PLATFORM 001 · VALUE-CREATION DESKACTIVE
Flagship program
$6.4MANNUALIZED
DILIGENCE 100-DAY SCALE EXIT

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.

Track record
58× proven ROI
Growth
360% revenue growth
Scale
$250M+ transacted
Base
Dallas, TX
Sectors
Dental Home health Physician services Multi-site platforms DSOs PE-backed

Representative results

Platforms built, turned around, and exited.

2008 to 2026 · Six mandates

Dental DSO · Enterprise

58×ROI

GEDC. Clinical performance program. $6.4M annualized impact, measured within 120 days.

Program2025

DSO · NYC

$10.8MRUN RATE

dntl bar. Full turnaround: 360% revenue growth, 88 NPS, 3 to 5 locations in 7 months.

President & CEO2023

Pediatric home health

$25MPE

VIVA. Reversed a 12% YoY decline to growth and secured PE family-office investment.

Turnaround2024

Multi-state DSO

$60M+REVENUE

Great Lakes. Single practice to 35 offices, 100+ clinicians, PE recapitalization.

Founder2008-2019

National retail health

48LOCATIONS IN 4 STATES

Walmart Health. Built the dental division: 48 locations in 4 states, 200% per-location growth.

Division buildLaunch

US go-to-market

28ENTERPRISE ACCOUNTS

RipeGlobal. Built the US GTM engine from zero, including Heartland Dental, in 8 months.

CRO2025-2026

Representative outcomes across platforms built, operated, turned around, and exited.

Most advisors speak one language. We're fluent in both.

The bridge

Financial engineers understand multiples but can't explain why a dentist's production dropped 30% post-acquisition. Clinical leaders understand patient flow but can't build a 100-day plan a board will approve. We advise from the chair, the P&L, and the boardroom.

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.

01PE

PE Value Creation Advisory

Commercial due diligence and 100-day value creation plans that translate investment theses into clinician-actionable EBITDA acceleration.

Diligence100-day plansEBITDA playbooksBoard advisory
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02Growth

DSO Growth Strategy

The operational infrastructure, revenue engine, and clinical talent strategy that makes each new site accretive, not dilutive.

Go-to-marketDe novoIntegrationRevenue optimization
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03Turnaround

Turnaround & Repositioning

Root-cause fast, stop the bleed, rebuild the revenue engine, reposition for growth. Two platforms turned around.

Revenue recoveryCost restructuringPayer renegotiationRebrand
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04M&A

Transaction Advisory

Commercial diligence from the operator's seat, platform positioning for premium multiples, deal sourcing, and post-close integration.

Buy/sell diligencePositioningSourcingIntegration
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The 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, known as Dr. Ro

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.

Degrees
DDS, UIC · MBA, Loyola
Experience
20+ years
Recognition
#7 Most Influential, Incisal Edge
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Proof point

The GEDC program returned 58× ROI.

One enterprise cohort at Great Expressions Dental Centers, one of the largest DSOs in the US. Precision clinical playbooks, measurable impact on revenue and operator efficiency within 120 days.

See all results

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.