CEO at Samera | I help you build your dream global finance team | 20+ years of experience in simplifying accountancy and taxation for Dental, DSO and Medical Businesses.

For over 25 years, I have helped Investors and Dental leadership teams grow EBITDA in their DSO’s and Dental Groups. If you are seeking to build and develop your DSO the first thing to do is read our DSO Playbook: Exit 2030!

https://sameraglobal.com/dso-playbook-exit-2030/

How?

Through

•	Building capable offshore teams, 
•	Custom AI automation, 
•	Financial and Data insights
•	M&A Advisory

With such experience, I am uniquely positioned to advise any global DSO.

Outside of work, I am an adventurer at heart. 

Currently planning to drive across the world in my VW Campervan!

Arun Mehra FCA

23 years working with Dentists – with my first dental client being my wife, Smita (still married😂)

A lot has happened in that time including a lot of grey hair!

I am privileged to have a global team that helps me support and scale my businesses.

But rather than work with a third-party vendor, I decided several years ago to set up our own overseas operation. This team are instrumental in:

Bookkeeping
Accounting
Management reporting
Accounts Payable
Associate Pay
Payroll
Social Media
Video and Graphics Editing
Website Updates
SEO
AI and Software Development

The list is growing....not bad for a team over 4000 miles in India working 5.5 hours ahead of us!

𝗔𝗻𝗱 𝗻𝗼𝘄 𝘄𝗲 𝗻𝗼𝘄 𝗵𝗲𝗹𝗽 𝗼𝘁𝗵𝗲𝗿𝘀 𝗱𝗼 𝘁𝗵𝗲 𝘀𝗮𝗺𝗲.

So, if you are a DSO looking to set up your own overseas operation to support your growth, get in touch.

We have the expertise, network and enthusiasm to help!

Further info here:

https://lnkd.in/epNefFKw

And we do also help other businesses, including Accounting firms, PE Backed Businesses and 
Start-Up’s. All the info on the Samera Global site:

https://sameraglobal.com/

The world has shrunk, you just need the right team, with the right know-how, in the right place to grow!

Arun


⭐ P.S. Check out The DSO Playbook: Exit 2030 for more ideas on building a successful DSO. 📓

⭐ https://lnkd.in/ee_3CtgW 📓

Helping DSOs + Dental Groups Grow EBITDA | DSO Financial Expert | Adventurer • Strategist • Builder

𝗪𝗵𝘆 𝗴𝗶𝘃𝗶𝗻𝗴 𝗺𝘆 𝗴𝗹𝗼𝗯𝗮𝗹 𝘁𝗲𝗮𝗺 𝗮 𝗛𝗢𝗠𝗘 𝘁𝗿𝗮𝗻𝘀𝗳𝗼𝗿𝗺𝗲𝗱 𝗘𝗩𝗘𝗥𝗬𝗧𝗛𝗜𝗡𝗚.
 
For many years, I used a workforce overseas through third-party vendors. 

But prior to COVID, I decided to bring all the work back to the UK.

Why?

I had minimal control over the output, with offshore costs rising from the vendors, and I felt I could do it better back in the UK.

How wrong was I?

COVID hit, and I couldn’t find the right people to do the work in the UK, so I decided I was going to go global again.

But this time through setting up my fully owned overseas entity, where I could control costs, but MOST IMPORTANTLY, CULTURE.

Here is why the "entity model" wins on culture:
• 𝗕𝗲𝗹𝗼𝗻𝗴𝗶𝗻𝗴, 𝗻𝗼𝘁 𝗷𝘂𝘀𝘁 𝘁𝗮𝘀𝗸𝘀: Contractors often feel like outsiders. Employees feel like they are part of the mission.
• 𝗢𝗻𝗲 𝗧𝗲𝗮𝗺, 𝗢𝗻𝗲 𝗦𝘁𝗮𝗻𝗱𝗮𝗿𝗱: No more "A-team" at HQ and "B-team" overseas. Everyone gets the same care and path to grow.
• 𝗦𝗮𝗳𝗲𝘁𝘆 𝗯𝗿𝗲𝗲𝗱𝘀 𝗹𝗼𝘆𝗮𝗹𝘁𝘆: When people have a real, local contract, they feel secure. When people feel secure, they do their best work. Period.
 
