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

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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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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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