In short
Roll-ups vs holdcos; how to evaluate roll-up opportunities using lenses like market fragmentation, addressable market, consolidation runway, operational value creation, competition, risk mitigation, and market tailwinds. Guest argues holdcos are “inch deep, mile wide” (many unrelated businesses with heavy context switching), while roll-ups are “inch wide, mile deep” (many similar companies in one industry).
Key claims
roll-ups need a thesis where 1+1+1 is worth 3+ (usually cost synergies and risk diversification; revenue synergy is rarer). Traditional consolidators can pay higher multiples by unlocking cost synergies but often give sellers limited upside; JV/partner models aim to let sellers participate in multiple arbitrage.
Notable examples
GP veterinary clinics (roll-up has 20+ clinics; avoids urgent care/emergency/specialty); dental/DSO discussion (perceived crowdedness; runway math).
Guest backgrounds
Dzmitry Miranovich is building a veterinary clinic roll-up with 20+ GP clinics; previously worked in private credit at a large investment firm (covered vet consolidators and other healthcare verticals).
Written by AI. May contain mistakes. Listen to the episode to check what was said.
Chapters
Tap a time to open that second in VOUnderstanding Holdcos vs. Roll-Ups
0:45 to 2:15
Discussion on the key differences between holdcos and roll-ups, including advantages and challenges.
“And I think people are very curious about this rollup holdco model, especially when they haven't done it before.”
Diving into Roll-Ups
2:15 to 5:45
Dzmitry explains the roll-up strategy in more detail, highlighting its focus on acquiring similar businesses.
“Now, some more clinics might offer occasionally one of the services, whether it's specialty urgency, urgent care, it gets a little nuanced, but the idea is that you're acquiring businesses that have a very similar model.”
Challenges and Benefits of Roll-Ups
5:45 to 8:15
Exploration of the operational challenges and potential benefits associated with roll-ups.
“In a full-commodo, you're inherently buying a bunch of different businesses and different industries, right?”
The Importance of Industry Knowledge
8:15 to 11:15
Discussion about the necessity of industry expertise when considering roll-ups versus holdcos.
“It's very difficult if you don't have a thesis.”
Identifying Suitable Roll-Up Industries
11:15 to 14:00
Key characteristics of industries ideal for roll-ups, including fragmentation and consolidation levels.
“there can be thousands of businesses but you have one company that has 80 of the market that's not fragmented.”
Understanding Market Fragmentation and Consolidation Runway
14:00 to 18:00
Learn how to analyze industry fragmentation and calculate consolidation runway for acquisitions.
“I mean, it's very difficult to wrap your head around acquiring something like that because it's too small in terms of revenue, it's concentration risk with one that's called provider specialist, right?”
Evaluating Company Size and Partnership Fit
18:00 to 22:20
Discover the importance of company size and partnership dynamics in acquisitions.
“I think I just think that's a great way to quickly quantify it, right?”
The Role of Research and Relationship Management
22:20 to 28:00
Understand the significance of thorough research and maintaining strong relationships in business acquisitions.
“Now, out of that, we both get to talk to really cool people and hear really cool insights.”
The Importance of Research in Business Acquisitions
28:00 to 28:50
Learn why thorough research is crucial for mitigating risks in business acquisitions.
“Like, I'm sorry, we'll do better next time.”
Consolidation in the Veterinary Clinic Industry
28:50 to 30:20
Explore the factors that make consolidation in veterinary clinics a promising opportunity.
“For you, fragmentation, total addressable market, runway, what else was there where you were like, I love the veterinary clinic industry because of this key factor?”
Show all 17 chapters
Understanding Private Equity Roll-Ups
30:20 to 32:20
Gain insights into how traditional private equity roll-ups operate and their financial structures.
“And they generally do not participate in the upside in a true way.”
Differentiating Joint Venture Models from Traditional Roll-Ups
32:20 to 36:50
Learn how joint venture models differ from traditional roll-ups in the acquisition space.
“traditionally when a lot consolator comes in and this is a traditional approach to consolidation not on just in that industry that's common.”
The Role of Operational Value Creation
36:50 to 40:00
Discover the importance of operational value creation in successful roll-up strategies.
“Like any investor who's looking at roll-ups right now, their number one focus is what is the operational value that you're able to create?”
Market Tailwinds and Their Impact on Investments
40:00 to 41:20
Understand how favorable market conditions can influence investment success and perceptions of genius.
“from the industry itself, the more forgiving it will be.”
Addressing Risks in Small Business Acquisitions
41:20 to 42:00
Learn how larger organizations can mitigate risks in small business acquisitions effectively.
“So fragmentation, total adjustable market, competition, operation, value creation, and then market tailwinds were very, very good lenses to look at this through.”
Exploring the Dental Roll-Up Market
42:00 to 45:09
Learn about the dynamics and challenges within the dental roll-up market and consolidation opportunities.
“I went and as we were talking, I went and ran this.”
Connecting with Dzmitry Miranovich
45:10 to 45:51
Discover where to find more information about Dzmitry and his insights on the market.
“And obviously you're going to be hyper successful.”