𝗧𝗵𝗲 𝗕𝗼𝘁𝘁𝗼𝗺 𝗟𝗶𝗻𝗲:

You can’t build a world-class culture if your team is just a list of contractor invoices.

Don't just give them a job.
 
𝗚𝗶𝘃𝗲 𝘁𝗵𝗲𝗺 𝗮 𝗵𝗼𝗺𝗲.
 
Get in touch if you need help.

My team can help you build your own entity and team overseas.

Arun

EBITDAAAAAAAH!!! 📈

When I worked as an equity analyst in Investment Banking back in the early 2000’s EBITDA was a new term for me to understand having come from an audit background.

EBITDA was the go-to metric, and everyone just seemed to be using this term to help value businesses.

When I quit banking, and then started Samera I started to use this metric to value dental practices. Most people in the sector looked at me blankly, wondering what EBITDA was and telling me dental practices are valued on a % of turnover.

How times have changed in a space of 20 years.

Every dentist and advisor is an expert on EBITDA, yet EBITDA can hide a myriad of sins.

I have seen "adjusted" EBITDA calculated in so many ways, showing how inconsistent it can be, and how it can be easily manipulated.

A long list of add-backs screams poor classification and weak controls. The aim should be for fewer, higher-quality adjustments with supporting evidence. A good accountancy firm knowledgeable about dentistry should have this covered for you.

𝗧𝗵𝗲 𝗴𝗼𝗮𝗹 𝗶𝘀 “𝗿𝗲𝗽𝗲𝗮𝘁𝗮𝗯𝗹𝗲 𝗘𝗕𝗜𝗧𝗗𝗔”, 𝗻𝗼𝘁 “𝗵𝗶𝗴𝗵𝗲𝘀𝘁 𝗘𝗕𝗜𝗧𝗗𝗔”.

Investors are seeking confidence in EBITDA, if you cannot provide this, the valuation multiple applied will always be lower!

Focus on building a clear story about your EBITDA that can be easily explained to ANY investor. 

The simpler the better, the higher the value your DSO will achieve.

We discuss this in our DSO Playbook: Exit 2030 in depth – take a read here:

https://lnkd.in/ee_3CtgW

Arun

When I started out in the Dental sector in 2002, the word DSO (Dental Service Organisation) didn’t even exist.

There were only a handful of dental groups that existed in the UK, and there was much talk that one day one of these groups would list on the London Stock Exchange.

To date, that hasn’t happened.

So much promise, yet nothing.

Yet in the last 20 years, we have seen the rise of DSOs in most markets globally.

The promise of a better business model, improved care for patients and a better career opportunity for clinicians, and of course, a great ROI for investors.

Speaking to many players in the market and having advised DSOs of all sizes over the years, building a successful DSO has never been an easy ask.

And it’s only getting harder. 

Yet the DSO market is expected to grow at a CAGR of 18% until 2034.

In the past, some investors may have been lucky with markets rising, and multiples rising as consolidation occurred. 

But the days of just buying low and selling high as a bundled group are well and truly over.

There are so many things to consider when building a DSO in today’s market.....a very long list.

Smita Mehra and I have shared our insights in the DSO Playbook: Exit 2030.

https://lnkd.in/ee_3CtgW

It’s totally free, and no email address is required.

Whether you are at the beginning of your journey of building a DSO, or have dozen’s of sites, we cover many aspects in the playbook.

Read, learn, share, question and challenge.
 
https://lnkd.in/ee_3CtgW

Have a great weekend ahead

Arun

How to mess up your DSO or Dental Group exit valuation and lose £'000's in 5 steps.

My (an Accountant’s) Perspective:

1. Have your practices using differing legal structures. Some are sole traders, some are partnerships, and some are limited companies.
2. Have a different chart of accounts for each practice on different accounting software systems.
3. Have inexperienced bookkeepers do the books.
4. Have no regular management accounts process in place, with no close date, not tracking key metrics, including EBITDA and with no consolidated figures.
5. Have no monthly team meeting to discuss financial performance.
 
It’s really not rocket science.

Yet so many DSO’s and dental groups fail at the basics - as they see accounting and finance as an after thought.

𝗕𝗜𝗚 𝗖𝗢𝗦𝗧𝗟𝗬 𝗠𝗜𝗦𝗧𝗔𝗞𝗘.💣

The impact is seen at exit, when the buyer wants clarity and an easy purchase and to understand the full financial story.

