Group Practice Accelerator

This episode ought to give you the guidance you need to think through all aspects of funding. Today Diwakar and I discuss trends at an enterprise level around capital use and capital sourcing. We also compare and contrast the following: using an equity partner vs debt capital for growth; the difference in asset-based lending vs cash flow-based lending; Lower Middle Market vs Middle Market covenant...

In today’s episode, Diwakar and I clarify a few misconceptions around the topics of Free Cash Flow vs EBITDA vs Distributions, and we share some fundamental guidance on three ways you should be allocating your cash. Sign Up for our De Novo MasterClass here: https://bit.ly/MasterClass_DeNovo

If you’re going to build a group at any rate of speed, you’re more than likely going to outgrow your current retail lender. Diwakar and I compare and contrast banking solutions: Retail vs. Lower Middle Market vs. Middle Market. We also dive deep into the critical concepts of Guidance Line, Credit Facility, and Debt Recapitalization. With rates surely going up, now is the time to reevaluate your ba...

Many dentists start out buying their first practice as well as the real estate, but is that the best strategy when building a group? More importantly, how does it impact lending? Diwakar and I tackle that and a whole lot more on the show today. Tune in! Sign Up for our MasterClasses here: https://bit.ly/Masterclass_MAA https://bit.ly/MasterClass_DeNovo Join us for our PINNACLE Event For Dentists!...

I’m joined once again by the “Doctor of Debt,” Diwakar Sinha. Together we dig into what happens when you have multiple practices and multiple lenders as well as the jeopardy that cross collateralization creates. We have a LOT of different ways you can access our educational content in 2022, with several MasterClasses and a Pinnacle event coming up. Tune in for details! Sign Up for our MasterClasse...

Diwakar joins me on the show today and we go DEEP into the metrics banks use to make lending decisions as well as how they impact you as a borrower. Tons of banking info as well as an audience question on the difference between Affiliations versus a “Duct Tape” DSO and a book review on Blue Ocean Strategy. It’s all on today’s show! Sign Up for our MasterClass @ https://bit.ly/Masterclass_MAA Join...

All of our audience is using bank funds to grow their business, but there’s a limit to how far a “Rate & Term Lender” will go – and we call that “the Debt Funding Wall.” What is it? Why and when does it happen? What’s the key fundamental to avoiding it? All of that plus comparing and contrasting our “De Novo Execution” MasterClass on March 10&11 with our Pinnacle Event in Ft Lauderdale on...

All of our audience is using bank funds to grow their business, but there’s a right way and wrong way to do it. We’ll share our insights into how banks make lending decisions, how they define their “credit box,” and how to clarify your relationship with your lender. All of that plus details around the “Mergers, Acquisitions and Affiliations” MasterClass on February 17&18 on todays’ show! Sign...

Nobody wants to be “average” and, in business, that’s a tough place to end up. Our outlook for the coming year(s) is to define your strategy and differentiation by either being super-unique or growing into a larger, more defensible position. This is “mission-critical” for the coming years. Join us January 13-14th or February 17th-18th in Charlotte, NC for our Mergers, Acquisitions, and Affiliation...

Why don’t more people use the de novo approach for growth?! There are a LOT of compelling reasons to “start fresh” from day one, so we go through some of the key components for success. And if you like what you hear, stay tuned as we reveal a NEW MasterClass on De Novos in March!

If your growth strategy is to acquire practices, then you can’t afford to simply maintain them – you have to unlock new value. In today’s episode, we unpack the 3 keys to judging success; 4 aspects of generating upside; and 3 components of margin expansion. And we share the dates on our new MasterClasses as well as our new Pinnacle event!

Struggling to find practices to buy? Wondering what you to pay? Should you “put money down” on a practice? You’re not alone on any of those questions. We tackle them all on today’s show. And a new PBS show on stars and the universe!

Sometimes it’s tough to know where to even start, but if you’re going to build a group practice, here are THE key steps to take in your planning phase. We unpack all six of them on today’s show, and we unveil our new MasterClass concept. Interested in more details?

We get that question seemingly every day, so Diwakar and I unpack a lot of details around the what, the who, and the how behind it. That and I unveil our Educational Content Strategy for 2022! All on today’s show!

2021 has already been an unbelievable year for us at Polaris, so heading into this uniquely American holiday weekend of Thanksgiving, we wanted to say thank you to all our fans and we are grateful for YOU! Then next week we’re back to the numbers. Cheers to you, your families, and your teams!”

2021 has already been an unbelievable year for us at Polaris, so heading into this uniquely American holiday weekend of Thanksgiving, we wanted to say thank you to all our fans and we are grateful for YOU! Then next week we’re back to the numbers. Cheers to you, your families, and your teams!”

After unpacking the WHYs and a few HOWs, here are the WHATs to consider if you’re going to build a successful group practice. I’ll dig deeper into some aspects of risk, operational considerations, financial outcomes, and some that are more personal in nature. That and some gratitude for 2,000 downloads! All on today’s show.

Last week we covered the failures we most often see in group practices, so let’s be more optimistic this week and talk about creating financial success! We cover all the bases from arbitrage to utilization.  And, yes, our podcast has gone global.  All on today’s show!

Do you ever wonder why so many emerging group practices underperform financially?  Or maybe why so many group practices seem to be in financial difficulty? There are quite a few reasons, but today I unpack the three that we see most often. That and a great question around mergers from the President of an Enterprise-level DSO. All on today’s show!

We get asked the same question all of the time: “Should I build a group practice?” Well…let’s see if we can answer it! We’ll dig into that along with the 5 Drivers of Consolidation we think are impacting the industry right now and into the coming years. Do you have the commitment to undertake the risk to build a group? I’ll give you some things to think about as you answer that. It’s all on today’...

We got a TON of questions around the subject of strategy, but “strategy” can be a wide-ranging topic. I help you think through strategy from several different perspectives: target market; services; growth; and execution. And I relate it all to what we’re doing here at Polaris! This discussion should give you PLENTY to think about as you build out your own strategic planning session for 2022. We we...

Are you planning on acquiring practices in 2022? If so, it's time to stop playing "small ball!" You should think about different acquisitions differently! Do NOT take a one size fits all approach. I give you four aspects to think through as well as developing your own "Target Acquisition Profile" and your own Pitch. Build your group the way the "big boys" do it, starting in 2022! That as well as f...

We've covered a TON of ground over the last 90 days as it relates to the concept of Equity. From Associate and Executive equity models to Cap Table Mergers to the recent Affiliations Model, it was a lot to digest, so we thought it would be beneficial to take a minute and hit the highlights of "all of the above." I decided to bring back the little man behind with the big microphone. That's right -...

The "Affiliations Model" continues to generate a LOT of interest and inquiries, so I decided to bring back the little man behind with the big microphone. That's right - Diwakar's back! Together we slice and dice the ins and outs of affiliations. And if you can't get enough of it off of the podcast, maybe you want to us for a two-day "Working Group" session on "Mergers, Acquisitions & Affiliati...

The "Affiliations Model" has generated a TON of interest and inquiries, so I decided to bring Ryan Metzler of the Stock Legal firm on the show to dive deep into the details. We slice and dice the legal context around ownership, fees, agreements, PIUs, change management and the potential journey at hand. There's so much to cover, we even decided to host a two-day "Working Group" session on "Mergers...