Transcript
Automatic transcript. May contain errors.0:00I dabbled in a holdco, but I realized really quickly that I hated it because there's a lot of context switching. And unless you're at scale and have management teams, the execution is on you. And it's really hard to have expertise in five different businesses. I think of holdcos as like an inch deep and a mile wide and rollups as an inch wide and a mile deep. But there are a lot of people who look at Warren Buffett. He's got a holdco. I want to be like Warren Buffett. Warren Buffett has multi-billion dollar positions and he's not the one who's actually running these businesses. It's very different when you have a holdco and you are responsible for operational execution.
0:31This was absolutely the best explanation I've ever gotten from anybody on how to look at a rollup.
0:39Dimitri, I am so freaking excited to talk to you today. I've been trying to get you on for over a year. You have a rollup that you're working on right now, a veterinary clinic. You have over 20 of them. And I think people are very curious about this rollup holdco model, especially when they haven't done it before. and they have a lot of, I guess, ideas about what it actually is. What is, in your opinion, the worst thing about a holdco company or rollup? And what do you feel like is the best thing? Let's start with the worst first. Yeah, well, thanks for having me on. So holdcos and rollups are, in my mind, are very different.
1:15I think some people might be using those terms interchangeably. Generally, in my mind, when people say a holdco, they refer to an organization which has some sort of corporate overhead, corporate systems like a finance organization, HR organization, recruiting organization, and so forth, but then owns assets which are independent of each other, right? There might be a veterinary business, there might be a HVAC company, there might be a software company. Sometimes Holocaust have very little overhead as well. Sometimes they have a lot of overhead, but that's the model, right? Yes. Yep. Businesses that are different in nature from each other.
1:52in roll-ups the idea is that you buy or partner with a handful of businesses in the same industry and the more similar they are to each other the better it is right we're talking about gp vet clinics right as opposed to you know for example our roll-up we're doing gps or general practitioner veterinary clinics we do not do urgent care we do not do emergency we do not their specialty. Now, some more clinics might offer occasionally one of the services, whether it's specialty urgency, urgent care, it gets a little nuanced, but the idea is that you're acquiring businesses that have a very similar model.
2:33And, you know, in other industries, you can be doing commercial HVAC, residential HVAC, and those are quite different for each other. So in the role of ideas that you buy a bunch of businesses that they're similar to each other, And there is some overarching reason why it makes sense, right? Why one plus one plus one is equal to three or at least three, but ideally more than three, right? Because the important fact to realize is when you put those together, you also have dissynergies, right? Like you have corporate overhead, you have corporate costs, you're professionalizing those businesses in many ways, which actually costs money, right?
3:10like running proper payroll and accounting accruals, things like that, all of that costs money. And so there is a level of the synergy. And so it's very important to have a thesis whereby, again, 1.1.1 is at least worth three or more. And so there is often some, well, actually there is rarely a revenue synergy component. It could be some, and there might be better ways to run revenue, right? So just grow those faster. There is often some sort of cost synergy component, right? And that could be margins, could be better ways of running those businesses, better SOPs, better operating procedures, so forth.
3:53And then there is also the aspect of diversifying risk or mitigating the risk, right? Like each of those businesses that you partner with or buy are inherently very small businesses that they're prone to risks. It could be loss of a key person. It could be geographic risk of being subject to hurricanes or weather or whatnot. So when you put them together, you diversify that the way. You put systems in place to mitigate those risks. You might have a recruiting organization, like a recruiter and a sourcer at the parent company level, which individual clinics just cannot afford or individual companies cannot afford.
4:29I think of hold codes as like an inch deep and a mile wide. and roll-ups as an inch wide and a mile deep. But there are a lot of people who look at, oh, Warren Buffett, he's got a hold co. I want to be like Warren Buffett. Well, Warren Buffett has$20 billion positions and he's not the one who's actually running these businesses. It's very different when you have a hold co and you are responsible for operational execution than when you are someone like Warren Buffett who has enough resources to hire out the depth and the bench of the team in order to execute really, really well. What made you decide to go the roll-up route?
4:59Because for people who are listening, typically what happens in a roll-up. The idea, the thesis is, look, we can go out and we can identify an industry and we can raise capital. And with that capital, we are going to go and buy a bunch. We'll have a platform and then we'll be able to consolidate and centralize either some of these things, the synergies that you were talking about. We'll either centralize some services or we'll use those synergies to achieve better margins. But then you grow and at scale, you have cost efficiencies that you couldn't otherwise achieve by bootstrapping. However, you have to raise money and you kind of go into other investors and they're putting money into your business.
5:32So there's some level of, I don't necessarily have full control, even though I am operating as an entrepreneur. For you, why decide to go the roll up? Why not decide to maybe buy a business first, operate that, grow it, and just rinse and repeat? There are several things to it, right? In a full-commodo, you're inherently buying a bunch of different businesses and different industries, right? So I think it's fundamentally difficult or not necessarily difficult, just takes time to get really smart in an industry, right? To get really good at something. Totally agree. Totally agree. And so in my mind, like, so we've been doing this for three to four years and I can tell like, you know, in my prior job, I worked for a large investment firm, you know, I covered several different industries including veterinary services.
6:20And so I knew the industry well, I thought. But then it turns out, like sitting in a Manhattan, you know, high rise office building and like, you know, looking at numbers and thinking, oh, I know this industry really well. Turns out that it doesn't really give you the creds to know the industry. When you actually step into the role, you're like, oh, my God, like this is so different. Like the reality is so much more complicated than questions that we used to ask don't really matter. there's those questions that we should have asked and we've never asked because we didn't even think about it. What were you doing at Carlisle?
