Framework
The XpoNential Business Systems
The eleven systems every business runs on, and the 131 subsystems beneath them.
See the framework
Insights
Published work, talks, and what we are reading in the numbers.
Articles, books, interviews and appearances, gathered in one place. Owning a healthcare business is a business problem before it is a clinical one, and most of what follows is an argument for treating it that way.
Published work
Ideas, frameworks, and appearances.
Book
The Broke(n) Part(s)
What breaks inside a business, what an owner should do when it does, and how to rebuild with better guardrails.
See the bookBook
Four textbooks for the Dental Business Institute
Plan. Build. Lead. Lean. The four volumes that became the DBI curriculum, written to teach practice owners the business their clinical training skipped.
Speaking
Eric Nuss, Speaking and Workshops
Keynotes, workshops, and working sessions built around ownership, operations, growth, risk, and business resilience.
View speaking topicsArticle
Everything Looks Level. Until It Doesn’t.
A look at the DSO shakeout, VUCA, cash pressure, weak governance, and why systems matter more than optics when the market turns.
Read on LinkedInArticle
All I Want for Christmas...
A reflection on margin, not just in profit, but in time, cash flow, relationships, and headspace, and why growth without boundaries eventually consumes the owner.
Read on LinkedInArticle
Failure to adapt to market changes may lead to the demise of the independent dentist
A generation is leaving the workforce and roughly 20,000 practices go with them. The solo practitioner is not finished, but the rules changed.
Read itPress
How One Company Helps Small Businesses Leave Small Behind
Garrett Gunderson on the Dental Business Institute, and the three mistakes that keep a small business small.
Read the featureArticle
The path to multipractice ownership, Part 4. Getting lean
Lean is not doing more with less. It is spending more time on the work a patient would pay for and less on everything else.
Read itArticle
The path to multipractice ownership, Part 2. Building
Acquisition is the fastest way to grow a group, and it starts with criteria strict enough to say no.
Read itArticle
The path to multipractice ownership, Part 1. Planning
Vision, a written business plan, and the leadership to carry it. The three stages that come before a second location.
Read itReading about it is not the same as fixing it.
If something here describes your business, the useful next step is a conversation about your numbers rather than the general case.
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