The outcome: A lower valuation on exit.

Fix the basics, run a tighter ship, have less stress, and get a better exit multiple.

Simple.

But most DSO's still won't do this.

DM me if you want the fix.

Arun

⭐ P.S. Check out The DSO Playbook: Exit 2030 for more ideas on building a successful DSO. 📓

⭐ https://lnkd.in/ee_3CtgW 📓

𝗕𝘂𝘆𝗶𝗻𝗴 𝗮 𝗱𝗲𝗻𝘁𝗮𝗹 𝗽𝗿𝗮𝗰𝘁𝗶𝗰𝗲 𝗶𝘀 𝗲𝘅𝗮𝗰𝘁𝗹𝘆 𝗹𝗶𝗸𝗲 𝗼𝗻𝗹𝗶𝗻𝗲 𝗱𝗮𝘁𝗶𝗻𝗴.
 
The PDF says “𝘴𝘵𝘢𝘵𝘦-𝘰𝘧-𝘵𝘩𝘦-𝘢𝘳𝘵.”  The reality?  A surgery held together by hope, duct tape, and good intentions.
 
The “𝘭𝘰𝘺𝘢𝘭 𝘱𝘢𝘵𝘪𝘦𝘯𝘵 𝘣𝘢𝘴𝘦” turns out to be the seller’s extended family.  The “𝘮𝘰𝘥𝘦𝘳𝘯 𝘦𝘲𝘶𝘪𝘱𝘮𝘦𝘯𝘵” is a re-upholstered chair from 1994.
 
This is where most buyers get 𝗰𝗮𝘁𝗳𝗶𝘀𝗵𝗲𝗱.
 
At 𝗦𝗮𝗺𝗲𝗿𝗮, we act as your professional B.S. detector.
 
We don’t care what the glossy sales pack says.  We look at the 𝘳𝘦𝘢𝘭 data.  We stress-test the valuation.  And we negotiate the price back to reality.
 
𝗗𝗼𝗻’𝘁 𝗯𝘂𝘆 𝗮 𝗽𝗿𝗮𝗰𝘁𝗶𝗰𝗲 𝗯𝗮𝘀𝗲𝗱 𝗼𝗻 𝗳𝗶𝗹𝘁𝗲𝗿𝘀.
 
And never rely on the 𝘴𝘦𝘭𝘭𝘪𝘯𝘨 𝘢𝘨𝘦𝘯𝘵 to work on your behalf —  no matter how “helpful” they seem.
 
It’s not advice.  It’s a 𝗰𝗼𝗻𝗳𝗹𝗶𝗰𝘁 𝗼𝗳 𝗶𝗻𝘁𝗲𝗿𝗲𝘀𝘁.
 
Find an independent buyer’s team — one that knows where to look, what to question, and what 𝘪𝘴𝘯’𝘵 being said.
 
If you want help seeing past the filters:  👇  https://lnkd.in/eaMPzZRT

Arun

It’s 6:00 PM on a cold, rainy January Monday. 
Your coffee’s gone cold. 
Your UDA tracker is quietly judging you. 
And it hits you — you’re still paying off someone else’s mortgage.

Same desk. Same targets. Same January as last year.

Most associates have this moment.

You want clinical freedom. 
You want a team culture you actually enjoy. 
You want a practice that doesn’t feel like it’s stuck in a 1987 waiting room.
Then the 𝘸𝘩𝘢𝘵 𝘪𝘧𝘴 creep in. 

What if I overpay? 
What if the bank says no? 
What if I get this wrong?

That’s exactly why we created the 𝗦𝗮𝗺𝗲𝗿𝗮 𝗦𝗲𝘁𝘁𝗶𝗻𝗴 𝗨𝗽 𝗶𝗻 𝗣𝗿𝗮𝗰𝘁𝗶𝗰𝗲 𝗕𝗼𝗼𝘁𝗰𝗮𝗺𝗽.

Alongside Smita Mehra, Chris O'Shea, and Uros Turcic , I’ll help you take that first 𝘤𝘰𝘯𝘧𝘪𝘥𝘦𝘯𝘵 step into ownership — without guesswork, panic, or expensive mistakes.

