The Dental Boardroom

In this episode of The Dental Boardroom Podcast, we take a deep dive into the Q4 2025 State of the U.S. Dental Economy Report from the ADA’s Health Policy Institute to understand where dentistry stands heading into 2026.Using AI-powered analysis, we explore how dental practices are navigating rising costs, staffing shortages, flat insurance reimbursements, and shifting patient behavior. While many dentists are feeling financial pressure, the data reveal a profession that remains resilient, adaptable, and focused on long-term growth.Despite inflation and operational challenges, patient demand continues to rise, proving that oral healthcare remains a top priority. This episode highlights why 2026 may be a pivotal year for practice owners willing to rethink their business models and embrace strategic change.Key Topics CoveredQ4 2025 dental industry performancePatient spending trends and demandThe “fiscal squeeze” facing practicesInsurance reimbursement challengesStaffing shortages and labor market shiftsDifferences between private practices and DSOsTechnology vs relationship-driven growthDentist confidence and investment outlook for 2026Key TakeawaysPatient Demand Remains Strong: Dental spending is up 9% compared to pre-pandemic levels (inflation-adjusted), showing that patients continue to prioritize oral health.The Fiscal Squeeze is Real: Rising supply and labor costs combined with flat insurance reimbursements are shrinking profit margins across the industry.Confidence is Under Pressure: Many dentists are busy but earning less, leading to frustration and declining economic confidence.Staffing Remains a Challenge: Hygienists are still extremely difficult to hire, while assistant hiring shows slight improvement.Uneven Growth Creates Opportunity: Some practices have excess capacity, creating opportunities for better marketing and patient conversion.Fear Limits Major Changes: Although many dentists want to drop low-paying insurance networks, few actually take action due to uncertainty.2026 Shows Signs of Optimism: More dentists plan to hire, invest in equipment, and restructure networks—signaling belief in long-term demand.DSOs and Private Practices Differ in Strategy: DSOs rely more on technology and automation, while private practices emphasize relationships and personalized care.Patients Value Dentistry More Than Insurers Do: Consumer spending proves that patients...

In this episode, Wes Reed continues his series on common financial mistakes dentists make, focusing on retirement planning and investing. He explains how poor decisions around 401 (k) plans, defined benefit plans, debt management, and private investments can significantly impact long-term financial success.Wes breaks down how the U.S. tax system works, why retirement accounts are powerful tax-saving tools, and how dentists can use smart financial strategies to accelerate their path toward financial independence. He also shares real-life examples of mistakes he has seen in his practice and offers practical advice to avoid them.This episode is designed to help dentists make informed decisions, protect their wealth, and build a sustainable financial future.Key Topics CoveredUnderstanding the importance of choosing the right 401(k) strategyHow progressive taxes impact high-income professionalsWhen to Consider a Defined Benefit (Cash Balance) PlanWhy paying off low-interest “good debt” too early can hurt growthRisks associated with private and non-transparent investmentsThe importance of diversification and due diligenceKey TakeawaysUse 401(k) Plans Strategically: A well-structured 401(k) is one of the most effective ways for dentists to reduce taxes and build retirement savings. When implemented at the right time, it benefits both the owner and the team.Consider a Defined Benefit Plan in High-Income Years: For dentists with strong cash flow and high tax exposure, defined benefit plans can allow much larger, tax-deductible retirement contributions. However, they require professional management.Don’t Rush to Pay Off Good Debt: Low-interest, tax-deductible debt used for assets like a practice or home should not always be paid off early. Investing that money can often produce higher long-term returns.Be Careful with Private Investments: Many private deals lack transparency and liquidity. Dentists should avoid investing based on hype and always perform proper due diligence.Think Long-Term, Not Emotionally: Financial decisions should be based on data, strategy, and long-term goals—not fear, pressure, or short-term emotions.Tax Planning Is a Key Part of Wealth Building: Understanding how taxes work and using retirement accounts properly can save tens of thousands of dollars over time.

