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Sheridan, Wyoming, United States
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Articles by Marcus
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The Day My Dog Tested Me
The Day My Dog Tested Me
This is Drax. A Colombian European working line Doberman that I’ve raised since he was 8 weeks old.
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4K followers
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Marcus Wendt shared thisGMO is forecasting negative 4.2% real returns for US large cap equities over the next 7 years, and that's the asset class most portfolios are built on. Vanguard puts equities at 2.8 to 4.8% over the next decade, and private equity net of fees has historically just matched the public market it charges a premium to beat. A patient capital allocator with $500,000 still compounds that to $3.42M at 8% over 25 years, so the real question is which asset class actually delivers that rate going forward. Durable ophthalmology operating businesses don't carry the valuation compression or the fee drag that the alternatives do. https://lnkd.in/ei5xTcBf #Ophthalmology #FamilyOffice #PermanentCapital #PrivateEquity
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Marcus Wendt shared this$800M. That's the transaction threshold strategic corporate buyers operate above in healthcare specialty consolidation, and it's the structural reason an independent ophthalmology practice generating $2M in annual revenue doesn't register on their map. American ophthalmology had 4 buyer classes competing for practices in 2021. 3 of them are now functionally absent from the segment where most of the category's remaining opportunity actually sits. The buyer class is consolidating to one, and the capital arriving in ophthalmology already knows. https://lnkd.in/evxsM4CH #Ophthalmology #FamilyOffice #PermanentCapital #PrivateEquity
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Marcus Wendt shared this$373B. That's what vision-threatening disease costs in the US reach by 2050, a 157% increase from current levels. Meanwhile 60% of solo ophthalmologists exit practice by 2035. 500 new ophthalmologists finish residency each year against 650 to 700 retirements. The residency pipeline can't fix it because Medicare GME funding has been capped for decades. A demand curve doubling into a supply curve collapsing. The capital arriving in ophthalmology already knows. https://lnkd.in/eRxSj_sh #Ophthalmology #Healthcare #Investor #Investment #Capital #FamilyOffice #PrivateEquity #Succession #PhysicianOwnership #PermanentCapital
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Marcus Wendt shared thisA LASIK chain called LasikPlus sold for $40M in January 2015. One year earlier, the same company sold for $106M. The assets didn't change, but the cylce did. That's a $66M write-down on a refractive platform in 12 months because the market shifted underneath the buyer. US LASIK volume peaked at 1.4 million procedures around 2000. Today it sits at roughly half that. Average price has held flat at $2,246 per eye for 20 years against a consumer base that doubled in size. Refractive runs in cycles. When the cycle turns, the buyer's structure decides who survives the trough and who writes the next LasikPlus case study. https://lnkd.in/ewkGxAtA #Ophthalmology #PrivateEquity #FamilyOffice #Capital #Healthcare #Investor #PermanentCapital #Succession #Refractive
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Marcus Wendt shared thisCFPB measured $1B in deferred interest paid by patients on healthcare credit cards across just 3 years. The standard APR on these cards sits at 32.99%, with penalty rates reaching 39.99%. The promotional 0% financing reverts to retroactive back-interest on the full original balance if the patient misses the deadline. PE extracts margin from the physician side of an ophthalmology practice. Consumer finance extracts margin from the patient side. Both extraction structures run in parallel inside the same industry, on the same patients, and on the same day. https://lnkd.in/e2kY28Tj #Ophthalmology #PrivateEquity #FamilyOffice #Capital #Healthcare #Investor #PermanentCapital #Succession
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Marcus Wendt shared thisCardinal Health paid $1.9B for Solaris Health in August 2025. That's on top of $2.8B for GI Alliance in 2024 and earlier investments in Urology America and Potomac Urology. Cardinal hasn't bought an ophthalmology platform. The reason isn't accidental. Cardinal's pharmaceutical distribution business benefits from vertical integration in drug-heavy specialties like urology and GI. Outside of retina, ophthalmology's drug economics don't match that math, which is why Cencora went deep in retina at $4.4B and McKesson picked up PRISM at $850M. The capital arriving in anterior segment ophthalmology is a different class entirely. https://lnkd.in/eS6-dHzP #Ophthalmology #PrivateEquity #FamilyOffice #Capital #Healthcare #Investor #Investment #PermanentCapital #Succession
