Case Study — HEALTHCARE M&A

How Michael Roub acquired
37 Western Dental locations in 10 months

Michael Roub built Western Dental’s acquisition program from scratch – sourcing, negotiating, and closing 37 locations in 10 months against a 25-location goal, growing the company’s footprint by roughly 20%.

Client

Western Dental

Role

VP of Business Development

Engagement

2016–Present

Focus

Corporate development & M&A

37

Locations Acquired

In 10 months.

20%

Location-Count Growth

Against a 25-location, 12-to-24-month goal.

14

Locations Won From Receivership

Outbid the initial buyer in court.

What did the acquisition landscape look like before Roub arrived?

Western Dental had operated for roughly a century as a large, established dental services organization, but it had never once acquired another practice. There was no M&A history at all: no deal team, no target pipeline, no playbook for sourcing, negotiating, or closing a transaction. Growth up to that point had come entirely through the company’s own operations, not through consolidation.

That absence of a track record mattered because acquiring dental practices is a relationship-driven business: owners who have run their own practice for years, sometimes decades, are rarely inclined to sell to a company with no history of doing deals well. Without a credible acquisition function in place, Western Dental had no way to compete for the kind of opportunities that would let it grow by expanding its footprint rather than just its existing locations, and no infrastructure ready to move quickly when a compelling target did surface, as would prove decisive with the fourteen-location group later acquired out of receivership.

Before Roub arrived (before/after strip)

~100 years

Company history with zero M&A activity

None

Structured target pipeline

None

Prior acquisition team or process

What was Michael Roub’s role?

Roub built and ran the corporate development function at Western Dental as Vice President of Business Development, beginning in late 2016.

Financial foundation
Built the reporting, planning, and discipline needed to operate through each next stage of growth.

Commercial structure
Formalized contracts and legal operations to replace informal arrangements.

International scale
Led the practical financial and operational work behind new market launches.

About Michael Roub

Managing Partner and Founder of Inflection 360 Wharton BS, Chicago Booth MBA. Two decades advising growth businesses and healthcare practices.

How did the work unfold?

01
Secured a key market

A single-location acquisition that kicked off Western Dental’s first M&A program in roughly 100 years.

02
Won 14 locations in court

Roub’s team wasn’t the initial buyer for the group in receivership. They came into court with a stronger offer and won the deal.

03
Won two competitive pediatric deals

Brought in 14 and 8 locations from two large pediatric dental groups, building a robust pediatric group and strengthening Western Dental’s position in key California white spaces.

What changed for Western Dental?

37

Locations Acquired

In 10 months, against a 25-location goal.

20%

Location-Count Growth

Delivered over the engagement.

14

Locations Won From Receivership

Outbid the initial buyer in court.

“It was truly gratifying to have success at Western Dental, and it was similar to my experience at US HealthWorks, particularly working with the same CEO. What I most appreciated was that Dan had thought of me several years later and knew I would be successful in the role.”

– Michael Roub

Related Case Studies

U.S. Healthworks

U.S. Healthworks added 23 clinical practices across five states

As Vice President of Business Development, Michael Roub led the acquisition programme at an occupational healthcare provider. The 23 practices acquired expanded the group’s footprint into five states.

9

Locations acquired in California alone, the largest single state

5

States entered in a single acquisition run

Firefly Recovery

Firefly Recovery grew from fewer than 100 teams to more than 1,300

This forthcoming study will document how Michael Roub built the financial, contractual, capital, and international foundation required for Firefly to scale from an early-stage product into a dominant athletic.

1,300+

Team customers at Firefly Recovery

~$1M+

Led capital formation and supported leadership expansion.

Contact Us

Inflection 360 is a strategic consulting partner to healthcare practices and business owners nationwide, delivering hands-on expertise across business planning, acquisitions, market assessment, and exit strategy.

info@inflection360.com

(747) 334-2725

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