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debt service coverage

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Trend line showing the share of physicians in wholly physician-owned private practices falling from 60.1% in 2012 to 46.7% in 2022 and 42.2% in 2024, per the AMA Physician Practice Benchmark Survey, an 18-point decline.

Leasing or Buying the Equipment Is a Liquidity Decision. In 2026 the Wrong Default Costs More Than the Rate.

Physician-owned practice share fell 18 points from 2012 to 2024. Here is why equipment financing structure, not rate, is the liquidity decision that keeps a medical practice independent.
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Two-point range comparing two offers for the same business, showing an accepted bid with committed financing that closed and a competing bid roughly 8 percent higher with a financing contingency that did not close.

Same Business, Two Offers: Why the Lower Bid Won

A higher bid lost to a lower one backed by committed financing. In 2026's busy M&A market, structure and certainty of close decide which acquisition offer a seller actually takes.
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