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Marcus Wendt shared this40 physician specialties exist in American medicine. Only 5 are still majority physician-owned in 2024. Ophthalmology sits at the top of that list, 16 percentage points clear of the next specialty. The 2026-2028 window for capital to deploy at early-phase economics is open because the institutional flood that absorbed dental, vet, derm, and cardiology hasn't arrived yet. Capital arriving in ophthalmology is positioned before the consolidation curve, not after it. https://lnkd.in/e9RWjik9 #Ophthalmology #PrivateEquity #FamilyOffice #Capital #Healthcare #Investor #Investment #PermanentCapital #Succession
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Marcus Wendt shared thisPE-owned ophthalmology practices reduced retinal detachment surgeries per physician by 19.6% over 3 years post-acquisition compared to matched independent practices. Peer-reviewed, Health Affairs, 2024. Retinal detachment is a sight-threatening emergency. Surgical timing determines whether the patient keeps vision in that eye. The procedure also reimburses lower than anti-VEGF injections, which means the procedure mix shift was margin optimization at the practice level. Capital arriving in ophthalmology should know what's measurable inside the asset class. https://lnkd.in/epgGmWiZ #Ophthalmology #PrivateEquity #FamilyOffice #Capital #Healthcare #Investor #Investment #PermanentCapital #Succession
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Marcus Wendt shared thisA retina specialist performing 5,000 anti-VEGF injections per year generates $400,000 in pharmaceutical margin annually, separate from the professional fee. Over the last two decades the procedural reimbursement for that same injection collapsed 86%. That's why PE priced the largest US retina platform at 23x EBITDA in January 2025. The actual asset isn't the procedure, it's the drug margin layer underneath it. The capital arriving in ophthalmology knows exactly where the revenue lives. https://lnkd.in/eRtu6kpZ #Ophthalmology #PrivateEquity #FamilyOffice #Capital #Healthcare #Investor #Investment #PermanentCapital #Succession
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Marcus Wendt liked thisMarcus Wendt liked thisThe 2025 Medicare cataract facility fee runs about 2.4x the physician's professional fee for the same procedure, and the practice that owns its surgery center collects both on every case. A physician employed by private equity collects neither one, because the platform keeps the facility fee for its investors. That second revenue stream is what compounds a $2M practice into something far larger across 25 years, and most physicians never even see it on the page when they evaluate a sale. https://lnkd.in/e5-Vx3Fe #Ophthalmology #FamilyOffice #Healthcare #PrivateEquity
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Marcus Wendt liked thisMarcus Wendt liked this74% of recent healthcare PE exits flowed sponsor-to-sponsor rather than to strategic acquirers or public markets, per JAMA Health Forum February 2025. A platform sold from one PE fund to another isn't an exit. It's a handoff at compressed multiples, with the operational levers already pulled by the prior sponsor. The buyer class that built the 2017-2019 ophthalmology cohort is selling platforms to itself now, and the structural reality is that fund-cycle capital was never built to hold specialty healthcare across the cycles that actually matter. https://lnkd.in/dMG4RqNk #Ophthalmology #Healthcare #PrivateEquity #Succession
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Thinking about launching your OWN supplements? 👀 …you might want to hear THIS first. Allie Chandler breaks down what to do, what not to do, and the mistakes providers make before they even get started. Because it’s not just about having a product… It’s about doing it RIGHT. This one could save you a lot of time (and money) 💥 #FunctionalMedicine #Supplements #HealthcareBusiness #UpsellHealth #ProviderTips
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ManyMedical, Inc. partnered with a Qualified Medical Evaluator clinic in Laguna Beach to deploy an omni‑channel AI strategy that targeted attorneys and referral sources across Orange County and Los Angeles. The result: clearer lead qualification for workers’ comp and personal‑injury workflows, stronger attorney relationships, and a measurable uptick in booked exams. Clinic leadership reported higher‑quality referrals, faster conversion from contact to scheduled evaluation, and improved tracking of med‑legal pipelines — outcomes that translate to predictable growth for medical directors and practice managers focused on med‑legal services. 📈Learn how this approach can scale your referral network: 🌐 manymedical.com/marketing #MedicalPractice #MedLegal #HealthTech
