Lead Measures Archives - Page 2 of 2 - Dental Practice Consulting & FQHC Growth Strategies

My Views on EBIDTA

I’m of the firm belief that using EBIDTA to measure the growth of your dental practice is an essential measurement for its health and success. You never want to overlook the amount of debt you’re taking on and how that is impacting your business. And you don’t want to use EBIDTA as your only measurement of growth. But it is an effective tool if you use it to increase your cost conserving measures and pay attention to your expenses and investments.

In the short video below, I discuss the importance of increasing your EBIDTA and two methods for increasing it. Not everyone uses this method of measurement in their practice, and I think that is a mistake. If you use it strategically to do monthly deep dives into your must-haves and nice-to-haves, you can get a very good idea of how effective your cost-cutting measures are month over month.

What is EBIDTA?

So, what is EBIDTA? Basically, it’s a way to measure your practice’s overall financial performance by stripping out interest, taxes, depreciation, and amortization –

Check out this article on Medium for a more broad context and understanding of EBITDA and how it generally works in business.

Strip out all these other factors and you will have a basic view of your dental practice’s profitability. In my mind, this is an important measurement because it helps you see gauge which cost-cutting measures you take are working. Also, when you strip out all the other numbers, you can focus on the essentials: your operating profitability and your cash flow.

This is by no means the only way you should measure the success and profitability of your dental practice. You still need to take into account the other factors, but this is another great tool for your entrepreneurial toolbox.

Increase EBITDA in Your Dental Practice

Why Should Dental Practices Increase Their EBIDTA Margin?

First, what does increasing your EBIDTA margin mean? Sounds complicated but it simply means lowering your operating expenses in relation to your total revenue. The margin is the percentage of expenses to revenue. So, increasing your monthly EBIDTA margin by 10% means you’re lowering operating expenses or increasing your topline revenue by 10% of your revenue.

It’s incredibly important for dental practices to be mindful of their operating costs in relation to their revenue. There will be times when your investments far exceed your revenue, but this is the exception rather than the rule. Buying a new piece of digital dental equipment that will increase the value of your offerings, or building out a new software system are essential to practices staying relevant and efficient, but these expenses should be taken in moderation at strategic times.

Two Methods for Increasing EBIDTA in Your Dental Practice

When I work with dental entrepreneurs, I like to show them two ways of increasing EBIDTA. These two methods are customized for dental practices and the unique challenges they face in an industry with quite large expenses and investments, especially at the outset of a business venture.

Learn and Earn –

See the advantage of learning while on the job; learning a new piece of equipment; learning a new dental technique; as an investment. By learning while you earn, you continue to develop your skills as a dentist and entrepreneur while increasing the value of your dental practice to the community you serve. The more value you provide raises your production, which attracts more patients, and increases revenue.

Deep-Dive Accounting –

On a monthly basis, make sure you take a deep dive into your expenses. Pay close attention to your must-haves, the essentials of running your practice on a daily basis. You cannot run your dental practice without them. But also make sure you pay attention to your “nice-to-haves” and see where you can cut these expenses. You don’t need them. Pay attention to your vendor pricing. I’ve seen prices go up without discussion, get paid, and negatively impact a practice’s valuation without the dentist even knowing it happened. They will enhance your dental practice, but they are not essential to daily operations. The more you manage these expenses the more you increase your EBIDTA margin.

These two methods increase your operating profit and your EBIDTA margin and that is an attractive measure for you as a dental entrepreneur and anyone looking to invest in your company.

Turning EBITDA Insight into Action

Understanding EBITDA is only powerful if you can actively influence it. Increasing EBITDA isn’t about chasing one big change—it’s about consistently improving the operational drivers underneath it: scheduling efficiency, case acceptance, patient retention, provider productivity, and cost control.

That’s why we created the Optimize KPI Tracker for dental entrepreneurs. This tool helps you monitor the metrics that directly impact EBITDA, so you can identify trends early, address inefficiencies, and make smarter decisions with confidence. When you know what’s driving your numbers, you’re no longer guessing, you’re leading strategically.

Ready to take control of your practice’s profitability and long-term value?

Download Your KPI Tracker

Do you measure what truly matters in your dental practice? Nearly every conversation I have with a fellow dentist-entrepreneur circles around how to know your investment and time is working, ‘how do you know that you’re actually growing your dental practice?’

You Can’t Improve What you Do Not Measure

Common sense tells us that in order to keep improving you must keep examining the results of what you’re doing. What is the point of doing a tremendous amount of work unless you’re going to review it to see what has been effective and what has been a waste of time?

“In God we trust, all others bring data.”

-W. Edwards Deming

Reading a slew of reviews about a business who consistently makes incredible hamburgers but their fries are always soggy is literally reading the lagging indicators of a business that refuses to accept feedback and examine its protocols to address what is working and what is not. Reviews are one way to gain insight into what’s working in your business and what’s not working. They are also a look back into the near past: one person’s recent experience at that one hamburger joint. Make sense?

