Healthcare 100

How to Build a 27-Practice Organization in 18 Month Without Losing Purpose


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Scaling a dental practice is hard. Scaling to 27 practices in 18 months without losing your purpose is nearly impossible. But that's exactly what AJ Leonetti and Rising Tide Dental Partners have achieved through a relentless focus on patient care, dentist autonomy, and values-driven growth.


Our Guest: AJ Leonetti, CEO of Rising Tide Dental Partners. As a dentist who's worked in every role from assistant to multi-practice owner, AJ brings a 360-degree view to the DSO space.


The Problem: DSO growth often sacrifices patient care and dentist autonomy for scale.


The Solution: Rising Tide is charting a different course. By putting dentists in the driver's seat, investing in mentorship at every level, and making decisions based on purpose over profits, they're proving that rapid growth and values-driven practice can coexist.


Key Insights:

  1. Successful partnerships are built on shared vision, not just financial alignment
  2. Dentist-owners need real decision-making power to drive meaningful change
  3. Diagnosing practice needs is the critical first step to improvement
  4. Transparent performance data unlocks healthy competition and growth
  5. Maintaining low leverage creates unmatched strategic flexibility


In this episode, AJ shares the hard-won lessons learned from scaling Rising Tide to 27 practices in just 18 months. He's pulling back the curtain on their unconventional approach to partnership, culture-building, and dentist empowerment and revealing why putting purpose first is the key to enduring success in the DSO space.


⚡ Amol Nirgudkar (Patient Prism CEO, 8 years healthcare AI expertise) and A.J. Peak (multi-site healthcare operations expert and founder of Health Wealth Capital) dig into the tactical frameworks that separate scaling winners from everyone else on Healthcare100. We break down the growth engines behind America's fastest-scaling healthcare organizations with the operators who built them.


Thanks for listening! Subscribe for more insights from the executives scaling healthcare's most successful organizations.


Full conversation on Healthcare100.

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Healthcare 100By Healthcare 100