Transcript
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Welcome to the Dental Elements podcast.
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I am your host today,
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Cindy Rogers.
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I'm a hygienist and a compliance consultant who works with a team environment in this episode.
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I sit down with Dr Brady Frank,
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who is a dentist author and co-founder of Freedom.
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Dental partners.
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Talks about his passion for elevating the financial positions of not only dentists but also hygienists,
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office managers and assistants in the industry.
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He talks about unique ownership structures and strategies to help staff members own shares of their privately held companies and achieve financial freedom.
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He also shares practical tips on finding deals on practices to buy as a hygienist.
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So lots of different things to unpack in this episode and I love his energy,
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super fun interview.
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So I hope you enjoy it.
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Ok,
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here's Doctor Brady Frank.
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Hey,
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Cindy.
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Thank you so much for having me.
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So excited to be here.
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Wow,
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exciting.
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Your podcast has grown like wildfires.
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So,
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congratulations to you.
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Oh,
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thank you.
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Yeah,
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it's great to have you on here as well.
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So,
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yeah,
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we're really excited to see the growth and the fun everybody's having and to have you as a guest today.
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So,
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thank you?
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Awesome.
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Well,
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since you're a hygienist,
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you've got hygienists on your assistance.
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A lot of dentists and I thought it'd be really fun to talk about how it's not just dentists who are elevating their financial status with all this money pouring into the dentistry,
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but its hygienists,
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it's office managers,
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it's assistants and it might be fun to kinda certainly talk about what,
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what I'm doing over at freedom partners.
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But really talk about,
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you know,
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this new era of dental staff elevating their,
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their finances and really going to the top of their positions because so much more is available now than say,
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40 years ago.
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Right.
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So,
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I think it'd be great to chat about.
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And,
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uh,
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what percentages have you seen in the past on your podcast?
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Hi,
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Genist assistants,
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dentists.
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You know,
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a lot of dentists,
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a lot,
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a lot of hygienists,
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a lot of assistants,
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everybody,
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a little bit of everybody.
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To be honest,
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I'm not sure exactly who's who because like I said,
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I'm all team oriented.
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So I agree with you.
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Everybody can elevate and the more people elevate,
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the more people elevate,
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we elevate each other,
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elevate by ourselves.
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Yeah,
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I might kind of give you the background.
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Like you've asked,
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how did freedom partners start?
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You know,
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what's my history and how do all the providers fit into that?
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And it really starts back in,
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believe it or not.
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1999.
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I was a,
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I don't know,
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I was a junior in dental school.
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I had a wrist injury and the wrist surgeon said you might not want to choose dentistry as a career in dental school in dental school.
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Oh,
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my goodness.
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I was already a dental school debt and I was past the proverbial point of no return.
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I already spent a lot already two years in a dental school.
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So I realized I might have to learn how to make money in dentistry without the ability to practice.
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So you have all this knowledge from school,
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you wanna use it,
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right.
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Yeah,
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you want to use it.
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And traditionally,
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you know,
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my grandpa and my uncle were dentists and you know,
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they made money with their two hands doing crowns,
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right?
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And hygienists make their money,
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scaling root planning and doing that.
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And assistants are actively assisting,
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but few dental providers think about what would happen if I was disabled.
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What if I got in a car wreck?
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What if I couldn't physically do this stuff?
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Where does that leave us with our actual training?
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And the answer oftentimes is,
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is nowhere.
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And so I realized I needed to study the business side of dentistry in 1999.
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After getting that news,
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I went to the Marquette dental school library.
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I studied dental transition books and I ended up making the decision as a junior in dental school that I would to protect myself because I knew at any time fusing my carpal bones together would mean it would make it tougher impossible to practice dentistry.
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So I bought two practices.
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Uh right out of dental school,
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ended up buying five more,
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had 28 different associates over a seven year period.
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And I realized that yes,
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I loved clinical dentistry,
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but I also loved the business aspect of dentistry.
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And that propelled me on to helping other dentists buy practices,
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create groups.
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And then as private equity really got deep into dentistry,
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I started helping Ds Os expand,
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create partner models where assistants,
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hygienists and dentists could actually own part of the company because in a DS O structure,
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you know,
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there's the business assets and the clinical assets and the business assets are what are recapitalized by private equity.
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So a lot of differing staff persons in the field of dentistry ended up doing very well,
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getting shares of these privately held companies.
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And so I ended up helping several dozen Ds Os create unique ownership structures that included staff and hygienists much of the time.
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And uh ended up,
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you know,
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realizing that some of these Ds Os were really good players,
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some of them didn't have the clinicians best interests in mind.
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So I started supporting just the Ds Os that gave autonomy both from a business aspect and a clinical aspect to the providers.
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And from there,
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I ended up creating an organization that supported those what we call autonomous Ds Os versus the other type of Ds O that I talk about,
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which is a corporate DS O corporate DS O is where they kind of put their brand on your door.
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You do what they tell you right?
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And you kind of have golden handcuffs.
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Whereas an autonomous DS O is where you partner with this big money that's in dentistry,
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but there's an autonomous line above it is private equity below it is yourself your pre practice.
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So you continue to run your team as you run it,
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have your staffing structure as you'd have it,
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do your clinical dentistry as you would do it and maintain full autonomy.
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So freedom,
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dental partners works with a variety of DS OS out there that are autonomous DS OS.
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And then we also have our own DS O inside of freedom.
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Dental partners that really focuses on practices that in many cases are unwanted by the other Ds OS because we've got a team uh that includes a lot of hygienists that fixes them up,
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elevates them,
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brings them them to that next level so that they can now,
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you know,
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not just enjoy kind of the the benefits of in,
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you know,
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clinical dentistry or clinical hygiene or even the assisting side.
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But that can bring them to what I call total dental freedom,
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you know,
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clinical freedom,
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doing the procedures you love in the practice,
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lifestyle,
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freedom,
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you know,
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geographically,
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being able to have a vacation home if you want or live where you want to and those two are fueled by financial freedom.
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So,
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the three of those being total dental freedom.
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So that's where we're at right now.
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And it's,
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uh,
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exciting to chat with you about some of this stuff.
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Yeah.
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So,
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T D F total dental freedom.
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I love it.
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Yeah,
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I got in dentistry in 1998 but I kind of did the opposite issue.
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I got into the business side,
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you know,
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started in the front office and then decided to go to hygiene school.
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And then I learned the clinical side and I always love the business side.
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So it's great to have both to have that knowledge behind you.
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Makes a huge difference.
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Even if you're doing the business side without the clinical knowing that stuff really makes a difference.
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I was like,
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why do you have to learn about history in school?
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But now I see why just the background makes a huge difference.
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So that's great.
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I mean,
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it all worked out for you and if you can't use your hands,
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you can use your hand,
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right?
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That was the point back then.
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And,
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and I'll tell you what it was interesting because in the early two thousands,
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you know,
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when you get out of school,
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you really are not that great clinically.
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You think you are,
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you think you're awesome,
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right?
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And then when you own a business for the first time and I didn't have a business background,
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you think,
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you know what you're doing,
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but you really don't.
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And both clinically and business wise,
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I think a lot of folks,
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including myself fell on their faces and I fell on my face a lot.
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And so the term failing forward,
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I think for those of you listening that are worried about getting into more of the business side or elevating yourself financially.
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You know,
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my best advice would be to take action.
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It's the action takers that do really well and you have to be ok with failing a little bit right before you kind of get into that groove and find where your place is.
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Like learning to walk.
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Nobody learns to walk without hauling if you do.
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That's just weird.
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There's something else going on,
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you know,
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so tell us about freedom,
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dental partners and how's that possible to have autonomy but still be part of A Ds O I mean,
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that sounds like having the best of both worlds and some people do would like just hand everything over and that's great and some people want to have autonomy and how,
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how do you make that possible?
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Yeah.
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So I'll give you a little mini history of Ds Os.
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There were eight Ds Os that started in the early nineties and only a couple of those actually gave autonomy and those were the ones that were big money partnered with actual dentists.
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And there was one high dentist in there as well.
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Six out of the eight Ds Os in the nineties bankrupted in the late nineties.
