How to Scale and Add Locations with Dr. Hendrik Lai

Weave

As DSOs scale from mid-market to regional entities with 50 or more practices, operational excellence and same-store growth have become critical drivers of success. But growth isn’t without challenges. Reduced insurance reimbursements, increased competition from large-scale acquisitions, and a higher cost of capital have shifted the landscape. Where once EBITDA aggregators relied on endless acquisitions, today the path forward is sustainable same-store sales growth within existing portfolios. 📈 Key challenges for scaling DSOs: -Reduced payments from insurance companies -Competition from large DSOs acquiring smaller groups -Rising cost of capital limiting acquisition-based growth -Greater need for operational efficiency at scale -Focus on driving same-store sales growth 💬 “The only way to really grow now is through same-store sales growth within the portfolio of companies.” For DSOs, scaling in today’s environment means sharpening operations, optimizing existing practices, and creating efficiency that fuels long-term, sustainable growth. Want to learn more about Weave? Visit us here: https://tinyurl.com/2hjypt59 🔔 Subscribe for more real-life practice stories and productivity tips! #GetWeave #DSO #SameStoreGrowth #PracticeGrowth #HealthcareFinance #OperationalExcellence #DentalInnovation #ScalingDSOs #HealthcareTech #PracticeManagement
VideoSeptember 2025