6:55So when you say you were sitting and looking at a spreadsheet, like what functions were you actually doing? Yeah, so I was an investment professional. I worked in the private credit side. So we did everything from junior debt to senior debt, specialties, direct lending, everything in between. So we were investments in several vet consolidators and also like dental and physical therapy and dermatology and many other industries, right? But I guess to your point, now that I know what I know, I think it would be incredibly difficult to just say, okay, I'm going to buy an HVAC business one year and then next year I'm going to buy a vet business and next year I'm going to buy a dental business.
7:33I think it's perfectly fine if you have a management team to run those businesses and you're partnering with someone who knows those industries really well, which oftentimes is the seller. right? If that's the whole setup, I can get behind it. I think it makes sense why people do it, how people do it. And like independent sponsor model, in some ways is sort of doing that, right? Except that there's no common ownership. I dabbled in a holdco. I mean, we didn't have a ton of companies, but I realized really quickly that I hated it because there's a lot of context switching. And unless you're at scale and have management teams, the execution is on you.
8:10and it's really hard to have expertise in five different businesses. It's very difficult if you don't have a thesis. I think the hold codes that I've seen be successful is they may not be rolling up a vertical, but they've identified something where they say, oh, we look for businesses that are lagging on technological adoption specifically with AI. And then they'll go and they'll kind of apply that broadly. And they have a centralized team that has one specialty. And so that becomes sort of the differentiator. But if you were like me and just a shotgun approach, like, oh, this is a cool tree trimming business.
8:43And, oh, this is a cool digital agency. Or this is a cool RV park. That thesis kind of fails because there is no thesis. And you really have to understand what you're doing. Yeah, unless you have a very strong management team that runs each of those businesses, right? And typically to have that, you need to be buying assets of certain size, right? Those companies have to be big enough to afford the dedicated management team, right? And dedicated management resource. And so, yeah, I mean, I think whole commodity could totally work. It's just, you know, you have to be mindful of that. Like, in my mind, then, like, I decided, you know, I looked at several industries, I, you know, evaluated them based on certain parameters, so I'm happy to kind of dive into that.
9:29And I decided, okay, this is the industry I want to go after, like, let's dive in, right. And I felt that in the industry, it turned out that, you know, my knowledge was a lot more like a spreadsheet knowledge than actual knowledge. But then, you know, I learned and I think, so if you ask me, like, what is the key quality that's, in my mind, is a predictor of doing this? Well, I hope we're doing it well, it is just like, basically blocking and tackling, right? That's just having, and someone told me that a serial roll-up founder is now they've you know acquired and sold several you know raws and spoiler industries it was the same thing he said to me it was like it's just blocking and tackling you just gotta persevere just gotta dive in learn you'll face a lot of new problems a lot of new things that you've never dealt with before and maybe that's just quite frankly any business and you just have to tackle them one by one and you know stay positive and you know do it so So video is cool, but I have what scientists call a face for radio.
10:30And so it's even cooler is long form audio via my podcast and my newsletter. Nickonomicspod.com. Go there for free. Subscribe to my newsletter. It's one email per week. Super tactical. And then go to my audio podcast. I do three to five episodes a week, depending on how curious I am. And it's stuff like this. It's all free. No sleazy sales pitches. Nickonomicspod.com. Let's go high level and then we can go granular on vet clinics. what makes a good industry to do a roll-up in or at least you know what are the key characteristics that you look for to say i could do a roll-up in this space so it has to be fragmented right so it has to be there has to be ideally thousands of individual small businesses all pricing within the industry is there like a concentration percentage that you look for because obviously there can be thousands of businesses but you have one company that has 80 of the market that's not fragmented.
11:22Yeah, exactly. That wouldn't work. I'd say if industry is over 50 % consolidated, I probably wouldn't go for it. There is very rarely one company that's a large percentage of the entire industry, at least in the US. In some Western European markets, it's more common. For example, VetMed in Europe, in the UK, there's one company that's, I wouldn't say 20 to 25 % of all vet clinics in the UK are owned by one company. It's a much smaller market, much easier or quicker to consult it. In the US, the largest player probably owns a single-digit percentage number of all vet clinics across multiple brands.
12:01The flip of that would be electronic medical records, for example, like in the hospital systems, epics dominating, or in the skilled nursing space, or home health and hospice, the EHRs, it's probably not a space you're going to go do a roll-up in just because there is heavy consolidation but in the clinic space you mentioned like physical therapy occupational therapy home health hospice there's a lot of fragmentation in those spaces there's not a ton of consolidation yeah yeah so i'd say like vertical erp software there's a bazillion of them right there is swag dental dermatology physical therapy made it like trampoline park there is fitness gyms right there's degrees of consolidation in nature that's right so that's interesting so you would even look at that as like that's an erp so actually the erp market is all of these different ehrs and back-end systems that are managing these businesses so you could actually do a roll-up potentially in that space that's yeah that's cool i've never thought of it like that yeah and people doing that like versical erps like they would buy erp for like meat processing and the erp for like a cookie factor and erp for they're fully integrated and they're managing everything and they can apply to like almost any industry but they're just overbuilt and they're not like workday applies to almost any industry but there's not a lot of specificity to your particular business okay sorry i got us off track so the first one is fragmentation fragmented market let's say you know it's arbitrary to be fair it's arbitrary right less than 50 % consolidated but it's important that when you look at the overall market you also need to look at what's your addressable market.
