Ask George: Why Hiring an Associate Can Hurt Dental Practice Profitability
Shared Practices | Your Dental Roadmap through Practice Ownership
Dr. George Hariri | Shared Practices Network
4.9 • 559 Ratings
🗓️ 1 June 2026
⏱️ 37 minutes
🧾️ Download transcript
Summary
In this episode of Ask George, Dr. George Hariri breaks down the common—yet avoidable—trap where adding an associate leads to a massive drop in dental practice profitability. George shares his own Dental Moneyball cautionary tale: how he went from a thriving income to making zero dollars after hiring his first associate. This episode serves as a survival guide for any dentist moving from clinician to CEO, ensuring that your associate to owner transition actually results in more freedom, not just more expenses. George explores the "perfect storm" that kills dental practice profitability: rising overhead costs paired with a less efficient provider seeing your patients. You will learn specific dental business strategies to mitigate these risks, including the "two-to-one" hygiene-to-restorative ratio and how to expand your office capacity by modifying your schedule. We discuss why owner doctors are typically more efficient and how to train your team for co-diagnosis so that your associate walks into a well-oiled system of case acceptance. Whether you are looking to work fewer days or simply want to scale your net worth, George provides the roadmap for delegating lower-level procedures while keeping your high-production hourly rate intact. Stop guessing and start using data-driven insights to ensure your next hire is a catalyst for dental practice profitability rather than a drain on your bank account. Ready to take the next step in your dental practice journey? Visit https://sharedpractices.com to learn more about our Buyer Representation and Coaching services, designed to help dentists buy, grow, and optimize profitable practices. You can also use our Free Look to evaluate dental practice opportunities with real data before making a decision. For daily Dental Moneyball insights, strategy tips, and updates, follow us across our social channels.
Transcript
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| 0:00.0 | Welcome to another episode of the Shared Practices podcast. |
| 0:05.3 | Today we're going to talk about a very popular topic. |
| 0:07.6 | When adding an associate makes you less money. |
| 0:10.5 | And I think that the best way to start this out is a story. |
| 0:14.4 | And so I actually write about this in Dental Moneyball. |
| 0:16.6 | So if you've read the first chapter of Dental Moneyball, this may be a little repetitive. |
| 0:20.1 | But for me, I bought my practice right out of school. |
| 0:23.4 | And I had my seller, who was an associate for me, working for the first six months. |
| 0:28.9 | And, you know, my seller retired, and then I brought in an associate. |
| 0:32.6 | And my expectations of what would happen were that my income would grow and my practice would grow. |
| 0:39.3 | So I thought the amount of production collection, so like, I'll just use real numbers, right? |
| 0:43.8 | So I bought my practice doing around $90,000 a month. And I grew it after I got into ownership |
| 0:50.4 | to around $130,000, $140,000 a month. We were kind of living in that range. Some months |
| 0:54.3 | we're up to $150, but like we were kind of in that 130 to 140 range, kind of on a sustainable |
| 1:00.2 | basis. And I thought, okay, well, you know, my seller's working three days. I'm getting an associate |
| 1:06.7 | four days. So I'm thinking we're going to grow to 150, 160, 170. And I kind of got greedy a little bit. |
| 1:14.7 | And so I bring on the associate and the opposite thing happened. We went down to 110. And it was this |
| 1:20.6 | really annoying experience, honestly, that was really unfortunate because I'm sitting there and I'm |
| 1:26.4 | running my practice. I'm working harder. I have |
| 1:29.1 | more expenses and I'm not making any money and I have an associate full time. And I'm just thinking, |
| 1:34.3 | what is going on? And this is a very key situation that we've kind of learned a lot about since |
| 1:40.5 | at shared practices where it's like, if you don't bring on that associate well and you |
... |
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