Your overhead is eight points too high. Here's where it hides.
Overhead creep is rarely one big leak — it’s a dozen small ones. A field guide to finding the points hiding in plain sight.
Nobody wakes up and decides to run a 70% overhead. It happens one reasonable decision at a time, until the practice is working hard and keeping little.
Start with the big three
Staff, supplies, and lab almost always hold the answer. If your staffing is north of 28% of collections, you don't have a marketing problem — you have a scheduling problem dressed up as a payroll problem.
You can't cut your way to a great practice. But you can stop bleeding your way out of one.
Then audit the quiet subscriptions
Every practice accumulates a graveyard of software, memberships, and services nobody uses. Pull twelve months of statements and highlight everything you can't immediately justify. The total will surprise you.
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The three numbers to read every Monday morning
Most owners look at collections and call it a day. Here are the three figures that actually predict next quarter — and how to pull them in ten minutes.
TeamThe hiring scorecard that ended our turnover problem
Hire for the role you actually need filled, not the résumé in front of you. The one-page tool we give every owner.