Season 2 Episode 2 - What is EBITDA, and Why do DSO’s Lean On It for Practice Purchases?

Season 2 Episode 2 - What is EBITDA, and Why do DSO’s Lean On It for Practice Purchases?

In this podcast episode of "Just Say No to the DSO," hosts Bob Spiel and Nate Williams discuss the importance of dentists maintaining control of their practices rather than selling to Dental Service Organizations (DSOs).

They emphasize that smart business people don't overpay for practices and that DSOs are adept at making dentists think they're getting a great deal when, in reality, they may be giving away their practices for little to no value.

The hosts explain the concept of EBITDA (earnings before interest, taxes, depreciation, and amortization) and how DSOs structure deals in a way that essentially allows them to acquire practices for free or at a minimal cost to themselves.

They warn dentists to be cautious of promises made by DSOs regarding equity and future earnings, as these promises may not materialize. The episode concludes with a teaser for the next installment, where they will delve deeper into the realities of DSO deals.

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Episoder(67)

The Fox in the Henhouse: Chip Fichtner, Fear, and Greed

The Fox in the Henhouse: Chip Fichtner, Fear, and Greed

Bob Speil and Nate Williams open with the starfish principle—one doctor who doesn’t sell is worth the whole podcast—then analogize DSO dealmaking to Big Tobacco: a fortune in getting people hooked, al...

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Two Sides of the Issue with Dr. Whitney Weiner

In this episode, Dr. Whitney Weiner shares her journey from private practice to joining ICON Dental Partners, discussing the motivations, challenges, and industry insights related to group dentistry a...

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Clawing His Way Back Out with Dr. Brad Langley

Clawing His Way Back Out with Dr. Brad Langley

This is a special Just Say No episode with a dentist who entered into a DSO and realized it was the wrong way forward for himself as his patients. Dr. Brad Langley recounts his tale of not only saying...

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Sticking To Your Principles with Dr. Stephanie Klasner

Sticking To Your Principles with Dr. Stephanie Klasner

In this episode, Dr. Stephanie Klasner shares her journey through the dental industry, her experiences with DSO models, and her insights on ethical practice and ownership. Discover how she navigated c...

27 Jul 56min

Tumbling Down In a Pile of Lawsuits with Dr Mike Davis

Tumbling Down In a Pile of Lawsuits with Dr Mike Davis

In this episode, Dr. Michael Davis discusses the pitfalls of DSO affiliations, legal settlements, and the importance of ethical practice in dentistry. He highlights recent cases like Aspen Dental's le...

6 Jul 24min

Did We Mention a House of Cards? with Dr Mike Davis

Did We Mention a House of Cards? with Dr Mike Davis

This episode features Dr. Mike Davis discussing the complex financial restructuring of major DSOs like Dental Care Alliance and Affordable Care, revealing the risks for dentists and the industry. We e...

3 Jul 51min

A Listener Case Study on Selling Your Practice

A Listener Case Study on Selling Your Practice

As a dental professional, you may wonder about the implications of selling your practice to a DSO versus a private buyer. In this episode it's case study time as we delve into crucial insights on this...

18 Jun 32min

It All Starts Right Here with Dr. Brendan Gallagher

It All Starts Right Here with Dr. Brendan Gallagher

We've looked at serveral dentists deep into their careers and gone over how a DSO doesn't really make sense...what about the doctor with all of the promise in the world on the very front of his career...

3 Jun 1h 2min

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