In this episode of The Dental Boardroom Podcast, host Wes Read continues his series on common financial mistakes dentists make, with a deep dive into tax planning gaps that often lead to paying unnecessary taxes.Wes explains how many dentists rely on reactive tax filing instead of proactive tax planning, causing them to miss powerful deductions and make poor timing decisions. He breaks down practical, real-world strategies such as the Pass-Through Entity (PTE) tax election; overlooked deductions like kids on payroll, home office, vehicles, meals, and travel; and why depreciation must always align with cash flow.The episode also highlights the risks of overly aggressive tax strategies, why meeting with your CPA only once a year isn’t enough, and how a CFO-style, proactive approach can significantly accelerate a dentist’s path to financial independence.Key Topics CoveredCommon tax planning mistakes dentists makeHow the Pass-Through Entity (PTE) tax election worksWhy the timing of tax payments mattersLow-hanging tax deductions many dentists missKids vs. spouse on payroll (and when it makes sense)Home office, car, meals, and travel deductionsRisks of aggressive tax strategies like misused R&D creditsProper vs. improper use of depreciation (Section 179)The difference between reactive CPAs and proactive, CFO-style planningKey TakeawaysPTE tax election is a major opportunity: Dentists in high-tax states can significantly reduce federal taxes if payments are made correctly and on time.Cash timing determines deductions: Tax deductions only apply in the year money actually leaves your account.Small deductions compound: When combined, kids on payroll, home office, vehicle use, meals, and travel can create meaningful tax savings.Spouse on payroll requires retirement planning: Without a 401(k) or defined benefit plan, it can increase taxes instead of reducing them.Depreciation isn’t free money: Misusing Section 179 can create future cash flow problems.Avoid crossing the line: Aggressive or poorly justified strategies increase audit risk.Tax planning follows cash flow planning: Taxes are a subset of cash flow—not the other way around.Proactive advice matters: Dentists benefit most from advisors who specialize in dentistry and meet multiple times per year.CFO-style planning accelerates wealth:...

In this episode of the Dental Boardroom Podcast, host Wes Reed introduces a brand-new subseries called The Executive Session. This interdisciplinary series brings together experts in finance, marketing, and practice management to discuss the real business challenges dental practice owners face today.Joined by co-hosts Megan Shelton (https://www.instagram.com/doctormeganshelton/ (Practice Management & Operations) and Michael from Wondrous Agency (instagram.com/wonderistagency/) (Dental Marketing), this kickoff episode explores how the definition of a “successful” dental practice has evolved over the last decade. The panel breaks down how marketing, operations, and financial strategy must work together to drive sustainable growth without burnout.From tracking real ROI in marketing to improving case acceptance and building systems that support both profitability and lifestyle, this episode sets the foundation for what modern dental leadership looks like.Key TakeawaysSuccess today is more than revenue A successful dental practice balances strong collections with profitability, lifestyle flexibility, and personal fulfillment.Top-line growth without bottom-line control is dangerous High revenue means nothing if margins are thin. Profitability and cash flow matter more than ever.Marketing must be measurable Website traffic and rankings don’t pay the bills new patients, collections, and ROI do. Integration with practice management software is critical.Operations make or break marketing Even the best marketing fails if front desk systems, case presentations, and patient experience aren’t aligned.Data visibility across the entire pipeline is essential From leads → appointments → case acceptance → collections, successful owners track every stage.Growth requires systems, not hustle Sustainable growth comes from leadership, team retention, clear communication, and predictable processes not longer hours.You can’t do it alone High-performing practices invest in expert support marketing, operations, and finance to scale efficiently.Seasons matter Balance looks different at different stages of ownership. Clarity, reflection, and intentional decision-making are key.

In this episode of the Dental Boardroom Podcast, host Wes Read, CPA and financial advisor at Practice CFO continues his series on common financial mistakes dentists make, this time focusing on tax planning gaps. Wes explains why many dental practice owners unknowingly overpay taxes and how poor tax planning often results from weak cash flow management, rather than bad intentions.This episode breaks down complex tax concepts into practical insights, helping dentists understand how smarter planning throughout the year, not just at tax time, can lead to tens of thousands of dollars in savings annually and faster financial independence.Key Notes:1. Tax Planning Is Not a Once-a-Year ActivityMany dentists believe tax planning is handled solely by their CPA at year-end.Real tax planning happens throughout the year, tied directly to business decisions.Waiting until December often means it’s already too late to reduce taxes effectively.2. Tax Planning Is a Subset of Cash Flow PlanningTaxes cannot be optimized in isolation.Every dollar flowing through the practice revenue, expenses, payroll, debt, and savings affects tax outcomes.Smart tax strategies must consider current and future cash flow, not just immediate deductions.3. Common Tax Planning Gaps Dentists MakeMissing legitimate deductions (leaving money on the table).Buying equipment just for a tax write-off without considering long-term loan payments.Poor timing of depreciation and capital purchases.Not coordinating payroll, distributions, and retirement planning.4. Understanding S Corporations vs. Sole ProprietorshipsBeing an S Corp does not automatically mean you’re saving taxes.S Corps come with higher administrative costs, so the tax benefits must outweigh them.In general:Under ~$150k income → Sole proprietor may make more sense.$180k–$200k+ profit → S Corp usually becomes beneficial.5. Reasonable Compensation: The Biggest Tax LeverAs an S Corp owner, you pay yourself in two ways:W-2 wages (subject to payroll/FICA taxes)Distributions (not subject to FICA)Paying too little W-2 can trigger IRS penalties.Paying too much W-2 can unnecessarily increase payroll taxes.Finding the right balance is critical to staying compliant and...

