Roll the Equity or Take the Cash and Walk Away? (E.38)

IQ Gets the Job. EQ Gets the Patients. AQ Makes You Last. (E.39)

Dave Gaspar, CEO of Smile Partners USA, exposes the hiring blind spot that's quietly killing dental careers: practices have obsessed over clinical skill and chairside personality for decades — but nobody's testing for the one quality that actually predicts whether a dentist survives the hard days.  When the CBCT crashes, the assistant calls out sick, and patients are walking out the back door, IQ and EQ won't save you. Dave calls it the Adversity Quotient (AQ) — and he argues that until the industry starts screening for it, recruiting will keep failing doctors, practices, and patients alike.   Three scores that predict a dentist's success:  IQ — The Clinical Score Can they perform the procedure? Do they have the technical skills? This dominated hiring conversations for decades.  EQ — The People Score Can they connect with patients? Can they lead a team? This became the next frontier of great hiring.  AQ — The Adversity Quotient Can they handle a bad day? Do they take ownership when things go wrong? This is the score nobody is testing for — and the one that decides everything. Key Revelations: The Hiring Formula Is Broken * A high-AQ dentist who thrives under pressure is your best candidate for a turnaround office — but placing a low-AQ doctor there is setting everyone up to fail. * Even after selling a practice, doctors can't fully abdicate — Smile Partners still needs you to be a leader, not just a provider. * Culture isn't a mission statement on the wall — it's what happens when the day falls apart and everyone still knows exactly what to do * Most struggling practices don't have a process problem — they have a people problem, and no marketing budget or DSO support system fixes a team that can't handle adversity   💡 The "Ask Ken" Question:  Why do some DSOs grow revenue fast but never improve margins? Ken's answer: Growth mode means more expenses — more people, more marketing, more infrastructure. Margins don't disappear; they're just buried under expansion costs. The key is watching cash flow during the sprint, not profits. When growth levels out, real margins surface. But if you keep adding headcount and spending without discipline, you might never find out where you actually stand.   Top 3 Episodes of The Dental Truth Project. Listen Now! (E. 3) How Associate Mismanagement Is Bankrupting Dental Groups [https://www.accrudent.com/podcast-the-dental-truth-project-how-associate-mismanagement-is-bankrupting-dental-groups-e3] - Eric Roman, Dental Associate Growth (E.18) Why Half Your DSO Budget Is Disappearing Into Toxic Culture [https://www.accrudent.com/podcast-e18-the-dental-truth-project-why-half-your-dso-budget-is-disappearing-into-toxic-culture] - Gabriel Hofmann, The Dental Efficiency Guy (E.26) You Keep Losing Dental Team Members. Have You Asked Yourself Why? [https://www.accrudent.com/podcast-e26-the-dental-truth-project-you-keep-losing-dental-team-members-have-you-asked-yourself-why] - Bonnie Thompson, Forest Family Dentistry     NEW BOOK - COMING SOON Get early access to Roll the Equity: How Smart Dental Founders Sell Their DSOs Join the insider's list here 👇 https://resources.accrudent.com/roll-the-equity-insider-list [https://resources.accrudent.com/roll-the-equity-insider-list]  Got a burning question about dental finance? Submit your question, and it could be featured in a future episode. Ask Ken Form: https://resources.accrudent.com/ask-ken-form-the-dental-truth-project [https://resources.accrudent.com/ask-ken-form-the-dental-truth-project]

Roll the Equity or Take the Cash and Walk Away? (E.38)

