Hosted by Dr. Ivan Zak and Ryan Leech, Consolidate That! focuses on critical corporate topics in the veterinary business. The episodes center on improving clinical care, customer and employee experience, combining proven processes with modern technology, and ways to expand shareholder value using clear performance metrics. Find beneficial knowledge that you can apply in the rapidly growing veterinary consolidation market.
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Randall Consolidated School District Podcast
Jeffrey Alstadt
To keep you up to date on what is happening in the district.
Each episode is a consolidation of multiple blog posts on a theme from the blog Cold Takes (https://www.cold-takes.com). This is for listening to a full series after it's out. To listen to regular Cold Takes posts, go to Cold Takes Audio instead.
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Technology talk with a Cooperative focus. CTC Inside Voice is brought to you by Consolidated Telecommunications Company, a rural telecommunications company in Central Minnesota.
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What are three changes that would make Nigeria a consolidated democracy?


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What are three changes that would make Nigeria a consolidated democracy?
Madison Burgett
Nigerian politicians should listen HERE to learn how to make Nigeria a consolidated democracy!
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Queen Consolidated: The Arrow Podcast


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Queen Consolidated: The Arrow Podcast
Southgate Media Group
Home to the unofficial podcast about the CW’s Arrow. Hosted by Zack and Phil. Episode recaps, news, analysis and predications are all discussed on this weekly show. Please rate us and subscribe to help more fans find our show. Learn more, contact us, and check out our other podcasts at www.southgatemediagroup.com.
Ryan Leech and Dr. Ivan Zak discuss a recent two-part episode of Freakonomics about the impact of private equity ownership on the veterinary market and consolidation. They explore the different perspectives presented in the episode, including those of executives, economists, and veterinarians. Our hosts also touch on the importance of trust and ali…
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Consolidate That!


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Observations on the Latest Trends in Veterinary Industry
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In this episode of Consolidate That, Ryan Leech discusses with Dr. Ivan Zak his observations and takeaways from attending the Victus Group’s WVC Annual Conference in Las Vegas, one of the largest conferences in the veterinary industry. Ryan covers various topics related to the latest trends and changes in veterinary medicine, including the impact o…
Ryan Leech and Dr. Ivan Zak continue to explore employee ownership. Shannon Gervais, Head of People Operations at Galaxy Vets, joins them this week to discuss this new concept in the veterinary industry, uncover the components of cultural integration stages at Galaxy Vets, and explain the importance of understanding business fundamentals on all lev…
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Creating a Culture of Employee Ownership
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This week Steve Kemph, Vice President of Field Operations at Galaxy Vets, talks about employee ownership, what components drive the culture, and how creating a bottom-up approach can drive sustainable results. Donate: Official account of the Armed Forces of Ukraine: https://bit.ly/3NvODNm Topics discussed: Instilling business acumen Managing and me…
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2022 Summary: Veterinary Industry Dynamics
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We begin our third season of Consolidate That! by discussing the changes that have taken place in the veterinary business over the past year. In this episode, Fritz Buerger, Managing Director of William Blair, will share his observations on what has changed in veterinary practice acquisition, how macro factors affect the world of investment compare…
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New Market Realities: Pre-Acquisition Considerations from the Consolidator’s View
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The second season of Consolidate That! ends with a discussion of the criteria and factors that a consolidation group pays attention to when communicating with a potential partner practice. Using Galaxy Vets as an example, Ryan Leech and Dr. Ivan Zak discuss in detail such aspects as core values alignment, hospital reputation, location, and financia…
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New Market Realities: How to Prepare Your Practice for a Sale
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Figuring out how to sell your veterinary practice is a process filled with important decisions and questions to ask. Even in the current consolidation market, where there are no multiples of 18x or 20x, selling your clinic can be extremely rewarding if you take the right approach. This week, Ryan Leech and Dr. Ivan Zak discuss what to consider befo…
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Flexibility in the Veterinary Practice
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Like many professionals, veterinarians go through various stages of life and may be motivated by different things at different times. In this episode, Galaxy Vets’ Head of Community Engagement Dr. Tara McCarthy joins Ryan and Ivan to discuss the need to create flexibility in veterinary medicine and how Galaxy Vets provides a choice to veterinary pr…
In this episode of Consolidate That!, we talk to Andrew Schultz, Business Development & Clinical Services for Midmark Animal Health and Project Director for Midmark Academy. Andrew chats about implementing anesthesia checklists, simulation-based training, and how a desire to bring the benefits of immersive simulation training evolved into veterinar…
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Implementing Changes in Veterinary Hospitals
