Plan the growth portfolio
Balance same-store growth, de novo practices, and acquisitions within a clear enterprise model, capital plan, and risk view.
Book 03 · Scale
Practice by Design III
Scaling to $100 Million and Beyond
The enterprise operating system for building, leading, and scaling a high-performing dental organization. A disciplined framework for aligning growth, infrastructure, people, and economics as complexity increases.
A large organization needs more than growth. It needs an operating model that can integrate growth and sustain performance.
About the book
Scale with the systems to support it.
Practice by Design III: Scaling to $100 Million and Beyond takes the series into enterprise scale. It examines how to bring growth strategy, operating infrastructure, leadership, and financial discipline together as a dental organization expands across locations and markets.
The $100 million milestone is presented as a planning destination and strategic threshold—not a promised result. The book focuses on the choices, economics, and integration capabilities required to pursue ambitious growth without letting complexity outrun the organization.
A framework for durable scale
Connect growth ambition to operating capacity.
Build an integration engine
Establish the integration office, regional leadership, and repeatable processes that help new locations become part of the organization.
Strengthen the growth engine
Coordinate demand, patient conversion, provider capacity, hygiene, specialty, and location expansion.
Develop enterprise leaders
Shift the CEO role toward architecture, build an executive team and regional bench, and align doctors around the operating model.
Manage economics at scale
Use enterprise scorecards, forecasts, unit economics, margin discipline, cash planning, and capital decisions to guide execution.
Prepare for what comes next
Address governance, technology and automation, acquisition readiness, and the organization’s ability to operate without the owner everywhere.
Who it is for
For leaders responsible for enterprise growth.
Book 3 is written for dental founders, CEOs, executives, and operators who are planning or managing multi-location growth and need systems that can keep pace with increasing scale and complexity.
- Leaders developing a multi-year growth portfolio
- Organizations expanding through acquisitions or de novo locations
- Executives building regional capacity and integration discipline
- Teams aligning expansion with cash, margin, and operating readiness
Scale with discipline
Build an enterprise that can carry its ambition.
Complete the three-book progression: establish the practice, build the enterprise, and scale with intention.
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