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And those six were corporate Ds OS where the providers weren't tied to kind of the financial benefit of conglomerating this business.
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And so those two that survived,
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and I'll be able to give more details if I don't give names,
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if I give the names of these Ds Os,
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since I know the inside of them,
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I can't really go that detail.
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So I'm not gonna give Ds O names because then I can go real deep.
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So the two of the eight that survived,
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um they ended up becoming over $1 billion Ds Os and they were autonomous.
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And what they found was this initially,
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they thought that having a corporate DS O structure versus an autonomous DS O structure would allow us to have more control of the doctor,
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more control of the staff,
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more control of the fees,
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more control of the systems,
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more control of the patients,
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more control of the,
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the vendors.
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And they figured from a business standpoint,
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you know,
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intuitively,
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that's got to be better because we get to control it.
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Well,
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they found that there's a key word that they really didn't understand at that time and that was alignment and especially financial alignment.
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And what,
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what that simply meant was that if it was good for the private equity company or is good for the private equity company,
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it's gotta be good for the provider as well,
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both financially and clinically So,
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what they did is they looked back on the two Ds Os that survived out of the initial eight Ds Os that were big ones in the nineties.
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They found that when the providers were tied to the financial rewards of that business and they let the clinicians do what they did best,
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right,
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that the clinicians and their teams were able to elevate those practices financially and it wasn't the big smart Wall Street folks that were able to grow it.
259
00:11:48,539 --> 00:11:53,429
So the autonomous Ds Os now are winning big time.
260
00:11:54,000 --> 00:11:57,640
And so I believe in our profession in dentistry.
261
00:11:57,919 --> 00:12:02,669
It's not a question of will Ds Os win at the end of the day or not.
262
00:12:03,109 --> 00:12:08,840
Everyone believes that dentistry is having big money come in and there's no stopping that.
263
00:12:08,849 --> 00:12:10,799
I believe the battle is this.
264
00:12:11,140 --> 00:12:17,559
Do we become like medicine corporatized with a corporate MS O right now,
265
00:12:17,570 --> 00:12:19,900
all of medicine is corporate MS Os.
266
00:12:19,909 --> 00:12:24,000
They never got the chance to fight the battle and have autonomous MS Os.
267
00:12:24,789 --> 00:12:27,090
You can see it with the insurance companies,
268
00:12:27,349 --> 00:12:29,200
CNA Blue Cross Blue Shield,
269
00:12:29,210 --> 00:12:30,309
they have golden handcuffs,
270
00:12:30,320 --> 00:12:31,140
these physicians.
271
00:12:31,760 --> 00:12:32,809
And right now,
272
00:12:32,820 --> 00:12:38,099
if we can win the battle of autonomous DS O versus corporate DS O,
273
00:12:38,159 --> 00:12:41,919
then we as providers can run our practices like we want to run them,
274
00:12:41,969 --> 00:12:47,429
we can be tied to the financial gains as we are conglomerated as an industry.
275
00:12:47,780 --> 00:12:49,039
And then at the end of the day,
276
00:12:49,049 --> 00:12:55,599
once we do become conglomerated because I think we all understand that that is gonna be a fact.
277
00:12:55,609 --> 00:12:55,979
Well,
278
00:12:55,989 --> 00:13:13,130
at least let's be conglomerated with us providers making our fair share of the tens of billions of dollars that are pouring into dentistry and let us providers continue to have freedom in our practices and freedom equals autonomy.
279
00:13:13,140 --> 00:13:15,789
If we can have autonomy with our patient basis,
280
00:13:15,799 --> 00:13:19,090
with who we add as partners uh to the business,
281
00:13:19,099 --> 00:13:21,109
even hygiene partners,
282
00:13:21,119 --> 00:13:22,349
assistant partners,
283
00:13:22,359 --> 00:13:23,020
managers,
284
00:13:23,030 --> 00:13:29,140
that can be partners at that level because we can do that as opposed to the old PC models do that,
285
00:13:29,150 --> 00:13:30,229
I think is the battle.
286
00:13:30,239 --> 00:13:30,469
We're,
287
00:13:30,479 --> 00:13:31,280
we're fighting,
288
00:13:31,809 --> 00:13:32,109
you know,
289
00:13:32,119 --> 00:13:32,309
the,
290
00:13:32,320 --> 00:13:37,409
the autonomy versus the corporate uh structure in the DS L market today.
291
00:13:37,679 --> 00:13:37,869
Yeah.
292
00:13:37,880 --> 00:13:40,380
And so it's like giving the actual provider and the,
293
00:13:40,390 --> 00:13:41,429
the people doing the work,
294
00:13:41,440 --> 00:13:42,030
the team,
295
00:13:42,039 --> 00:13:44,369
the money instead of the insurance company.
296
00:13:44,400 --> 00:13:44,849
Really.
297
00:13:44,859 --> 00:13:45,450
Let's be honest,
298
00:13:45,460 --> 00:13:46,570
they control everything.
299
00:13:46,580 --> 00:13:47,169
That's,
300
00:13:47,239 --> 00:13:47,409
yeah,
301
00:13:47,419 --> 00:13:50,890
that's the biggest DS L corporate thing ever.
302
00:13:50,900 --> 00:13:55,250
So that's another topic that we need to address at some point.
303
00:13:55,440 --> 00:13:55,729
Yeah.
304
00:13:55,739 --> 00:13:57,049
So I think that's great.
305
00:13:57,059 --> 00:13:57,770
When did freedom?
306
00:13:57,780 --> 00:13:59,119
Demo partners start?
307
00:13:59,130 --> 00:14:00,520
And how did that get going?
308
00:14:00,530 --> 00:14:05,479
And you saw a need for wanting to have Ds Os health practices out with services.
309
00:14:05,489 --> 00:14:06,820
And what do you provide?
310
00:14:06,830 --> 00:14:08,380
And what's all involved in that?
311
00:14:08,390 --> 00:14:12,440
I uh operated something called the D DS O Alliance.
312
00:14:12,450 --> 00:14:23,359
Dennis Own Ds O Alliance wrote a couple of books here and all D D O strategies and talking about thriving in dentistry's new economy.
313
00:14:23,700 --> 00:14:25,919
And through that alliance,
314
00:14:25,929 --> 00:14:43,210
a lot of the dentists were selling to Ds Os and I was helping them themselves and they would tell me what they liked and what they didn't like about their partnership with private equity through A DS O and a lot of them were getting pretty good values.
315
00:14:43,219 --> 00:14:43,630
Right,
316
00:14:43,640 --> 00:14:46,210
better values than if they sold to a dentist.
317
00:14:46,219 --> 00:14:57,789
But what we found is they could reap back a lot more on their sales if they clump together and sell as groups to these private equity firms.
318
00:14:58,030 --> 00:15:02,369
So that's when I started putting groups together to go to my market.
319
00:15:02,390 --> 00:15:07,190
And the dentists would get a lot more like many millions more in many cases.
320
00:15:07,650 --> 00:15:09,369
And beyond that,
321
00:15:09,539 --> 00:15:11,729
they didn't just get higher valuations,
322
00:15:11,739 --> 00:15:13,119
higher sale prices,
323
00:15:13,450 --> 00:15:16,219
they actually got to control their terms better.
324
00:15:16,280 --> 00:15:16,960
So they get,
325
00:15:16,969 --> 00:15:18,239
it was almost like a union.
326
00:15:18,250 --> 00:15:21,340
You get a few people together and you're gonna get better terms.
327
00:15:21,789 --> 00:15:25,840
And so ended up doing that um in small scale,
328
00:15:25,849 --> 00:15:27,799
then we started doing it in larger scale.
329
00:15:27,809 --> 00:15:39,770
So now we have hundreds of dentists banding together to get better pricing and better terms for their unique partnership with private equity when it becomes time for them,
330
00:15:39,780 --> 00:15:44,429
whether they're in their thirties or seventies and it's different for everybody.
331
00:15:44,590 --> 00:15:58,460
So that's kind of where it started uh myself just helping smaller groups end up uh finding their ideal transition strategy to kind of match groups up or dentists or practice up together and have kind of joined forces.
