81
Risk Score
Strong
Updated March 20, 2026
High confidence · Multiple public sources
Based on public data sources. Private data available in detailed reports.
Based on public data sources. Private data layer available in detailed reports.
Dental Practice
Scored as: Medical & Dental

Pacific Dental

Pacific Dental Services (now PDS Health) is a dental support organization operating over 1,100 practices across 24 states. The company exceeded $3.1 billion in revenue in 2025 and plans aggressive expansion with 100+ new locations in 2026.

PDS Health exceeded $3.1 billion in revenue for 2025, up 12.8% year-over-year, with S&P affirming its 'B' credit rating. The company opened 77 new practices in 2025 and plans 100+ de novo offices in 2026. Recent litigation includes Shackley et al case filed December 18, 2024 in California federal court.
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Category Scores

What the signals show.

Each category is scored 0 to 100 based on public data signals. Weights adjust by tenant type. Scores update monthly.

Business Health
Entity status, filings, financial signals, press
85
Employment & Operations
Job postings, store status, website activity
85
Customer Sentiment
Reviews, ratings, response rate
N/A
Legal & Compliance
UCC liens, court records, BBB, regulatory
75
Local Market
Demographics, competition, local conditions
N/A
Industry & Sector
Sector health, competitive risk, labor costs
75
How Pacific Dental compares to Dental Practice tenants nationally
This tenant
81
Category average
79
About This Rating

What this score means.

Medical and dental tenants provide stable, recession-resistant income for landlords due to essential service nature and insurance reimbursements. Business health, expansion activity, and employment trends are most predictive of lease payment reliability.

This score of 81 is slightly above the medical_dental category average of 79, reflecting strong revenue growth and expansion plans offset by recent litigation.

Signal Detail

What we found.

Signal detail is available to free account holders. Enter your email below to view all detected signals for Pacific Dental.

Business Health 3 signals detected
Exceeded $3.1 billion in annual revenue for 2025 per PR Newswire January 26, 2026
Opened 77 new practices in 2025 pushing network to 1,100+ locations per Becker's Dental February 5, 2026
S&P Global affirmed 'B' credit rating with 5.3x adjusted leverage per March 2025 report
Employment & Operations 3 signals detected
Welcomed 83 new practice owners in 2025 per PDS Health Press Release January 26, 2026
Employee turnover declined by 480 basis points in 2024 per S&P Global March 2025
LeadIQ estimates 6,000 corporate employees as of February 2026
Customer Sentiment N/A
Not applicable for this tenant type
Legal & Compliance 3 signals detected
Shackley et al v. Pacific Dental Services case 8:24-cv-02726 filed December 18, 2024 per PACER Monitor
S&P Global maintains 'B' rating with stable outlook per March 2025 report
No bankruptcy filings found as of March 2026
Local Market N/A
Not applicable for this tenant type
Industry & Sector 3 signals detected
U.S. dental industry $179.4 billion market size growing 2.7% CAGR per IBISWorld 2025
DSO M&A activity rebounding in 2025-2026 after slowdown per Skytale Group January 2026
ADA reports dentist economic confidence dipped by end of 2025 due to tariff uncertainty per 2026 report
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Recommendation

What to do next.

Initiate contact within 30 days. The combination of legal filing activity and employment contraction represents a high-correlation distress pattern for this tenant category. We recommend a direct conversation before the renewal window opens. Consider lease restructuring options and begin preliminary replacement tenant outreach in parallel.

A detailed report includes the full recommendation, source citations, and a step-by-step action plan.

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