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Devon Leon
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How to Structure Your DME for a Clean Sale A clean sale doesn’t happen by accident — it starts with how you structure your DME today. Buyers pay more for businesses that are easy to take over, easy to operate, and easy to scale. Here’s what matters most: ✅ Tight financials — clear books, separated expenses, and documented revenue streams ✅ Solid compliance — accreditation, licenses, policies, and updated manuals ✅ Defined roles & SOPs — so the business doesn’t fall apart when you step away ✅ Reliable billing & auditing processes — reduces buyer risk and boosts valuation ✅ Contracts and supplier agreements — the cleaner and more organized, the stronger your leverage When your DME runs like a machine, buyers feel confident — and confidence increases your purchase price. 👉 Want help preparing your DME for a clean, high-value exit? Book a Call with us: https://lnkd.in/eZGp-9Ya #DME #DMEBusiness #DurableMedicalEquipment #MergersAndAcquisitions #DMEConsulting #BusinessExit #ExitPlanning #BusinessValuation #HealthcareBusiness #SellYourBusiness #AcquisitionReady #BusinessConsulting #FortuneConsultants #DMEGrowth #BusinessOptimization
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The lending environment in dentistry has changed—and most dentists have not caught up. In this week’s episode of The Dental CEO Podcast, Dr. Scott Leune sits down with Tom Angeloni of Bank of America to break down what is really happening in today’s startup and acquisition market. The reality is that capital is still widely available, banks are lending aggressively, and startup funding is increasing, but the acquisition market is tightening. Limited quality inventory and increased competition are driving prices up, often forcing dentists to overpay or take on practices that require significant fixes. At the same time, lenders are shifting their focus beyond production to cash flow, debt structure, and long term viability. This episode breaks down: • What banks are actually looking for right now • Why startups are becoming more attractive again • How lending decisions are really made • What makes a dentist highly lendable • The financial realities behind scaling to multiple practices If you are thinking about buying, starting, or scaling, this is not optional listening. 🎧 Listen and Subscribe - https://lnkd.in/ezZ-Rr75 Scott Leune Scott V. Mortier Scott Leune Education The Dental CEO Podcast Private Dental Alliance Bank of America Tom Angeloni Lauren Camacho DentalMarketing.com Lean Dental Design Dental Health Products, Inc. (DHP) #DentalCEO #DentalPodcast #DentalPractice #DentalStartup #DentalAcquisition #DentalBusiness #PracticeOwnership #DentistryEntrepreneur #DentalFinance #DentalGrowth #DentalIndustry #PracticeManagement
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Avi Weisfogel
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"What the heck is a platform?" Platforms leverage scale and expertise while leaving control to those with true dental knowledge. They offer both clinical and operational command while still allowing for a valuation that exceeds what a solo practitioner can manage standing alone. But the KEY component? True partnership. It's about putting like-minded practitioners together to form a real support system and a necessary, organized and functional ecosystem to manage and grow.
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Eddie Quintero, CEPA®
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Preparing for the 2026 tax season starts long before filing deadlines. In our newest DDSmatch blog with Blue & Co., LLC , dental practice owners can find actionable guidance on record-keeping, equipment purchases, and retirement planning. Dentists who plan early often see the biggest benefits. Read the blog to learn more at DDSmatch.com/blog/
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Dr. Ruchir Mehra
ConvertLens • 3K followers
💡 Regional GTM or National Play? As we’ve been refining our go-to-market approach for our dental product, one big question kept surfacing: “Which states should we prioritize?” With 50 states and countless cities, this isn’t an easy decision. But sometimes, the market leaves clues if you’re willing to spot them. I stumbled upon this recent roundup from Becker’s—and it just might offer a proxy for where the DSO industry is most active (and possibly where future growth is heading). Here are the 12 states with the highest DSO activity since 2022 (affiliations, openings, acquisitions): 🔹 California 🔹 Connecticut 🔹 Florida 🔹 Illinois 🔹 Indiana 🔹 Massachusetts 🔹 New Jersey 🔹 New York 🔹 Ohio 🔹 Pennsylvania 🔹 Texas 🔹 Virginia No surprises—but plenty of confirmation. For anyone selling into DSOs, crafting partnerships, or expanding footprint, this list might be a good starting point. Curious: 👉 Are you seeing similar patterns in your own DSO outreach or client growth? 👉 Is anyone here focusing their GTM on any of these states—and why? Would love to hear your thoughts. #DSO #DentalIndustry #GoToMarket #HealthcareMarketing #GTM #DENTISTRY
