165: Private Practice Isn't Dead
from The Dental Boardroom
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.
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