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Episodes

Understanding M&A Across the Healthcare Ecosystem

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February 20, 2026
Improving Clinical Inefficiencies with Spear Education

Major business decisions require more than instinct; they also require insight. A strong understanding of the M&A market can help business leaders make informed, strategic choices and navigate growth.

In this three-part series of The Advisor’s Table, Brian and Michael break down what’s happening across dental, healthcare, and the businesses that support them as we look ahead into 2026.

Part 1: Dental M&A in 2026

We begin with the dental industry and the evolving DSO landscape. Brian and Michael break down what’s next for DSOs, how the market is shifting, and why staying informed can position your practice for smarter long-term decisions.

Key themes include the continued consolidation of consolidators, the growing sophistication of specialty-focused platforms, and what rising buyer selectivity means for practice owners considering a transition.

Part 2: Healthcare M&A in 2026: Beyond Dentistry

In part two, the conversation expands to other provider-led businesses, including veterinary, aesthetics, dermatology, and eyecare. We explore what’s driving interest from strategic buyers, the similarities and differences across sectors, and what practice owners should expect in 2026.

Private equity interest in these verticals continues to grow as investors seek fragmented markets with strong unit economics and recurring revenue characteristics.

Part 3: Healthcare Business Services M&A in 2026

In the final episode, we turn to an increasingly important segment of the healthcare ecosystem: the businesses that support these practices. From IT, cybersecurity, marketing and other essential services, we examine why private equity continues to be drawn to this space, what drives value, and what the outlook looks like moving forward.

These service businesses often benefit from recurring revenue models, high retention rates, and the ability to scale across multiple healthcare verticals.


Listen to the full three-part series above for the complete analysis of M&A across the healthcare ecosystem.

"Everything I did with 7 Pillars was not only thorough, detailed, and well done, it was enjoyable. I really had a great time working with all of them...The peace of mind that I had knowing that every 'i' was dotted and every 't' was crossed and that I wasn't missing something was huge."
Dr. Kelly Toombs, DDSPractice Owner
Dr. Kelly Toombs, DDS
"I can't even imagine doing this process on my own... not only the negotiations way more than paid for itself, but just the process of due diligence—the way that 7 Pillars walked me through due diligence—I barely had to do anything... I highly recommend 7 Pillars. They were phenomenal."
Dr. Hilton Goldreich, DDSMulti-Location Practice Owner
Dr. Hilton Goldreich, DDS
"7 Pillars made sure that we knew what we were getting into, what to expect, and questions we didn't even know to ask and you know they had the answer before we even knew we needed them...I just couldn't imagine doing it by ourselves. I would recommend 7 Pillars to anybody going through this process."
Dr. Jason Montgomery, DDSPractice Owner
Dr. Jason Montgomery, DDS
"One of the things that really stood out to me was that they were very direct. They were very honest about what the process was going to look like, what our involvement was going to be, and also what to expect."
Alix LaurainCEO
"7 Pillars were not forcing us into the marketplace... they were really willing to value our practice, see if this makes sense for us, and provide us with the information ahead of time. 7 Pillars is to us what we are to our patient... they had the information, I could ask questions, I could do some research on my own if I wanted, but they were the experts."
Dr. Kimber Holmes, DDSPractice Owner
"7 Pillars gave me the whole picture. They understood my practice, they understood the offers, they broke it down to that next level so that I really understood what the deal was. We felt that even towards the end and after our transaction took place that everybody was still there still working to make sure that everything got put to bed... everything was done to a sublime level."
Dr. Joseph GrayPractice Owner
"Once they've got a feel for who you are and what your practice is, they can connect you with the right people. 7 Pillars just went over and beyond what I think anybody else would do to help, and that's what really stands out with them. If I had to do it all all over again, I wouldn't use anybody but 7 Pillars."
Dr. Richard BoatmanPractice Owner
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