The Pod Mill

Just Say No To The DSO

Health EN ↓ 63 episodes

Dentistry is experiencing an attack by well-funded corporations who want to own the work of each dentist’s hands. While the promises of wealth and ease DSO’s present to owner-dentists appear enticing, experience shows the reality is very different. Just Say No to the DSO is a deep dive podcast for dentists in all stages of their career. It is especially for those who are looking at whether or not the option to sell to a DSO is the right choice. Our expert hosts, Bob Spiel, MBA and Nate Williams, CPA, CFP take listeners on a step by step journey through Season One laying out the realities of se...

Author

The Pod Mill

Category

Health

Podcast website

www.spreaker.com

Latest episode

Jul 6, 2026

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Episodes

Season 2 Episode 5 - The Truth about DSO Ownership Equity 16.05.2024

In this episode of Just Say No to the DSO hosts Bob Spiel and Nate Williams dive deep into the subject of ownership in a DSO, or what is called “Equity”. They describe why Equity is a self-made target that allows DSO’s to dramatically overstate their value, which leads dentists to believe their ownership is worth much more than it is. The discussion underscores the lack of transparency among DSO v...

Season 2 Episode 4 - Do DSOs Actually Overpay (Part 2) 08.05.2024

In this episode of "Just Say No to the DSO" hosts Bob Spiel and Nate Williams dive deep into the deceptive tactics employed by Dental Service Organizations (DSOs) to lure dentists into unfavorable agreements. Through real-life examples and a critical analysis of a $29 million DSO offer, they highlight the hidden costs and risks that dentists often overlook in pursuit of financial gain. The discuss...

Season 2 Episode 3 - Do DSOs Actually Overpay for Practices? 26.04.2024

The podcast is episode three of Season 2 for “Just Say No to the DSO." Hosted by Bob Spiel and co-host Nate Williams, it discusses reasons why dental practice owners should avoid selling to Dental Support Organizations (DSOs). This podcast episode is a warning to dentists who are thinking about taking DSO deals. The hosts do a deep dive into a $20 million DSO deal and reveal how deceptive these de...

Season 2 Episode 2 - What is EBITDA, and Why do DSO’s Lean On It for Practice Purchases? 16.04.2024

In this podcast episode of "Just Say No to the DSO," hosts Bob Spiel and Nate Williams discuss the importance of dentists maintaining control of their practices rather than selling to Dental Service Organizations (DSOs).   They emphasize that smart business people don't overpay for practices and that DSOs are adept at making dentists think they're getting a great deal when, in reality, they may be...

Season 2 Episode 1 - Are we still convinced to Just Say No to the DSO 09.04.2024

The podcast is episode one of Season 2 for “Just Say No to the DSO"; Hosted by Bob Spiel and co-host Nate Williams, it discusses reasons why dental practice owners should avoid selling to Dental Support Organizations (DSOs). Bob Spiel has an MBA and is a practice management consultant, while Nate Williams is a dental CPA. They have both been in dentistry for over 15 years. Key points discussed: In...

Episode 7 – Season 1 Wrap Up and FAQs 13.09.2023

Concluding Season 1, the conversation focuses on the complexities and challenges associated with dentists selling to Dental Service Organizations (DSOs). Many dentists who engage in these DSO partnerships find themselves literally "paying back" their earnings over extended periods, without reaping any significant benefits unless their DSO is gobbled up (i.e. acquired) by a larger DSO. This model h...

Episode 6 – The DSO Gold Rush: All that Glitters… 13.09.2023

In this episode, the hosts discuss the nuances and complexities of joining Dental Service Organizations (DSO’s), particularly highlighting the illusion they create of community and unity. Although these groups promote the idea of collective strength, many doctors, after joining, still find themselves feeling isolated in their individual practices, realizing that the promised unity doesn't quite ma...

Episode 5 – The Medical Mess: Are DSO’s Pulling Dentistry into the Same Swamp? 13.09.2023

In this podcast episode, our hosts dive into the distinctions between the medical and dental industries. As the discussion unfolds, Nate interviews Bob drawing on his experience in medicine as a hospital and surgical center CEO, highlighting the trajectory in which medical doctors have found themselves, where doctors have lost almost all control over their careers, primarily becoming indirect gove...

Episode 4 – The Make-Up of a DSO Offer: “Caveat Venditor” 13.09.2023

Episode 4 dives deep into the financial intricacies and emotional pressures associated with Dental Service Organizations (DSOs). Initially, the hosts explore the selling tactics of DSOs, emphasizing the allure of immediate money. These tactics involve offering dentists a significant sum upfront for their practices. However, they caution that this is merely an advance against future earnings, not a...

Episode 3 – Wealth and DSO Tactics: What You Don’t Know Will Hurt You 07.09.2023

In this episode, hosts Bob Spiel and Nate Williams focus on the impact of Dental Support Organizations (DSOs) on the dental industry and their mission to dissuade dentists from selling their practices to DSOs. They address various aspects of this issue in three parts: 1. Bob and Nate emphasize the difference between wealth as cash and true wealth, which they define as owning productive capacity, p...

Episode 2 – Why Dentists Should Not Sell to a DSO 07.09.2023

In this podcast episode, Bob and Nate discuss the reasons why dentists should not sell their dental practices to Dental Support Organizations (DSOs). Nate emphasizes the importance of owning a business and the wealth generated by owning productive assets, such as a dental practice. He also highlights the unique nature of dentistry, where the dentist's trained mind and hands are the product. Bob an...

Episode 1 – What Is “Just Say No to the DSO”? 07.09.2023

In this episode, Bob Spiel and Nate Williams introduce their podcast "Just Say No to the DSO." They discuss their purpose, which is to persuade dental practice owners not to sell their practices to Dental Support Organizations (DSOs). Their experience is that selling to a DSO will almost always lead to making less money while losing control over their practice and life, and ultimately give industr...

Welcome to Just Say No To The DSO 23.08.2023

In the trailer we share who Bob Spiel and Nate Williams are, why we are so passionate about the future of dentistry being owned by dentists and not corporations, and what are the questions Season One addresses.

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