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Alfredo Ferras
GenesisDMA LLC • 79 followers
A $5,000 campaign can be profitable—or a quiet leak. Most dental clinics track leads, but not treatment value. So they celebrate 40 inquiries while ignoring that only two accepted a plan. That is how “busy” marketing hides poor ROI. The solution: ✅ Track source from first call to paid treatment ✅ Separate hygiene leads from high-value treatment cases ✅ Review cost per accepted plan every month I’ve seen practices cut ad spend and grow revenue simply by moving budget from low-intent campaigns to implant, orthodontic, or emergency pages that already converted better. Your best success case is not the campaign with the most clicks. It is the one that brings patients who show up, accept treatment, and return. Marketing ROI is measured in chair revenue, not dashboard activity. Which metric do you trust most when deciding whether a dental campaign is working? #DentalMarketing #DentalROI #DentalPracticeGrowth #PatientAcquisition
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Cindy Mark
Bench Mark Practice… • 903 followers
Top 3 Tips for a Smooth New Owner Transition Match Philosophies When the new owner shares the seller’s approach to patient care, the transition is smoother. Shadowing the seller and using familiar language helps maintain trust. Seller Endorsement Matters If the seller stays briefly to introduce the new owner and offer support—e.g., “I chose Dr. ___ because I trust them to care for you like I have”—patients are more likely to stay. Keep Communication Open Encourage honest, two-way conversations with the team. They often hear valuable patient feedback that can guide improvements and reinforce what’s working. #dentalpractice #dentalpracticemanagement #dentaloffice #dentalclinic #dentalconsultant #dentalpracticeconsulting #dentistry #dentists #dentistlife
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Hongcheol Yoon
President of the Yonsei… • 633 followers
Dental clinics that spend heavily on marketing to attract patients often see an immediate surge in patient volume and revenue. However, this momentum is entirely driven by marketing spend, requiring a constant injection of energy to sustain. On the other hand, focusing on internal marketing through consistent patient management allows a dental clinic to maintain sustainable income without exorbitant costs. Given the nature of dental treatment, it shouldn't end with merely treating pain or structural abnormalities. By identifying, advising on, and managing functional issues proactively, patients will inevitably return to the dental clinic that holds their longitudinal health data. This is the pathway to transitioning from '#Labor Income' to '#Value-based Income.' The most critical element here is early #screening—identifying issues before they manifest as structural damage—much like sowing seeds for a fall harvest. Systematically storing, managing, and analyzing that data is the priority. One cannot expect a #harvest without #seeds. Instead of spending money for short-term gains, finding ways to retain patients marks the shift from a '#passive farmer' waiting for fruit to fall, to a '#proactive farmer' who creates the harvest. This is precisely why we must pursue #Value-Based Dental Clinic Management. #QBLISS #AIOBIO #Linkdens aiobio.com
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Dr. Kathryn Alderman, EMBA
Intelligent Care Alliance • 4K followers
One fact I will stand by: The easiest—and most **impactful—area to automate with AI in any dental office is payments. Here’s why: After reviewing insights across multiple AI companies, it’s clear—patients prefer automated payment reminders over human phone calls when it comes to outstanding balances. Why? Because patients feel less judged, less awkward, and more in control when they can pay through a secure text or link—rather than speaking directly with a team member. That’s why the ROI on tools like VoiceCare AI is so high. 💬 Voicecare AI takes it one step further with a warm, empathetic voice named Joy, designed to help patients feel cared for while completing payments—without the pressure of a live call. ✨ A big thank you to VoiceCare AI for sponsoring the Dental Operations Symposium 2025 — a powerful event focused on Smart Systems, Leadership, and AI for Business Growth. 📢 Hear a message from VoiceCare AI—how CEO Parag Jhaveri about this powerful AI solution to transform dental and healthcare operations. 📢 Please check out their product—it’s transforming the way dental teams collect payments, improve revenue, and build trust with patients. Book demo here: https://lnkd.in/essu6eQM If you're looking for a smart, high-impact place to start with AI—start with automating payments.