332
00:15:58,469 --> 00:16:07,739
Kind of like we do a lot of collaborations and join forces and you kind of sell them or you have people invest in them and so that helps keep them going,
333
00:16:07,750 --> 00:16:16,630
gives them resources without all the extra stress to keep their businesses going and then they give some a percentage to the,
334
00:16:16,940 --> 00:16:18,409
the DS O or the manager.
335
00:16:18,739 --> 00:16:18,950
Yeah.
336
00:16:18,960 --> 00:16:23,260
So the way it typically works is to create this alignment.
337
00:16:23,280 --> 00:16:27,539
What happens is this dentist who typically has some debt,
338
00:16:27,820 --> 00:16:28,700
wants to aid,
339
00:16:28,710 --> 00:16:30,039
get rid of all their debt,
340
00:16:30,049 --> 00:16:40,080
both business and personal and then be left with maybe two or $3 million in their retirement account and then have this upside,
341
00:16:40,090 --> 00:16:48,809
this business benefit as from being part of a bigger group that is funded or capitalized by one of these big private equity groups.
342
00:16:49,109 --> 00:16:56,390
And so the dentist typically will partner with private equity on their practice or through A DS O and they,
343
00:16:56,400 --> 00:16:57,090
they on average,
344
00:16:57,099 --> 00:17:06,410
get 70% in cash and 30% in stock in the whole and a lot of this big company with all these general practices.
345
00:17:06,420 --> 00:17:12,709
So what happens is they get a lot more money upfront than they would selling through any other resource,
346
00:17:12,719 --> 00:17:14,150
they get rid of all their debts.
347
00:17:14,848 --> 00:17:24,178
And now they have the ability to be part of a growing company that would eventually be recapitalized again by another private equity company,
348
00:17:24,389 --> 00:17:28,598
but now they're doing it on someone else's dime and that's private equity dime.
349
00:17:28,609 --> 00:17:31,479
So they're not having to take on new debt to expand.
350
00:17:31,489 --> 00:17:33,958
They're not having to pay,
351
00:17:33,968 --> 00:17:34,168
you know,
352
00:17:34,178 --> 00:17:36,668
big sign on bonuses for staff and,
353
00:17:36,979 --> 00:17:37,218
you know,
354
00:17:37,229 --> 00:17:37,639
they get,
355
00:17:37,649 --> 00:17:40,149
of course discounts on supplies.
356
00:17:40,159 --> 00:17:40,718
Lab,
357
00:17:40,729 --> 00:17:41,668
better insurance,
358
00:17:41,678 --> 00:17:42,328
reimbursement.
359
00:17:43,005 --> 00:17:43,425
Yeah.
360
00:17:43,435 --> 00:17:44,895
More enterprise pricing.
361
00:17:44,944 --> 00:17:52,324
And that makes sense to me because talk with a lot of innova innovators and entrepreneurs and a lot of people do like any startups,
362
00:17:52,334 --> 00:17:55,795
they do get private equity money or investments.
363
00:17:55,805 --> 00:17:56,665
And so for,
364
00:17:56,675 --> 00:17:59,824
for one dentist to have to do it all by himself.
365
00:17:59,834 --> 00:18:00,104
You know,
366
00:18:00,114 --> 00:18:01,005
that's a lot to,
367
00:18:01,015 --> 00:18:11,130
besides doing clinically like the business and just holding so much on your back and the team and the responsibility and the only money you have been coming in for some of these people are what the insurance company trickle,
368
00:18:11,140 --> 00:18:11,349
you know,
369
00:18:11,359 --> 00:18:15,869
give you a few pennies here and there and that is a lot to hold for one person.
370
00:18:16,069 --> 00:18:16,630
So,
371
00:18:16,640 --> 00:18:18,479
having that option,
372
00:18:18,489 --> 00:18:19,349
that freedom,
373
00:18:19,359 --> 00:18:19,609
you know,
374
00:18:19,619 --> 00:18:21,910
it is really great for a lot of people I would think.
375
00:18:22,390 --> 00:18:22,640
Yeah,
376
00:18:22,650 --> 00:18:22,949
it,
377
00:18:22,959 --> 00:18:25,109
it isn't for some dentists.
378
00:18:25,119 --> 00:18:25,569
I mean,
379
00:18:25,920 --> 00:18:28,189
they say the majority of dentists,
380
00:18:28,290 --> 00:18:28,530
you know,
381
00:18:28,540 --> 00:18:29,869
don't love the business side.
382
00:18:29,880 --> 00:18:31,069
They love the clinical.
383
00:18:31,079 --> 00:18:33,010
And so this super funds,
384
00:18:33,020 --> 00:18:36,829
the retirement lets them still have full control of their team,
385
00:18:36,839 --> 00:18:47,420
their patient base and they have that kind of weight lifted off their shoulders of the financial side and it can be a lot more fun working in collaboration,
386
00:18:47,430 --> 00:18:47,959
like you said,
387
00:18:47,969 --> 00:18:51,349
with a team of others who have the same goal that are aligned.
388
00:18:51,760 --> 00:18:53,250
And you know,
389
00:18:53,260 --> 00:18:54,930
the ad a had a survey,
390
00:18:54,939 --> 00:18:58,550
it showed that it's almost the majority of dentists are depressed.
391
00:18:58,810 --> 00:18:59,140
Well,
392
00:18:59,150 --> 00:19:03,290
they found that in large part and I think this might hit hygiene as well.
393
00:19:03,300 --> 00:19:07,290
We're in that single room treatment room with one patient,
394
00:19:07,430 --> 00:19:11,729
not a lot of collaboration and it can be very tedious work,
395
00:19:11,739 --> 00:19:13,290
both hygiene and dental.
396
00:19:13,550 --> 00:19:14,829
And you know,
397
00:19:14,839 --> 00:19:16,430
when groups get together,
398
00:19:16,439 --> 00:19:17,530
when dentists get together,
399
00:19:17,540 --> 00:19:18,729
when teams get together,
400
00:19:18,739 --> 00:19:20,150
the collaboration,
401
00:19:20,479 --> 00:19:20,849
you know,
402
00:19:20,859 --> 00:19:23,329
is a lot more of a team environment.
403
00:19:23,339 --> 00:19:24,010
And really,
404
00:19:24,020 --> 00:19:27,670
I found staves off any depression that one might be uh at,
405
00:19:27,680 --> 00:19:28,640
at risk of,
406
00:19:28,810 --> 00:19:29,010
yeah,
407
00:19:29,020 --> 00:19:29,650
the hygienist,
408
00:19:29,660 --> 00:19:35,310
you missed out a lot on that because it's kind of like you're being whipped to get back to work because you're producing and you're costing so much money.
409
00:19:35,319 --> 00:19:35,900
If you talking,
410
00:19:35,910 --> 00:19:43,339
if you're saying hi to any of your team members or if you're even taking a lunch or for a bit and break and then you just feel like you're the enemy,
411
00:19:43,349 --> 00:19:43,699
you know,
412
00:19:43,709 --> 00:19:44,829
and so it is really lonely.
413
00:19:44,839 --> 00:19:46,599
It can't be depressing and only,
414
00:19:46,609 --> 00:19:46,829
you know,
415
00:19:46,839 --> 00:19:49,040
you get to talk to your patients if you're lucky to have enough time.
416
00:19:49,050 --> 00:19:49,410
Some,
417
00:19:49,420 --> 00:19:50,170
some places.
418
00:19:50,180 --> 00:19:50,479
But,
419
00:19:51,030 --> 00:19:51,270
and,
420
00:19:51,280 --> 00:19:54,329
and so a dentist as well and then if you do have a second,
421
00:19:54,339 --> 00:20:02,310
you have to go do the business side and if you're lucky enough to enjoy the business and be good at it and you can balance both of that fantastic.
422
00:20:02,319 --> 00:20:02,619
But that,
423
00:20:02,630 --> 00:20:02,880
I mean,
424
00:20:02,890 --> 00:20:06,989
that has to be rare and to be happy and to have a family.
425
00:20:08,439 --> 00:20:10,050
Guess what I saw today.
426
00:20:10,060 --> 00:20:11,609
A squeezed pee.
427
00:20:11,619 --> 00:20:12,189
That's right.
428
00:20:12,199 --> 00:20:12,640
A squeeze.
