In a healthcare M&A transition, most practices don’t sell to private equity, yet private equity often plays a role behind the healthcare organizations (i.e., DSOs or MSOs) that practice owners partner with. Confused? Let’s break it down.

7 Pillars Founding Partner Brett Pierce joins Brian to break down private equity’s role in healthcare, common misconceptions, and what practice owners should understand before entering a strategic partnership with a DSO or MSO.

Topics Discussed:

➡️ What is Private Equity and How Does it Fit in the Healthcare Space (3:30)

➡️ The History of Private Equity (7:35)

➡️ How Common is Private Equity in Our Everyday Lives (12:40)

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Contact 7 Pillars at contact@7pillarsadvisory.com or on our website at 7pillarsadvisory.com/contact.

Selling a practice is rarely top of mind for younger owners, who are typically focused on establishing their careers and growing their business. But what if building a successful practice early gives you more options, not fewer?

In this episode of The Advisor’s Table, Brian and Michael sit down with Dr. Fishbein to explore how he built a successful orthodontic practice, what drove its growth, and why he chose to pursue a DSO partnership earlier in his career than most owners.

Topics Discussed:

➡️ Experiencing Incredible Growth in a Short Period of Time (3:15)

➡️ Choosing to Partner with a DSO (6:20)

➡️ Fishbein Fundamentals (13:47)

Additional Resources:

Fishbein Fundamentals

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🎙Building the Right Advisory Team Before a Transition

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Contact 7 Pillars at contact@7pillarsadvisory.com or on our website at 7pillarsadvisory.com/contact.

For many CEOs, a successful transition isn't just about finding the right partner. It's about leading through uncertainty, balancing the expectations of doctors, investors, and employees, and making decisions that position the organization for long-term success.

In this conversation, we explore the leadership side of a DSO transition through the perspective of a CEO who's recently been there.

Brian is joined by Founding Partner of 7 Pillars, Brett Pierce, and former CEO of Viridian Dental Partners, Alix Laurain to discuss the realities of scaling an organization, preparing for a transition, and the leadership lessons learned along the way.

Topics Discussed:

➡️ Viridian Dental Partners Recent Partnership with Innovate 32 (3:00)

➡️ Challenges of Leading an Emerging DSO (10:00)

➡️ Creating Alignment with Associates and Key Leaders Throughout the Transition Process (14:25)

➡️ Navigating Difficult Conversations (24:50)

➡️ How to Lead People Through One of the Most Complex Milestones in the Life of a Business (27:20)

Additional Resources:

7 Pillars Success Story

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LinkedIn: https://www.linkedin.com/company/7-pillars

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Contact 7 Pillars at contact@7pillarsadvisory.com or on our website at 7pillarsadvisory.com/contact.

The biggest obstacles to practice growth aren't always external. In many practices, they're hidden in the everyday inefficiencies that slow down teams, create friction for patients, and leave opportunities on the table. In this episode of The Advisor’s Table, we sit down with Aimee Fletcher, Director of Strategic Partnerships of Spear Education to talk through what truly defines efficient dental practices for both the team and the patient. This episode provides practical insights for dental practice owners who are looking to increase production and patient care.

Additional Resources

Spear Education

7 Pillars Advisory Services

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Contact 7 Pillars at contact@7pillarsadvisory.com or on our website at 7pillarsadvisory.com/contact.

Some of the most valuable conversations in dentistry don't happen from a stage. They take place around a table. 7 Pillars brought together practice leaders, advisors, and industry experts for a day of collaborative learning and honest conversations around growth, leadership, and long-term planning. Brian sits down with HR for Health’s COO, Ralf Tomandl, to highlight key takeaways from this event.

Additional Resources:
Dental Leadership Summit

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Contact 7 Pillars at contact@7pillarsadvisory.com or on our website at 7pillarsadvisory.com/contact.

Today's market rewards preparation more than timing. In this quarterly bonus episode, Michael and Brian explore the latest healthcare M&A trends, from private equity's response to prolonged higher interest rates to the continued evolution of DSO deal structures. They also discuss why having the right advisory team is more important than ever in a slower, more selective deal environment.

Additional Resources

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Building the Right Advisory Team Before a Business Transition

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Contact 7 Pillars at contact@7pillarsadvisory.com or on our website at 7pillarsadvisory.com/contact.

When your practice is your largest asset and reflects decades of dedication, deciding when to transition can feel just as emotional as it is financial. Brian and Michael are joined by Managing Partner and Senior Advisor Matt Mulcock of Dentist Advisors to explore a question many owners wrestle with: Is there ever a truly “perfect” time to sell your practice? This episode helps practice owners understand their financial readiness as well as preparing emotionally.

Additional Resources:

Dentist Advisors

Matt Mulcock

Tune in the previous episodes of The Advisor’s Table HERE.

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Contact 7 Pillars at contact@7pillarsadvisory.com or on our website at 7pillarsadvisory.com/contact.

Many doctors spend years building a successful practice but enter a transaction without fully understanding the decisions that can impact their long-term outcome. Brian and Michael sit down with Cain Watters & Associates, David Forbess and Zane Harris, to explore topics including cash versus rollover equity, tax planning, and the importance of aligning your transition with long-term personal and financial goals. They also discuss how post-sale regret often develops, and the proactive steps owners can take to better position themselves before entering the market. Throughout the episode, the focus remains on helping practice owners understand the decisions that can meaningfully impact both the transaction itself and life after the deal closes.

Connect with us on Social Media:

LinkedIn: https://www.linkedin.com/company/7-pillars

Instagram: https://www.instagram.com/7pillarsadvisory/

Facebook: https://www.facebook.com/7pillarsadvisory/

Contact 7 Pillars at contact@7pillarsadvisory.com or on our website at 7pillarsadvisory.com/contact.