TRI / Tenant Scores / Heartland Dental
83
Health 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

Heartland Dental

Heartland Dental is the nation's largest dental support organization with over 1,900 supported practices across 39 states and more than 3,100 supported doctors. The company is majority-owned by private equity firm KKR and operates as a dental service organization providing administrative support to independent dental practices.

The company expanded aggressively in 2025, adding 165+ practices and completing 11.5 million patient visits. Heartland faces a notable class-action lawsuit alleging illegal AI-powered call recording, with an amended complaint filed in February 2026. The company maintains strong hiring activity with 376+ job openings but shows declining employee sentiment on Glassdoor.
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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
95
Employment & Operations
Job postings, store status, website activity
80
Customer Sentiment
Reviews, ratings, response rate
N/A
Legal & Compliance
UCC liens, court records, BBB, regulatory
70
Local Market
Demographics, competition, local conditions
N/A
Industry & Sector
Sector health, competitive risk, labor costs
85
How Heartland Dental compares to Dental Practice tenants nationally
This tenant
83
Category average
78
About This Rating

What this score means.

Medical and dental tenants are typically stable due to essential service nature and consistent cash flow from insurance reimbursements. Employment trends, expansion patterns, and legal compliance are most predictive of lease performance for this tenant category.

This score of 83 is 5 points above the medical_dental category average of 78, reflecting strong business expansion offset by legal challenges.

Signal Detail

What we found.

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

Business Health 3 signals detected
↑ Expanded to over 1,900 supported practices by end of 2025, up from 1,800 mid-year per PR Newswire January 2026
→ Completed 11.5 million patient visits in 2025 per PR Newswire January 2026
→ 3 acquisitions completed in 2026 YTD including Dentalogy; 30 acquisitions since start of 2025 per Levin Associates March 2026
Employment & Operations 3 signals detected
↑ Over 20,000 team members and 3,000+ supported doctors as of mid-2025 per Heartland Dental Blog June 2025
→ 376+ job openings per Zippia 2025
→ Maintained retention rates of 80% or higher in 2025 per Dentistry Today January 2026
Customer Sentiment N/A
Not applicable for this tenant type
Legal & Compliance 3 signals detected
→ Lisota v. Heartland Dental Case No. 1:25-cv-07518 N.D. Ill. filed July 3, 2025 per Justia 2025
⚠ Amended complaint filed February 3, 2026 after initial dismissal per CourtListener February 2026
→ Jones v. Heartland Dental Case No. 3:24-cv-01332 M.D. Fla. filed December 20, 2024 per PacerMonitor December 2024
Local Market N/A
Not applicable for this tenant type
Industry & Sector 3 signals detected
→ US dental market projected to exceed $259.93 billion by 2033 per SoftSmile 2026
→ Workforce shortage affected over 35% of dental practices in 2024-2025 per SoftSmile 2026
→ DSO M&A market showing rebound with seller's market for first time in two years per TUSK Practice Sales January 2026
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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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