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The Evolutions Group

Open your own practice, on your terms.

From choosing a market to opening day, we manage the business and construction side of launching an independent oral surgery practice, and you make every decision. We've helped launch more than 250 practices since 2010, and you keep 100% ownership.

A practice built on a budget you control

Whether you want a state-of-the-art facility built from the ground up or an existing medical or dental space retrofitted for surgery, we build the plan around your vision and your budget. You approve the total project estimate, and we manage the project against it from the first plan to opening day.

What we manage for you

  • Market and location analysisResearch on the markets you're considering: referral offices, itinerant surgeons, how far out competing practices are booked and which insurance they accept.
  • Site selectionSite visits, lease-or-buy options, broker coordination and due diligence on zoning, surveys and permit requirements.
  • Revenue strategyWhich services fit your market, from wisdom teeth and implants to orthognathics, TMJ, facial cosmetics and office-based or ambulatory surgery centers, with a full cash flow analysis.
  • FinancingHelp preparing and negotiating your project financing, drawing on our long-standing relationships with lenders.
  • Entity structureOptions weighed from a loan, tax and compliance standpoint, coordinated with your attorney and CPA.
  • Office designThe right number of surgical and treatment rooms, patient flow, and bid-ready plans for contractors.
  • Contractor selection and constructionGeneral contractor recommendations, bidding, regular vendor meetings and your certificate of occupancy.
  • Hiring setupPolicy and procedure templates, job descriptions, job ads and interviewing support.
  • Launch marketingA referral marketing plan and routing plan, plus local marketing so patients find you from day one.
  • Budget and timeline managementYour project tracked against its budget and timeline, with issues raised early.

You make the decisions

We advise, coordinate and manage the project. Every major decision, from the market and the site to the contractor and the final budget, is yours.

Then we stay your partner

Once you open, we keep working alongside you: revenue cycle, marketing and practice support from day one, so the practice you built keeps growing in value.

Common questions

How much does it cost to start an oral surgery practice?

It depends on your market, whether you build new or retrofit an existing space, and your equipment and staffing plan. We build a plan around a budget you control and manage the project against it.

What's the first step in starting an oral surgery practice?

Start with the market and the money: where you want to practice, what the local referral base looks like and what a realistic project budget is. Everything else follows from those decisions.

How do I choose the right location for my practice?

We research the markets you're considering, including referring offices, itinerant surgeons, how far out competing practices are booked and which insurance they accept, so you can choose with real information.

Can you help with practice financing?

Yes. We help you prepare and negotiate project financing, drawing on our long-standing relationships with lenders. The financing decision is always yours.

Do I give up any ownership?

No. You own 100% of your practice.

Do I have to build a new facility?

No. Many surgeons start by retrofitting an existing medical or dental space. We'll help you compare options and choose what fits your vision and your budget.

How long does it take to open?

It depends on the market, the site and the scope of the build-out. We'll map a realistic timeline for your situation on our first call.

Schedule a call to see how our MSO can help you.

A free, confidential conversation about your practice and your goals. No obligation, no equity conversation.

Schedule a call