Here’s What to Measure in your Dental Practice

So, how do you measure and what do you measure? Two vitally important questions every business needs to ask and answer constantly and consistently.

In the case of dental patient treatment plan acceptance, patient nurturing and dental patient experience, not all actions are created equal. Some of our actions have a greater impact on our environment than others and it’s a good idea to know which ones have a greater impact and which ones have a weaker impact.

Lead Measure Vs. Lag Measure

First, let’s define some terms. Lead measures or lead indicators help you predict which actions might successful and which might not, in other words, what to keep doing to keep getting the same successful results.

A lag measure or lag indicator, measures your wildly successful goal with results that have already passed like profit, revenue, and patient satisfaction. They are a little harder to gauge because the results are correlated to actions taken in the past.

In my book Extraction: The Surprising New Formula to Systemize, Scale and Sell Your Business, I breakdown different forms of measurement and the importance measuring growth and goal achievement play in your leadership role. Let’s look at three measurable areas of your practice here.

Dental Practice Revenue Growth

Leading Indicator: The leading indicator here is the Number of Qualified Patient Leads. By measuring the number of qualified leads generated, your business can predict future sales growth. In a dental practice, your qualified leads are patients who call for an appointment—for a service you can provide with a payer you accept. If the number of qualified leads is increasing, it’s likely that sales growth will follow. If your qualified leads are decreasing this is an area that you want to pay attention to with your team to decide why they are decreasing and what can be done to stop and reverse the trend, essentially get ahead of the ‘problem’ before it becomes one.
Lagging Indicator: Dental Practice Production or Revenue. Production or revenue is a lagging indicator because it shows the results of past sales efforts. As we know, production in your dental practice doesn’t happen if the patient doesn’t show up, accept the treatment plan, and ultimately pay for the dental care you delivered. After sales have been made, revenue is generated, but this data is historical and cannot be used to predict future sales growth. It can help you look back and evaluate what you and/or your team did to increase revenue or the reverse: review what you did that possibly decreased revenue.

Safety in Your Dental Practice

Leading Indicator: Number of Safety Training Hours. By measuring the number of safety training hours completed by employees, including HIPAA and OSHA trainings, a business can predict the likelihood of workplace accidents. There is a documented correlation of safety in the workplace to awareness of rules, laws, regulations and best practices. If the number of safety training hours is increasing, it’s likely that the number of accidents will decrease in the future.
Lagging Indicator: Number of Workplace Accidents. Workplace accidents are a lagging indicator because they represent past events that have already occurred. By the time an accident is recorded, it’s too late to prevent it from happening. But it’s not too late to review protocols, training hours and best practices to ensure accidents decrease and awareness of safety protocols are top of mind for your employees.

Managing Employee Turnover in Your Dental Practice

Leading Indicator: Employee Engagement. By measuring your employee engagement through surveys, anonymous feedback systems, communications and strong morale engagement, your business can predict your future turnover rates. If your employee engagement is low, it’s likely that turnover rates will increase in the future.
Lagging Indicator: Employee Turnover Rate. Your employee turnover rate is a lagging indicator because it shows the results of your past employee retention efforts. After employees have left, turnover rates can be calculated, but this data is historical and cannot be used to predict future turnover rates. However, if your turnover rate is high, you can take a look at your employee engagement protocols to see what is lacking and where you can improve employee engagement.

What Type of Growth is Expected in My Dental Practice?

The Measurement of Growth is A Measure of Leadership

These are just a few examples of how using and measuring your leading and lagging indicators can improve so many areas of your dental practice. The key takeaway is that leading indicators can be used to predict future outcomes, while lagging indicators show the results of past actions. By tracking both leading and lagging indicators, you can better understand how your actions, decisions and the actions of your teams affect performance so you can make more informed decisions about future strategy.

The role of a leader is not just to delegate, guide and grow, it is also to measure so you can continue to improve on what has come before. If you’re working with a strategic plan in order to scale your practice, how will you know when to buy your second practice? Is it simply when you’ve socked away enough money or is it when your key performance indicators show that, not only are you financially ready to buy but it’s also the right economic environment to buy?

Mastering Dental Practice Entrepreneurship

Successful dental practice owners don’t grow by guesswork, they grow by measuring what truly matters. If you’re ready to assess the real health of your practice and make confident, data-driven decisions, the next step is putting the right metrics in front of you.

That’s why we created our KPI Tracker, built specifically for dental entrepreneurs. This tool helps you monitor the key indicators that drive growth, profitability, and sustainability, so you can spot trends early, identify opportunities, and lead your team with clarity.

If you’re ready to stop relying on assumptions and start leading with insight, this tracker gives you a simple, actionable way to stay focused on what moves the needle.

Ready to measure what matters most?