In this episode of the Dental Boardroom Podcast, host Wes Read, CPA and financial advisor at Practice CFO, is joined by Brandon Hobson and Paul for their quarterly deep dive into the stock market, global economy, and what dentists and practice owners should prepare for as 2026 approaches.The episode covers:The Federal Reserve’s rate movements and expected leadership changeWhether the current AI wave is a bubble or a true productivity revolutionThe future relevance of the traditional 60/40 investment strategyHow economic shifts impact dentists’ borrowing, practice finances, and patient spendingPractice CFO’s investment outlook and positioning for 2026A must-listen for dental entrepreneurs and investors navigating today’s unpredictable financial landscape.Key Topics & Takeaways1. Federal Reserve Update & Interest RatesCurrent Fed Funds Rate: 3.75%–4%, with another 0.25% cut expected soon.Kevin Hassett is the likely replacement for Jerome Powell in 2026   potentially a more politically influenced choice.Concerns about Fed independence rising due to political pressure.Rate cuts stimulate borrowing but risk inflation if overdone.Importance for dentists:Affects practice loans, buildouts, refinancing, and equipment financing.Impacts patient discretionary spending, especially in cosmetic dentistry.2. Stagflation Risk?Inflation appears stable around the mid-2% range.Unemployment creeping toward 4%.Risk emerges if inflation rises while unemployment increases = “stagflation.”Not yet alarming, but the rate of change is what matters.3. GDP & Economic StrengthU.S. GDP last reading (Q2): 3.8%, stronger than expected.Global GDP remains surprisingly strong despite trade tensions.Q3 & Q4 readings delayed due to government shutdown but expected to stay positive.4. AI: Bubble or Breakthrough?Big tech’s AI infrastructure spend expected to hit $3 trillion by 2028.53% of investors believe we are in an AI bubble.OpenAI & NVIDIA valuations are 30–40× revenue, compared to Walmart at 1.3×.MIT study: 95% of companies currently see no ROI from AI.Major concerns:Revenue lag vs. massive AI investmentCircular funding structures (promising investments without cash to fulfill them)Big tech taking on debt to fund AI (Meta’s off-balance-sheet financing)Parallel drawn to the dot-com era   huge innovation + huge speculative hype.5. What About the Magnificent Seven?High valuations and interconnected dependence create contagion risk.NVIDIA’s unusually high profit margins may attract new competition.Some tech (like Google, Meta) still offers strong fundamentals & cash flow.But investors should avoid blindly overweighting tech indexes.6. Is the Classic 60/40 Portfolio Back?After years of underperformance, value stocks and quality companies are regaining momentum.PracticeCFO’s positioning:Lower tech exposure (15–18% vs. S&P 35–40%)Higher weight in value, quality, and cash-flow-focused companies20–40% international stocks for diversificationAI benefits will extend to all sectors   consumer staples may monetize AI faster and cheaper than...