13:39Like for example, HVAC, right? There's like a bazillion HVAC companies in the US and most of them or many of them are single technician specialist and a truck. And that's the entire business. And it still counts as an HVAC business. Now that will never get acquired. I mean, it's very difficult to wrap your head around acquiring something like that because it's too small in terms of revenue, it's concentration risk with one that's called provider specialist, right? So you need to narrow it down from all the businesses in this specific industry down to which can be actually acquired or partnered with, right?
14:19And then you need to look at the fragmentation of that pie because oftentimes you might realize, like for example, dental industry, I mean, there's all kinds of stats floating around of consolidation in the dental industry. But if you look at the addressable market, I mean, I think it's 60 to 80 % consolidated, right? And so it's important to look. So fragmented industry, then fragmented addressable part of the industry. So that's number one. And then the extension of that is you want to have a long runway for consolidation, right? You want to be able to do this for 5, 10, 15, 20 years, because that's what supports your multiple arbitrage.
15:00You buy your individual asset for X EBITDA, you sell it for 2X or 1.5X, right? And those kind of ratios differ. And in the perfect world, your roll-up thesis should not depend on multiple arbitrage. Your economics, your operational value creation should drive returns. And that's what we strive for internally. But, you know, you want to have this kind of multiple arbitrage as a sort of chair on top. And quite frankly, that chair could be more like a pineapple dig. So that's support and that's supported by runway for consolidation, right? Because the longer the runway, the longer you can make an argument that you can be by buying down the multiple, right?
15:40So how do you measure runway for consolidation? Just what percentage of the market is consolidated and then how large the total adjustable market is? Yeah. Like in most industries you can find industry publications. Sometimes industry might have like a dedicated or like a blue cheap brokerage firm that all operates within that niche, within that industry. They would track those numbers and it's a whole bunch of estimates, of course. Right. But you know, you can get the sense of it, right? There is a, I'd say, you know, 10 ,000 units and 3000 are consolidated. Addressable market. Let's say 10 ,000 is the addressable market, right?
16:173000 are consolidated and 500 are being sold per year, roughly. Right. And so you divide that kind of 10 minus 3, 7 by 500, then you get your runway, right? So that's kind of the... And you'll never achieve 100 % consolidation. And you'll never achieve like 100 % consolidation, but maybe you solve from like, you know, that this case I'm talking about like from 30 % to like 60%. So that how long will it take for that 30%, 30 points of consolidation to happen, right? I've never heard of that equation. Let me split that back to you. So if there's 10 ,000 companies in an industry, 3 ,000 are consolidated.
16:59So there's 7 ,000 free agents. And you go to that blue chip brokerage. And let's say those are 10 ,000 that they're addressable. Those are the companies that can actually be acquired. Right. And then you go to that blue chip brokerage, or you talk to a few of them, and you kind of decide, oh, yeah, there's 500 a year that are being sold. If you divide that 7 ,000 by 500, that's 14. So is that like, it's my runway is 14 years. Is that how you look at it? Yeah, exactly. Oh, now you will never achieve 100 % consolidation, right? So maybe you sold from like 30 % to 60, 70%, right? And so in this specific example, maybe it's not 14 years, maybe it's more like 10 years.
17:46But yeah, that's the exact math you kind of want to do in your head. Wow. The other ranges. is let's say that i did the math and it was seven years is it like that's good runway or is that not good runway i would look at things which are like 10 plus years okay you want a decade plus yeah dude that is fascinating i've never heard that before is that unique to you i don't know if that's unique to me it's i kind of look at everything from i try to kind of have those like mental shortcuts and like overused term models but i have not heard other people use that mental framework, but I'm sure other people do too.
18:23I think I just think that's a great way to quickly quantify it, right? Because I think everybody has that thesis is like, oh, well, we need a lot of runway in order to consolidate this market. But like, how do you even put a number on that? That's a very good proxy. I've never heard anybody doing that. And it makes total sense. Yeah. And it's also like fairly, all those numbers are fairly easy to get. Like it's, if you just spend like a few days digging into the industry, you'll find specialty publications, there's usually like some We have a specialty conference. There's, again, publication. There's some data website.
18:54There's brokers. You'll find a way to get those numbers, at least approximately. So fragmentation, I put total addressable market as a separate category. I know that you kind of put it in with fragmentation, but there has to be a market of some minimum viable size. The way I think about it, I'm sorry I'll interrupt you. Oh, please. I'm not necessarily thinking about it as a total addressable market, but I want to see that each company that you're looking to buy is at least of a certain size. Some industries are challenging, right? Because like an average business or like a median business in an industry is just tiny, right?
19:36That's maybe like 400 or 500k of revenue. And so it's just difficult to roll those up, right? Because again, when you put them together, they all require work in the back end, right? Like you're creating overhead structure, creating, so to say, corporate, we're called success center management team. And so managing 10 veterinary clinics that generate 1 million in the revenue is about the same effort as managing 10 that generate 2 or 3 million in the revenue each, right? And so ideally, the industry you're looking at has opportunity for you to buy companies or partners companies that are at least of certain size, right?
