Affordable Care, a dental service organization based in Morrisville, North Carolina, will be taken over by direct lenders as part of a restructuring agreement aimed at reducing the company's debt, according to Bloomberg reporting from May 14, 2026.

Lender consortium leads restructuring effort

Blackstone and KKR are leading negotiations to restructure Affordable Care's credit structure, alongside other participants including Antares Capital and New Mountain Capital. The involvement of multiple major investment firms indicates the scale of the debt reduction effort underway.

What this means for dental service organizations

Lender takeovers of DSOs typically signal financial strain requiring significant operational and capital restructuring. When direct lenders assume control, they often implement changes to improve cash flow and reduce leverage. This deal reflects ongoing financial pressures within the DSO sector.