The DSO Valuation Crash No One Talks About

Episode 5

Investment banker, Gareth Petsch, exposes the brutal reality crushing DSO owners: despite years of promises about dental being a "safe investment," the M&A market has completely collapsed - and the deals that worked in 2021 are now failing spectacularly in 2024, leaving owners trapped with businesses they can't exit.
Key Revelations:
  • Investors have abandoned dental for Med Spas, AI, and behavioral health

  • Only "ultra-clean" deals are closing - ANY problems = deal killer

  • Investors realize they have zero pricing control in dental

  • Insurance companies take years to increase reimbursements, while costs spike immediately

  • Post-COVID costs exploded - staff, supplies, and interest rates all spiked

The Great DSO Valuation Crash
AVAILABLE ON

"What's the fastest way to know if you'll run out of cash?"

Ken's answer: Build a 13-week cash flow forecast - project payroll, expenses, and collections 3 months out. Most practice failures occur because owners fail to recognize the impending cash crunch.

The "Ask Ken" Question:

'Roll the Equity - How Smart Dental Founders Sell Their DSO'

Learn how sophisticated dental founders navigate a DSO sale

Selling your DSO is one of the most consequential decisions of your career. Roll the Equity: How Smart Dental Founders Sell Their DSOs is the playbook for founders who want to approach private equity transactions with clarity — not guesswork.

NEW BOOK - IT'S OFFICIALLY LIVE ON AMAZON

Free Resource

13-Week Cash Forecast

13-week cash forecast is the most powerful financial tool for healthcare practices, especially multi-location groups and DSOs. This proven system gives you complete visibility into your cash position for the next 3+ months, transforming you from reactive to strategic in your financial management.

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AccruDent is a leading provider of innovative financial solutions, dedicated to empowering businesses with the tools and insights needed to drive growth and efficiency.