The 10X Blueprint: Structuring Your DSO for Maximum Value and Multiples with Brian Colao of Dykema

Regulatory mistakes don’t just slow deals — they can kill them. In this episode, Amol Nirgudkar and AJ Peak sit down with Brian Colao, Member and Director of the Dental Service Organizations Industry Group at Dykema, to unpack the legal foundations every DSO operator must get right before thinking about a 10X exit. With three decades of experience and over 1,700 deals under his belt, Brian shares how to avoid costly compliance pitfalls and prepare your organization for a successful transaction.

Key Takeaways:

(02:01) Every DSO must nail three pillars: structure, agreements, and implementation.

(04:38) Non-dentists owning dental practices in restricted states is a deal killer.

(11:18) No matter your funding or plans, growth is limited if you can’t hire enough dentists.

(14:16) In 95% of cases, dentists must be classified as W-2 employees.

(19:50) Lawsuits or investigations can crater deals or cause major holdbacks.

(24:59) Sell-side QofE avoids major surprises in expected vs. actual EBITDA.

(30:45) Success often comes down to one thing — picking the right partner.

(33:24) Selling your life’s work deserves more than a quick LOI decision.


Resources Mentioned:

Dykema | Website

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