Finance built for management-services platforms — multi-entity consolidation, management-fee economics, and board- and lender-ready reporting. And on every add-on and at exit, the diligence team is already in the building.
Consolidation is still early. Only about 16% of U.S. dentists were DSO-affiliated in 2024, and PE ownership across professional practices roughly doubled in six years — the runway is long, and the competition for good platforms is fierce.
But an MSO or DSO is a different animal than the practices inside it. The management-services / professional-corporation structure, intercompany management fees, and consolidating a dozen entities into one clean financial picture break the bookkeeping that ran a single location. Add in a pipeline of acquisitions, each with its own chart of accounts, and the finance function becomes the gating factor on growth — and on the multiple at exit.
That's the work we do.
The platform structure carries accounting and reporting demands a single-site finance team never faces. You want an advisor who has already lived in them.
The friendly-PC model and management agreements that separate ownership from economics — and how the numbers must reflect it.
Consolidating the professional entities into the MSO, including variable-interest-entity treatment under US GAAP.
Intercompany fees, true-ups, and the margin story that has to hold up to a lender, a board, and a buyer.
Folding each acquisition onto one chart of accounts, one close, one source of truth — without losing a month.
Most firms do the accounting or the diligence. We do both — the monthly rhythm of a scaling platform, and the quality-of-earnings work on each add-on and at exit.
Finance leadership for the platform — the economics, the reporting, and the story the capital partners need to see.
A consolidated close you can trust, across every PC and location — on time, every month.
Bring each acquisition onto the platform's systems and reporting fast — so value doesn't leak after close.
Diligence tuned for professional practices — so you know exactly what each tuck-in really earns before you close.
Get the platform exit-ready and control the narrative before a buyer's diligence tests it.
Independent valuations and the technical accounting that keeps your auditors and lenders comfortable.
A senior-led process with a predictable rhythm — so the platform's numbers are always board-, lender-, and buyer-ready.
We map the structure, the entities, the capital stack, and what the thesis needs the numbers to prove.
We stand up a clean, standardized consolidation across every PC and location.
Board, lender, and management reporting that holds up to scrutiny — current, not months behind.
Buy-side QoE on each add-on, then fast integration onto one close and one source of truth.
The platform is always one step from diligence — and we run the sell-side when it's time.
We do our best work with MSO and DSO platforms serious about clean economics and a credible growth story. We're candid when we're not the right call.
A platform preparing for its next round of add-ons engaged us to get the house in order. We standardized the chart of accounts across entities, built a consolidated monthly close with management-fee true-ups, and stood up board and lender reporting — then ran buy-side quality of earnings on the next acquisition so the sponsor knew exactly what they were buying.
Whether you're standing up the finance function or diligencing the next add-on, a short conversation is often all it takes to see the path clearly.
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