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Show Notes

Participants:

• Wes Read, host, Practice CFO and Practice Orbit
• Jared Bergquist, a licensed business and commercial real estate broker in Nevada who runs his own brokerage selling dental practices and handling dental real estate across Nevada, Utah, and Arizona

Duration: 57 minutes

A broker and a CPA walk through what the practice acquisition market looks like right now: where DSO activity stands, what private buyers are competing for, and why the “perfect” practice is the wrong target. They cover building ownership, rent as a percentage of collections, and how staff stability drives both value and a successful transition.

Key topics

• DSO activity and divestitures
• Private practice acquisition
• Buying versus leasing your building
• Staff retention through a transition

Key takeaways

• Waiting for a flawless practice is why many qualified buyers never buy one.
• DSO divestitures over the next five to ten years will create locations, equipment, and patient bases worth pursuing.
• Owning your building controls the one expense you cannot renegotiate later.
• A de novo that fails to launch is very hard to sell, because leasehold improvements and used equipment carry little value.

Actions to consider

• Check rent as a percentage of collections against the seven to ten percent target and know what a long lease escalates to.
• Widen your acquisition criteria to four and five operatory practices and offices with fixable problems.
• If you are buying, negotiate for the seller to stay on twelve to eighteen months to hand off staff and patients.