Off The Record with Ali is where healthcare meets real talk. Join attorney Ali Oromchian as he sits down with top voices in dentistry and business to explore practice ownership, leadership, growth, and everything in between. No fluff. Just real conversations to help you build, protect, and thrive in your practice.
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Off the Record w/ Ali Ep. 21 – Practice Valuation, Profitability & Smart Transitions ft. Gavin Shea
Gavin Shea has spent more than 25 years working with dentists, first on the financial lending side and now helping doctors navigate the process of buying and selling dental practices. His experience gives him a unique perspective on both the financial considerations behind a transaction and the human dynamics that can determine whether a transition is successful.
In this episode of Off the Record w/ Ali, Ali sits down with Gavin to explore what really determines the value of a dental practice. Gavin explains why relying on industry averages can be misleading, the difference between EBITDA and seller discretionary earnings, and how profitability, buyer demand, growth opportunities, and other factors can influence a practice’s market value. They also discuss steps owners can take in the years leading up to a sale to strengthen profitability and better position the practice for prospective buyers.
The conversation goes beyond valuation and purchase price. Ali and Gavin discuss how and when to communicate a sale to staff, why maintaining stability during a transition matters, and what doctors should consider before making a major change such as going insurance independent. They also examine the importance of experienced attorneys, consultants, CPAs, and financial advisors during due diligence and why sellers should begin thinking about tax planning well before an offer is accepted.
In this episode, you’ll learn:
What really determines the value of a dental practice
Why industry averages can be misleading when valuing a practice
The difference between EBITDA and seller discretionary earnings
How profitability and buyer demand can influence a practice’s value
What sellers can do before going to market to strengthen profitability
Why timing matters when considering going insurance independent
How and when to communicate a practice sale to staff
Why maintaining continuity can help support a smoother transition
How experienced advisors can help buyers navigate due diligence
Why sellers should begin tax planning early in the process
ℹ️ If you are a practice owner thinking about selling, planning your transition, or want guidance on legal, HR, or strategic considerations, you can schedule a complimentary consultation with Ali: 👉 https://www.dmcounsel.com/contact
24 Sept 2026
Off The Record w/ Ali Ep. 20 – Practice Ownership, Leadership & Smart Growth ft. Joe DiNicola
Joe DiNicola has played a major role in shaping how doctors finance their dreams of practice ownership. As the former CEO of Bank of America’s Practice Solutions, Joe brings nearly three decades of experience helping healthcare professionals access the capital they need to start, acquire, expand, and grow their practices.
In this episode of Off The Record w/ Ali, Ali sits down with Joe to explore what he has learned from working with doctors throughout his career. Joe shares what lenders really look for when evaluating a startup or acquisition, why strong cash flow and realistic expectations matter, and how doctors can position themselves for growth without taking on unnecessary risk.
The conversation goes well beyond financing. Ali and Joe discuss the importance of leadership, building a culture where employees can learn from mistakes, knowing when a practice is ready for another location, and surrounding yourself with the right attorneys, CPAs, consultants, and other advisors. They also examine the changing role of private equity in healthcare and why practice owners need to understand both their numbers and their long-term goals before making major business decisions.
In this episode, you’ll learn:
What lenders look for when evaluating a practice startup or acquisition
Why a startup isn’t necessarily riskier than buying an existing practice
How cash flow influences financing and acquisition decisions
What doctors should have in place before expanding to multiple locations
Why people, leadership, and culture are critical to building a successful business
How private equity’s approach to healthcare practices has evolved
Why practice owners need advisors who will teach them, not simply give them answers
How understanding your numbers can help you make better long-term business decisions
ℹ️ If you are a practice owner thinking about selling, planning your transition, or want guidance on legal, HR, or strategic considerations, you can schedule a complimentary consultation with Ali:👉 https://www.dmcounsel.com/contact
3 Sept 2026
Off The Record w/ Ali Ep. 19 – Inside the New Dental Leadership Summit ft. Ralf Tomandl
In this episode of Off The Record w/ Ali, Ali Oromchian sits down with Ralf Tomandl, COO of HR for Health, to discuss the evolution of the DSO Leadership Summit into the newly reimagined Dental Leadership Summit.
Ralf explains why the event is moving away from traditional large-room presentations and toward smaller, hands-on workshops designed to give dental leaders practical strategies they can take back to their practices. He and Ali also discuss why the summit is expanding its focus beyond DSOs to include practice owners, office managers, administrators, and other leaders throughout the dental industry.
The conversation also previews several of this year’s workshop topics and speakers, including workforce and staffing challenges, associate development and retention, implementing new clinical technologies, practice growth, marketing, and leadership. Ali and Ralf also share what attendees can expect from this year’s Dental Leadership Summit, taking place September 16–18 in Austin, Texas.
Here’s what you’ll learn:
The shift from DSO Leadership Summit to Dental Leadership Summit
Why smaller workshops can create a more valuable learning experience
The biggest workforce and staffing challenges facing dental practices
How to develop and retain associate dentists
Why some staffing problems may actually be production or operational problems
How leading dental organizations implement new technologies and processes
Strategies for practice growth and expanding service lines
What smaller practices can learn from some of dentistry’s largest organizations
What to expect from this year’s Dental Leadership Summit in Austin
ℹ️ If you are a practice owner thinking about selling, planning your transition, or want guidance on legal, HR, or strategic considerations, you can schedule a complimentary consultation with Ali:👉 https://www.dmcounsel.com/contact
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