We take you from 𝗙𝗿𝘂𝘀𝘁𝗿𝗮𝘁𝗲𝗱 𝗔𝘀𝘀𝗼𝗰𝗶𝗮𝘁𝗲 → 𝗖𝗼𝗻𝗳𝗶𝗱𝗲𝗻𝘁 𝗙𝘂𝘁𝘂𝗿𝗲 𝗢𝘄𝗻𝗲𝗿.

Stop building someone else’s dream. Start building yours.

🔗 https://lnkd.in/eu9irnRr
📍 Central London 📅 6th March 2026 🎟 Limited seats available

Arun

"Day 1 as a Principal: You have the keys, super excited - you're officially the Boss... and then the compressor dies and the receptionist calls in sick and you have no idea what the login is to Exact"

This is the moment most new owners realise that "owning a practice" is 10% dentistry and 90% business management.

But our clients don't panic. 

Why? Because Samera is still in their corner.

We don't just help you buy the practice and ghost you. 

We handle the tax, the accounting, and the growth strategy so you can actually focus on the patient in the chair.

Get yourself an accountant who eat, sleeps and breathes Dentistry. 

Someone who actually also owns successful private dental practices! (Us!)

Further information: https://lnkd.in/eMBNmTA6

You do the dentistry. 

We’ll handle the "everything else." 

Happy Friday to all the new Principals out there! 🥂

Smash it in 2026!

Arun

"Can my dental practice or DSO run successfully WITHOUT me for 90 days?"

That’s a key question every founder or management team should be asking.

Why?

Because that’s what every investor is thinking.

The answer usually reveals everything - decision bottlenecks, governance gaps, leadership depth, and operational resilience.

Financial models rarely tell this story.

But behaviour does.

If the organisation slows, fragments, or panics, buyers price that risk long before it shows up in EBITDA.

This is my advice to founders – whether you are one practice or own 10 practices:

1. Build the practice or DSO without you working clinically – investors don’t want you to be the landowner AND the labourer.
2. Build a decentralised capable team that can make the “right” decisions that enhances value.
3. Take yourself out of the day-to-day decision-making operations and lean on your leadership team.
4. Focus on strategy and ensure your team focuses on operations.
5. Rinse and repeat!

Practices and DSO's that structure their business in this manner always command a valuation premium.

Is it easy? Of course not.

Going uphill is NEVER easy, but the rewards are usually worth it!

Want to know more?

Read about this and a lot more in our DSO Playbook: Exit 2030

https://lnkd.in/ee_3CtgW

Arun

Stop leaving your biggest investment to chance. 

Approaching big banks directly for practice finance is a rookie mistake, 
You likely won't get the best terms. 

Here’s how we help you secure a winning deal:
• 𝗟𝗼𝘄𝗲𝗿 𝗥𝗮𝘁𝗲𝘀: We compare the whole market to find terms you can't get on your own.
• 𝗙𝗿𝗲𝗲𝗵𝗼𝗹𝗱 𝘃𝘀. 𝗟𝗲𝗮𝘀𝗲𝗵𝗼𝗹𝗱: We help you choose the right investment structure for your goals.
• 𝗖𝗮𝘀𝗵𝗳𝗹𝗼𝘄 𝗖𝗹𝗮𝗿𝗶𝘁𝘆: We provide the forecasts you need to understand the numbers before you sign.
• 𝗙𝘂𝘁𝘂𝗿𝗲-𝗣𝗿𝗼𝗼𝗳𝗶𝗻𝗴: From overdrafts to upgrade capital, we ensure you’re ready to grow from day one.
• 
Don't just buy a practice—build a legacy. 📽️

#DentalFinance #PracticeOwnership #Dentistry #BusinessGrowth

"The bank told my client they’d given him their 'best rate' because he’d been with them for 15 years. It was a £86,000 lie."

That’s what a client of ours was told when he applied for an acquisition loan for his first dental practice. 

He almost signed it. 

Luckily, he called us first.

We took that "best offer" to the wider market. We didn't just ask nicely; we structured the deal so lenders were 𝘤𝘰𝘮𝘱𝘦𝘵𝘪𝘯𝘨 for him.

𝗧𝗵𝗲 𝗥𝗲𝘀𝘂𝗹𝘁: We knocked 1.1% off his interest rate with his original bank!