In this episode of the Dental Boardroom Podcast, host Wes Read, CPA and financial advisor at Practice CFO, and Chris Marshall break down some of the most important warning signs dentists should watch out for when evaluating a dental practice for purchase. Drawing from real client cases and common deal-flow patterns, they discuss the financial, operational, and clinical red flags that often hide beneath the surface of seemingly attractive listings.Listeners will learn how to interpret declining numbers, inconsistent hygiene schedules, sudden production increases, PPO manipulations, risky seller behaviors, and gaps in patient flow. By the end of the episode, you’ll understand how to look past broker language and identify the true health or weakness of a prospective practice.Key Takeaways1. Declining Production or Collections Are a Major Red FlagIf collections or production drop year-over-year even slightly it signals deeper issues.This could mean a declining patient base, ineffective ownership, poor systems, lack of demand, or mismanagement.2. Hygiene Department Instability Signals Deeper ProblemsLarge swings in hygiene revenueInconsistent recall schedulesDeclining hygiene visitsThese typically indicate poor systems, weak re-care, or a lack of organization affecting long-term revenue.3. Sudden, Unexplained Production Increases Are Often ArtificialA seller spiking numbers in the year before the sale is a common tactic. Examples include:Over-treatmentRunning unnecessary proceduresPre-billing treatment A buyer should be cautious: inflated numbers ≠ sustainable revenue.4. PPO / Insurance Manipulation Is a Growing ConcernPractices sometimes:Drop PPOs before sellingSwitch PPO participationAdjust fee schedules to appear more profitable Understanding the insurance environment is essential to projecting true cash flow.5. Seller Behavior Tells You Almost EverythingPay attention if the seller:Wants to leave immediatelyAvoids answering questionsHas incomplete recordsShows disorganized systems These behaviors often align with financial or operational decline.

In this episode of the Dental Boardroom Podcast, host Wes Read, CPA and financial advisor at Practice CFO, and Dr. Howard Farran, Founder of Dentaltown, delve into the evolving landscape of dental ownership from the rise of private equity in dentistry to the challenges and opportunities facing today’s practitioners.They explore how cheap financing and investor enthusiasm fueled massive consolidation in the dental space over the past decade, and why the focus is now shifting from quantity to quality. As interest rates rise and capital tightens, DSOs and private equity groups are becoming more selective, prioritizing well-run, profitable practices over sheer scale.The discussion also contrasts private equity-led DSOs with those founded and guided by dentists, examining how leadership, culture, and long-term vision shape patient outcomes and professional integrity.Dr. Farran passionately defends the importance of dentist-led organizations, transparency, and long-term patient relationships, emphasizing that dentistry is a “sacred profession,” not just a business. Wes complements this view with a grounded financial perspective, offering practical advice for dentists who aspire to grow sustainably, without losing their clinical focus or personal balance.Key TakeawaysThe PE Boom and Shift: Low interest rates and abundant capital fueled a buying frenzy in dental practices, but the landscape is changing with higher borrowing costs.From Volume to Value: DSOs are now focused on high-quality operations and sustainable cash flow rather than mass acquisitions.Dentist-Led vs. Investor-Led DSOs: Dr. Farran stresses that DSOs led by clinicians, not “suits,” create better care models and stronger trust with patients.Operational Mastery First: Before expanding, dentists should perfect one successful “prototype” practice much like McDonald’s perfected its first store before scaling.Liquidity and Transparency Matter: Private equity’s lack of transparency and illiquidity pose risks; publicly traded or dentist-owned models offer more accountability.AI and Dentistry: Both see promise and potential pitfalls as AI expands into diagnostics and insurance, cautioning that technology can empower or restrict clinicians depending on who controls it.

In this episode of the Dental Boardroom Podcast, host Wes Read, CPA and financial advisor at Practice CFO, sits down with Howard Farran, founder of Dentaltown and one of the most influential thought leaders in the dental industry. Together, they explore the evolution of dentistry from emerging AI technology to the rise of DSOs, the challenges new grads face, and the skills needed to thrive in today’s rapidly shifting landscape. This episode delivers raw insights, bold perspectives, and practical lessons for dentists at every stage of their careers.Key PointsAI & the Future of DentistryAI is transforming dentistry at historic speed—comparable to the rise of the internet.Dentaltown is building AI tools to unlock insights from 10+ million dental conversations.AI won’t replace dentists but dentists who adopt AI will replace those who don’t.Example: Robotics like Yomi are enhancing implant surgery, not eliminating the surgeon.The Real DSO LandscapeNot all DSOs are massive corporate chains.The real competition for private practices? Local 4–9 location DSOs scaling smartly across small regions.These local groups win by leveraging:Shared marketingCentralized operationsBetter purchasing powerStructured systemsAdvice for Young DentistsStudent debt is real, but so are lifestyle choices that amplify it.Early career focus should be:Clinical reps and speedLearning practice systemsStrong mentorshipThe best first job is one that teaches:Business operationsFull-scope clinical carePatient flow and case acceptanceThe Competitive Edge for Private PracticePatients choose loyalty, trust, and relationships.Private practices win when they deliver:Consistency in careStable teamsReal human connectionHigh staff and doctor turnover in corporate settings creates opportunities for private offices to stand out.Know Your Numbers With the Right AdvisorA general accountant isn’t enough in dentistry.Dentists need advisors who understand:PPO strategyOverhead benchmarksPractice-specific financial planningGrowth vs. profitabilitySpecialized financial guidance is a competitive advantage.Insurance is Not the Whole MarketHalf of patients don’t have dental insurance.Present multiple treatment paths:Basic → Mid-tier → Ideal careNever assume what a patient can or can’t afford—let them choose.Who Should Listen?✔ New dentists navigating debt and career choices ✔ Private practice owners competing with DSOs ✔ Clinicians curious about AI adoption ✔ Anyone wanting unfiltered industry truth

