Your platform acquired the practices. We unlock the growth.
$250M+ in sourced and closed transactions across dental, home health, and physician services. Proven results at enterprise scale, from a single practice to Fortune 1.
Representative results
Platforms built, turned around, and exited.
Dental DSO · Enterprise
GEDC. Clinical performance program. $6.4M annualized impact, measured within 120 days.
DSO · NYC
dntl bar. Full turnaround: 360% revenue growth, 88 NPS, 3 to 5 locations in 7 months.
Pediatric home health
VIVA. Reversed a 12% YoY decline to growth and secured PE family-office investment.
Multi-state DSO
Great Lakes. Single practice to 35 offices, 100+ clinicians, PE recapitalization.
National retail health
Walmart Health. Built the dental division: 48 locations in 4 states, 200% per-location growth.
US go-to-market
RipeGlobal. Built the US GTM engine from zero, including Heartland Dental, in 8 months.
Representative outcomes across platforms built, operated, turned around, and exited.
Most advisors speak one language. We're fluent in both.
How we work
Four disciplines. One operator's perspective.
From pre-acquisition diligence through turnaround and exit, the same clinician-operator works every stage. One perspective, both sides of the table.
PE Value Creation Advisory
Commercial due diligence and 100-day value creation plans that translate investment theses into clinician-actionable EBITDA acceleration.
Read servicesDSO Growth Strategy
The operational infrastructure, revenue engine, and clinical talent strategy that makes each new site accretive, not dilutive.
Read servicesTurnaround & Repositioning
Root-cause fast, stop the bleed, rebuild the revenue engine, reposition for growth. Two platforms turned around.
Read servicesTransaction Advisory
Commercial diligence from the operator's seat, platform positioning for premium multiples, deal sourcing, and post-close integration.
Read servicesThe principal
A clinician who has sat in every chair.
DDS and MBA. Built the practice, ran the DSO, and advised the fund. Every engagement worked by the operator whose name is on the door.

Dr. Roshan Parikh - “Dr. Ro”
A clinician-turned-operator who has personally built, scaled, turned around, and exited healthcare platforms, from a single practice to Fortune 1. 20+ years on both sides of the table.
He founded Great Lakes Dental Partners (35 offices, $60M+, PE recap), built Walmart Health's dental division, delivered 360% growth as CEO of dntl bar, and built RipeGlobal's US GTM engine, signing 28 enterprise accounts in 8 months.
Let's talk about your platform.
Whether you're pre-acquisition, mid-turnaround, or ready to scale, we've been there. A short call to talk through the platform, the thesis, and where we can help.