429
00:20:12,650 --> 00:20:13,050
Pee.
430
00:20:13,060 --> 00:20:14,790
Do you know what a squeeze pee is?
431
00:20:14,800 --> 00:20:15,079
Well,
432
00:20:15,089 --> 00:20:15,760
if you don't,
433
00:20:15,770 --> 00:20:18,969
I'm gonna tell you a squeeze pee is a pea pod.
434
00:20:18,979 --> 00:20:24,050
So it's a pea pod and there's three little peas in the pod and one of them has a key level smiley face on them.
435
00:20:24,060 --> 00:20:33,369
And what you can do is give these to your patients if they're anxious or nervous or perhaps if you want one yourself and you just squeeze the little pods until you pop the peas out.
436
00:20:33,380 --> 00:20:33,949
Kind of like a,
437
00:20:34,400 --> 00:20:34,660
you know,
438
00:20:34,670 --> 00:20:36,550
you can pop a little peas out anyway.
439
00:20:36,560 --> 00:20:40,239
Super cute little green peas and one of them has a cute little smile,
440
00:20:40,250 --> 00:20:41,449
smiley face on them.
441
00:20:41,459 --> 00:20:42,069
So yes.
442
00:20:42,079 --> 00:20:43,500
Squeeze peas.
443
00:20:43,510 --> 00:20:44,540
I know you want one.
444
00:20:44,589 --> 00:20:45,949
I know you want to squeeze one.
445
00:20:45,959 --> 00:20:46,790
I know I do.
446
00:20:46,800 --> 00:20:47,729
I'm gonna get me one.
447
00:20:47,739 --> 00:20:53,400
So check out Smile Makers dot com and use code D A P 20 to get yourself some squeezed peas,
448
00:20:53,410 --> 00:20:56,449
D A P 20 for 20% off of any order.
449
00:20:56,459 --> 00:20:57,829
It doesn't have to be squeezed peas.
450
00:20:57,839 --> 00:21:01,589
Just go to Smile Makers dot com.
451
00:21:01,609 --> 00:21:02,329
Cheers.
452
00:21:04,280 --> 00:21:10,729
And to speak a little bit about the hygiene component of a lot of these groups that we put together through freedom.
453
00:21:11,000 --> 00:21:11,349
You know,
454
00:21:11,359 --> 00:21:20,650
a lot of hygienists because of the shortage of hygiene have asked for higher hourly rates and a lot of them feel comfortable with their hourly rate.
455
00:21:20,810 --> 00:21:28,349
But the reality is many of these models throughout the freedom system relate to the profitability of the business,
456
00:21:28,359 --> 00:21:31,729
which can be a lot higher than the hourly rate.
457
00:21:32,119 --> 00:21:40,819
And so really a lot of the new hygiene models out there relate to that hygienist productivity and the soft tissue program,
458
00:21:40,900 --> 00:21:43,030
not just an hourly rate.
459
00:21:43,189 --> 00:21:44,560
And if I were a hygienist,
460
00:21:44,569 --> 00:21:45,910
I would prefer to,
461
00:21:45,920 --> 00:21:46,160
you know,
462
00:21:46,170 --> 00:21:49,329
have business profits from my sector that I'm working in.
463
00:21:49,339 --> 00:21:51,219
Not just an hourly rate.
464
00:21:51,229 --> 00:21:51,650
Yes.
465
00:21:51,660 --> 00:21:55,479
And you're gonna do better and you're gonna work harder and you're gonna be happy about it.
466
00:21:55,520 --> 00:21:55,530
I,
467
00:21:55,540 --> 00:21:59,829
I just worked for commission for the first time at my last position.
468
00:22:00,084 --> 00:22:01,655
It was so much better before I'd be like,
469
00:22:01,665 --> 00:22:02,275
oh my gosh,
470
00:22:02,285 --> 00:22:03,635
I gotta do a full mouth and,
471
00:22:03,645 --> 00:22:03,824
you know,
472
00:22:03,834 --> 00:22:04,805
I can't want the assistant deal.
473
00:22:04,814 --> 00:22:05,864
They're not doing anything.
474
00:22:05,895 --> 00:22:06,814
And now I'm like,
475
00:22:06,984 --> 00:22:07,234
no,
476
00:22:07,244 --> 00:22:07,714
don't help me.
477
00:22:07,724 --> 00:22:09,295
I got it like I can do this in 10 minutes.
478
00:22:09,305 --> 00:22:12,854
It totally changes your perspective because you're getting paid for it.
479
00:22:12,864 --> 00:22:14,275
It makes it so much better.
480
00:22:14,494 --> 00:22:15,824
And then the assistants are happier.
481
00:22:15,834 --> 00:22:22,635
The front office is happier because you want patients to come in instead of hoping your patients don't show up because you still get paid whatever hour you want them to show up.
482
00:22:22,645 --> 00:22:26,564
So energy in the practice changes because you want your patients to come in.
483
00:22:26,574 --> 00:22:28,810
You're not given that everybody's like,
484
00:22:28,819 --> 00:22:28,829
oh,
485
00:22:28,839 --> 00:22:29,660
please don't come in.
486
00:22:29,670 --> 00:22:29,819
You know,
487
00:22:29,829 --> 00:22:31,079
I just need a break and I get,
488
00:22:31,089 --> 00:22:31,420
you know,
489
00:22:31,430 --> 00:22:32,339
you get paid no matter what,
490
00:22:32,349 --> 00:22:38,349
sometimes you want them to come in and it just changes the whole perspective for everybody.
491
00:22:38,479 --> 00:22:38,849
Well,
492
00:22:38,859 --> 00:22:39,939
and think about this,
493
00:22:39,949 --> 00:22:40,099
I,
494
00:22:40,109 --> 00:22:51,030
I I think hourly pay rate related to both dental assistant management hygiene is antiquated.
495
00:22:51,239 --> 00:22:51,930
Uh you know,
496
00:22:51,939 --> 00:22:58,109
all the models to pay dentists are all based on a percentage that relates to the,
497
00:22:58,119 --> 00:22:59,319
to the business.
498
00:22:59,569 --> 00:23:05,369
And um it not only influences the revenue to the provider,
499
00:23:05,380 --> 00:23:06,650
whether it be a hygienist or,
500
00:23:06,660 --> 00:23:07,550
or whoever,
501
00:23:07,560 --> 00:23:24,579
but it also influences patient care because they have shown in multiple studies that business owners care more about the customer than someone who's hired to manage someone else's business because they care about that experience of the customer or experience of the patient.
502
00:23:24,910 --> 00:23:27,500
And when you're paid on commission,
503
00:23:27,510 --> 00:23:30,060
if you will or a percentage of profit,
504
00:23:30,069 --> 00:23:30,880
if you will,
505
00:23:31,819 --> 00:23:35,689
you actually care about getting great reviews,
506
00:23:35,699 --> 00:23:38,729
having that customer or person come back again.
507
00:23:38,739 --> 00:23:39,410
Right?
508
00:23:39,609 --> 00:23:41,150
A lot more I believe.
509
00:23:41,160 --> 00:23:44,650
And that's kind of the way America's system has been built,
510
00:23:44,660 --> 00:23:46,020
whether we like it or not.
511
00:23:46,209 --> 00:23:53,500
And so I really do believe to treat providers like hourly paid physician positions in some dollar store.
512
00:23:53,510 --> 00:23:55,829
Isn't the way that patients with,
513
00:23:55,839 --> 00:23:58,265
or staff or teams or this as well.
514
00:23:58,276 --> 00:24:00,395
You could tell the difference when you walk into some place.
515
00:24:00,406 --> 00:24:00,645
Like,
516
00:24:00,656 --> 00:24:01,176
oh,
517
00:24:01,316 --> 00:24:02,235
they're working on commission,
518
00:24:02,245 --> 00:24:02,385
you know,
519
00:24:02,395 --> 00:24:06,375
commission or whatever or they're part of the team or they take ownership or,
520
00:24:06,385 --> 00:24:06,485
oh,
521
00:24:06,495 --> 00:24:06,656
they,
522
00:24:06,666 --> 00:24:06,916
you know,
523
00:24:06,926 --> 00:24:08,005
they could care less.
