The recognition highlights the company's internal investment strategies, particularly through The Aspen Group University (TAG U) in Chicago. By offering clinical development and leadership coaching, the organization aims to move beyond traditional staffing to foster long-term career paths. This model is supported by a practice ownership program that ensures every office remains under the direction of a licensed dentist, balancing clinical autonomy with centralized business resources.

Beyond internal development, the ranking accounts for the company’s public service efforts. Since 2014, the Healthy Mouth Movement has provided over $28 million in donated care, treating more than 30,000 veterans. Building on this, the organization recently announced a five-year commitment to provide up to $100 million in donated care. Dr. Arwinder Judge, chief clinical officer, noted that these investments in clinicians are intended to directly improve patient outcomes by empowering doctors to prioritize individual care decisions.