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DSO: Economies of Scale Is a Myth (E.42)
George Hariri, Chief Financial Officer and Co-Founder of Shared Practices, exposes why most multi-location dental groups are quietly bleeding value: the "economies of scale" pitch is a fallacy once you factor in higher debt costs and bloated central teams, centralizing functions just moves expenses around instead of cutting them, and the GP acquisition model has an identity crisis — everyone's buying the same eight-op, $2M+ practice with no real plan to add value once they own it.
Key Revelations:
Why Bigger Isn't Always Better
💡 The "Ask Ken" Question:
"How do you know if your associate dentists are actually profitable?"
Ken's answer: Most dental groups never measure production in terms of hours worked — that's the first blind spot to fix. Track doctor hours alongside procedures, and you'll get real traction on true profitability, even before you tackle the harder allocation questions like supplies, lab costs, and overhead.
Top 3 Episodes of The Dental Truth Project. Listen Now!
(E. 2) Why High-Multiple Exits Are Bankrupting Dental Practices - AJ Peak, Health Wealth Capital
(E.5) The DSO Valuation Crash No One Talks About - Gareth Petsch, pH Partners
(E.38) Roll the Equity or Take the Cash and Walk Away? - Mark Haddad, Specialty1 Partners | ScoutIQ
NEW BOOK - COMING SOON
Get early access to Roll the Equity: How Smart Dental Founders Sell Their DSOs
Join the insider's list here 👇
https://resources.accrudent.com/roll-the-equity-insider-list
Got a burning question about dental finance?
Submit your question, and it could be featured in a future episode.
Ask Ken Form: https://resources.accrudent.com/ask-ken-form-the-dental-truth-project
View all episodes
By The Dental Truth ProjectGeorge Hariri, Chief Financial Officer and Co-Founder of Shared Practices, exposes why most multi-location dental groups are quietly bleeding value: the "economies of scale" pitch is a fallacy once you factor in higher debt costs and bloated central teams, centralizing functions just moves expenses around instead of cutting them, and the GP acquisition model has an identity crisis — everyone's buying the same eight-op, $2M+ practice with no real plan to add value once they own it.
Key Revelations:
Why Bigger Isn't Always Better
💡 The "Ask Ken" Question:
"How do you know if your associate dentists are actually profitable?"
Ken's answer: Most dental groups never measure production in terms of hours worked — that's the first blind spot to fix. Track doctor hours alongside procedures, and you'll get real traction on true profitability, even before you tackle the harder allocation questions like supplies, lab costs, and overhead.
Top 3 Episodes of The Dental Truth Project. Listen Now!
(E. 2) Why High-Multiple Exits Are Bankrupting Dental Practices - AJ Peak, Health Wealth Capital
(E.5) The DSO Valuation Crash No One Talks About - Gareth Petsch, pH Partners
(E.38) Roll the Equity or Take the Cash and Walk Away? - Mark Haddad, Specialty1 Partners | ScoutIQ
NEW BOOK - COMING SOON
Get early access to Roll the Equity: How Smart Dental Founders Sell Their DSOs
Join the insider's list here 👇
https://resources.accrudent.com/roll-the-equity-insider-list
Got a burning question about dental finance?
Submit your question, and it could be featured in a future episode.
Ask Ken Form: https://resources.accrudent.com/ask-ken-form-the-dental-truth-project