113: Behind the Scenes of Raising Debt Financing with Mike Montogomery

23 Jun 2021 · 40 min
Episode

23 Jun 2021 · 40 min

0:00

In this episode of DSO Secrets, hosts Emmet Scott and Ken Kaufman interview Mike Montgomery, VP of Healthcare Middle Market Lending & Sponsor Finance at Live Oak Bank. Montgomery shares his 16‑year banking background, how he transitioned to focusing on dental service organizations (DSOs), and the evolution of his role in providing debt financing to the sector. The conversation covers the strategic trade‑off between debt and private‑equity financing, detailing when and why DSOs should prioritize debt to retain equity and the circumstances that push them toward equity partners. Montgomery outlines the operational and financial infrastructure DSOs need to demonstrate to secure sophisticated debt facilities—such as consolidated financials, KPIs, a capable CPA, controller, operational managers, and a clinical director with mentorship responsibilities. He explains key loan terms, including covenant types, leverage and cash‑flow ratios, personal guarantees, interest‑rate expectations, and the impact of pre‑payment penalties. The discussion also delves into syndication and multi‑bank participation as a solution to lender concentration limits. Guidance is offered on timing and benchmarks for moving to private equity, including EBITDA thresholds and growth velocity. Practical advice emphasizes proactive bank relationship management, thorough forecasting, and modeling to stay within covenant limits. The episode concludes with a lightning‑round where Montgomery shares personal interests and contact information for listeners seeking further financing guidance.

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