20:14So you want to get to a point where you can start off smaller, right? You can start off with, you know, companies with maybe a couple hundred K of EBITDA per acquisition, but you want to over time kind of move towards ones which are larger because again, Give me an idea. Is it top line that you're looking at? Or are you looking at like bottom line net income when you're deciding how big bottom EBITDA revenue matters to them and revenue is a proxy right but cash flow is what matters yes for sure for you in the vet clinics that you're looking at what was that number was it like hey they've got to be cash flowing at least five hundred thousand dollars a year or more less than that like where do you land early on we did not have that well established.
21:03I mean, I knew generally what companies look like in the bed industry or what clinics look like. The reality when you're starting on is like, it takes time to refine what your checklist looks like and what specific parameters to pay attention to. And so for us, like from day one, like we were really focused on partnerships, right? On personality fit, you know, doctors who partner with us, who sell to us, who stay on as co-owners, partners, because that's core to our model, like we have a co-ownership model. We didn't pay that much attention to size, just quite frankly, because it takes some experience to, and I realized it on paper, right?
21:47That, you know, you have corporate overhead, you're spreading it across locations. But until you're actually operating, when you operate, you start feeling it like very tangibly, right? that you do want it to be certain size because that's what helps support the overhead. Hey, I don't know if you remember this, but when we started this podcast, we entered into a social contract. I would spend time, energy, and money producing this podcast, interviewing these individuals and giving you insights into how to build, buy, start, grow your business. And you would like, subscribe, and leave me five-star review.
22:23Now, out of that, we both get to talk to really cool people and hear really cool insights. We both get a ton of value, but I just want to help you keep your word. So would you do me a favor? Will you go leave a five-star review for me on Apple or Spotify? It would really help. And if you want, even share this with a friend. Well, and like you were saying, it's very different when, excuse my language here, I call it spreadsheet porn. You're sitting in your office and you're like, well, if we just do 10 % this year and then we cut this cost and then we, oh, if we were growing this market and get this market share is like you can talk yourself into anything being a billion dollar company right so it's very different when you're doing the analysis that you're talking about where it's like okay i need for each individual location to be producing x does the vet industry do that oh yes it does okay great now i'm going to go get my first acquisition you're not necessarily at least from what you're saying it's like you don't need to go out and swing for the fences and get the biggest acquisition you can get you just need to get in the game so that you start getting some experience and understanding like, how does it actually work?
23:22And how does the spreadsheet translate to real life, so that you can go faster later? I think that's what you're saying. Yeah, absolutely. I would say, however, I've heard an opinion from someone where, you know, in the roll up, you want to get started as soon as possible, meaning, you know, get your first deal done as soon as quickly as possible, because once you have done it you know others will take you more seriously like deal number two three four five is much easier than till number one because you have got someone to trust you not having any track record basically i sort of disagree with that in a way that like we wanted to make sure that our deals you know we had very strong fit but culturally partnership wise like from day one right it might not have, you know, we didn't look at certain parameters, like maybe size as much as we're doing, looking at them now.
24:17And it's not to detriment of those clinics. It's just, you know, we wanted to make sure that we partner with right folks. That was focus number one, right? And so we could have focused on size, but that wasn't the most important thing for us day one, right? The most important thing for us day one was to partner with right people, because if your first or second or third acquisition turns out to be problematic, right? It just drags down the entire thing, right? Like, dude, I totally agree. I was talking to somebody last week, and they were, they want to do a roll up. And so they're kind of telling me their strategy.
24:52And they found this, it was in the I'm gonna make this up. It wasn't in the space, but I'm gonna say that it was is in the medical billing space. And they were like, Oh, it's a company, and they do a million dollars top line, and$250 ,000 bottom line, and I just want to get into the space. And I was like, that's way too small. You don't know anything about the space and this owner wants to retire, et cetera, et cetera. But worst of all, when the owner retires, you have to jump in and operate the business and there's no SOPs, there's no processes to get it going. So when you're doing that first acquisition, it's incredibly important to know what you need.
25:26Like if you had operated vet clinics before, maybe you get into the business and you don't necessarily need the owner to stay around or a good partner. Okay. But if you've never operated before, like you're saying, no, I need to have a partner. I need to have either systems or processes, or it needs to be large enough that I can go in and run it. And like that, to your point, that first acquisition is so important, but it's not necessarily one size fits all of how it has to look. Yeah, I totally agree. I mean, we've had a deal under LOI that we could have closed, I think for like six months before we actually closed our first partnership.
25:58We just walked away. We realized it's not going to be the right fit. And there's like some misrepresentation involved. And I don't think it's like any perhaps broker not doing a good job as opposed to any sort of like intentional misrepresentation. But, you know, it just wasn't for us, right? And so we walked away and we kept working. And then our clinic number one actually became clinic number one is awesome, right? It's really solid team, really solid partner, great practice manager, great doctors. And that's been great, right? Because of those people, the source references that's important.
26:35You will be making mistakes early on. Like it's inevitable. What? That's right. I've never made a mistake in my life. Everything I do is 100 % accurate, 100 % of the time. But in case ever such thing were to happen, you know, you did something wrong. it's really helpful to have people on their receiving end who are understanding and kind of work with you because it's challenging look i mean it's you're dealing with a lot of people you're dealing with a lot of individual you know companies clinics right and look it's inevitable there are third-party circumstances that you do not control right like like we're doing with this now right our audit is taking longer than you know we expected and you know it's first time audit to takes a long time like it is what it is right we don't control it and we have a great accounting firm we're working with like our team is on it but just taking long right and so you know it's people are waiting for their k1s and it's you know it's not a deal right it's not great optics and i'm like trying to manage it but at the end of the day like we're doing our best and the accountants are doing their best but this is just the reality that we're dealing with right and so just trying to, I think, maximizing the positive factor, meaning people that you can have a genuine conversation with and be direct and be like, like, look, listen, I'm sorry, this taken longer, or this didn't get done, or we were wrong.
