In this episode of Off The Record with Ali, Ali Oromchian sits down with Travis Slade, CPA, to uncover the financial strategies and pitfalls every doctor needs to know. With years of experience working closely with dentists and healthcare professionals, Travis brings a unique perspective on how small financial decisions can make or break a practice.They dive into everything from understanding your numbers to structuring associate compensation, navigating student loans vs. practice growth investments, and avoiding costly tax mistakes. You’ll also hear about the latest tax regulations, the reality of AI in accounting, and a shocking story about a tax deduction gone wrong.Whether you’re a new associate, a first-time owner, or a seasoned doctor preparing for expansion, this episode is packed with actionable insights to help you take control of your finances and set your practice up for long-term success.What You’ll Learn in This Episode:✅ Why understanding your numbers is the foundation of practice success✅ How to balance student loan repayment with investing in growth✅ Red flags to watch when structuring associate compensation✅ The pros and cons of leasing vs. buying a car for tax purposes✅ How AI may (or may not) transform the world of accounting✅ The real impact of new tax regulations on high-income earners✅ The financial blind spots that hold doctors back from profitabilityResources & Links:🔹 Book a Free Consultation with DMC: https://www.dmcounsel.com/contact🔹 Connect with Travis Slade (CPA at Gouluru): https://gouluru.comChapters:00:00 Travis Slade’s Unique Journey to CPA03:00 The Role of Accounting in Dental Practices06:00 Understanding Numbers: The Doctor’s Dilemma08:56 Student Loans vs. Practice Investment11:48 Structuring Associate Compensation17:53 Financial Red Flags in Expansion23:36 AI in Accounting: Reality Check30:48 Tax & Regulatory Changes Doctors Must Know41:33 Navigating Estimated Taxes46:11 Leasing vs. Buying a Car51:56 Shocking Tax Deductions54:44 Final ThoughtsIf you’re a doctor who wants to protect your practice, grow with confidence, and avoid costly mistakes, this is an episode you don’t want to miss.👉 Don’t forget to like, subscribe, and turn on notifications so you never miss an episode of Off The Record with Ali.

Real estate decisions can make or break a healthcare practice. In this episode of Off the Record with Ali, Ali Oromchian sits down with Brian Mills, a leading voice in healthcare real estate, to unpack what doctors need to know before signing a lease, choosing a location, or building out a new office.Brian shares why mindset matters more than “timing the market,” how to use demographic insights to your advantage, and the real numbers behind lease negotiations—from tenant improvements to free rent periods. You’ll also hear about the hidden risks in “standard leases,” how to handle permitting delays, and why building the right team (broker, attorney, CPA) is crucial for protecting your long-term success.Whether you’re a dentist planning your first startup, a physician expanding into a second location, or a doctor weighing the pros and cons of acquisitions vs. new builds, this conversation is packed with practical strategies you can put to work immediately.What You’ll Learn in This Episode:How to shift your mindset and seize real estate opportunities without overthinking market timingThe role of demographic data in driving patient growth and location selectionKey lease terms every doctor must negotiate to avoid costly mistakesWhy startups can sometimes carry less risk than acquisitions when done rightThe importance of assembling a trusted team to guide your real estate journeyAlso live on Spotify and Apple Podcasts.Want legal guidance for your practice transition or lease review? Visit us at www.dmcounsel.com/contact to connect with our team

In Episode 5 of Off The Record w/ Ali, Ali Oromchian sits down with practice management consultant Michael Dinsio to uncover the realities of dental practice ownership. From the misconceptions many doctors face when starting out to the critical role of vision, location, and lease strategies, this conversation is packed with honest insights and practical advice.Ali and Michael explore:Why ownership requires more grit than most expectCommon mistakes doctors make in the startup phaseHow to align your vision with your financial and lifestyle goalsThe impact of location and lease negotiations on long-term successWhen partnerships work—and when they cause problemsHow to manage overwhelm and set realistic benchmarksWhether you’re dreaming about your first practice or already in the trenches of ownership, this episode will give you clarity, perspective, and actionable steps to move forward.📌 Connect with us:👉 Reach out to Ali and the Dental & Medical Counsel team: https://www.dmcounsel.com/contact👉 Reach out to Michael Dinsio at Next Level Consultants: https://nxlevelconsultants.com/