Comprehensive Tool Kit of Margin & Cost Levers
The SGA EBITDA Value Curve

Companion to the revenue curve. As an office integrates and matures, margin expands through cost discipline and scale — variable-cost wins first, then structural and synergy levers compound. Each lever is paired with the metric it moves (in the output band below).

v0.1 · SCAFFOLD FOR DISCUSSION
DENTAL PARTNERS
Lever — initiative we deploy Height = margin impact · Size = relative weight Gold = scale / synergy (later-stage) Output band = the metric each bucket moves
Starting structure — not yet team-reviewed. Margin is driven first by the variable-cost ratios (labor, supply & lab) — within-practice analysis shows expense ratios dominate margin — so those buckets carry the heaviest levers. Structural cost (occupancy, G&A) and scale/synergy compound as the office matures. Pairs with the Office Value Continuum as the two-curve IPO story (grow the top line; expand the margin).
Internal strategy · pre-IPO