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28:08Like, I'm sorry, we'll do better next time. Like, you know, it is what it is. But And that's why all the research that you did beforehand that we're talking about here is so important. It's not because, oh, you've done the research and there's a perfect plan and it executes according to the plan. No, it's because all the things that you just said, they're going to happen anyways. So you want to go into a situation that you've mitigated the risk as much as possible because there are going to be, you know, K1 delays or heaven forbid you buy a company and unfortunately there's not a disclosure beforehand and all of a sudden the bank account gets levied and you're just like, stuff happens.
28:42And if you don't have a plan, if you don't have something to fall back on to at least change, you're kind of screwed because then you're out there, you're way over your skis. For you, fragmentation, total addressable market, runway, what else was there where you were like, I love the veterinary clinic industry because of this key factor? Great tailwinds. People love their pets. Vets are awesome. Increasing stans of care. There's a lot to like about pet healthcare in general. But all of that aside, I think consolidation really makes sense in that industry. like one plus one plus one can generally is worth more than three so that's important right and then specifically to answer your question directly i really like the fact that competition was in my eyes not very differentiated you know there are 30 plus thousand vet clinics in america there are different estimates depending what you count as a veterinary clinic or not there's That's called 30 ,000 to 35 ,000 veterinarian clinics in the US.
29:50There are 50 plus consolidators. Some are very large. Some are tiny. Some are hyper-regional. Some are national. But if you look at that spectrum of consolidators, most of them kind of do it in the same way, right? They buy a clinic. The seller stays on as an employee. Maybe they have some sort of equity rollover into the whole code. They sort of more or less lose agency over what's going to happen after that. And they generally do not participate in the upside in a true way. Like they might, but it's limited inherently. And there are different ways to do it. I'm kind of simplifying. What I like is that there are very few models out there that truly have a partnership.
30:38We have a JD model. You did not invent it. There are other people in the industry doing it in a similar way that we do it. I selfish, I think our model is better than theirs. Yeah, let me ask you that. Okay, so I'll lay out kind of what traditional private equity rollups do. And you can correct me, obviously. But then you can help me understand how the JV model differentiates. Usually what happens, and if you're a searcher that you're looking for a business and you're like, oh, cool, there's this cool company that's for sale. I'm going to pay 5x because that's what I can afford. And then this private equity company moves in and they're able to pay 7x.
31:10and you're like, how does the math work? Is math still not math? Well, they're able to pay a higher multiple because typically what the private equity companies do is they'll come in and they'll say, and I'll use vet clinics. Hey, vet clinic person, I'll pay more, but I'm actually only going to pay 60%. You're going to roll 40 % of your equity into the mothership. And when we sell, because that's the whole plan, when we sell, instead of selling for a 7x EBITDA multiple, we're going to have so many other clinics that now you're going to sell for a 13x multiple. So you'll get a, they call the second bite of the apple.
31:43That's way more appealing to these owners who want to get more money. And it's hard for searchers to be able to match that multiple. So that's the, and I get, there's lots of variations, but then the, let's say that clinic owner becomes an employee and there's still some equity upside, et cetera. But generally speaking, that's how traditional private equity has worked in these healthcare verticals. You're saying you do it a little differently though it's a jv yeah so i actually what you've described i actually view it a little differently so okay traditionally by the way there is no one size fits all there are all kinds of equity back consolidators that do everything from 100 by us to jv model like we do right so but generally traditionally when a lot consolator comes in and this is a traditional approach to consolidation not on just in that industry that's common.
32:35This is what has been common for a long time, right? You as a buyer, you come in, perhaps you're able to pay higher multiple than sort of non-consolidator buying. The reason you're typically able to pay higher multiples is because you're typically able to unlock cost synergies day one. So maybe you have better buyer contracts or better processes. is cheaper benefits, for example, is a big one, right? There is some sort of pro forma unlock that happens now that this business is worth for you more than it's worth for others. Hence, you're able to pay higher multiple. You are, however, not giving the seller any participation or you're giving them minimal participation in the future.
33:21So in the example of a whole core rollover, sometimes what happens is that, let's say, I'm a buyer, I paid five times for your business. And in your example, you know, 60 % cash, 40 % is rollover. I value my holding company at 10x. So when you roll your 40 % stake from your opcode to my whole code, you get diluted. So you do not participate. I mean, you participate in overall growth. And if multiple the business sells for is greater than 10, you still participate in this multiple arbitrage. But they actually are retaining most of the upsets. So that multiple arbitrage from 5 to 10 or 5 to 12, they retain, the buyer retains most of it.
34:10And hence, they're able to pay you more for the business because they know they'll have more economics at the end of the day. the opposite if you are telling the seller hey you will get you 60 percent as cash 40 percent is participating in a rollover that says that you will participate in multiple arbitrage you can actually theoretically offer them a lower purchase price and still make a case that all in value that they'll get including the second bite that they have is actually greater Is it because you're not rolling over their equity necessarily at the valuation that you've set of your holdco?
