The Samera DSO Advisory
Scale without losing control.
Founder-Led DSO Advisory
Our Role
We help founder-led DSOs transition from owner-managed groups into scalable, investable platforms — without losing clinical identity or culture.
What We Help You Achieve
1. Scale Without Founder Burnout
We design operating models that remove day-to-day dependency on the founder, allowing the business to perform without constant intervention.
2. Protect Clinical Standards as You Grow
Standardised governance and treatment protocols ensure quality does not dilute as locations increase.
3. Understand Your True EBITDA
We clean up financial reporting so you know what the business really earns and what investors will value.
4. Create Optionality
Whether you want funding, a partial exit, or a full sale in the future, we prepare the business early so you stay in control of timing and terms.
How We Support Founder-Led DSOs
- Financial systems implementation and clear reporting
- Specialty service rollout without “star clinician” risk
- KPI-led operational discipline
- Founder de-risking and succession planning
- M&A support and advisory
- EBITDA clarity, exit readiness and valuation improvement
- Data-driven insights for improved performance
The Outcome
A DSO that:
- Runs predictably without you
- Retains clinicians and patients
- Delivers consistent EBITDA
- Is attractive to banks, PE, or strategic buyers
You build leverage. Not stress.
Our team of business, financial and clinical experts are available to assist you with your DSO. Get in touch today.
PE-Backed DSO Advisory
Our Role
We help PE-backed DSOs professionalise fast, integrate cleanly, and build exit-ready platforms that secondary buyers trust.
What We Help You Achieve
1. Faster EBITDA Uplift
We focus on utilisation, cost control, specialty mix, and operational discipline — not just acquisition volume.
2. Cleaner Integration
Standardised operating and financial models reduce post-acquisition drag and performance volatility.
3. Investor-Grade Reporting
We build finance and data infrastructure that stands up to lender scrutiny and diligence pressure.
4. Stronger Exit Narrative
We align operations, leadership, and metrics to the story buyers care about: sustainable earnings with low risk.
How We Support PE-Backed DSOs
- KPI frameworks tied to value creation
- Centralised financial controls and dashboards
- EBITDA normalisation and diligence readiness
- M&A support and advisory
- Leadership continuity and succession planning
- Data-driven insights for improved performance
The Outcome
A DSO that:
- Scales predictably across sites
- Integrates acquisitions faster
- Produces defensible EBITDA
- Commands stronger exit multiples
Less risk. More certainty. Better outcomes.
Our team of business, financial and clinical experts are available to assist you with your DSO. Get in touch today.
Fancy Getting Started?
Use the form to get ahold of us.
Or give us a call:
UK
(+44) 20 7100 8788
US
+1 (929) 542 1710
India
(+91) 011 4759 7224
Talk to our team to explore how we can create a scalable, cost-efficient operational hub for your startup’s next phase of growth.