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This week, Steve Kemph, Vice President of Field Operations at Galaxy Vets, joins Ryan Leech and Dr. Ivan Zak to talk about the nuances of regional management and how to impact change at the hospital. Donate: Official account of the Armed Forces of Ukraine: https://bit.ly/3NvODNm Topics discussed: Steve's career story in the veterinary industry Сrit…
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The Process of Postmerger Integration with Galaxy Vets
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Shannon Gervais, Director of Veterinary Hospital Integrations at Galaxy Vets, is welcomed by Ryan Leech and Dr. Ivan zak to discuss post-acquisition clinic integration, how the WSJF prioritization framework helps in the stabilization phases, and the importance of managing the change accurately. Donate: Official account of the Armed Forces of Ukrain…
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Value Creation at a Solar System (Part 2)
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Today on Consolidate That! Dr. Ivan Zak and Ryan Leech continue discussing the value creation plan by looking at a regional level within the organization. We take a deeper dive into Galaxy Vets’ regional structure and chat about the value creation items such as capacity management, diversity of tasks for veterinary professionals, centralized schedu…
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Through the Acquisition Process & Beyond
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Kristine Stump, the VP of Mergers & Acquisitions at Galaxy Vets, joins us this week to discuss planning and executing successful mergers and acquisitions. During the conversation, Kristine shared her knowledge of how sellers can better prepare for the sale of their company, what a buyer is looking for, and what success looks like in M&A. Donate: Of…
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Value Creation at a Galaxy Planet (Part 1)
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In this episode, Ryan and Ivan dig into the initial steps new Galaxy Vets clinics undergo post acquisition and the importance of trust throughout. Learn what to look for in your own value creation plans. Donate: Official account of the Armed Forces of Ukraine: https://bit.ly/3NvODNm Topics discussed: What are the classic changes after the acquisiti…
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Quantifying Access to Care in Veterinary Industry
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This week, Ryan & Ivan welcome Michael Greenberg of the Veterinary Care Accessibility Project to talk about one of the most significant challenges in our industry - access to veterinary care. Hear more about the developed metrics and data-driven tools to help improve access to care. Donate: Official account of the Armed Forces of Ukraine: https://b…
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Employee Ownership in Veterinary Consolidation
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The Founder of the National Center for Employee Ownership, Corey Rosen, Ph.D., and author of tax code 1042 joins Ivan and Ryan to uncover the benefits of ESOP for employees and business owners as an exit strategy. Donate: Official account of the Armed Forces of Ukraine: https://bit.ly/3NvODNm Topics discussed: What is an ESOP (Employee Stock Owners…
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Cyber Security in Veterinary Practice
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This week on Consolidate That!, Ryan and Ivan speak with Captain Rory Lubold, Vice President of IT at Galaxy Vets, about data security for veterinary clinics and the key aspects of multicultural leadership. Donate: Official account of the Armed Forces of Ukraine: https://bit.ly/3NvODNm Topics discussed: How to evolve technology for veterinary profe…
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Resilience and Burnout in Veterinary Medicine
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Dr. Donna Gurney, the Founder of Tutum Psychology, talks about the concept of resilience and factors that influence levels of resilience. Our hosts explore practically application and steps that can be implemented across the vet industry. Donate: Official account of the Armed Forces of Ukraine: https://bit.ly/3NvODNm Topics discussed: - Resilience …
Dr. Andrew Ciccolini joins Ivan and Ryan to discuss creating a non-profit component within an organization. As the Director of Non-Profit Initiatives at Galaxy Vets and Medical Director at the National Mill Dog Rescue, Dr. Ciccolini leads the mission of Galaxy Vets Foundation, strategic corporate social responsibility, and elaborates on how the org…
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Data-Driven Approach to Cultivating Culture
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This week on Consolidate That! Ryan and Ivan are joined by Laura Durfee, Vice President of People and Culture at Galaxy Vets, for a discussion about employee satisfaction and the importance of the feedback loop. Laura shares her vision about the bottom-up approach to culture and the role data plays in employer success in retention. Donate: Official…
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Access to Care Increase Through Memberships
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This week, Ryan Leech and Dr. Ivan Zak sit down with Tina Stofiel, VP of Membership Services at Galaxy Vets, for a conversation about the membership services. The conversation starts off with a brief understanding of what memberships are and how they differ from wellness plans. Hear about the Galaxy Vets’ vision of the holistic approach to membersh…
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Pandemic Era Communication Challenges in Vetmed
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Dr. Taylor Miller of Not One More Vet (NOMV) talks about how wellness education and normalizing mental health conversations can help vet professionals deal with challenging client relationships. Dr. Miller expands on her belief that our own health begets improvements in client health. Topics discussed: Impact of curbside practice on client communic…
