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Explore the latest ideas and perspectives shaping the future of group practice ownership.

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Capital, structure, and equity. Aligned.

The Three-Part Playbook for Provider‑Led Consolidation

By Diwakar Sinha 1. Capital: Secure Optionality Before You Need It A committed facility gives you the ability to move quickly on acquisitions and DeNovos...
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The Quiet Risk Founders Don’t See Coming: Why Preparation in Early 2026 Determines Everything

The Quiet Risk Founders Don’t See Coming: Why Preparation in Early 2026 Determines Everything

By Diwakar Sinha If you’re a founder leading an MSO or DSO, you already know 2026 is different. The market is opening, capital is flowing again, and...
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It's 2026 and the market is back.

2026: The Window Founders Have Been Waiting For

By Diwakar Sinha If you’re a founder or executive leading an MSO or DSO, you’ve lived through one of the most volatile capital cycles in recent memory....
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Final STAR

Capital Markets, SOFR, and the Recapitalization of MSOs & DSOs: Why 2026 Could Be the Year

By Diwakar Sinha In the world of medical service organizations (MSOs) and dental service organizations (DSOs), recapitalization strategies are deeply...
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Bridging the Gap: The Human Side of Ownership, Alignment, and Exit Strategy

By Diwakar Sinha Building a healthcare business is one of the most rewarding and challenging journeys a Doctor, founder, or executive can take. It’s...
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FINAL (2)

Exit Plan: The Doctor’s Guide to a Strategic Exit - Why Process Determines Value

By Diwakar Sinha Doctors and executive owners, whether in dermatology, dentistry, urgent care, podiatry, or behavioral health, are entering one of the...
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Text graphic asking, "What comes next for your legacy?"

The Founder’s Playbook: Preparing Your Practice to Go to Market

By Diwakar Sinha Selling a healthcare practice is not just a transaction. It’s the culmination of years of long nights, tough decisions, and the relationships...
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2026 is your window of opportunity

Founders: 2026 Is Your Window. But You Need to Start Now.

By Diwakar Sinha If you’re leading a DSO or MSO, you’ve likely been watching the market closely. After a few years of volatility, the environment is...
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The bridge to business growth is clarity and structure.

Structure Unlocks Capital: Why the Right DSO/MSO Model Attracts Debt, Equity, and Long-Term Value

By Diwakar Sinha In our last article, we explored how the right DSO/MSO structure can drive scalable growth, align partners, and protect culture. But...
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