Why Waiting to Sell Could Cost You: The Case for Early Partnership
Thu Jan 29 2026
As consolidation continues to reshape the specialty, the "exit versus expand" question is becoming relevant for orthodontists earlier in their careers. It’s no longer just a retirement decision—it’s a strategic choice about valuation, risk, and long-term wealth accumulation.
In this episode of the Orthodontic Products Podcast, host Alison Werner sits down with Ty Ramsey, a mergers and acquisitions advisor with Professional Transition Strategies. They cut through the noise surrounding practice transitions to clarify why the peak growth phase of a practice is often the optimal time to explore a partnership.
Ramsey breaks down the financial reality of today’s market, explaining why selling while you’re growing often leads to significantly higher valuations than waiting until retirement. He also dismantles the stigma of "selling out," reframing these transactions as strategic partnerships that preserve clinical autonomy while offloading administrative burdens.
What You Will Learn:—Why partnering during a growth phase often yields better financial outcomes.—The difference between "selling out" and forming a strategic partnership.—How a DSO/OSO partnership can accelerate growth through shared resources.—Key financial metrics investors look for, including annual collections and EBITDA.—Common deal structures like equity rolls and joint ventures.
Chapters: 02:53 Understanding the Timing of Exit vs. Expand05:56 Misconceptions About Selling and Partnering08:54 The Benefits of Transitioning During Growth12:00 Partnerships and Accelerating Growth14:54 Evaluating Practice Readiness for Acquisition17:54 Risks of Delaying Decisions21:01 Key Considerations for Orthodontists23:58 Conclusion and Next Steps
👤 Guest Bio: Ty Ramsey is a mergers and acquisitions advisor with Professional Transition Strategies. Contact: ty@professionaltransition.com Learn more: https://professionaltransition.com/
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Like 👍, comment 💬, and subscribe 🔔 for future episodes.
VISIT ORTHODONTIC PRODUCTS: https://orthodonticproductsonline.com/
SUBSCRIBE to THE OP NEWSLETTER: https://info.medqor.com/opsubform
INSTAGRAM: https://www.instagram.com/orthoproductsmag/
FACEBOOK: https://www.facebook.com/OrthoProducts/
LINKEDIN: https://www.linkedin.com/company/ortho-products/
Have a question for a future episode? Drop it in the comments or email editor@orthodonticproductsonline.com
#Orthodontics #PracticeManagement #DSO #BusinessStrategy #OrthodonticProducts #OSO
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As consolidation continues to reshape the specialty, the "exit versus expand" question is becoming relevant for orthodontists earlier in their careers. It’s no longer just a retirement decision—it’s a strategic choice about valuation, risk, and long-term wealth accumulation. In this episode of the Orthodontic Products Podcast, host Alison Werner sits down with Ty Ramsey, a mergers and acquisitions advisor with Professional Transition Strategies. They cut through the noise surrounding practice transitions to clarify why the peak growth phase of a practice is often the optimal time to explore a partnership. Ramsey breaks down the financial reality of today’s market, explaining why selling while you’re growing often leads to significantly higher valuations than waiting until retirement. He also dismantles the stigma of "selling out," reframing these transactions as strategic partnerships that preserve clinical autonomy while offloading administrative burdens. What You Will Learn:—Why partnering during a growth phase often yields better financial outcomes.—The difference between "selling out" and forming a strategic partnership.—How a DSO/OSO partnership can accelerate growth through shared resources.—Key financial metrics investors look for, including annual collections and EBITDA.—Common deal structures like equity rolls and joint ventures. Chapters: 02:53 Understanding the Timing of Exit vs. Expand05:56 Misconceptions About Selling and Partnering08:54 The Benefits of Transitioning During Growth12:00 Partnerships and Accelerating Growth14:54 Evaluating Practice Readiness for Acquisition17:54 Risks of Delaying Decisions21:01 Key Considerations for Orthodontists23:58 Conclusion and Next Steps 👤 Guest Bio: Ty Ramsey is a mergers and acquisitions advisor with Professional Transition Strategies. Contact: ty@professionaltransition.com Learn more: https://professionaltransition.com/ ------ 👉 Connect & SubscribePodcast: Apple | Spotify | Amazon Music | YouTube Like 👍, comment 💬, and subscribe 🔔 for future episodes. VISIT ORTHODONTIC PRODUCTS: https://orthodonticproductsonline.com/ SUBSCRIBE to THE OP NEWSLETTER: https://info.medqor.com/opsubform INSTAGRAM: https://www.instagram.com/orthoproductsmag/ FACEBOOK: https://www.facebook.com/OrthoProducts/ LINKEDIN: https://www.linkedin.com/company/ortho-products/ Have a question for a future episode? Drop it in the comments or email editor@orthodonticproductsonline.com #Orthodontics #PracticeManagement #DSO #BusinessStrategy #OrthodonticProducts #OSO