524
00:24:08,286 --> 00:24:10,806
You could just tell when you go into some places as well.
525
00:24:10,965 --> 00:24:13,926
I might say 11 thing that a lot of dentists think,
526
00:24:13,936 --> 00:24:13,985
oh,
527
00:24:13,995 --> 00:24:17,645
I can't pay on profit or commission.
528
00:24:17,946 --> 00:24:18,936
You can,
529
00:24:18,946 --> 00:24:27,102
it is non clinical persons that cannot use those types of profit sharing revenue,
530
00:24:27,112 --> 00:24:28,421
stream sharing,
531
00:24:28,432 --> 00:24:29,781
commission streams,
532
00:24:29,791 --> 00:24:35,482
licensed clinicians like hygienic can receive a percentage of,
533
00:24:35,491 --> 00:24:40,251
of profits and that's due in large part to the movement of,
534
00:24:40,352 --> 00:24:40,641
you know,
535
00:24:40,651 --> 00:24:44,001
a lot of states have adopted this a lot more independence of hygiene.
536
00:24:44,369 --> 00:24:51,619
And so just as a dentist who's employed by another dentist receives a percentage or commission,
537
00:24:51,630 --> 00:24:58,079
commission based paycheck and 95% of the time if you're a hygienist and you're not in one of those systems,
538
00:24:58,089 --> 00:25:09,910
just know that you can find practices out there where you can be paid a percentage of the profits and do two times three times better in many cases and you know,
539
00:25:09,920 --> 00:25:14,680
really run your own schedule and have a lot more freedom uh in practice.
540
00:25:14,689 --> 00:25:14,939
Yes.
541
00:25:14,949 --> 00:25:15,140
So it,
542
00:25:15,150 --> 00:25:17,420
it makes a huge difference for sure.
543
00:25:17,430 --> 00:25:20,560
I think when I first started in dentistry in 1998.
544
00:25:20,719 --> 00:25:21,569
The doctor I worked for,
545
00:25:21,579 --> 00:25:22,209
we did,
546
00:25:22,479 --> 00:25:23,640
it was called Bonuses,
547
00:25:23,650 --> 00:25:24,619
which I know it's kind of,
548
00:25:24,630 --> 00:25:25,810
but it's still profit sharing.
549
00:25:25,819 --> 00:25:26,540
It was,
550
00:25:26,869 --> 00:25:27,189
you know,
551
00:25:27,199 --> 00:25:27,780
you kind of get your,
552
00:25:27,790 --> 00:25:28,920
whatever your salary is.
553
00:25:28,930 --> 00:25:31,260
But then everybody gets a percentage,
554
00:25:31,270 --> 00:25:33,390
the same percentage if we go over that.
555
00:25:33,560 --> 00:25:36,599
And so we all hustled and worked our butts off and we did.
556
00:25:36,699 --> 00:25:36,949
Right.
557
00:25:36,959 --> 00:25:41,989
So everybody profit shared at the end of the month and it made a huge difference and the energy was great.
558
00:25:42,000 --> 00:25:43,510
We did just what you're saying.
559
00:25:43,520 --> 00:25:44,020
And so,
560
00:25:44,079 --> 00:25:44,670
and that was in the,
561
00:25:44,680 --> 00:25:44,900
you know,
562
00:25:44,910 --> 00:25:46,250
for an office or office manager.
563
00:25:46,260 --> 00:25:46,729
And so,
564
00:25:46,959 --> 00:25:47,359
you know,
565
00:25:47,369 --> 00:25:48,750
I was able to participate in that as well.
566
00:25:48,760 --> 00:25:50,449
Not even being a clinician,
567
00:25:50,609 --> 00:25:51,430
it changes everything,
568
00:25:51,439 --> 00:25:53,160
somebody calls in and wants to get in.
569
00:25:53,329 --> 00:25:55,030
I find room for on the schedule.
570
00:25:55,040 --> 00:25:56,079
They're not sad about it,
571
00:25:56,089 --> 00:25:57,290
they're happy about it.
572
00:25:57,300 --> 00:25:57,630
You know,
573
00:25:57,640 --> 00:26:00,680
they say they're happy about it instead of pouting about it.
574
00:26:00,689 --> 00:26:02,380
And for a good reason,
575
00:26:02,390 --> 00:26:02,660
I mean,
576
00:26:02,670 --> 00:26:04,170
really agree with you.
577
00:26:04,180 --> 00:26:07,459
The best alignment financially is where the,
578
00:26:07,469 --> 00:26:14,030
it's not just certain providers like hygienists are tied into you and then you're extra,
579
00:26:14,270 --> 00:26:17,989
it's gotta be the whole team and yes hygienists,
580
00:26:18,000 --> 00:26:19,930
it costs more to go to school.
581
00:26:19,939 --> 00:26:27,959
They are providing the actual service they usually do end up because of what they put in having a bigger chunk of that piece.
582
00:26:27,969 --> 00:26:30,819
But when the whole team is added to that.
583
00:26:31,069 --> 00:26:31,660
You're right.
584
00:26:31,670 --> 00:26:36,239
Then people aren't lamenting why the hygiene department gets X Y or Z.
585
00:26:36,250 --> 00:26:42,400
So there's really good holistic ones nowadays that align the whole team and,
586
00:26:42,410 --> 00:26:42,699
you know,
587
00:26:42,709 --> 00:26:44,130
so I might say this Cindy,
588
00:26:44,140 --> 00:26:46,599
so that whole ecosystem of,
589
00:26:46,609 --> 00:26:47,599
of having a good,
590
00:26:47,609 --> 00:27:05,770
what we all refer to as bonus system in the practice really is the main difference between an autonomous DS O and a corporate DS O A corporate DS O runs their DS O as a dental practice does with paid employees who check in,
591
00:27:05,780 --> 00:27:06,660
check out,
592
00:27:06,810 --> 00:27:07,969
just do their job,
593
00:27:08,130 --> 00:27:08,670
right?
594
00:27:08,920 --> 00:27:22,189
An autonomous DS O if you were to liken it through an analogy with the dental practice would be a situation where that practice is rewarding its employees as a revenue share from the whole practice.
595
00:27:22,275 --> 00:27:23,765
They got retirement accounts,
596
00:27:23,775 --> 00:27:24,285
right?
597
00:27:24,295 --> 00:27:26,305
They get to choose that treatment for their patients.
598
00:27:26,314 --> 00:27:32,744
They work hand in hand with the doctor to get it done diagnosis wise and the whole teams involved.
599
00:27:32,775 --> 00:27:36,084
So that's really in the DS O world.
600
00:27:36,094 --> 00:27:38,204
What an autonomous DS O is it,
601
00:27:38,214 --> 00:27:44,244
it's like the best dental practice that has the whole team on a wonderful revenue sharing platform.
602
00:27:45,000 --> 00:27:45,130
Yeah,
603
00:27:45,140 --> 00:27:45,640
I was just thinking,
604
00:27:45,650 --> 00:27:45,819
man,
605
00:27:45,829 --> 00:27:47,400
ha and the best of both worlds.
606
00:27:48,380 --> 00:27:48,780
That's right.
607
00:27:49,160 --> 00:27:50,400
Like because it really is,
608
00:27:50,410 --> 00:27:50,439
it,
609
00:27:50,449 --> 00:27:51,270
it just sounds,
610
00:27:51,280 --> 00:27:51,520
I mean,
611
00:27:51,530 --> 00:27:52,439
it sounds great.
612
00:27:52,650 --> 00:27:53,130
So,
613
00:27:53,140 --> 00:27:53,349
hey,
614
00:27:53,359 --> 00:27:53,719
Cindy,
615
00:27:53,729 --> 00:27:59,040
what states now is independent Hien through the boards and,
616
00:27:59,050 --> 00:27:59,439
and good.
617
00:27:59,449 --> 00:28:00,949
I know Colorado.
618
00:28:00,959 --> 00:28:02,619
Uh what other states or?
619
00:28:02,630 --> 00:28:03,790
I'm in Oregon.
620
00:28:04,219 --> 00:28:07,770
And so we could do a lot more than most states.
