In 2024, DSO consolidation hit a 10-year peak.

73% of practices that sell
get below-expectation offers.

Not because of revenue problems. Because of owner dependency.

If your practice can't run without you, it can't sell without discount.

Most dental practices are one bad event away from losing value.

Not because of competition.
Not because of marketing.
But because revenue, trust, and decisions still live inside the owner.

That is the enemy:
Owner-dependent revenue.

What others get wrong

Most consultants respond by adding marketing spend—which only accelerates burnout. More patients, same bottleneck.

Or they suggest "hiring an associate"—which solves capacity but not dependency. The practice still collapses with the founder's reputation.

Some install new software. Others run ads. A few suggest "systemizing."

None of it addresses the actual problem:
The practice has no transferable trust.

  • Patients come because of you.
  • Decisions route through you.
  • Revenue depends on you.

Until that changes, nothing changes.

The Constraint Framework

Every practice is constrained by one of four forces at any time:

1

Demand

Not enough people considering the practice

2

Conversion

Interest exists but bookings leak

3

Capacity

Demand exceeds operational throughput

4

Leverage

Growth tied directly to dentist time

Everything else is noise.

Demand-constrained

34%

Conversion-constrained

41%

Capacity-constrained

18%

Leverage-constrained

7%

From 127 practice diagnostics. Most owners guess wrong. That's why diagnosis comes first.

What we do

We install infrastructure that separates
your revenue from your presence.

The result: a practice that runs, grows, and retains value—whether you're there or not.

We call this Structural Independence.

How we fix it

The 5-phase installation.

1

Immediate Risk Audit

Day 1

We identify exactly where the practice collapses without you.

  • Demand fragility scored
  • Conversion leaks mapped
  • Capacity limits documented
  • Leverage dependencies exposed

→ Immediate insight win

The Outcome

30 days
We remove you as the daily bottleneck.
90 days
Patients trust the practice without you.
6 months
Your revenue no longer collapses if you step back.

This is not a process.
It's a sequence of guarantees.

If within 30 days you don't feel a measurable reduction in daily interruptions and decision load, we keep working at no cost until you do.

How we measure this

30-Day

Decision Audit

We track daily interruptions for decisions only you can make. Baseline: 12-15. Target: under 5.

90-Day

Source Attribution

Minimum 40% of new patients cite the practice—not you—as their reason for booking.

6-Month

Revenue Continuity

If more than 20% of recurring revenue remains tied to your personal availability, we're not done.

If any benchmark isn't hit, we continue at no additional cost until it is.

The Invisible Shift

Start here

Constraint Diagnosis Call

A 2-hour call where we identify which of the four constraints is actually limiting your practice—and whether Structural Independence is the right model for your situation.

In this call, we'll cover:

  • Identify the constraint together with you
  • Teardown of your current process and where you're actively involved (you receive the recording after)
  • Growth math breakdown of what exactly would happen:
14 daysInitial bottleneck removal
30 daysDecision load reduction
60-90 daysTrust infrastructure built
6 monthsFull structural independence

Not every practice qualifies. We take on 4 new diagnostic calls per month.

+ Book Diagnosis Call

What Happens After You Book

1

You receive a short intake form (5 minutes)

2

We review your responses before the call

3

On the call, we walk through your constraint diagnosis

4

You leave with a clear picture of your structural risk—whether we work together or not

No pitch until you've seen the diagnosis. The insight is valuable on its own.

+ Book Diagnosis Call