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/

In this conversation, Gary Salman, CEO of Black Talon Security, shares his journey into the world of cybersecurity, discussing the evolution of threats, the importance of training, and the distinction between IT and cybersecurity. He emphasizes the need for visibility and proactive measures in protecting healthcare practices from cyber threats. The discussion also covers common pitfalls, the role of technology, and the importance of investing in cybersecurity solutions. Gary provides practical advice for healthcare professionals on how to address vendor security concerns and real-life scenarios that highlight the risks involved.TakeawaysGary's journey into cybersecurity began with a need for software in his father's dental practice.Cybersecurity threats have evolved significantly over the years, impacting small practices as well.Hackers often target small practices as they are seen as easy targets.Training staff on cybersecurity is essential to mitigate risks.There is a clear distinction between IT services and cybersecurity services.Visibility into security measures is crucial for healthcare organizations.Investing in cybersecurity solutions is a cost-effective way to protect practices.Vendors must be transparent about data handling and security measures.Real-life scenarios illustrate the importance of vigilance in cybersecurity.Healthcare professionals must take proactive steps to secure their practices.Reach out for a complimentary consultation with us to kickstart your journey: https://www.dmcounsel.com/contactSchedule a consultation with Gary and his team: https://www.blacktalonsecurity.com/de... Keywordscybersecurity, healthcare, ransomware, data protection, IT security, small practices, training, technology, vendor security, investment

In this episode, Ali Oromchian and Dr. Santosh Rohira discuss the complexities of insurance credentialing in dentistry, particularly focusing on Delta Dental's evolving policies.

Dr. Rohira shares his journey from being a foreign-trained dentist to establishing BeanBite, a consulting firm that assists dental practices with insurance-related challenges.

The conversation covers essential topics such as the implications of transitioning practices, billing compliance, and the importance of understanding insurance contracts.

Dr. Rohira emphasizes the need for dental professionals to seek expert advice when navigating these issues and advocates for maintaining funding for dental care programs in California.TakeawaysThe journey of a foreign-trained dentist can lead to unique opportunities.Understanding insurance credentialing is crucial for dental practices.Delta Dental is phasing out the Premier Plan, affecting many providers.Billing under the correct provider is essential for compliance.Transitioning to insurance independence requires careful planning.Legal representation is vital when terminating insurance contracts.Communication with patients about insurance changes is key.Outsourcing non-core functions can improve practice efficiency.Maintaining accurate provider directories is essential to avoid audits.Advocacy for dental funding is important for community health.Keywordsdentistry, insurance, credentialing, Delta Dental, dental practice, healthcare, compliance, outsourcing, California, dental providers

Welcome to Episode 2 of Off The Record with Ali!In this episode, Ali sits down with Gene St. Louis—a dental consultant with decades of experience guiding doctors through smooth, successful practice transitions. Whether you're eyeing your first acquisition or looking to level up your leadership, this one’s for you.🎯 What You’ll Learn:How to approach buying a practice the right way (and what most doctors miss)Navigating cultural shifts and earning team buy-inFirst-day strategies that set the tone for long-term successSmart hiring in a high-wage marketHow to lead a patient-first, high-performing practiceThis episode is a must-watch for any doctor preparing for ownership or navigating the challenges of transition.📌 Subscribe for more candid conversations with experts, consultants, and doctors shaping the future of practice ownership.👇 Drop your questions or takeaways in the comments—we’d love to hear from you!📞 Need legal support for your practice transition? Reach out for a complimentary consultation: https://www.dmcounsel.com/contact

Welcome to Episode 1 of Off The Record with Ali!We’re kicking things off with none other than Gary Takacs—speaker, consultant, podcaster, and one of dentistry’s most trusted voices. In this episode, Gary and Ali dive into what it really takes to build a thriving, independent dental practice in today’s world.🎯 What You’ll Learn:How to reduce your dependence on dental insurance.The leadership habits that create strong, accountable teams.How to build a practice culture that supports your lifestyle.Why work-life balance is possible—and how to reclaim it.This is a must-watch for any doctor who wants more control, more freedom, and more joy in practice ownership.📌 Subscribe to catch future episodes with industry experts, entrepreneurs, and doctors who are doing things differently.👇 Drop your thoughts and questions in the comments—we’d love to hear from you!Reach out for a complimentary consultation with us to kickstart your journey: https://www.dmcounsel.com/contact