621
00:28:07,780 --> 00:28:12,949
I think there's some business owners as well and they're independent hygienists.
622
00:28:13,380 --> 00:28:16,180
I'm not sure of all the terms or legalities of that.
623
00:28:16,439 --> 00:28:16,949
I'm not sure.
624
00:28:16,959 --> 00:28:20,650
Probably Washington because they're pretty advanced as far as hygiene.
625
00:28:20,900 --> 00:28:21,849
Colorado.
626
00:28:21,859 --> 00:28:22,040
I don't,
627
00:28:22,050 --> 00:28:22,819
I don't know for sure.
628
00:28:22,829 --> 00:28:23,650
To be honest,
629
00:28:23,699 --> 00:28:25,229
they're so different across the states,
630
00:28:25,239 --> 00:28:26,050
which is crazy.
631
00:28:26,079 --> 00:28:26,329
It,
632
00:28:26,339 --> 00:28:27,130
it is true.
633
00:28:27,140 --> 00:28:27,689
Well,
634
00:28:28,020 --> 00:28:36,939
so there is a movement right now where hygienists are owning practices and a lot of hygienists think that their ownership of a practice,
635
00:28:36,949 --> 00:28:43,199
a dental practice is related to what the hygienist can do in that state.
636
00:28:43,209 --> 00:28:45,920
So any of you hygienists that are listening right now,
637
00:28:45,930 --> 00:28:50,300
your ability to own a practice is more related to DS O law,
638
00:28:50,510 --> 00:28:54,849
the separating of the business assets from the clinical assets.
639
00:28:55,219 --> 00:28:58,319
So I believe in the next five years,
640
00:28:58,329 --> 00:29:04,829
more and more hygienists will own practices because I believe there are hygienists that have been around for a while,
641
00:29:04,839 --> 00:29:06,219
have great patient base,
642
00:29:06,229 --> 00:29:08,500
understand running a business.
643
00:29:08,790 --> 00:29:09,650
And sadly,
644
00:29:09,660 --> 00:29:13,890
a lot of our dentists getting out of school are not business people.
645
00:29:13,920 --> 00:29:15,209
Have you noticed that?
646
00:29:15,219 --> 00:29:15,430
Yeah.
647
00:29:15,439 --> 00:29:17,849
And I think a lot of them would love to work for a hygienist.
648
00:29:17,859 --> 00:29:18,689
Honestly,
649
00:29:18,939 --> 00:29:20,020
that's what some of us,
650
00:29:20,119 --> 00:29:20,339
you know,
651
00:29:20,349 --> 00:29:22,979
having the dental business background.
652
00:29:23,180 --> 00:29:23,449
Well,
653
00:29:23,459 --> 00:29:25,339
if you think about hygienists,
654
00:29:25,349 --> 00:29:30,569
the ones that are really running great soft tissue programs that are leading teams.
655
00:29:31,069 --> 00:29:37,859
They are hygienists that have worked their way up the business ladder as office managers first then became hygienists.
656
00:29:38,040 --> 00:29:42,449
They are awesome uh prototypes for practice ownership.
657
00:29:42,790 --> 00:29:44,599
And so uh freedom,
658
00:29:44,609 --> 00:29:53,619
dental is also about empowering uh any clinician or any person in dentistry to own a practice,
659
00:29:53,630 --> 00:29:54,300
right?
660
00:29:54,969 --> 00:29:55,459
Practice.
661
00:29:55,660 --> 00:29:56,140
Practice.
662
00:29:56,150 --> 00:29:56,339
That,
663
00:29:56,349 --> 00:29:56,979
that's right.
664
00:29:56,989 --> 00:29:57,579
And then they,
665
00:29:57,589 --> 00:29:58,099
and,
666
00:29:58,109 --> 00:30:01,319
and in that model that they bring on dentists,
667
00:30:01,329 --> 00:30:01,650
yes,
668
00:30:01,660 --> 00:30:03,400
they're hiring the dentist.
669
00:30:03,430 --> 00:30:04,540
But once again,
670
00:30:04,550 --> 00:30:06,260
that dentist is also,
671
00:30:06,270 --> 00:30:07,380
if you do it right,
672
00:30:08,010 --> 00:30:10,959
aligned incentivized by the business profits,
673
00:30:10,969 --> 00:30:12,459
they just didn't take on,
674
00:30:12,619 --> 00:30:12,910
you know,
675
00:30:12,920 --> 00:30:15,189
the financial obligation to buy the practice.
676
00:30:15,199 --> 00:30:15,420
Right.
677
00:30:15,430 --> 00:30:15,619
But,
678
00:30:16,010 --> 00:30:16,540
but they,
679
00:30:16,550 --> 00:30:21,040
you have the stress that they can become a minority owner and all these good things.
680
00:30:21,050 --> 00:30:23,760
But so I think we're gonna see that in the next five years,
681
00:30:23,770 --> 00:30:26,479
more and more hygienic owning practices,
682
00:30:26,489 --> 00:30:30,380
not through this independent hygiene movement,
683
00:30:30,390 --> 00:30:37,520
but more through the legal structure of a true Ds O which costs a little more to set up.
684
00:30:37,569 --> 00:30:37,750
Um,
685
00:30:37,760 --> 00:30:41,329
it's getting more and more reasonable as more and more Ds Os get out there.
686
00:30:41,339 --> 00:30:48,569
But hygienist owning practices through a compliant DS O structure will be really big across our nation in the next five,
687
00:30:48,579 --> 00:30:49,989
probably 10 years as well.
688
00:30:50,640 --> 00:30:50,930
Yeah,
689
00:30:50,939 --> 00:30:51,489
I see that.
690
00:30:51,500 --> 00:30:51,719
I think,
691
00:30:51,729 --> 00:30:54,910
I think that would be great for sure and preventative care,
692
00:30:54,920 --> 00:30:55,150
you know,
693
00:30:55,160 --> 00:30:56,099
a lot of dentists know,
694
00:30:56,109 --> 00:31:07,800
because we do preventative care and pretty much we don't do everything but we do a whole assessment and the dentist will come in and pretty much we kind of kind of tell them what's there and they just have to go confirm,
695
00:31:07,810 --> 00:31:08,109
you know,
696
00:31:08,119 --> 00:31:09,000
so they really,
697
00:31:09,010 --> 00:31:13,400
a lot of them already do rely on us because they trust us and they know that,
698
00:31:13,410 --> 00:31:13,650
you know,
699
00:31:13,660 --> 00:31:16,670
we can see things and then they kind of see and confirm and so,
700
00:31:17,640 --> 00:31:19,250
or some of us are already doing that anyway.
701
00:31:19,260 --> 00:31:21,750
So why not make it more beneficial?
702
00:31:21,760 --> 00:31:22,260
Yeah.
703
00:31:22,760 --> 00:31:22,949
Yeah.
704
00:31:22,959 --> 00:31:26,010
So how does somebody get into that if they were interested in starting their own,
705
00:31:26,020 --> 00:31:26,930
owning their own,
706
00:31:27,089 --> 00:31:27,109
um,
707
00:31:27,119 --> 00:31:28,569
business as a hygienist,
708
00:31:29,079 --> 00:31:29,089
uh,
709
00:31:29,099 --> 00:31:29,920
is,
710
00:31:29,930 --> 00:31:29,939
uh,
711
00:31:29,949 --> 00:31:34,449
something that they would contact like you or for like a DS O or the,
712
00:31:34,459 --> 00:31:36,390
to get the legalities of that?
713
00:31:36,400 --> 00:31:36,790
Yeah.
714
00:31:36,810 --> 00:31:43,949
So if you're a hygienist and you want to be able to own here are the really good opportunities that are out there.
715
00:31:44,290 --> 00:31:54,069
The Ds Os are only really partnering with or buying practices over 1.4 million and those practices are pretty expensive.
716
00:31:54,160 --> 00:32:02,469
Most hygienists that have been around a while realize how quickly a practice can grow with just some good business practices in there.
717
00:32:02,479 --> 00:32:03,910
A nice bonus system,
718
00:32:03,920 --> 00:32:05,619
getting some marketing out,
719
00:32:05,630 --> 00:32:07,540
a good recall system,
720
00:32:07,869 --> 00:32:10,010
keeping more of the procedures in house,
721
00:32:10,020 --> 00:32:12,969
not referring all the root canals out and implants.
