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Operator-led holding company

We acquire and operate durable businesses.

AAO Holdings buys small and medium-sized businesses from owners planning their next chapter, then keeps operating them and invests in their people and systems.

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Western US. A preference for Southern California.Get to know AAO
DirectDental
Acquired byHenry Schein
2017January 2025

In 2017 we bought a San Diego dental staffing firm that had been around since 2002 and rebuilt it into DirectDental, a platform connecting dental practices with the professionals who staff them. Henry Schein acquired the business in January 2025.

We've sat in the owner's chair and know what a transition actually asks of the person selling.

  • Buy what works. Don't break it.

  • Reward operators. Stay out of their way.

  • Measure outcomes in years, not quarters.

What we do.

The disciplines we bring to every business we own. Each company keeps its own brand and team; we provide the operating support behind them.

  • SMB acquisitions

    Profitable, established small and medium-sized businesses with loyal customers and capable teams.

  • Technology enablement

    Systems that remove friction from how the business already works, rather than replacing what works.

  • Operational optimization

    Every owner has a list of things they'd fix if they had the time. Scheduling, pricing, purchasing, collections. We take that list and work through it.

  • Strategic partnerships

    Relationships that open channels a business its size could not reach alone.

Patient ownership, short feedback loops.

We invest in the people, systems, and relationships that make a business work. We bring the time and operating support to help teams act on their priorities.

Operating support
We work with the people who know the business, supporting their team and the customer relationships they have built.
Patient capital
We have the flexibility to structure deals around what each business actually needs.
Operator first
Decisions are made by people who have built and run companies. We sit with operators and work through the priorities they know best.
No forced timeline
We don't have a fund timeline forcing a sale on someone else's schedule.

We're not buying to strip and resell, and we don't pursue distressed deals.

What we
look for.

  • An owner planning a transition, with no obvious successor in place
  • Established and profitable, with a track record behind it
  • Lower middle market
  • Western US, with a preference for Southern California and San Diego

Thinking about
what's next?

Most of the owners we talk to have spent twenty or thirty years building something and have never sold a business before. They don't know what theirs is worth, what the process looks like, or what happens to their people afterward.

We're a buyer, not an advisor, and we'll be straight about that. But a first conversation costs nothing, commits you to nothing, and stays between us. If we're not the right fit, we'll usually know who is.

Start a conversation

Get in touch.

Tell us about your business and what you have in mind, and we'll get back to you. Inquiries are confidential.

anthony@aaoholding.com

Only your name, email, and role are required.

About you
About the business