The Healthcare Landscape Has Changed
Independent practice ownership is at historic lows
Why Practice Owners Are Exploring Their Options
The pressures facing independent practices have never been greater
Reimbursement Pressure
Payer rates have not kept pace with rising costs. Many physicians cite the need for better negotiating leverage as a primary driver.
Administrative Burden
Regulatory compliance, prior authorizations, and staffing challenges consume time that should be spent on patient care.
Technology Investment
EMR systems, telehealth platforms, and patient engagement tools require significant capital that strains practice resources.
Staffing Shortages
Finding and retaining qualified clinical and administrative staff has become increasingly difficult and expensive.
Retirement & Transition Planning
Many practice owners are approaching retirement without a clear succession plan or internal buyer.
Work-Life Balance
The demands of running an independent practice often conflict with personal and family priorities.
Understanding Your Options
Different buyers offer different benefits. We help you find the right fit.
Health Systems & Hospitals
Offer long-term stability and integration with larger networks. Often "buy to keep" with employment arrangements.
Physicians seeking stability, benefits, and reduced administrative burden
May involve changes to compensation models and clinical autonomy
Private Equity Platforms
Provide capital infusion and operational support. Often offer rollover equity for "second bite" opportunity.
Practice owners seeking liquidity while remaining involved in growth
Typical 3-7 year holding period; important to understand exit dynamics
Strategic Specialty Groups
Physician-led organizations building regional or specialty-focused networks.
Providers who value peer governance and clinical culture
May offer less upfront capital but better long-term alignment
DSOs & Management Companies
Dental and specialty-focused organizations providing back-office support while preserving clinical independence.
Practitioners who want to focus on patient care, not business operations
Structure and control vary widely by organization
Active Buyer Interest by Specialty
M&A activity varies by specialty. We track where buyers are most active
Dental Practices
Very HighDermatology
Very HighOphthalmology
HighGastroenterology
HighBehavioral Health
Very HighUrgent Care
HighPhysical Therapy
HighPrimary Care
ModerateVeterinary
Very HighHome Health
HighWhy Practice Owners Trust First Turn Capital
We Understand Healthcare
Healthcare transactions involve unique complexities: Stark Law, Anti-Kickback regulations, HIPAA, state licensing, and payer contracts. We navigate these with experienced counsel.
Your Interests Come First
Unlike brokers who push the highest bidder, we help you find the right partner, one that aligns with your clinical values, staff welfare, and personal goals.
Confidentiality is Non-Negotiable
Your patients, staff, and referral partners never need to know you're exploring options. We maintain strict confidentiality throughout the process.
We Know the Buyers
Our relationships with health systems, PE platforms, DSOs, and physician-led groups mean you see all your options, not just whoever responds to a listing.
Beyond the Transaction
We help you think through employment terms, clinical autonomy, non-competes, and what life looks like after closing. This is about your future, not just a check.
Common Questions We Hear
What happens to my patients?
We prioritize buyers who commit to maintaining quality care and access. Continuity of care is a key negotiating point in every deal we structure.
Will my staff keep their jobs?
Staff retention is typically in the buyer's interest. They're acquiring your operations, not just your patient panels. We negotiate terms that protect your team.
How long do I need to stay?
Transition periods vary from 6 months to 3+ years. We work with you to find arrangements that match your timeline and retirement goals.
Will I lose control of clinical decisions?
Clinical autonomy varies by buyer type. We help you understand the trade-offs and find partners who respect your practice philosophy.
What about my existing contracts and leases?
Real estate, equipment leases, and payer contracts all factor into deal structure. We work with legal and financial advisors to address each element.
How confidential is this process really?
Extremely. We use NDAs, anonymous marketing materials, and controlled information sharing. Your identity is revealed only to serious, qualified buyers.
How We Work Together
Confidential Conversation
We start with a no-pressure discussion about your goals, timeline, and what matters most to you.
Practice Assessment
We analyze your practice's strengths and market position to identify the best-fit buyers.
Curated Buyer Outreach
We approach select buyers who align with your criteria, confidentially and professionally.
Negotiation & Structuring
We negotiate terms that protect your interests, from purchase price to clinical autonomy to staff retention.
Transition Support
We stay engaged through closing and transition, ensuring a smooth handoff for you, your staff, and your patients.
Service Areas: Oklahoma City, Tulsa, Dallas-Fort Worth, Houston, Austin, San Antonio, and throughout Texas, Oklahoma, New Mexico, Kansas, Arkansas, Missouri, Colorado, Louisiana, and Arizona.
Practice Types: Dental practices, physician groups, urgent care, physical therapy, home health, behavioral health, veterinary, dermatology, ophthalmology, gastroenterology, and specialty care.