Mark Haddad, Endodontist and Co-founder of Specialty1 Partners and ScoutIQ, pulls back the curtain on what private equity actually wants — and why most dentists walk into a deal completely unprepared. At the heart of every PE transaction is one defining decision: do you take the cash and walk away, or do you roll your equity and bet on a bigger payday down the road? If you've ever thought about selling your practice or scaling with PE backing, this episode will change how you think about both paths — and help you figure out which one is right for you   Option A Cash out Full liquidity at close. Best for founders nearing retirement or those who want a clean exit. You walk away with 100% of the agreed value — no strings, no risk, no upside.   Option B Roll the equity Take partial cash now, convert the rest into ownership of the larger DSO. If the group grows, your stake multiplies. Mark calls it "the second bite of the apple" — and it's how younger founders build serious long-term wealth.   Key Revelations: What Every Dental Founder Needs to Know Before Selling * PE created optionality — Before private equity, dentists had almost no exit options. PE firms are market makers — and that's a good thing for doctors. * Rolling equity isn't risky — it's strategic. Trading full cash for a stake in the larger DSO is how younger founders capture the "second bite of the apple." * PE is buying your practice in 5 years — not today. They want a growth story, not just your current numbers. Tell them how you plan to scale. * EBITDA is subjective. Buyers will fight to reduce your number through add-backs. Without a strong CFO and banker in the trenches, you'll lose that battle. 💡 The "Ask Dallin" Question:  "What factors should I consider when choosing a practice management software?" Dallin's answer: Two things outrank every other feature — scalability (can it standardize across multiple locations?) and data access (can you actually get to your own data?). Cloud-based PMS platforms tend to win on both. Everything else — user friendliness, features, cost — matters less if you're building toward a group practice.   Top 3 Episodes of The Dental Truth Project. Listen Now! * (E.2) Why High-Multiple Exits Are Bankrupting Dental Practices [https://www.accrudent.com/podcast-the-dental-truth-project-why-high-multiple-exits-are-bankrupting-dental-practices-e2] - AJ Peak, Health Wealth Capital * (E.5) The DSO Valuation Crash No One Talks About [https://www.accrudent.com/podcast-the-dental-truth-project-the-dso-valuation-crash-no-one-talks-about-e5] - Gareth Petsch. pH Partners * (E.11) Unqualified Practice Brokers Are Costing Dentists Millions [https://www.accrudent.com/podcast-the-dental-truth-project-unqualified-practice-brokers-are-costing-dentists-millions-e11] - Maria Melone, Caber Hill Advisors   Got a burning question about dental finance? Submit your question, and it could be featured in a future episode. Ask Ken Form: https://resources.accrudent.com/ask-ken-form-the-dental-truth-project [https://resources.accrudent.com/ask-ken-form-the-dental-truth-project]

From Producer to Leader: The Hardest Shift in Dentistry (E.37)

Corey Hastings, CEO of Blue Sage Management Group and practicing pediatric dentist, exposes the uncomfortable truth most multi-location dental owners refuse to admit: scaling from one to seven locations almost broke him — not because of bad dentistry, but because he couldn't get out of the chair. The clinical skills that built his practice became the very thing holding it back. Key Revelations: Why Your Greatest Strength Becomes Your Biggest Bottleneck * Most dentists don't have a clinical problem — they have a leadership problem they're solving with more dentistry * When you're still producing a significant chunk of your revenue and EBITDA, you're permanently stuck between two roles — the producer and the leader — and neither one gets your full attention * The hidden cost of staying clinical too long: your team stops making decisions because nobody ever taught them how — and that indecision comes right back to you as decision fatigue * Your associates graduated knowing how to fill a Scantron. Nobody taught them how to read a P&L, lead a team, or make a decision without running it by you first. That's your problem now.   💡 The "Ask Ken" Question:  "What's the biggest financial red flag that would make a buyer walk away from your dental group?" Ken's answer: Buyers want to see a business that can grow without being held hostage by one person's skill set. If your collections are inconsistent, your books are messy, or your entire operation collapses the moment one key person walks out — they'll walk out too. Do a quality of earnings audit on yourself before a buyer does it for you. Find the bombs before they do. Top 3 Episodes of The Dental Truth Project. Listen Now! * (E.29) The Business Skills Every Dentist Needs (But Was Never Taught) [https://www.accrudent.com/podcast-e29-the-dental-truth-project-the-business-skills-every-dentist-needs-but-was-never-taught] - Dr. Rehan Shahid, Practice Success Academy * (E.26) You Keep Losing Dental Team Members. Have You Asked Yourself Why? [https://www.accrudent.com/podcast-e26-the-dental-truth-project-you-keep-losing-dental-team-members-have-you-asked-yourself-why] - Bonnie Thompson, Forest Family Dentistry * (E. 22) The DSO Leaders' Imposter Syndrome Epidemic [https://www.accrudent.com/podcast-e22-the-dental-truth-project-the-dso-leaders-imposter-syndrome-epidemic] - Thomas Passalacqua, Ascend Professional Pathways, LLC   Got a burning question about dental finance? Submit your question, and it could be featured in a future episode. Ask Ken Form: https://resources.accrudent.com/ask-ken-form-the-dental-truth-project [https://resources.accrudent.com/ask-ken-form-the-dental-truth-project]

The Cyber Threat Dentistry Keeps Ignoring (E.36)

