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

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"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:

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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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