Dental & Medical Counsel

10/16/2026

🚨NEW EPISODE ALERT🚨
 
What is a dental practice really worth, and what should an owner be doing before it goes to market?
 
Ali Oromchian sits down with practice transition specialist Gavin Shea to talk through the financial and human sides of buying and selling a dental practice. They cover realistic valuations, EBITDA vs. seller discretionary earnings, ways to strengthen profitability before a sale, staff communication, insurance independence, and why the right advisors matter during due diligence.
 
If a practice transition could be in your future, even a few years from now, this episode offers a practical look at the decisions that can shape both the sale and the handoff that follows.
 
🔗 Watch or listen: https://linktr.ee/dmcounsel
 
🔗 Watch the full episode on YouTube: https://www.youtube.com/watch?v=xx_pK0VS4i0
 

10/13/2026

What is the single most important part of a great business?

For Joe DiNicola, the answer is simple: the people.

In this clip, Joe explains why owners and leaders should stay closely involved in hiring, why listening matters during the interview process, and how the people you bring into the organization ultimately represent the business.

📺🎧 Watch or listen to the full conversation: https://linktr.ee/dmcounsel

10/06/2026

Your advisors shouldn’t just give you answers. They should help you understand them.

Ali Oromchian and Joe DiNicola discuss the value of surrounding yourself with CPAs, attorneys, consultants and other advisors who understand your industry, then using those relationships to become a more informed practice owner.

As Joe puts it, your advisor should also be your teacher.

Watch or listen to the full conversation:
📺 (YouTube) https://youtu.be/yuFD1pAXAWQ?si=14W5IJushdkv2hpK

🎧 (Apple) https://podcasts.apple.com/us/podcast/off-the-record-w-ali-ep-20-practice-ownership/id1834256830?i=1000791539914

🎧 (Spotify) https://open.spotify.com/episode/5fqTmaKscM1xTneZ0rh6SV?si=qF4WyvSnQe2InsX7s7QFew

09/29/2026

Sometimes a lender saying “no” may be worth paying attention to.

In this clip, Ali Oromchian explains why he views a lender’s willingness to walk away from a practice deal as an important signal. If an experienced healthcare lender believes the numbers or risk don’t make sense, it may be worth taking another look before moving forward.

It’s a good reminder that the right lending relationship should be consultative, not simply transactional.

Watch or listen to the full conversation with Joe DiNicola:
📺 https://youtu.be/yuFD1pAXAWQ?si=14W5IJushdkv2hpKl

09/25/2026

🚨New Episode Alert! 🚨

Practice ownership takes more than clinical skill. It takes the right financing, the right people and the right advisors around you.

In Episode 20 of Off The Record w/ Ali, Ali Oromchian sits down with Joe DiNicola, former CEO of Bank of America’s Practice Solutions, for a wide-ranging conversation about what it takes to start, acquire and grow a successful practice.

They discuss what lenders look for when evaluating an opportunity, why cash flow matters, how to know when you’re ready to expand, the changing role of private equity in healthcare, and why leadership and team-building can be just as important as the numbers.

Joe also shares one of his strongest pieces of advice for practice owners: surround yourself with experienced advisors, but make sure they’re teaching you along the way.

Watch the full episode on YouTube:
🔗 https://youtu.be/yuFD1pAXAWQ?si=aSBwUfR0xda_P9Rt

You can also listen on Apple and Spotify:
🔗 https://linktr.ee/dmcounsel

09/15/2026

New technology only creates value if your team knows how to implement it.

In this clip from Off The Record w/ Ali, Ali Oromchian explains why successful implementation of new technologies and processes is so important for growing dental practices, whether you have one location or five.

At the Dental Leadership Summit, attendees will hear directly from teams doing the work, with practical lessons around implementation, clinical adoption, and driving same-store growth.

This isn’t about selling a specific product. It’s about learning how to make the technology you choose actually work inside your practice.

📺 🎧 🔗 https://www.youtube.com/watch?v=xInwqGTVYLY

09/08/2026

What does successful implementation actually look like inside one of dentistry’s leading organizations?
At the Dental Leadership Summit, Heartland Dental CEO Pat Bauer and members of his team will share how they approach implementing new clinical tools, measuring success, and solving problems along the way.

It’s not just about hearing what works. It’s about understanding how it gets done.

Hear more from Ralf Tomandl and Ali Oromchian on Off The Record w/ Ali.

📺 🎧 https://youtu.be/xInwqGTVYLY?si=fM5gMDxXqOIISExi

🎧🔗 https://linktr.ee/dmcounsel

09/04/2026

09/04/2026

🚨 New Episode Alert 🚨

Dental leadership is changing, and so are the ways practice owners and their teams need to learn, grow, and prepare for what's ahead.

In this episode of Off The Record with Ali, Ali sits down with Ralf Tomandl, COO at HR for Health, to discuss the evolution of the DSO Leadership Summit into the newly reimagined Dental Leadership Summit.

Ralf shares 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 bring back to their practices.

From workforce challenges and associate development to technology implementation, practice growth, marketing, and leadership, this conversation offers a preview of what attendees can expect at this year's Dental Leadership Summit in Austin.

📺 Watch the full episode on YouTube:
https://youtu.be/wPf3JfkEPiM?si=Oya7oIUZGJLXUTyh

🎧listen on Apple & Spotify (🔗Links in Comments)

Key Takeaways from this conversation:

✅ The shift from DSO Leadership Summit to the Dental Leadership Summit, and why

✅ The benefits of ditching the packed ballroom for smaller, hands-on workshops

✅ How to develop, retain, and grow associate dentists into future leaders

✅ Why practice growth may require more than simply hiring additional staff

✅ How successful dental organizations are rolling out new technology and processes

✅ Strategies for improving same-store growth and expanding service lines

✅ What to expect from this year’s Dental Leadership Summit in Austin



https://youtu.be/xInwqGTVYLY?si=W_QsUlly-fi8mm3J

08/05/2026

What Would Ali Do: Your First Associate Contract 🎓📄

‼️ Before you sign, make sure you understand what you're agreeing to.

Ali shares the key terms every new graduate should review, including compensation, non-compete clauses, mentorship, and future ownership or partnership opportunities.