John M. McDonald III
Well, there's a recent one where it was very, very interesting. Most entrepreneurs, they hire the investment banker to sell their company. So we met with a large orthopedic practice in the Midwest. And we're talking about the whole process. I these are all doctors. But in this particular case, they're very busy, business savvy doctors. And we started talking about EBITDA and how companies that are non-tech traded multiples of EBITDA. And then we got into that bigger is better in the M&A world, meaning that the bigger you are, the more EBITDA you have, the higher the multiple will be, keeping it simple. And so they start scratching their head.
And they said, well, if bigger is better and we can get a higher multiple for bigger, then, you know, we have interests, ownership interests in a lot of different ancillary businesses that we work with. I said, well, tell me about them. He says, well, we're good friends with four other orthopedic practices and we own a piece of each other. We own interest in a physical therapy group. We own interests in imaging, you know all things related to orthopedics. We own interest in pain management. We own interest in two ambulatory surgery centers. We own a big interest in a orthopedic specialty hospital. And we also own interest in a anesthesia group. All of the ancillaries that you need. to deliver a complete orthopedic product. So we're all now scratching our head and saying, this is really interesting. Why don't we do something that I've never done before? That is, let's see if we can roll up these 12 different entities on paper, not legally, on paper and present it as a rolled up entity.
And let's take that to market because the EBITDA of the combined entity kind of goes through the roof. And let's see what kind of multiple expansion we can get. And we took this to the market and the market went crazy over it. They just loved it. And so we ended up selling it to a big public company at a very, very attractive multiple, something that we would never have been able to achieve if we sold all these entities individually. So there's something that I learned and working with my client that I have never done before. And it turned out to be a huge success for everybody involved.