A short transcript excerpt of Gary Kadi discussing reasons for a slowdown in dental industry consolidation. Kadi argues that many DSOs (Dental Service Organizations) became overly aggressive in acquisitions, promising dentists large payouts and generational wealth via recapitalizations, but failed to deliver long-term value—leading DSOs to become more selective and slowing consolidation.
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What do you see contributing to this slowdown in consolidation? DSOs have gotten way more selective in transactions and the reason why that is is because they were promising the world but then they couldn't do the thing that is most important to dentists. That's why I got into this is because dentists were taking advantage of what is known as a recapitalization. So you weren't just getting paid for your practice, you're getting paid for your practice as a part of a greater good that allowed you to really get a bigger payout than you would if you just sold to an associate. The challenge with that is so many DSOs were giving out and they weren't looking at the long game. They were looking at just the market grab and just get get doctors in. But now that these doctors are in, they can take advantage of the real payout, the generational wealth payout which is the recapitalizations. And when you reorganize and sell off to a bigger group, sa.