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

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Don't let buyers find your blind spots

The Founder Blind Spots That Quietly Kill Valuation

By Diwakar Sinha Every founder believes they know their business better than anyone else, and they’re right. But that deep familiarity comes with a hidden...
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Holdco equity vs. practice-level equity

Transacting Your Practice: Choosing Between Holdco Equity and JV/Practice-Level Equity

By Diwakar Sinha Thinking in multiples of EBITDA is just the starting point. The real question is this: which scenario drives greater value for you?...
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Before you go to market

Thinking About Selling Your Business? Here's Why the Smartest Founders Start Preparing 6-18 Months Before They Ever Go to Market

By Diwakar Sinha If you’re a founder considering a sale whether this year or next you’re already asking the right question. Timing matters. But preparation...
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Not all buyers are created equal

How to Evaluate Buy‑Side Buyers: The Hidden Risk Most Healthcare Founders Miss

By Diwakar Sinha In today’s healthcare landscape, founders aren’t just choosing when to sell, they’re choosing who they trust with the future of their...
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Trade speed for strategy

A New Path Forward: Why Founders Must Trade Speed for Strategy in Healthcare Growth

By Diwakar Sinha Founders in healthcare are facing a crossroads. The industry is consolidating at an unprecedented pace, competition is rising, and private...
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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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