Tracking the DSO Footprint
DSOs operate at scale, meaning their acquisitions follow predictable bureaucratic patterns. Brokers can track these patterns to map out DSO expansion strategies.
Identifiable DSO Patterns
- Multiple distinct practices updating their registered agent to the same corporate entity (e.g., CT Corporation System).
- Filing of new management services agreements (MSAs) in county records.
- Sudden shifts in hiring patterns or job postings for clinical directors.
Frequently asked questions
How do you know if a DSO bought a practice?
Look for changes in the registered agent, updates to the corporate mailing address in state filings, or new management entities being formed at the practice location.
Why do brokers track DSO acquisitions?
Tracking DSO activity helps brokers understand buyer demand, establish accurate EBITDA multiples, and identify which corporate groups are actively expanding in specific zip codes.