In this episode of the Dental Boardroom Podcast, host Wes Read, CPA and financial advisor at Practice CFO, kicks off a new multi-episode series focused on the most common financial mistakes dentists make in both their personal and practice finances. After returning from an October break, Wes zeroes in on cash flow discipline, spending habits, tax inefficiencies, depreciation strategy, excess distributions, and the development of automated systems for long-term wealth.Wes explains how many dentists struggle with lifestyle inflation, unmanaged owner draws, and treating the business account like personal cash, often without understanding tax basis limitations. He highlights the “depreciation trap,” where large Section 179 write-offs paired with financed equipment purchases create short-term tax relief but long-term cash crunches. He encourages dentists to align depreciation schedules with loan terms to avoid future financial strain.Key Points:Automate savings and retirement contributionsMatch depreciation timelines with equipment loan termsAvoid treating the practice account as personal spendingMonitor tax basis before taking distributionsMaintain disciplined budgeting and lifestyle controlReinvest profits to strengthen practice efficiency and growth

In this episode of the Dental Boardroom Podcast, host Wes Read, CPA and financial advisor at Practice CFO, and an AI co-host unpack the ADA Health Policy Institute’s Q3 2025 “State of the Dental Economy” report. The data paints a complex picture of a dental sector stuck in an uneasy holding pattern where rising costs, flat reimbursements, and persistent staffing shortages are squeezing practices nationwide.Despite modest growth in consumer dental spending, many practices report being less busy than before, caught between financial pressure and patient affordability challenges. The discussion dives deep into the fiscal squeeze, workforce struggles (especially hygienists), and the strategic choices dental practices are making to adapt.Key Points :1. Confidence Levels: Stabilized but Still CautiousDentists’ confidence in their own practices (67.5%) remains higher than confidence in the U.S. economy (33.4%).Optimism has eroded throughout 2025 despite a slight Q3 bounce.Top concerns: tariffs, political unrest, and global uncertainty.2. The “Fiscal Squeeze” ExplainedCore problem: costs (supplies, labor, operations) are rising much faster than insurance reimbursements.Two-thirds (65.8%) of dentists raised fees in 2025 by an average of 6.7% just to maintain margins.This has worsened patient affordability and fueled a perception of dentistry as “discretionary,” reducing patient visits.3. Spending vs. Busyness ParadoxConsumer dental spending is up 10% (inflation-adjusted) since pre-pandemic levels.Yet, the number of dentists reporting they’re “not busy enough” jumped from 25% to 35% in Q3 2025.Average patient wait times hit a three-year low (12 days), showing ample capacity and lower demand intensity.4. Staffing & Hiring ChallengesHiring in dental practices remains flat, but recruitment demand is high.Hygienists are the most difficult position to fill; 90% of dentists report it’s very hard.Only 43% of those recruiting for hygienists successfully filled the role.One-fifth of hygienist positions remained open 6+ months, hurting production and patient flow.5. Strategic Responses by PracticesMany dentists are investing in software (41%) to improve efficiency and adding staff (47%) where possible.Some are dropping low-paying PPO plans to regain control over pricing and profitability.Practices are focusing on what they can control: internal efficiency, cost management, and workforce adaptation.6. The Big Picture: A Sector in a Holding PatternThe dental economy isn’t collapsing, but it’s not growing fast either.The balance between rising costs, stagnant reimbursement, and patient affordability remains fragile.The future may depend on technology adoption, workforce development, and new care delivery models to break the stagnation.#DentalEconomy #DentalIndustryTrends #FiscalSqueeze #Dentistry2025 #DentalPracticeManagement #HygienistShortage #DentalCareCosts #ADAReport #WesRead #DentalBoardroomPodcast #DentalBusiness #DentistryInsights

