Thanks Greg. My group is the last one I mentioned. We like to purchase a multi-location practice in a region first and use that as the brand in the area. We will then purchase additional practices in the area to build scale. If we purchase a practice with one or only a couple of locations, we will eventually rename those to match the larger brand in the area. Sometimes, we may keep the brand name of a smaller practice but add "Powered by [insert brand name here]".
We may also purchase multiple single locations to enter a region or state. In that case, we will create a new brand name and use that as we acquire additional locations in the area. Our ultimate goal is to keep the practice DNA intact and not change too much that is patient facing other than to increase efficiency and improve patient care. We believe that patients have chosen our practices for a reason and to change that to conform to national brand guidelines would be a mistake. Also, we are not solely a retail play and encourage our doctors to practice to the highest scope allowed in each state we operate within. If that means adding instruments such as OCTs, TVFs, retinal cameras, etc, we will.