up-dental-support-organizations","published_at":"2026-07-03T04:43:25+00:00","page_url":"https://stenobird.com/podcast/the-buyout-show-with-fexingo-private-equity-roll-ups-and-business-acquisitions-7871630/why-private-equity-is-buying-up-dental-support-organizations","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-0090.mp3","audio_url":"https://audio.fexingo.com/business/the-buyout-show/episode-0090.mp3","summary":"Private equity has rolled up thousands of dental practices into Dental Support Organizations, or DSOs. In this episode, Lucas and Luna break down the specific financial model: how a DSO takes the back-office costs off a dentist's hands in exchange for a cut of revenue, why PE firms love the recurring patient base, and why roughly 15 percent of US dentists now work under some DSO agreement. They examine the case of Heartland Dental, one of the largest DSOs with over 1,700 supported practices, and discuss the tension between clinical autonomy and operational efficiency. Lucas also shares why some dentists are pushing back against six-patient-per-hour quotas, and what it means for patient care. The episode closes with a look at whether the DSO model can scale past the current 20 percent market penetration before hitting regulatory or cultural limits. A behind-the-scenes segment briefly notes that listener support via buy me a coffee dot com slash fexingo keeps this podcast ad-free. #PrivateEquity #DentalSupportOrganization #DSO #HeartlandDental #DentalPracticeRollup #HealthcareInvesting #BusinessAcquisitions #RollUpStrategy #Dentistry #PEBackedDSO #OperationalEfficiency #ClinicalAutonomy #RecurringRevenue #SmallBusinessBuyout #FexingoBusiness #BusinessPodcast #TheBuyoutShow #Finance Keep every episode free: buymeacoffee.com/fexingo","meta_description":"Private equity has rolled up thousands of dental practices into Dental Support Organizations, or DSOs. In this episode, Lucas and Luna break down the spec…","key_points":[],"chapters":[],"topics":[],"duration_seconds":355,"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/why-private-equity-is-buying-up-dental-support-organizations/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/why-private-equity-is-buying-up-dental-support-organizations.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}