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The Most Common Digital Red Flags in Dental Lawsuits
In litigation, these tiny anomalies can snowball into major credibility problems. THIRD IN A SERIES—PART 3 OF 5 Digital red flags often do not appear as the proverbial “smoking gun.” Red flags are usually found as small inconsistencies, such as a timestamp that doesn’t line up, a missing image, a...  Read More
Multiply What Exactly?
Most folks want to rush to The Great Multiple Discussion.  What factors should I apply to which income statement items to figure out the value of my practice?   Far fewer people spend time discussing what they’re actually multiplying - i.e. revenue, SDE, EBITDA, free cash flow, etc. Moreover,...  Read More
The Raise Reset: Are You Rewarding Tenure or Trajectory?
What happens when a new doctor buys a practice… but the team expects the same automatic raises they’ve received for the last 20 years? Excitement meets resistance. Vision meets comfort. And compensation conversations get awkward fast. In this episode of Dental Drill Bits, Dana and Sandy unpack...  Read More
The ROI Obsession That’s Costing You Growth
The ROI Obsession That’s Costing You Growth Featuring Special Guest Grace Rizza, CEO of Identity Dental Marketing Dentists love formulas. Spend X. Get Y. Measure it. Improve it. Repeat. That mindset works beautifully in clinical dentistry. But when it comes to marketing, that same...  Read More
The Sucker’s Bet - Key Person Risk
What is Key Person Risk? Key Person Risk is the threat to a business’ stability, operations and financial performance arising from its over-reliance on a single individual or small group, such as a founder CEO or a key sales person.  If the key person leaves, becomes incapacitated, or dies, the...  Read More
1689 AI Roundtable : Dentistry Uncensored with Howard Farran
Episode #1689 : Dentistry Uncensored with Howard Farran, three industry leaders—Dr. Edward Rossomando, Dr. Gordon Christensen, and Chuck Cohen—come together for a wide-ranging discussion on the present and future impact of AI in dentistry. From clinical innovation to practice management and...  Read More
Is Group Practice Equity Already The Next Tulip Bulb Craze?
Is Group Practice Equity Already The Next Tulip Bulb Craze? WTF was the Tulip Bulb Craze? The tulip bulb craze, historically known as Tulip Mania (or Tulipomania), was a period of intense financial speculation in the Netherlands during the Dutch Golden Age. Often cited as the first recorded...  Read More
What's Your Multiple Kenneth?
What’s Your Multiple Kenneth? Let’s give organized dentistry some credit, we’ve done a bang up job on educating the market about a variety of things when it comes to scaling businesses. One unfortunate byproduct is the ubiquitous watercooler discussion of, “What multiple do you pay?”   ...  Read More
Accountability is Clarity
Accountability Is Clarity You introduce a new system. A new expectation. A new metric. And someone struggles. They’re not aggressive. Not insubordinate. Not openly defiant. But they’re hesitant. Slow. Guarded. Quietly pushing back. So the question becomes: Do we show empathy? Or do we hold...  Read More
Personal Guarantees In Affiliations
Personal Guarantees & Affiliations An increasingly common conversation topic is Personal Guarantees ("PGs") - specifically joint and several - in the context of group practice affiliations.   Yes, PGs from the new - now minority - shareholders. The bidder is likely to suggest that their...  Read More
Modeling School
Modeling School Ah, group dentistry.  As new groups spring up, existing groups nose dive.  The circle of life. You may hear the question, “Which model is right for you?”  TopCo, JV, Parent, Hybrid, SubDSO, DPO, LOL, DMO, AKA, WTF.  So many folks go to such great lengths to relabel themselves....  Read More
1688 Jay & Flint Geier : Dentistry Uncensored with Howard Farran
1688 Jay & Flint Geier : Dentistry Uncensored with Howard Farran Jay Geier is the founder of the Scheduling Institute, Practice Growth Institute, and Net Worth Institute, and author of New Patients Now. Since 1997, his training organizations have helped more than 35,000 doctors and teams grow...  Read More
Deal Structuring:  Just what is “market” these days?
Ok, we’ve covered a lot in recent weeks - debt, equity, TopCo/JV, partnership considerations, etc.   So what about deal structuring?   Deal structuring lays out the components of a deal and how the parties intend to fund or finance them.  The most bandied about term is “cash-at-close” (“CAC”)  -...  Read More
New Partner Considerations
New Partner Considerations The purpose of this article is to provide an overview of the puts and takes of bringing a new partner into your practice or group. Valuation Considerations There has been a marked increase in independent dentists using groups for “stalking horse” valuations to boost...  Read More
A Valuation Without Context Is Worthless
When it comes to business valuation, everyone loves to rush to “the multiple” discussion - i.e. what multiple of revenue or unlevered free cash flow (EBITDA) is used to arrive at the Total Enterprise Value (“TEV”). While this approach can be directionally accurate and helpful for “swagging”...  Read More
When Letting Go Isn't Clear Enough
When Letting Go Isn’t Clear Enough Letting an employee go is one of the hardest decisions a practice leader will ever make. It’s rarely about a single mistake. More often, it’s about patterns that never quite improve, expectations that were never fully understood, and frustration that quietly...  Read More
“What’s Your Equity Story?”
The contemporary forms of group practices (DSO, DPO, DMO, ABC, DGO, LOL) are approaching their sixth decade of operations.  As the labels and models proliferate, an increasingly common conversation is: “So, what’s your equity story?” Fantastic question. I encourage anyone curious about...  Read More
How Electronic Dental Records Become Legal Evidence
A Forensic Breakdown SECOND IN A SERIES – PART 2 OF 5 Electronic dental records have surpassed the paper chart as primary medium for patient documentation. Back in the day, when a paper note was contested in court, handwriting experts and ink analysts were called in to assess whether the chart...  Read More
The Role of Digital Forensics in Dental Lawsuits
Why Digital Forensics Matters in Dentistry FIRST IN A SERIES – PART 1 of 5 Digital evidence has quietly become one of the most decisive factors in dental litigation. Whether a case involves alleged malpractice, billing irregularities, privacy breaches, or employment disputes within a clinic,...  Read More
Just How "Adjusted" Is Your EBITDA?
Just How Adjusted Is Your EBITDA? Add-back this, adjust that.   “Pro forma” has become a verb and it usually has little to do with reality.  It can, however, provide the motivation and lubricant to get a deal done.  Always within reason. When it comes to adjusting financial statements, most...  Read More
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