DSO Titan, Brian Colao, who's guided over 750 dental organizations through 30 years of industry chaos, delivers a scathing reality check: "Folks that didn't fundamentally understand the business of dentistry really got involved in dentistry, whether it was an advisory capacity, an investing capacity or an operational capacity, and we're still working right now to clean it all up."
In this explosive episode, Brian exposes how the 2010 outsider invasion—fueled by cheap money and dental industry ignorance—created a mess that's still destroying practices and livelihoods today.
Industry Veteran's Brutal Warning
The Brutal Truth: advisors who looked competent during the boom revealed their incompetence while competent ones are now cleaning up the messNew Associates: Stop walking in entitled—walk in educated. Understanding the business will get you further than demanding top dollar while being clueless.DSO Leaders: If you can't get along with your affiliated dentists, you don't have a business.Private Equity: You can succeed without dental experience, but only if you do your homework and get proper advisors who actually know the industry.💡 The "Ask Ken" Question:
"What's the best way for a DSO leader to forecast collections when they have multiple practices with inconsistent performance?"
Ken's critical answer: Focus on doctor days and individual practice patterns—your forecasting problems stem from treating inconsistent practices like they're the same business model.
The 5 C's of Credit for DSOs - https://resources.accrudent.com/accrudent-preparation-for-meeting-a-bank-the-5-cs-of-credit-for-dsos
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Ask Ken Form: https://resources.accrudent.com/ask-ken-form-the-dental-truth-project