722
00:32:13,369 --> 00:32:22,089
And so the hygienists that have done the best doing this are typically the ones that find practices that are doing under 1.4 million.
723
00:32:22,689 --> 00:32:25,050
And because the Ds Os don't want those,
724
00:32:25,250 --> 00:32:27,589
you can buy them dirt cheap,
725
00:32:27,619 --> 00:32:28,349
ok,
726
00:32:28,359 --> 00:32:29,459
dirt cheap.
727
00:32:29,469 --> 00:32:34,839
And so what you want to do is buy a practice where the provider,
728
00:32:34,849 --> 00:32:44,560
the dentist provider is also in minority ownership because a hygienist that owns a practice without a doctor is at risk.
729
00:32:44,569 --> 00:32:48,280
So if you have a doctor and you let the doctor own 20% of,
730
00:32:48,290 --> 00:32:49,449
of the practice,
731
00:32:49,479 --> 00:32:50,579
then you're in great shape.
732
00:32:50,589 --> 00:32:53,959
You've got that doctor and you can add another doctor to that,
733
00:32:53,969 --> 00:32:57,819
an associate or partner or what I call a trial partner.
734
00:32:58,439 --> 00:33:04,030
And so you can also get really good deals on these practices where the sellers actually sell or finance,
735
00:33:04,040 --> 00:33:04,449
you,
736
00:33:04,459 --> 00:33:06,060
you don't have to go to the bank.
737
00:33:06,280 --> 00:33:09,300
And so in every community out there,
738
00:33:09,410 --> 00:33:11,369
there are practice deals available.
739
00:33:11,380 --> 00:33:12,670
So if you're a hygienist and you're,
740
00:33:12,680 --> 00:33:14,439
you want to look for an opportunity,
741
00:33:14,540 --> 00:33:17,550
oftentimes what you would do is find a,
742
00:33:17,560 --> 00:33:18,449
a dentist,
743
00:33:18,459 --> 00:33:20,670
many hygienists know of a,
744
00:33:20,680 --> 00:33:22,270
a dentist that they've met,
745
00:33:22,280 --> 00:33:22,810
right?
746
00:33:23,199 --> 00:33:29,869
Who may work for a DS O may work for someone else if you can bring a dentist with you to do that.
747
00:33:29,880 --> 00:33:30,290
And you can say,
748
00:33:30,300 --> 00:33:30,420
hey,
749
00:33:30,430 --> 00:33:31,170
dentist,
750
00:33:31,180 --> 00:33:32,300
let's do this together.
751
00:33:32,310 --> 00:33:33,699
Let's buy a practice,
752
00:33:33,900 --> 00:33:34,530
right?
753
00:33:34,579 --> 00:33:36,630
I'll take on X Y and Z.
754
00:33:36,750 --> 00:33:40,810
Those have been some of the best situations where hygienists can get into.
755
00:33:40,819 --> 00:33:41,630
They've got a dentist,
756
00:33:41,640 --> 00:33:44,050
they're partnering with maybe a minority partner,
757
00:33:44,109 --> 00:33:52,339
the hygienic has found this deal they're gonna do and now they end up going in kind of being the practice manager,
758
00:33:52,349 --> 00:33:55,969
managing the manager growing it as an investment.
759
00:33:56,239 --> 00:33:58,800
And that has worked really well.
760
00:33:58,810 --> 00:34:01,359
And there's also sorts of combinations in between.
761
00:34:01,369 --> 00:34:03,719
But this practice is all over right now.
762
00:34:04,079 --> 00:34:07,739
And once you get them over that 1.4 million a year threshold,
763
00:34:07,750 --> 00:34:08,989
they become really,
764
00:34:09,000 --> 00:34:13,419
really valuable like 2 to 3 to $4 million upside.
765
00:34:13,560 --> 00:34:18,620
And just one practice that a hygienist can buy for like four or 500,000,
766
00:34:18,780 --> 00:34:20,270
the cost of a rental house,
767
00:34:20,280 --> 00:34:20,810
right.
768
00:34:21,120 --> 00:34:27,878
That one practice you buy can totally fund your retirement with 23 or $4 million if you,
769
00:34:28,019 --> 00:34:28,339
you know,
770
00:34:28,349 --> 00:34:31,358
go out there and figure out how to do it.
771
00:34:31,368 --> 00:34:44,079
And I can certainly recommend certain legal firms that are able to set up that compliant DS O structure that allows you whether you're a hygienist or just a layperson who isn't even in down street to own a practice.
772
00:34:44,089 --> 00:34:46,789
So anybody can own a practice if they have a dentist,
773
00:34:46,799 --> 00:34:48,678
does the dentist do,
774
00:34:48,688 --> 00:34:50,178
does it have to be 20% at least?
775
00:34:50,188 --> 00:34:56,679
And do they have to actually practice dentist or do they just have to be an owner the way it works for the DS O structures?
776
00:34:56,689 --> 00:35:00,639
You don't have to even have a dentist owner involved.
777
00:35:00,649 --> 00:35:08,040
You do have to have a dentist that signs these agreements between the DS O or the management company and the PC,
778
00:35:08,050 --> 00:35:08,620
which would be the,
779
00:35:08,629 --> 00:35:09,790
the clinical entity.
780
00:35:09,939 --> 00:35:15,679
And it's that clinical entity that has to be owned by a licensed person.
781
00:35:15,800 --> 00:35:16,399
OK.
782
00:35:16,419 --> 00:35:23,020
So typically you would have a dentist in that state sign on behalf of that entity,
783
00:35:23,260 --> 00:35:37,209
but all the money then rolls up to the management company and that dentist does not need to own any part of your management company or DS O but you usually want them to because if they don't own a part of the management company,
784
00:35:37,219 --> 00:35:40,574
there have been some cases where the dentist tries to run away with the business,
785
00:35:40,584 --> 00:35:41,705
which makes sense,
786
00:35:41,715 --> 00:35:42,004
right?
787
00:35:42,014 --> 00:35:45,385
Because they're there signing on behalf of that PC.
788
00:35:45,395 --> 00:35:46,975
So the best models are where,
789
00:35:47,155 --> 00:35:47,395
you know,
790
00:35:47,405 --> 00:35:54,604
the hygienist might own 80% of the DS O and the dentist 20% and the dentist owns the PC underneath of it.
791
00:35:54,969 --> 00:35:56,370
And those have been great,
792
00:35:56,379 --> 00:35:58,489
great working relationships.
793
00:35:58,500 --> 00:36:02,780
Even there's some 50 50 deals where a dentist and a hygienist partner together,
794
00:36:02,909 --> 00:36:05,620
the hygienist usually is kind of the business person.
795
00:36:05,709 --> 00:36:07,510
The dentist is someone that's like,
796
00:36:07,520 --> 00:36:10,159
I see all these great opportunities in dentistry.
797
00:36:10,409 --> 00:36:12,709
I want her to deal with that team.
798
00:36:12,719 --> 00:36:13,350
Right.
799
00:36:13,540 --> 00:36:14,729
Because let's face it.
800
00:36:14,739 --> 00:36:20,000
Most introverted dentists get steamrolled by their type.
801
00:36:20,010 --> 00:36:21,409
A oftentimes,
802
00:36:21,419 --> 00:36:22,810
majority female teams,
803
00:36:22,820 --> 00:36:23,050
right.
804
00:36:23,060 --> 00:36:25,659
These dentists who are introverts,
805
00:36:26,129 --> 00:36:28,149
they are not good at managing teams,
806
00:36:28,179 --> 00:36:28,979
they're really,
807
00:36:28,989 --> 00:36:30,010
really bad.
808
00:36:30,020 --> 00:36:30,629
Right.
809
00:36:30,889 --> 00:36:37,639
And so a introverted dentist with a type A and let's face it hygienist uh,
810
00:36:37,919 --> 00:36:39,949
it's hard to get into the hygiene school.
811
00:36:39,959 --> 00:36:41,949
A lot are driven,
812
00:36:42,149 --> 00:36:42,159
uh,
813
00:36:42,209 --> 00:36:45,330
achievement oriented females in hygiene.
