Podcast/Blog Posts

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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
“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
Our Ongoing Staffing Conundrums
Optimizing the staffing model for any practice always seems to be a work-in-progress.   Dentistry is certainly not getting any easier, and top line pressures only exacerbate the need to identify pockets of opportunity in practice overhead. You can only wring out so many efficiencies in supply...  Read More
1682 Legal Responsibility in Dentistry with Evan Sampson : Dentistry Uncensored with Howard Farran
Episode #1682 of Dentistry Uncensored with Howard Farran dives into the legal side of dentistry with attorney Evan Sampson of Post & Schell — a seasoned expert who has spent over a decade guiding dentists through transactional, regulatory, and litigation challenges. From practice...  Read More
Catching The Falling Knife
DISCLAIMER:  I’m not an attorney, I’ve spent millions on legal fees, and I stayed at a Holiday Inn Express last night.  This is not legal advice! We are seeing a pronounced uptick in financially distressed private practices of all sizes and varieties across the country. There is no singular...  Read More
Leading the New Generation
  Leading the New Generation   Read More
Case Acceptances Starts with the Phones with Eric Vickery
Case Acceptances starts with the phones - Vickery    Read More
Real Compliance Cases: Medicaid Informed Consent
Dr. Janis called me a few weeks ago. He went through a ‘routine’ Medicaid audit from the OIG. He has been audited before and it went by without a hitch. This time, however, the audit is resulting in a $19,000 recoupment. Dr. Janis was aggravated. The issue? No tooth #s and surfaces on his informed...  Read More
Cancel the Cancellations: Part 2 with Eric Vickery
Cancel the Cancellations: Part 2 Vickery    Read More
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