𝗧𝗵𝗲 𝗥𝗲𝗮𝗹 𝗥𝗲𝘀𝘂𝗹𝘁: He saved £𝟴𝟲,𝟬𝟬𝟬 over the life of the loan. 💰

That’s a lot of missed lattes and a lot of School fees (VAT Included!)

Remember your bank is loyal to their shareholders;

Samera is loyal to you.

Talk to Uros Turcic (enjoying a Scottish fry up - he's the man behind the fund raising magic) if you are seeking finance for any acquisition.

Further information: https://lnkd.in/e4KgkWZ2

Arun

𝗕𝘂𝘆𝗶𝗻𝗴 𝘆𝗼𝘂𝗿 𝗳𝗶𝗿𝘀𝘁 𝗱𝗲𝗻𝘁𝗮𝗹 𝗽𝗿𝗮𝗰𝘁𝗶𝗰𝗲? 𝗗𝗼𝗻’𝘁 𝗹𝗲𝘁 𝘁𝗵𝗲 𝗯𝗮𝗻𝗸𝘀 𝗱𝗶𝗰𝘁𝗮𝘁𝗲 𝘁𝗵𝗲 𝘁𝗲𝗿𝗺𝘀. 🦷💸

A practice is likely the biggest purchase you’ll ever make. Going directly to a bank often means missing out on the best rates and overpaying on the valuation.

We help you:

• 𝗡𝗲𝗴𝗼𝘁𝗶𝗮𝘁𝗲 the best price.
• 𝗛𝗮𝗻𝗱𝗹𝗲 all financial due diligence.
• 𝗦𝗲𝗰𝘂𝗿𝗲 market-leading terms the banks won’t offer you directly.
  
Watch the video below to see how we help you do it right. 📽️

#DentalPractice #Dentistry #PracticeFinance #BusinessGrowth

"The seller called it ‘Creative Accounting.’ 

Our dental accountants called it a ‘Run for your life’ scenario."

Everything was moving smoothly toward completion until our in-house Samera dental accountants performed the Financial Due Diligence on the client's planned purchase.

Underneath the "healthy EBITDA," we found:

Huge Director Loan Balances
Fake patients
Missing expenses put through other businesses - to improve the profits
Large intercompany balances
Unpaid taxes 

Financial Due Diligence isn't just a box-ticking exercise. 

It’s an autopsy of the business. 🔬

We find the skeletons 𝘣𝘦𝘧𝘰𝘳𝘦 you buy the closet. 

Because "oops" is an expensive word in dental acquisitions. 🦷

Our job is to be question, probe and NEVER trust the vendor.

Its better to spend a few thousand £'s up front rather than make a huge mistake and buy the wrong practice!

Sadly, I have seen this too many times in my 23+ years in the Dental sector.

Caveat Emptor.

Further information

https://lnkd.in/e42UYAPG

Arun

Is now a good time to buy a dental practice??

Watch the full recording here from last nights webinar here:

https://lnkd.in/ekeBc7ex

Buying a dental practice is a high-stakes move 

Don't let the banks hold all the cards. 

While the high street banks are active in the market, going direct rarely gets you the best deal. Here is how we help you win:

• 𝗟𝗼𝘄𝗲𝗿 𝗥𝗮𝘁𝗲𝘀: We compare all lenders to secure terms you won't find on your own.
• 𝗕𝗲𝘁𝘁𝗲𝗿 𝗦𝘁𝗿𝗮𝘁𝗲𝗴𝘆: Freehold or leasehold? We'll help you decide what fits your goals.
• 𝗙𝘂𝘁𝘂𝗿𝗲-𝗣𝗿𝗼𝗼𝗳𝗶𝗻𝗴: From investment for upgrades to setting up an overdraft, we ensure you have the cash flow to grow.
• 𝗙𝗶𝗻𝗮𝗻𝗰𝗶𝗮𝗹 𝗖𝗹𝗮𝗿𝗶𝘁𝘆: We provide the forecasts you need to understand the numbers before you sign.
  
Don't just buy a practice—buy a successful business. 

#DentalFinance #PracticeOwnership #Dentistry #BusinessGrowth

Beyond Outsourcing: The GCC Revolution

The days of viewing offshore offices as "cost-saving back offices" are over. In 2026, 𝗚𝗹𝗼𝗯𝗮𝗹 𝗖𝗮𝗽𝗮𝗯𝗶𝗹𝗶𝘁𝘆 𝗖𝗲𝗻𝘁𝗲𝗿𝘀 (𝗚𝗖𝗖𝘀) have become the strategic engine for the world’s most innovative companies.