814
00:36:45,340 --> 00:36:47,719
They're like awesome managers.
815
00:36:47,750 --> 00:36:48,389
So that it's,
816
00:36:48,399 --> 00:36:56,129
you're generally an introverted dentist with an awesome business hygiene manager type person that team up together.
817
00:36:56,719 --> 00:36:57,669
And that has been a,
818
00:36:57,679 --> 00:36:59,330
a winning combination,
819
00:36:59,419 --> 00:37:06,239
which by the way is neat for your podcast because you've got Dennis and high Ds and you could create a little matchmaking thing.
820
00:37:06,250 --> 00:37:06,610
right?
821
00:37:06,620 --> 00:37:10,590
Because it's pretty powerful for folks watching your podcast.
822
00:37:11,219 --> 00:37:11,540
Yeah.
823
00:37:11,550 --> 00:37:11,709
Yeah.
824
00:37:11,719 --> 00:37:12,510
And I think it's great.
825
00:37:12,520 --> 00:37:18,540
I think this is great information for people that aren't even aware of this and it's something that people could be aware of and,
826
00:37:18,719 --> 00:37:21,409
and you bringing this out and letting people know about it.
827
00:37:21,419 --> 00:37:26,010
It's great what they can do in the industry and the business side and what's out there,
828
00:37:26,020 --> 00:37:30,629
there's so many different options that are available that we don't even hear about.
829
00:37:30,639 --> 00:37:32,070
So it's,
830
00:37:32,080 --> 00:37:32,280
yeah,
831
00:37:32,290 --> 00:37:33,580
it's so true and it,
832
00:37:33,590 --> 00:37:41,000
it'll be an exciting five years and really what a lot of this relates to with hygienists investing in practices.
833
00:37:41,050 --> 00:37:46,550
Dentists investing in multiple practices is really just about,
834
00:37:46,780 --> 00:37:47,219
you know,
835
00:37:47,229 --> 00:37:51,600
how do we a keep dentistry in our own hands,
836
00:37:51,610 --> 00:37:54,479
keep it autonomous or having that freedom?
837
00:37:54,699 --> 00:38:01,439
But b how do we make sure that from the tens of billions that are pouring into dentistry,
838
00:38:01,469 --> 00:38:12,679
how can we as providers that really are the lifeblood of the whole dental ecosystem in the US how do we as providers end up with a big chunk of those billions?
839
00:38:12,689 --> 00:38:13,050
Right.
840
00:38:13,060 --> 00:38:16,399
And not just let it go to the Wall Street suits.
841
00:38:16,729 --> 00:38:18,090
And at the end of the day,
842
00:38:18,100 --> 00:38:20,290
that's what freedom dental partners is all about.
843
00:38:20,300 --> 00:38:22,010
Maintain your freedom as a clinician.
844
00:38:22,439 --> 00:38:26,810
But getting your fair share of the tens of billions that are pouring into dentistry.
845
00:38:26,879 --> 00:38:28,879
And that's whether you're a dentist,
846
00:38:29,320 --> 00:38:30,600
a high dentist,
847
00:38:30,939 --> 00:38:34,149
an office manager or even a dental assistant.
848
00:38:34,159 --> 00:38:39,070
So this is really the age of empowerment of all providers at the practice level,
849
00:38:39,080 --> 00:38:39,649
I believe.
850
00:38:40,489 --> 00:38:40,770
Yes,
851
00:38:40,780 --> 00:38:41,260
I love it.
852
00:38:41,270 --> 00:38:41,639
Yes.
853
00:38:41,649 --> 00:38:41,750
Well,
854
00:38:41,760 --> 00:38:43,219
thank you for being on the show today.
855
00:38:43,229 --> 00:38:44,290
I could talk to you forever.
856
00:38:44,300 --> 00:38:49,219
I have so much insight and maybe we can have you back again someday to,
857
00:38:49,229 --> 00:38:49,340
uh,
858
00:38:49,350 --> 00:38:52,379
follow up and talk some more.
859
00:38:52,389 --> 00:38:55,169
How can our listeners find you or get a hold of you?
860
00:38:55,500 --> 00:38:59,719
There's a website that I think is Doctor Brady Frank dot com.
861
00:38:59,729 --> 00:39:00,100
I'm gonna,
862
00:39:00,110 --> 00:39:01,260
I should check it out.
863
00:39:01,270 --> 00:39:03,100
I think it's Doctor Brady Frank dot com,
864
00:39:03,300 --> 00:39:03,919
um,
865
00:39:04,040 --> 00:39:07,919
or become the DS O dot com.
866
00:39:07,929 --> 00:39:11,350
Freedom Dental Partners is out out there as well.
867
00:39:11,459 --> 00:39:11,689
Um,
868
00:39:11,699 --> 00:39:12,979
but there's a bunch of,
869
00:39:12,989 --> 00:39:13,000
uh,
870
00:39:13,010 --> 00:39:17,639
supporting information that folks can grab there and I can certainly give that to you,
871
00:39:17,649 --> 00:39:18,080
Cindy.
872
00:39:18,090 --> 00:39:21,020
So you can share it with any of your listeners.
873
00:39:21,070 --> 00:39:21,439
Uh,
874
00:39:21,870 --> 00:39:25,250
and if you are a dentist and you do have a practice and you're like,
875
00:39:25,260 --> 00:39:25,489
hey,
876
00:39:25,500 --> 00:39:27,310
I wanna add it to the mix.
877
00:39:27,399 --> 00:39:32,120
We do a seminar for about 100 dentists every 10 weeks and,
878
00:39:32,215 --> 00:39:44,185
and it's to become the DS O seminar where the dentist become the DS O and that really allows you to free up a lot more finances for yourself and maintain that freedom also.
879
00:39:44,195 --> 00:39:44,514
So,
880
00:39:44,524 --> 00:39:45,824
coming to a seminar,
881
00:39:45,834 --> 00:39:45,844
uh,
882
00:39:45,854 --> 00:39:49,834
may be a good idea for a lot of you or checking out one of our websites.
883
00:39:49,844 --> 00:39:50,114
Ok,
884
00:39:50,125 --> 00:39:50,395
great.
885
00:39:50,405 --> 00:39:54,764
We'll put your link in the show notes as well and then also on the website root you on dot com,
886
00:39:54,774 --> 00:39:57,215
we'll have that and then if you can provide those resources,
887
00:39:57,225 --> 00:39:58,885
we could get those up there as well.
888
00:39:59,439 --> 00:39:59,729
Well,
889
00:39:59,739 --> 00:40:00,120
thank you,
890
00:40:00,129 --> 00:40:01,239
Doctor Brady Frank.
891
00:40:01,250 --> 00:40:03,409
Cheers to the future in the next five years.
892
00:40:03,459 --> 00:40:03,989
Yes.
893
00:40:04,000 --> 00:40:04,389
Right.
894
00:40:04,399 --> 00:40:06,000
Empowering our providers,
895
00:40:06,010 --> 00:40:06,290
right.
896
00:40:06,300 --> 00:40:06,850
Hygienist,
897
00:40:06,860 --> 00:40:07,550
dentists,
898
00:40:07,560 --> 00:40:08,689
office managers,
899
00:40:08,699 --> 00:40:09,310
staff,
900
00:40:09,320 --> 00:40:11,129
everyone empower each other.
901
00:40:11,139 --> 00:40:12,020
Everybody.
902
00:40:12,530 --> 00:40:16,379
Thank you for listening to this episode of the Dental Elements podcast.
903
00:40:16,389 --> 00:40:23,439
We truly appreciate your support and helping all these fine dental professionals share information with you,
904
00:40:23,449 --> 00:40:25,340
our listeners and a very special.
905
00:40:25,350 --> 00:40:29,719
Thank you to smile makers for helping us make that happen.
906
00:40:29,729 --> 00:40:36,459
They are offering our listeners 20% off of any order by using code D A P 20.
907
00:40:36,469 --> 00:40:37,100
That's right,
908
00:40:37,110 --> 00:40:38,739
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909
00:40:38,750 --> 00:40:41,459
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910
00:40:41,469 --> 00:40:42,280
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