This week on Consolidate That! Ryan and Ivan speak with Dr. Helene Seljenes Dalum, a veterinarian and Ph.D. candidate at the University of Oslo. Helene shared some of the results of a recently published study on vets in Norway and outlines the necessary prerequisites to reduce mental health stressors. Topics discussed: About #NORVETproject The stig…
Dr. Sarah Wallace joins Dr. Ivan Zak and Ryan Leech to talk about Telehealth and its reach across the entire organization. Dr. Sarah guides us through her deep expertise of growing veterinary medicine virtually. Topics discussed: Dr. Sarah’s path to Galaxy Vets Increasing hospital capacity through the implementation of telemedicine The misconceptio…
Ryan Leech and Dr. Ivan Zak of Galaxy Vets talk in-depth about the Business Model Canvas and how it beats out the old school business plan model! Our hosts share the details outlined in the Business Model Canvas, including value proposition, customer relationships, channels, revenue streams, and more. Tune in to hear all you need to know about the …
Galaxy Vets’ Head of Finance, RJ Peters, joins us to discuss M&A value stream mapping, creating a people-first culture and his early impressions of Kanban methodology. RJ shines a light on what pawnshops, childcare, and the veterinary industry have in common! Topics discussed: RJ’s unique background in consolidation Utilizing Kanban from day one St…
Galaxy Vets COO Emmitt Nantz talks about the theory of constraints, value stream mapping, subjective-objective assessment plans (SOAP), and “the five why’s.” For each of these concepts, Emmitt provides an example of how they can be applied in a veterinary clinic setting in order to reduce bottlenecks, improve employee and client experiences, and ul…
Cory Friedman, Managing Director of the Veterinary Division at Alera Group, joined to talk about how consolidators approach health insurance and other benefits. We tackled the question of benefits from an acquisition and integration standpoint and the inevitable challenges within consolidation. Cory shared some of the best practices when it comes t…
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Building People & Culture in Consolidation
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Today we are doing one of our first dives into Galaxy Vets by bringing in a special guest from inside the organization, Dr. Lauren Catenacci, our Head of People and Culture. The conversation starts off with a brief understanding of what culture is and its relationship to core values. Hear about the three levels of analysis used to assess the cultur…
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Results: Burnout and Work-Life Balance Study 2021
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Ryan Leech and Dr. Ivan Zak cover the most recent burnout survey results. This year's survey looks at the change and dynamics of burnout from 1,600 veterinarians across different demographics, including gender and work-life balance. Our hosts share the innovative techniques and experiments that Galaxy Vets will be implementing that support the ulti…
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Behind the Scenes of Consolidation
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Ivan and Ryan are thrilled to be returning with this first episode of our second season, where they discuss the formation and insights into Galaxy Vets, including strategy, leaders, practices, and more. Topics discussed: Kicking off with an exciting pivot; season two includes our Galaxy Vets journey. Framework called Three P's and Three S's. Galaxy…
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Consolidation Location Determination
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Austin Hair, Partner at Leaders Real Estate Development, shares his experiences locating, leasing, acquiring, and moving to the perfect property. We discuss how long-term leases protect the tenants, and when is the right time to reach out for help from a broker. Topics discussed: Choosing to buy or lease, depending on the lifecycle of your consolid…
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The Ins and Outs of Unified Management
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In this episode, we sit down with Dr. Edward Kanara, Founder of Kanara Consulting Group, to talk about the difficulties of unified management, and how businesses can only function optimally if leadership decisions are made with best medical care practices as the priority. We discuss the challenges of differing goals between management and veterinar…
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All Things Software and the Industries Migration to More Modern Software
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Instinct Science Software’s Founder and CEO, Dr. Caleb Frankel, joins us today to guide us through the changing dynamics and goals in the veterinary market, and how Instinct is becoming a full-blown PIMS. Diving into software as a huge factor in work-life balance and burnout, this episode focuses on the ways that it's also a definitive avenue to re…
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People Issues When Buying or Selling a Business
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Today we are joined by Klint Kendrick, the author of The HR Practitioner’s Guide to Mergers and Acquisitions Due Diligence, to cover various topics, from how to incorporate Maslow’s hierarchy of needs into your business, to the integral role that trust plays in organizational leadership. Without the proper communication and change management plan, …
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Effective Way of Implementing Processes in a Practice
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Our guest Shawn McVey of Pathway Vet Alliance joins us to cover the keys to effective process implementation in a veterinary hospital, the importance of structure in the workplace, and the five main issues experienced in veterinary practices. Topics discussed: Main cultural issues that are experienced in veterinary practices. Keys to implementing p…
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Payments Innovations To Drive Revenue
