The convergence of Affordable Care’s restructuring and broader financial strain across large DSOs is more than an isolated credit event — it’s a signal of structural pressure in the dental industry. Below is a strategic, operator-level view of the impacts likely to unfold. 1) Capital structure stress → Slower DSO expansion & recap cycles Affordable Care’s restructuring is largely debt-driven: The company is working with turnaround advisers after a $2.7B leveraged buyout left it with expensive floating-rate debt. Rising interest rates materially increased debt service costs. This dynamic is industry-wide: Many DSOs and small groups financed growth with variable debt that has jumped from ~4% to 10%+ interest costs. Some platforms have been unable to recapitalize amid economic uncertainty. Impacts Fewer aggressive roll-ups and de novo expansions Lower EBITDA multiples on acquisitions More minority recap deals vs. full exits Delayed liquidity e...
At LADD Dental Group , accessibility has always been a cornerstone of how we care for our communities. That’s why we’re proud that most of our locations are open on Fridays—an intentional decision designed to make dental care more convenient, flexible, and patient-focused. In today’s fast-paced world, we understand that finding time for dental appointments isn’t always easy. Between work schedules, school commitments, extracurricular activities, and family responsibilities, weekday availability can fill up quickly. By offering Friday hours, we’re able to extend care beyond the traditional Monday–Thursday dental model and better meet the needs of modern families. Convenience for Busy Schedules For many patients, taking time off work or pulling children out of school for dental visits can be challenging. Friday appointments provide a practical alternative—allowing individuals and families to schedule cleanings, treatment, and consultations heading into the weekend without disr...