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

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it's all about the post-tax multiple

Thinking About Post-Tax Multiples

By Diwakar Sinha When business owners discuss value, the conversation almost always starts with a multiple. “I got an 8x offer.” “Companies...
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Think toward exit #2

The First Exit Is Not the Decision. The Second One Is.

By Diwakar Sinha I spend a lot of time talking with dentists who are evaluating their first capital event. Most of the conversation centers around...
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Partnerships build the best exits.

Partnerships Build the Best Exits: Here’s Why

By Diwakar Sinha If you own a large medical or dental group, you’ve probably wrestled with the idea of offering equity. Some founders hesitate because...
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Bring it all together: Culture, brand, and legacy

Bring It All Together: Multi-Site Mastery Workshop

By Diwakar Sinha Everyone wants to talk about growth. More locations. More providers. More revenue. But very few people talk about what happens after...
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Making Scale Possible. Attend Multi-Site Mastery!

Design, Structure, and the Systems That Make Scale Possible

By Diwakar Sinha If you’re scaling a dental group, here’s the truth most owners don’t confront early enough: If you haven’t built the systems to support...
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Scaling with intention at Multi-Site Mastery

Scaling With Intention: What Are You Really Building?

By Diwakar Sinha If you’re operating a dental group with two or three locations, or you’re already at ten to fifteen, you’re probably feeling the weight...
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The next 90 days

The Next 90 Days: What Founders Should Actually Be Doing If They Want Control in 2027

By Diwakar Sinha Most founders think preparation for a sale or recapitalization is something you do “when the time comes.” But the truth is, the time...
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Preparation today creates options tomorrow

The Last Window: Why the Next Six Months Determine Whether You Control Your Outcome in 2027

By Diwakar Sinha Founders talk about timing as if it’s something they’ll eventually feel. They imagine there will be a moment when the business is perfectly...
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The Middle-Market Capital Inflection Point: Where Founders Either Stall or Scale

The Middle-Market Capital Inflection Point: Where Founders Either Stall or Scale

By Diwakar Sinha Every founder eventually hits the same invisible ceiling. You grow, you add providers, you add locations, you add complexity, and then...
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