As highlighted in the video below, GCCs are no longer just supporting the business—they are 𝗱𝗿𝗶𝘃𝗶𝗻𝗴 it through:
• 𝗜𝗻𝗻𝗼𝘃𝗮𝘁𝗶𝗼𝗻 𝗼𝘃𝗲𝗿 𝗔𝗿𝗯𝗶𝘁𝗿𝗮𝗴𝗲: Shifting from "doing things cheaper" to "doing things better" with global R&D.
• 𝗔𝗜 𝗖𝗼𝗺𝗺𝗮𝗻𝗱 𝗖𝗲𝗻𝘁𝗲𝗿𝘀: Acting as the hub for enterprise-wide AI and data strategy.
• 𝗗𝗶𝗿𝗲𝗰𝘁 𝗧𝗮𝗹𝗲𝗻𝘁 𝗢𝘄𝗻𝗲𝗿𝘀𝗵𝗶𝗽: Building a seamless corporate culture across borders, ensuring high retention and deep domain expertise.
  
If you aren't thinking about a GCC, you're missing out on the ultimate competitive advantage: 𝗚𝗹𝗼𝗯𝗮𝗹 𝗦𝗰𝗮𝗹𝗲 + 𝗟𝗼𝗰𝗮𝗹 𝗔𝗴𝗶𝗹𝗶𝘁𝘆.

Check out the video for a deep dive into how to revolutionize your offshore strategy! 

#GCC #GlobalBusiness #Innovation #FutureOfWork #DigitalTransformation

Our DSO Playbook page is now available as a Google Notebook LM - Audio Summary (🇺🇸 accent for our US cousins not 🇬🇧)

The Playbook has had 100’s of visits in the last few days.

And this is rising daily.

We also now have a pdf version you can download (no email required)

No excuse now, not to get reading and thinking!

All the information on this page below:

⭐ https://lnkd.in/ee_3CtgW 📓

Feedback and opinions welcomed!

Arun

𝗕𝘂𝘆𝗶𝗻𝗴 𝗮 𝗱𝗲𝗻𝘁𝗮𝗹 𝗽𝗿𝗮𝗰𝘁𝗶𝗰𝗲 𝗶𝘀 𝗮𝗯𝗼𝘂𝘁 𝗺𝗼𝗿𝗲 𝘁𝗵𝗮𝗻 𝗷𝘂𝘀𝘁 𝘁𝗵𝗲 𝗽𝘂𝗿𝗰𝗵𝗮𝘀𝗲 𝗽𝗿𝗶𝗰𝗲. 
To get the best deal, you need to look beyond the surface.

 Key factors like the loan's term and interest rate can significantly impact your long-term success.
Before you sign, consider:
• 𝗙𝗿𝗲𝗲𝗵𝗼𝗹𝗱 𝘃𝘀. 𝗟𝗲𝗮𝘀𝗲𝗵𝗼𝗹𝗱: Which is the right investment for your goals?
• 𝗙𝘂𝘁𝘂𝗿𝗲 𝗜𝗻𝘃𝗲𝘀𝘁𝗺𝗲𝗻𝘁: Will you need additional funds to upgrade the practice?
• 𝗪𝗼𝗿𝗸𝗶𝗻𝗴 𝗖𝗮𝗽𝗶𝘁𝗮𝗹: Do you have an overdraft or cashflow forecast in place to manage the transition?

Preparation is key. Financial and cashflow forecasts can help you truly understand the numbers before you take ownership.

Watch the video below to learn how to set yourself up for success! 📽️
#DentalBusiness #PracticeOwnership #FinancialPlanning #Dentistry #BusinessStrategy

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The Battle

Arun Mehra FCA

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The Battle

Arun Mehra FCA

Shaifali Sharma

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Performance Score.css-goub6s{font-size:var(--chakra-fontSizes-md);font-weight:500;color:var(--chakra-colors-gray-600);display:block;margin-top:var(--chakra-space-1);}Arun Mehra FCA's LinkedIn Performance

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Performance ScoreArun Mehra FCA's LinkedIn Performance