34:48That's right. The mothership? Okay. That's right. And there are different ways to do it, but generally that's the logic. So I think the logic is actually the opposite of kind of what you described, or at least in the current thinking. It's okay. You're being very nice. You can say I'm wrong. You're like, I think it's the opposite. Nick, you're stupid. No, you're not. like that's kind of generally why roll up you know kind of big feedback robes are able to pay more right because they retain upside and then they're also typically able to create more value quicker out of looking set out to get but more value and quicker right so they can they buy 100kb and it becomes like 125 like day one right what's been interesting too is like to see these people who have gone and raised money and they're paying private equity multiples, but they're not doing what you said in the beginning.
35:44Like, yes, the theory is you should be able to unlock synergies or purchasing power or expertise, special specialization, et cetera. And they've raised the money, but they're not actually able to do that. They just have money that they raised. And so they go and buy these companies and they're still paying a premium for it. And yet they don't unlock it. At least that's what I saw 2020 and 2021. 2021 2022 when money was flowing and then they get over their skis and rates go up and it becomes a big issue because they've got this big debt service and they're not actually able to execute in the way that they thought they were supposed to execute so there there is big risk in doing it that way if you don't know what you're doing yeah look i mean i'm so bad i think for when money is flowing a lot of it's relatively easy to make an intellectual argument that there's a ton of multiple arbitrage and I can come in and arbitrage it, buy for five, sell for 10.
36:38And I don't have to do anything operationally. The reality though is unless you benefit from very rich markets, which was the case, you know, three years ago, like you have to create value operationally. Like any investor who's looking at roll-ups right now, their number one focus is what is the operational value that you're able to create? And so to add another criteria to this framework of which industries are good for all, right? We should add another one is like ability to create value. And it sort of goes into the same, like one plus one plus one is three or greater, right? You have to be able to come in and create value, right?
37:21And it has to be more than just raising prices, right? Because that's not sustainable. You cannot grow sustainably by raising prices, right? Like there has to be some sort of playbook or factor, right? Like in Batman, like it's, or many of those kind of individual location businesses, oftentimes it's just that the sellers don't have, you know, individual operators and, you know, individual clinic owners don't have bandwidth to spend a lot of time on like Google marketing or recruiting or putting in place the copywriting SOPs or setting up better procurement. Like they just don't have bandwidth through that, right?
38:02And so you can come in and establish like playbooks for them, give that to them, and there will be some bumps, right? But generally, there has to be a clear value creation from how you go from X to one and a half X or whatever that might be, or two X. I like that one a lot. I think my favorite one that we've talked about and I talk about this one a lot is market tailwinds because everybody looks like a genius when you are in a market that has tailwinds, healthcare being one of them. But a very stark example is, oh, I bought Bitcoin at the beginning of a bull run and it went from 20 ,000 to 60 ,000.
38:37I'm an investing genius. Everybody who thought they were a genius at the end of 2022 when their portfolio went up, but it's because there were tailwinds behind them, right? And you can look like a genius and you can make the game a lot easier if you choose to invest in companies that are in industries that have tailwinds. And these are some crazy stats I was looking up as we were preparing for this. Did you know there's more pets in the United States than kids? Yeah. Freaking nuts. According to this, I could be wrong. 89 million dogs and 74 million cats in the United States. I think that sounds about right.
39:10Dude, that is insane. Last year, people spent$36 billion on vet care? The rate of change matters, right? Because it's like dollar amounts. I mean, those are all very compelling numbers, right? It's important to look what the rate of change is and things like that. Because US is inherently such a large economy, like you can pick like, oh, the business for, you know, market for toothbrushes is like, I'm sure it's like billions of dollars, right? So you're right. I mean, I think tailwinds are super helpful, right? Like if your day-to-day is an uphill battle against pricing pressure, volume pressure, industry pressure, those industries tend to be a lot less forgiving.
39:57Like the more kind of margin of sales you have from the industry itself, the more forgiving it will be. There are people who operate, I mean, like coal mines, I'm sure. There might be some recent tailwinds to that. But generally, coal mines as an industry have been declining for decades, probably. I mean, don't quote me on that for a long time. But there are people who have done it well, whether it's buying the stress and doing something about it. You can buy some businesses for cash flow. It's a declining business, but you're essentially buying it. It's like a melting ice cube. You can do those things really well, but those industries are a lot less forgiving, right?
40:40And that's in the roll-up theme where you're buying, partnering with many businesses a year, and it's inherently a complex structure, right? You're operating pension businesses. Like, the more forgiving your industries, the better it is. Well, because there's a lot more margin for error. Like, you're going to be making errors. So you need a forgiving industry. And generally speaking, one with tailwinds has a lot higher margin for error. I think that was one. Was it Munger or Buffett? It was like my favorite kind of boat is one with tailwinds or something. I don't know. He was like some quote. It sounds like one of them would say.
41:19And unfortunately, there's a lot of people who operate in tailwind driven markets and think that they're geniuses. So and that's OK. That's OK for them to think that. I really like these lenses. So fragmentation, total adjustable market, competition, operation, value creation, and then market tailwinds were very, very good lenses to look at this through. I really like that runway that you said as well. There's another one I would add is like risk mitigation is an important one for the small businesses that are inherently risky for many reasons. And so as a bigger organization, you should be able to mitigate or solve those risks, right?