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Clayton Russell
Dental Care Alliance • 25K followers
STATE OF THE DENTAL INDUSTRY: MID-2025 SNAPSHOT + WHAT’S NEXT **Opinion** Whether you’re a private practice owner or leading a multi-site DSO, the dental landscape is shifting…..fast. Here’s what we’re seeing today: ⏱️ Private Practices are feeling the squeeze. Rising overhead, staffing shortages, and insurer pressure have made profitability harder to maintain - yet many are thriving by doubling down on niche services, local brand loyalty, and patient experience. ⚖️ DSOs are entering an inflection point. The era of “growth at all costs” is giving way to operational discipline, clinical integration, and technology ROI. PE-backed groups are now prioritizing margin expansion, payer strategy, and platform efficiency. But this isn’t a doom-and-gloom story - it’s a call to adapt with intention. 🗓️ Here’s where the next 6–12 months are headed (again, just my humble opinion): 💠 Consolidation will continue - but expect smarter M&A, not just bigger. Synergy and scalability will matter more than size alone. That said, still wouldn’t be surprised to see a large deal similar to Smile Docs acquisition of MyOrthos. 💠 Reimbursement will become the #1 boardroom conversation. DSOs and private practices alike must learn how to negotiate, justify, and win payer increases - or risk margin erosion. Any thoughts Teresa Duncan, MS or Roy Shelburne ? 💠 Tech adoption will separate the contenders from the pretenders. AI, 3D printing, predictive analytics, and RCM automation will stop being “nice-to-haves.” Any thoughts McKenzie Fagan, John D. Cox, Matthew McGaw, or Amber Day? 💠 Hygiene, once considered a break-even service, will re-emerge as a strategic driver - when paired with diagnostics, education, and optimized scheduling. Probably should’ve put this one at the top! Any thoughts Jeremy Smith, BSDH, RDH? 💠 Recruiting and retaining talent will remain a top threat - and a top opportunity. The best teams won’t just be hired, they’ll be developed and inspired. Any thoughts Dawn Rajkowski? This isn’t the end of private practice nor is it the DSO gold rush, either. It’s the era of performance, partnership, and purpose. If you’re in the thick of this shift, LI would love to hear: 👀 What are YOU seeing in the field? 📈 Where are you doubling down to grow smarter?
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Gregory Toback, DMD, MS
Resolute Dental Partners • 617 followers
“Owners behave differently.” That’s the core theme of my conversation with Jean Moncrieff on The Freedom Experience Podcast. Dentistry is changing quickly. Consolidation is real. And for many doctors, it can feel like selling is the only exit—or private equity is the only growth path. I don’t believe that’s true. In this episode we talk about: ✅ what “clinical autonomy” actually looks like in real life ✅ why most dental partnerships fail ✅ the difference between transactional deals and true, values-aligned partnerships ✅ how to scale with intention (not ego) while protecting culture and long-term legacy If you’re thinking about ownership, succession, or partnership—this is an important conversation. 🎧 Listen to the episode: https://lnkd.in/eFw-Nt6E
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Samantha Strain
HealthStream Ventures • 10K followers
One thing that continues to stand out in our work with emerging dental groups: growth is happening, but decisions get harder—and the tradeoffs get real. This is the stage where complexity increases, capital matters more, and a single decision can quietly narrow future options. That’s why we’re excited to partner with HR for Health and McGuireWoods LLP on Dental Leadership Labs in Charlotte. We designed this as a small, hands-on working session—not a conference. The goal is to give owners practical frameworks to: 1) Pressure-test real growth, acquisition, and partnership decisions 2) Understand what’s happening across the dental industry—buyers, consolidation, and key macro/micro trends 3) Keep options open as they scale At HealthStream Ventures, we believe growth should create leverage—not limit it. If this stage sounds familiar, I’d love to compare notes. This is a free event. If anything lets help bring your vision to lives! 📍 Charlotte | March 19–20, 2026 #DentalLeadership #PracticeGrowth #HealthcareInvesting #DentalEntrepreneur #DSOGrowth #HealthcareOperators Ralf Tomandl Ali Oromchian, Esq. David Howard Anna Timmerman Scott Crews Brendan Messenheimer Ron Kain Gretchen Estapa
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