I don't think practice owners would accept shares unless if it's for the 'premium' part. As far as I know SIL paid above market rate for atleast some practices. Everything was rushed and hardly any due diligence applied. That explains the current state of affairs against what is outlined in the prospectus.
Having said that anyone half decent can turn things around. Will take some time and I don't mind accumulating in the meantime at this price.
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