41:56very simple examples like recruiting right like an individual that's in a clinic is not able to afford the recruiter they're able to hire a third-party recruiter which is expensive typically inefficient but they're not able to afford the recruiter a group is able to afford the recruiter which will generally do a better job sourcing and hiring candidates than like a third-party recruiter so but by being in a group you're able to solve some of those risks and manage them better than the individual clinics would be able to do. You know what's interesting? I went and as we were talking, I went and ran this.
42:29You said that DSOs, so the dental roll-up space was too crowded and it wasn't as good of an opportunity. At least that's what I heard you say? Yeah. Okay. That's right. That's my view of it at least. That surprised me because I love DSOs. I think they're freaking great businesses. So as we were talking, I went and I looked the current market. So there's 200 ,000. Again, this is all chat GPT, so somebody's going to fact check me. But there's 200 ,000 dental practices in the United States. 35 % of them are in DSOs. So I looked at that, and I was like, well, 35%, that's not terrible consolidation.
43:07I would view that as still fragmented. And then I asked it the next question, how many practices per year change hands? And so it went through this analysis, and it was like approximately 19 ,000 practices a year change hands. So I did the math and the runway was 6.8 years. So it was that 200 ,000 minus the 35 % that are consolidated. We get about 130 ,000 practices divided by that 19 ,000, which change hands every year, 6.8 years, which would be less than the 10-year timeline you talked about and not an attractive. Anyways, that was a cool way to framework to look at it. I would say though, I think that 19 ,000, that probably includes platforms.
43:48assuming that number is correct which i have no idea but that probably but but that probably that's the right i think that's the right approach i would of course like and i know you too like in it doing like actual research like you would dig deeper and like find like more reliable numbers but that's the right mental model but i would say like that figure probably includes like platform sales which inherently not the same thing right i also think back to the point of addressable market i think in dental you have to narrow it down to clinics that they're actually you know sort of say viable right a lot of the dental clinics are a dr susan or joe and it's their name on the wall and it's like you walk in and there's like one exam room and like a reception room and that's it right like that that is inherently very difficult to wrap your head they're all right there's just so many like single dentists i know i'm open two days a week type businesses in the u.s but anyways yeah sorry no man this was this was amazing this was absolutely the best explanation i've ever gotten from anybody on how to look at a roll-up i'm being dead serious i like i really love the lenses that you kind of view these through and how specific you are in creating quantifiable ways, proxies to measure the opportunity within each one, through each one of those lenses.
45:16So I just thought that was really cool. And obviously you're going to be hyper successful. You already got 20. You're being too kind. Well, you're paying me, you're paying me, right? Right. Right. You're paying me checks in the mail. Oh my gosh. Yeah. Anyway, this, this was awesome. If you want to come find more information about you, where's the best place. I have an X account, but to be fair, I have not used it in like a year. I might resume that. If you want to talk to Dimitri, message me and then I'll message Dimitri. All right. Is that what you wanted? I'll be your go-to-be. That's perfect.
45:49That's right. All right, man. This was great. All right. Hopefully you liked that episode. And if you've made it this far, you're either really committed or you're stuck doing yard work and you can't actually skip on your phone.
46:04So Will you please help me grow the show? I want to reach more people. There's a couple things that you can do. Like and subscribe is the simplest thing. Obviously, you want to get notifications for when the next episode is coming out. But if you go the next step, will you leave me a review five star on Spotify or Apple? What that does is it tells the algorithm that, oh, hey, this is a high value podcast because more people are leaving reviews for it and it then pushes it out to more people. So that's why when people are like, will you like and subscribe and put the five star rating. It's not just to make themselves feel better.
46:35It's actually to get more exposure for the show. So if you do that for me, I would greatly appreciate it. And I'll see you next time.
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Join me, Nik (https://x.com/CoFoundersNik), as I interview Dzmitry Miranovich (https://x.com/dzmitry9). Dzmitry is building a massive roll-up in the veterinary clinic space, currently with over 20 locations!
Many people have ideas about what a roll-up or holdco actually is, but Dzmitry breaks down the real differences and reveals why he chose the roll-up route. We dive deep into what makes a good industry for a roll-up, from market fragmentation and tailwinds to operational value creation and how to actually quantify your runway for consolidation!
Questions This Episode Answers:
• What's the difference between a roll-up and a holdco?
• What key characteristics make an industry ideal for a roll-up?
• How do you calculate an industry's runway for consolidation?
• How does a roll-up's operational value creation drive success?
• Why is your first acquisition crucial when building a roll-up?
Enjoy the conversation!
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Love it or hate it, I'd love your feedback.
Please fill out this brief survey with your opinion or email me at nik@cofounders.com with your thoughts.
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This week we covered:
00:00 Understanding Holdcos vs. Roll-Ups
04:50 The Roll-Up Strategy: Why Choose This Path?
09:57 Key Characteristics of a Successful Roll-Up
14:47 Measuring Market Fragmentation and Consolidation
20:05 The Importance of Size in Acquisitions
23:26 The Importance of First Acquisitions
25:24 Navigating Challenges in Early Partnerships
28:19 Understanding the Veterinary Clinic Market
31:10 Differentiating the JV Model from Traditional Roll-Ups
36:25 Operational Value Creation in Roll-Ups
41:07 Identifying Market Tailwinds and Risks
44:03 Analyzing the Dental Roll-Up Market

