OFFOR Health
Dr. Navin Goyal set out to get anesthesia to children who'd been waiting a year for care. Building OFFOR Health — through every cliff, pivot, and raise — revealed what founders actually need to survive and scale. That lesson became LOUD Collective.
$3M → $25M
Revenue growth to exit
~50,000
Children treated across the platform
18mo → 1mo
Wait for care, cut down
5
States: OH · TN · IL · PA · KY
$5M
Series A, closed 2021
2026
Havencrest recapitalization
SmileMD's founding physicians — Dr. Navin Goyal, center.
Photo: OFFOR Health
For decades, the dental and medical worlds barely spoke. Anesthesia — the thing that lets a frightened child safely get dental work done — was locked inside hospital operating rooms. For kids on Medicaid, that meant waits of 12 to 18 months for a procedure that takes an afternoon.
Dr. Navin Goyal was a decade into anesthesiology at a large hospital when dentists came to him with a problem: an anesthesia shortage was leaving their patients stranded. He saw both the clinical fix and the business one — bring the specialist, the equipment, and hospital-grade safety to the dental office, meeting families where they already were. In 2014 he co-founded what became OFFOR Health (operating as SmileMD).
The early model was simple private-pay sedation. The hard, world-changing version — serving Medicaid kids at scale, across state lines, with insurance behind it — would demand capital, technology, leadership, and a level of resilience no founder has on day one. Navin didn't try to do it alone.
- A clinician-founder shifting from "medical tunnel vision" to entrepreneur.
- A private-pay "lifestyle business," not yet a scalable platform.
- A massive access gap — but heavy legal, regulatory, and safety demands.
- No playbook for turning a clinical insight into a multi-state company.
Most founders get money, then get left alone. What carried OFFOR Health was different — a business-building ecosystem where capital, hands-on leadership, and mindset showed up together. This is the model LOUD later formalized as LOUD Collective: "growth beyond capital."
Capital + a live network
Through LOUD Capital, Navin plugged into a network of 80+ portfolio companies, absorbed hard-won knowledge, and borrowed the LOUD office's marketing muscle while running SmileMD full-time. Capital with a community moves faster.
Fractional leadership
As growth outpaced the org chart, OFFOR brought in fractional executives from Infinite CXO — most pivotally a tactical CFO — to carry the operational load a scaling company suddenly generates.
03 — THE WORK
From a co-working closet to a national platform.
The arc from private-pay side hustle to a recapitalized healthcare company took a decade — and the ecosystem showed up at every turn.
- 2014–2015 — The shortage, and the spark. Dentists surface an anesthesia shortage; Navin builds a private-pay sedation model for dental offices. In August 2015, Ryan Retcher joins to run operations and finance.
- LOUD Capital — Building inside an ecosystem. Navin's dual life at LOUD Capital becomes an unfair advantage: he absorbs venture know-how, taps the portfolio network, raises capital, and brings his team into the LOUD office for marketing support.
- 2016 — The pivot that changed everything. The insurer CareSource asks OFFOR to solve access in the pediatric dental space. An 18-month effort to create a new billing code flips the company into a scalable, nationwide, insurance-backed model. Silicon Valley operator Saket Agrawal steps in as CEO.
- 2017 — Technology to scale. Scaling logistics, supply, and a mobile clinical workforce demands proprietary technology; a seed raise funds the platform.
- 2020–2021 — Series A in the storm. Mid-pandemic, OFFOR closes a $5M Series A led by SpringRock Ventures, joined by LOUD Capital, Delta Dental, and AXA Venture Partners.
- The insight — The fractional CFO that sparked a firm. OFFOR partners with Infinite CXO and brings in fractional CFO Chris Pugh, planting the seed for LOUD Collective.
- Scale — Five states, tens of thousands of kids. OFFOR expands across Ohio, Tennessee, Illinois, Pennsylvania, and Kentucky, collapsing the wait for care from 12–18 months to about one.
- April 2025 — LOUD Collective is born. LOUD Capital acquires Infinite CXO to launch LOUD Collective; Aaron Boggs becomes CEO.
- April 2026 — The exit. Dallas healthcare private-equity firm Havencrest Capital Management completes a majority recapitalization of OFFOR Health.
It's time to serve the underserved.
The ecosystem produced the outcome every investor wants — and one they rarely plan for: it changed how LOUD builds every company that came after.
The Patients
~50K kids
Children treated across the platform — with the wait for pediatric dental care cut from a year-plus down to roughly a month by bringing specialists into local communities.
The Business
8× revenue
From roughly $3M at Series A to about $25M at exit, across five states — capped by a 2026 majority recapitalization from a healthcare PE firm managing $600M+.
The Ecosystem
LOUD Collective
The fractional-leadership lesson from OFFOR — via Infinite CXO — became a whole firm, so the next founder doesn't have to learn it the hard way.
Two things OFFOR proves about how LOUD builds.
Growth beyond capital
Money alone doesn't clear a regulatory maze, build a tech platform, or steer a company off a cliff. An ecosystem does — capital, fractional leadership, and outside perspective, arriving together.
The "who" solves the "what"
Navin's hardest lessons weren't about the product — they were about people: the right CEO, the right CFO, the right investors. Solve the "who," and the "what" tends to follow.
The "who" problem usually solves the "what" problem.
06 — The Invitation
You were never meant to build alone.
OFFOR succeeded not because its founder had every answer, but because he plugged into a system built to supply what he was missing, exactly when he needed it. That system is now something you can join — LOUD Collective, the growth partner OFFOR discovered, assembled for founders from inception to exit.
Capital, fractional C-suite leadership through Infinite CXO, LOUD Lift executive coaching, and an ecosystem of builders who've walked the cliffs before you — built for the next founder, too.