Acquisitions in Dentistry: Turning Around Cash-Bleeding Offices with Nesto Part 1
Shared Practices | Your Dental Roadmap through Practice Ownership
Dr. George Hariri | Shared Practices Network
4.9 • 559 Ratings
🗓️ 9 June 2025
⏱️ 39 minutes
🧾️ Download transcript
Summary
Welcome back to Practice Underwater, a solo episode where host Dr. George Hariri steps up to detail the unconventional acquisitions in dentistry journey of Mastermind member Nesto.
George explores the stark contrast between Nesto's two acquisitions in dentistry: a thriving $1.1M office with seven hygiene days and a slower practice losing $80,000 annually after a massive post-sale collections drop from $690,000 to $338,000.
They analyze a critical decision in dental practice ownership: whether Nesto should cut his losses by shifting debt to his profitable office, or stick to his gritty pseudo-specialist vision through disciplined dental practice management and targeted cost-cutting.
This is a must-listen for anyone undergoing an associate to owner transition or evaluating acquisitions in dentistry who wants to master portfolio financial management for dentists.
In this episode:
- The operational danger of buying a clinic with inflated collections built on high-ticket procedures but only one hygiene day .
- How a sudden dental school partnership dissolution doubled Nesto's expected ownership and clinical workload .
- Analyzing the $80,000 annual cash drain triggered when a less-productive associate doctor entered the schedule .
- Breaking down George's three strategic options for diagnosing and resolving a deeply distressed dental asset .
- A CFO-driven framework to aggressively cut expenses in a slow office and reinvest cash flow from a busy clinic .
Whether navigating an associate to owner transition or vetting acquisitions in dentistry, this is your survival guide. Ready to scale your dental practice ownership?
Visit https://sharedpractices.com/ for our "Free Look" service and follow our social channels for roadmap updates. Join the community and turn your clinical skills into a thriving business.
Transcript
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| 0:00.0 | Welcome back to another episode of Practice Underwater. |
| 0:07.3 | This is George Hariri from the shared practices, and I'm here with nobody. |
| 0:11.8 | So this is probably the oddest practice underwater I've ever recorded. |
| 0:15.5 | So I've got to give you guys kind of an update here. |
| 0:17.9 | So this is Nesto. |
| 0:19.1 | Our guest is Nesto, but Nesto is not here. So Nesto and I got to |
| 0:23.6 | know each other in the mastermind. So Nesto is one of the dentists who's in the Asteroord Mastermind. |
| 0:29.0 | And Nesto and I kind of touch base on the location growth call for the first time. Nesto has two |
| 0:34.8 | practices. And, you know, one practice is making money. The other practice |
| 0:39.1 | is losing money. And so it's a very interesting situation. And so, you know, I told Nesto |
| 0:45.2 | there's like these three options, how I would approach the situation. I, you know, we have a Slack |
| 0:49.2 | channel for the mastermind. So I gave him some advice in the Slack channel after the call. And then I just, I found myself really |
| 0:55.7 | compelled to do more. And so we've been, you know, reviving practice underwater. We didn't do it for, I |
| 1:03.0 | didn't do it for four years. And then I started coming back on and we had Gregorio on. It was a great |
| 1:07.8 | episode. Gregorio was also in the Astroarch Mastermind. Actually, I just got an image of his floor plan the other day. And it's been a ton of fun, but I have, so I had Nesta on. And so Nestor and I recorded part one and part two of practice underwater together. So he was here with me for part one. We recorded the whole episode. And then we had a technical issue where the audio didn't record. |
| 1:29.3 | And this happens every once in a while. |
| 1:30.8 | Like we had, you know, a doctor who flew to do a TV segment, didn't record. |
| 1:35.9 | It happens. |
| 1:36.6 | It's part of production at times. |
| 1:38.0 | Things don't record. |
| 1:39.0 | So then today, Nesto and I re-recorded part one, and then again, it did not record. And so, you know, |
| 1:46.7 | poor Nesto, he's, he's been on shared practices two times now for the part one, and then he |
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