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Today we are joined by Angela Morisette from Scratchpay. She walks us through Scratchpay's various services and pivots and how they go to market with large consolidators. We also hear a detailed description of the user's experience and some interesting findings when working with veterinary groups. Topics discussed: How Scratchpay differs from CareC…
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Growing People and Relationships to Grow an Independent Practice Group
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Dr. Tom Bankstahl, CEO at Veterinary United, joined us for this inspiring conversation about his aspirations for a long-term veterinary-owned group and keeping a safe space for veterinary medicine. Tom also runs us through how he implements his People First policy, how he is creating spaces for people to grow as people as well as professionals. Top…
Today on Consolidate That! with Dr. Ivan Zak and Ryan Leech, we discuss continuous improvement in the veterinary world. Ivan talks about the difference between continuous education and continuous learning cultures, and how many veterinarians experience burnout once they’ve completed their studies and find themselves in a repetitive practice environ…
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Success Series: Shawn McVey, Pathway Vet Alliance
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In this fascinating episode, we are talking to Shawn McVey, co-founder of Pathway Vet Alliance. Shawn has had phenomenal success with helping veterinary businesses move from reactive and inconsistent practices to successful, profitable, and fully integrated workspaces. Providing real-world examples from his many years of experience, he also talks u…
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Credit Card Processing for the Modern Vet Practice
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Our guest, Kevin Burke of VetPay, introduces us to the payment processing industry and how it has evolved over time. We've touched on why consolidators should be looking at their payment processing statements every month and how VetPay has made sure to keep up with the changes, while at the same time providing their customers with lower prices, a h…
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Employee Ownership Across the Pond
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Today we are joined by Matthew Flann, veterinary surgeon, and director at Pennard Vets. He explains the transition to an employee-owned model, how this model has influenced Pennard Vets’ ability to hire veterinarians, how the company’s internal culture has changed, and how the employees’ 70 percent ownership affects the decision-making process and …
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Cyber Security in Veterinary Medicine
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During episode #40, Clint Latham, the Founder of Lucca Vet, gives an overview of what cybersecurity in the industry currently looks like and sheds light on where consolidators’ vulnerabilities lie. Our conversation touches on what consolidators should do when they acquire a practice, how to keep data more secure, and the value of psychological safe…
In today’s episode, Yang Shi, the Co-Founder and CEO of VetSnap, rejoins Dr. Ivan Zak and Ryan Leech to talk about consolidators and the hospital technology stack. We discuss the process of selecting what software to roll out first in hospitals after the acquisition, the importance of building a strong relationship with the vendors, and how the pow…
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Building Strong Vendor Relationships
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Greg Schimpff from VetSnap shares his experience and expertise on the management of vendor partnerships and understanding acquired hospitals' preferences. We also discuss better communication practices and the exciting innovations that Greg has noticed in the field during the last decade. Topics discussed: The importance of trust and familiarity fo…
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The "most important century" series (consolidated)
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This is the full series of Cold Takes posts listed here: https://www.cold-takes.com/roadmap-for-the-most-important-century-series/Af Holden
Today's conversation will touch upon a crucial topic in our domain - recruiting. Our guest, Stacy Pursell, CEO and Founder of Therio Partners and The Vet Recruiter, joins us to explain how the relative shortage of qualified veterinarians leads to an array of imbalances in the hiring space. We discuss the top priorities for candidates and receive gr…
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Value Stream Mapping for Different Levels
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In today’s episode, Dr. Ivan Zak and Ryan Leech continue their conversation about value stream mapping, this time analyzing it from the perspective of the various different levels within an organization. They cover how to transition from an idea to a business plan, the tool which makes it easy to visualize your value stream, and what the exploratio…
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Special - Piece of the Pie: Incentivizing Veterinarians Through Partnership
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In our special episode of the Consolidate That!, Dr. Beth Davidow, Clinical Assistant Professor at Washington State University, and Dr. Karen Felsted, CPA, Founder and consultant at PantheraT, join Dr. Ivan Zak to discuss the evolution of partnership models and how sellers can get the best terms for themselves and their employees. Topics discussed:…
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Traffic Ahead: Roadblocks to Selling a Practice
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Dr. Gary Ackerman, the Founder of Ackerman Group, joins us to talk about how veterinary practice owners can successfully navigate the complex process of business transitions in today’s busy seller’s market. Dr. Ackerman also shares some of the pitfalls to avoid along with great financial advice. Topics discussed: Why it is a seller’s market at the …