In this episode of The Dental Boardroom Podcast, host Wes Read, CPA and financial advisor at PracticeCFO, talks with Brandon Hobson (Chief Investment Officer) and Paul Lipcius (investment committee member) about what’s happening in the markets and why it matters for dentists.They break down the recent Federal Reserve rate cut, explain how bond yields signal what might happen next in the economy, and discuss what the steepening yield curve could mean for growth and inflation. The team also looks at today’s stock market, where high valuations and a heavy focus on just a few big tech companies may bring new risks.Plus, they explore why international stocks are starting to outperform and how adding global exposure could strengthen your portfolio.Whether you’re saving for retirement or planning your practice’s financial future, this episode gives you practical insights to help guide smart, long-term investment decisions.Key topics include:What the Fed’s latest rate cut means for bond yields and future inflationWhy the yield curve’s steepening could signal improving economic conditionsThe risks of sky-high U.S. stock valuations and concentrated index exposureHow international and emerging markets are reshaping the global investment landscapeLong-term investing principles every dentist should follow

In this episode of the Dental Boardroom Podcast, host Wes Read, CPA and financial advisor at Practice CFO, continues the discussion on putting your kids on payroll as a smart tax and wealth-building strategy. This time, he dives deeper into how to maximize the benefits by pairing payroll with 529 education savings accounts and Roth IRAs.Key Takeaways:Shifting income for tax savings:Move income from a higher parent tax bracket to your child’s 0% bracket (standard deduction in 2025 is $15,750).Saves roughly $3,000–$4,000 per child per year. Over many years, that adds up significantly.Practical execution:Children can start as early as age 6–7 and continue through college years.Create job descriptions and light documentation (e.g., photos, office work, modeling fees) to substantiate employment.Use a modern payroll service (Wes recommends Rippling) to simplify compliance.How to use the payroll funds:Deposit paychecks into the parent’s checking account (simpler than setting up child accounts).Direct those funds toward:A custodial Roth IRA (tax-free growth).A 529 education savings account (tax-free growth + tax-free qualified withdrawals).529 Education Plans explained:State-administered plans with varying benefits Utah’s “My529” (Vanguard, low-cost index funds) is Wes’ favorite.Benefits:Tax-free growth and withdrawals for education.Potential state tax deductions in some states.High contribution limits.Parent-owned accounts are more favorable for financial aid and offer flexibility to transfer funds among siblings.Can cover not just college, but also K–12, trade schools, apprenticeships, and up to $10K in student loan repayment.Suggested split strategy:After payroll and FICA taxes, about $14K remains per child.Example: Fund $7K to a Roth IRA + $7K to a 529 plan, balancing retirement savings with education funding.Risk & compliance notes:Wes has never seen an IRS audit on this strategy in 17+ years, but stresses proper documentation.Pay a fair wage aligned with actual work performed.Always consult your CPA if unsure.Big picture:This is more than just tax savings it’s wealth building.Combining small strategies like payroll, home office, auto deductions, and retirement plans can collectively cut taxes by 30–60% (or more) and accelerate financial independence.Why This Matters:By intentionally leveraging tax rules, you can redirect money that would have gone to the IRS into your kids’ education, retirement, or family wealth. Over time, these small wins compound into major financial independence.

In this episode of the Dental Boardroom Podcast, host Wes Read, CPA and financial advisor at Practice CFO, dives into one of the most powerful  yet often overlooked  tax and wealth-building strategies for dentists: putting your kids on payroll and using that earned income to fund retirement and education accounts.Wes explains how hiring your children in your dental practice (for real, legitimate work) creates not only a tax deduction for the practice but also a springboard for long-term wealth accumulation in the child’s name. He emphasizes the Roth IRA as a uniquely flexible and tax-free account, often a better choice than a 529 education account, since the funds can be used for retirement, education, or other qualified purposes.He walks through how to handle payroll logistics, funding contributions annually to simplify administration, and how compounding growth turns even modest contributions into hundreds of thousands  or even millions  over a lifetime. Along the way, Wes shares investment allocation strategies, including why volatile, high-growth assets fit well in Roth IRAs and how “tax location” across different account types can meaningfully boost after-tax returns.The episode also compares Roth IRAs with 529 plans, outlining when each makes sense, and highlights the importance of aligning education funding with family philosophy  whether parents fully cover tuition, split costs, or expect children to pay their own way.This is part one of a two-part series on the Kids on Payroll strategy, with part two focusing more deeply on 529 plans.Key PointsPaying your kids from the practice creates a deductible expense and earned income for them.A Roth IRA for children offers unmatched tax-free growth and flexibility versus 529 accounts.Funding once a year avoids payroll admin headaches while still capturing the benefit.Compounding can turn $7,000 annual contributions into millions over decades.High-growth, volatile assets fit best in Roth accounts due to their tax-free nature.Tax location (placing the right investments in the right accounts) is a major driver of long-term wealth.Family philosophy matters  whether parents fully fund education or expect kids to share the cost.Hashtags #DentalBoardroomPodcast #DentalFinance #KidsOnPayroll #RothIRAForKids #DentalPracticeOwners #TaxStrategy #FinancialPlanning #PracticeCFO #WesReadCPA #WealthBuilding

