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

In this episode of the Healthcare100 Podcast, AJ Leonetti, CEO of Rising Tide Dental Partners, shares how they scaled to 27 practices in 18 months while staying true to their core purpose. Discover the keys to their success: empowering dentist-owners, prioritizing patient care, and making values-based decisions at every turn.

Key Takeaways:

  1. Successful DSO partnerships are built on shared vision, not just financial alignment (05:22)

  2. Empowering dentist-owners with real decision-making authority drives meaningful change (09:47)

  3. Diagnosing practice needs is the critical first step to improvement (13:05)

  4. Transparent performance data unlocks healthy competition and growth (16:33)

  5. Maintaining low leverage creates unmatched strategic flexibility (20:14)

AJ Leonetti brings a unique 360-degree perspective to the DSO space, having worked in every role from dental assistant to multi-practice owner. This experience has shaped Rising Tide's contrarian approach to growth - one that puts dentists in the driver's seat and prioritizes long-term success over short-term profits.

While many DSOs sacrifice autonomy and patient care in the race to scale, Rising Tide is proving that rapid growth and values-driven practice can coexist. Their secret? Selecting partners based on shared vision, empowering dentist-owners with real decision-making authority, and investing in mentorship at every level.

Whether you're a dentist-entrepreneur looking to scale your practice or a healthcare leader navigating the challenges of rapid growth, this episode is packed with wisdom you can put into action today.

Tune in now to discover how Rising Tide Dental Partners is redefining success in the DSO space and how you can apply their purpose-driven approach to your own growth journey.

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