Virginia Jones, CEO of Village Family Dental (14 locations, 400 employees) & Gary Salman, CEO of Black Talon Security reveal the silent threat that could shut your practice down — not a bad review, not a slow month, but a cyber event you never saw coming. Post-Change Healthcare breach, dentistry is still 3–4 years behind the rest of healthcare on cybersecurity — and the hackers already know it. Small practices think they're flying under the radar. Large groups think their IT team has it covered. Both are wrong. Key Revelations: The Invisible Threat Inside Your Practice * 70% of dental practices treat cybersecurity as a once-a-year checkbox — the hackers treat your network as an everyday opportunity * The government doesn't care if you're a 1-chair solo practice or a 50-location DSO — HIPAA fines hit everyone equally, and dentistry has been slow to realize it * Dentistry is 3 to 4 years behind the rest of healthcare on cybersecurity. And the hackers already know it. * Stop calling it an expense and start calling it an investment — because a cyber event isn't a month of downtime, it can be years   💡 The "Ask Ken" Question:  "At what point does adding more locations actually start destroying value instead of creating it?" Ken's answer: The real question isn't how fast you can grow — it's whether your operational infrastructure has room to breathe. Before you sign on that next location, ask yourself: are your regional managers tapped out or do they have capacity? Growth without operational leverage isn't scaling — it's a slow-motion collapse. Know your limits before your skis outrun your legs.   Top 3 Episodes of The Dental Truth Project. Listen Now! * (E. 22) The DSO Leaders' Imposter Syndrome Epidemic [https://www.accrudent.com/podcast-e22-the-dental-truth-project-the-dso-leaders-imposter-syndrome-epidemic]: Thomas Passalacqua - Ascend Professional Pathways, LLC * (E.11) Unqualified Practice Brokers Are Costing Dentists Millions [https://www.accrudent.com/podcast-the-dental-truth-project-unqualified-practice-brokers-are-costing-dentists-millions-e11]: Maria Melone - Caber Hill Advisors * (E.3) How Associate Mismanagement Is Bankrupting Dental Groups [https://www.accrudent.com/podcast-the-dental-truth-project-how-associate-mismanagement-is-bankrupting-dental-groups-e3]: Eric Roman - Dental Associate Growth   Got a burning question about dental finance? Submit your question, and it could be featured in a future episode. Ask Ken Form: https://resources.accrudent.com/ask-ken-form-the-dental-truth-project [https://resources.accrudent.com/ask-ken-form-the-dental-truth-project]

The Hard Truth About AI Vendors in Dentistry (E.35)

Randa Seif, COO of CaliDental, issues a stark warning to every dental practice owner scrolling through AI vendor ads: handing over your patient data to the wrong company isn't just a bad business decision — it could be a legal and ethical catastrophe.  After personally vetting vendors from Australia, Amsterdam, and across the U.S., she reveals why most AI companies knocking on your door have no business being inside your practice management system. Key Revelations: The Vendor Trust Crisis No One Wants to Say Out Loud * Vendors are cold-pitching practices on Facebook and Instagram with $70,000 blank-check proposals — and most have never worked a day inside a dental office * If an AI vendor can't prove they understand your workflow, they cannot build something that works for you — technical brilliance without dental knowledge is worthless * Overseas vendors create a compounding problem: HIPAA exposure, unverifiable security standards, and zero recourse if something goes wrong with your patient data * Giving API access to your PMS is giving a stranger the keys to your patient records — and most practices aren't asking the hard questions before they hand them over * The right vendor criteria: U.S.-based, willing to build custom, and able to prove they can scale with you — not just make one location look good   💡 The "Ask Dallin" Question: "If you stepped into a struggling 3-location group tomorrow, what 3 data reports would you analyze first?" Dallin's answer: Start with the P&L — every other report you pull should be dictated by what you find there. Revenue problem? Pull production and collections. Labor bloat? Go straight to payroll. The P&L is your compass; everything else is the map.   Top 3 Episodes of The Dental Truth Project. Listen Now! * (E.16) Will AI allow me to fire my RCM team? [https://www.accrudent.com/podcast-e16-the-dental-truth-project-will-ai-allow-me-to-fire-my-rcm-team]: Jonas & Luis, Kaylie.ai * (E.23) AI Is Killing Patient Loyalty in Dentistry [https://www.accrudent.com/podcast-e23-the-dental-truth-project-ai-is-killing-patient-loyalty-in-dentistry]: JW Oliver - SupportDDS * (E.25) The PMS Data Gatekeeping Scandal in Dentistry [https://www.accrudent.com/podcast-e25-the-dental-truth-project-the-pms-data-gatekeeping-scandal-in-dentistry]: Jake Larsen & Clint Berry - Kolla   Got a burning question about dental finance? Submit your question, and it could be featured in a future episode. Ask Ken Form: https://resources.accrudent.com/ask-ken-form-the-dental-truth-project [https://resources.accrudent.com/ask-ken-form-the-dental-truth-project]