Podcast/Blog Posts

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Partnership Blues?
Pushing Reset.So, you chose to enter a partnership with a group and things are not going as planned.  This is an increasingly common water cooler discussion.  What can you do?  The answer of course is, “...it depends”.  It depends on what the actual issues are - i.e. philosophical differences,...  Read More
Smoke & Mirrors?
“Equity” is one of the most frequently discussed and least understood topics in the healthcare growth arena.   Have you heard the question, “What’s your equity story?”  When it comes to the answer, the old adage - “Everything before but and after because, is bullshit.” - most definitely applies....  Read More
Feeling The Squeeze?
A confluence of events finds doctors facing unprecedented financial pressures.  It really doesn’t matter if you are in private practice or part of a larger group.   The dental industry has experienced a permanent erosion of profit margins over the last decade or more.  Top line pressures from...  Read More
Orthodontic treatment is about much more than creating a straight smile. Every tooth movement depends on healthy gums, healthy bone, and a clean oral environment. Whether a patient wears traditional braces or clear aligners, oral hygiene plays a direct role in treatment efficiency, comfort, and...  Read More
The American Sleep and Breathing Academy - Part 2 : Dentistry Uncensored w/ Howard Farran #1715
In this roundtable — part two of the show's airway and sleep series recorded around an ASBA gathering — Howard Farran sits down with three leaders working at the intersection of dentistry, sleep, and medicine: Dr. Luann Hall, a UCSF-trained "recovering pediatric dentist," minimally invasive...  Read More
Dr. Eric Recker : Dentistry Uncensored w/ Howard Farran #1714
Dr. Eric Recker : Dentistry Uncensored w/ Howard Farran #1714 In this episode, Howard Farran sits down with Dr. Eric Recker — a dentist of 24 years, keynote speaker, author, pilot, mountain climber, and success coach based in Pella, Iowa — for a candid conversation about burnout and the path back...  Read More
If your mental picture of a  still involves goopy impression trays and long waits for lab work, you are in for a pleasant surprise. Over the past couple of decades, dentistry has embraced technology in ways that make treatment faster, more accurate, and far more comfortable. Understanding these...  Read More
"Cool Story Bro."
So, you’ve received multiple offers from group buyers.   The Total Enterprise Values look positive and maybe even within a reasonable range.  One or two may even stand out as runaway winners on the first pass through. Then, the fine print. The component parts - cash at close, hold-backs, seller...  Read More
Puckered Up?
“When life gives you lemons, make lemonade.” - Elbert Hubbard, 1908 So, you elected to transition your dental practice(s) into a group (DSO, DPO, DMO, DXO).  The total enterprise value and rollover equity story were just too darn compelling to resist!  Besides, many of your colleagues and...  Read More
Ellen Bösl : Dentistry Uncensored w/ Howard Farran #1708
In this episode, Howard Farran is joined by Ellen Bösl, Vice President of Research and Development at Solventum, where she leads the strategy and execution of the Global Dental Solutions R&D organization. A chemical engineer by training with a 25-year career spanning Solventum and 3M — including...  Read More
Not all overbites are the same. Some people have a slight overlap of the front teeth that causes little concern. Others may experience significant bite problems that affect daily activities such as eating and speaking. Because overbites vary in severity, treatment plans must be tailored to each...  Read More
Financial Distress, Insolvency & Bankruptcy
So, you decided to pursue an affiliation with a group and things are not going as planned?  Worse yet, it appears that the larger business is now struggling with leverage issues you were told “not to worry about” as you were going through your process.  Maybe it was even discussed when you were...  Read More
For anyone facing the , or living with a gap already, the idea of a dental implant can sound appealing and intimidating in equal measure. It is reassuring to know that an implant can restore a missing tooth so completely, but the surgical nature of the process raises understandable questions....  Read More
Braces are so familiar that most people never stop to wonder how they actually work. We know they straighten teeth, but the mechanism behind that transformation is genuinely fascinating, and understanding it makes the whole process feel less mysterious. The science is more elegant than you might...  Read More
Deciding to begin , and once the decision is made, a little preparation goes a long way toward a smooth start. Whether the treatment is for you or your child, knowing what to expect and getting a few things in order beforehand can ease the transition and set you up for success. This practical...  Read More
Cost is often the first concern people raise when they think , and it is an entirely reasonable one. Straightening teeth is a meaningful investment, and the total figure can feel daunting at first glance. But focusing only on the upfront number misses the larger picture of what that investment...  Read More
When most people think of orthodontics, a single image comes to mind, a teenager with metal braces. That picture is decades out of date and dramatically understates what a modern orthodontic practice actually does. Today's providers offer a wide range of treatments suited to different ages,...  Read More
Built vs. Bought
You can function just fine without getting involved with a group (“DXO”) or private equity! If you are not interested in pursuing an affiliation with a group practice - read no further - this note is not designed for you.   If you are open to pursuing options with group practices there is one...  Read More
Most people begin the search for  the same way they begin almost any search these days, by typing a few words into their phone and scanning the results. It is a perfectly sensible starting point, but the list that comes back is just a starting point, not an answer. Knowing how to evaluate those...  Read More
Sausage Making 101
Valuation Metrics to Consider Multiples Revenue or Collections  - As reported for tax purposes, does not capture any barter or “off the books” income - Doctor-to-Doctor transactions have historically been in the range of 80-100% of revenue - Group transactions typically exceed this range...  Read More
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