In this episode of the Dental Boardroom Podcast, host Wes Read, CPA and financial advisor at Practice CFO, welcomes attorney Justin Morgan, JD, MBA, founder of Morgan Advisory Group, to share real-life “war stories” from dental practice transitions. Together, they unpack legal and financial pitfalls dentists should avoid—and opportunities that can change the trajectory of a career.From hidden Botox expenses in med spas to phantom patient credits wiped off the books, and even a “Bitcoin blowout” practice fire sale, Wes and Justin reveal how careful due diligence, smart deal structures, and the right advisory team can protect buyers while uncovering hidden value.Key discussions include:Why every practice transition carries risk—and how buyers should assess it.How undisclosed irregularities in expenses can lead to litigation.The importance of understanding accounts receivable (AR) vs. patient credits, and how mismanagement can derail a deal.The critical role of financial reports like aging AR in evaluating practice health.A shocking story of a dentist who used EIDL COVID relief loans for Bitcoin investments, lost it all, and was forced to sell at a massive discount.Why partnering with skilled advisors—legal, financial, and operational—is the best way to safeguard your investment.Justin also explains the legal frameworks behind dental transitions, including asset sales, goodwill valuation, and common structures for financing deals. Wes brings a financial lens, connecting these stories to practical lessons every dentist-owner should apply before buying, selling, or expanding a practice.This episode is packed with cautionary tales, legal insights, and practical takeaways to help dentists think like business owners and avoid costly mistakes.Key PointsEvery practice transition carries risk—smart buyers weigh risks against upside potential.Hidden expenses, irregularities, or non-disclosures can result in litigation.Accounts receivable (AR) and patient credits must be carefully reviewed before closing a deal.Proper due diligence includes analyzing aging AR reports and patient credit balances.Practices sold below market value may offer high upside but come with added risk.Misuse of EIDL loans highlights how financial mismanagement can create rare buying opportunities.Buyers need a strong team: legal, financial, and operational advisors.Asset sales focus on goodwill, not stock or tax IDs—key for understanding practice valuation.

In this episode of the Dental Boardroom Podcast, host Wes Read, CPA and financial advisor at Practice CFO, continues the miniseries on the relationship between money and happiness and what it really means for dental practice owners.Wes begins by revisiting key lessons from earlier episodes: money can reduce stress up to a point, but beyond a certain level of income, happiness plateaus. True financial peace of mind comes from building reserves, delegating financial complexity, and resisting lifestyle inflation. He also reflects on insights from The Millionaire Next Door, where frugality, discipline, independence, and intentional spending separate wealthy professionals from those who simply earn more but save less.The focus of this episode is on Happy Money: The Science of Happier Spending by Elizabeth Dunn and Michael Norton, a landmark study that shows happiness is not about how much you earn, but how you spend. Wes outlines five core principles:Buy experiences, not things. Lasting joy comes from memories, not possessions.Make it a treat. Scarcity increases appreciation.Buy time. Use money to outsource tasks and free yourself for what matters most.Pay now, consume later. Avoid the stress of debt-fueled purchases.Invest in others. Generosity directly boosts well-being.Wes then applies these lessons directly to dentists. He encourages owners to use money to create margin, not busyness, and to invest in their teams even if it means paying above market for A-players who transform culture and patient experience. He shares personal reflections on choosing experiences over possessions, from family vacations in Europe to carefully planning how his time is spent.Quoting John Bogle’s Enough, Wes emphasizes the importance of defining what is truly enough” and aligning spending with values. Budgeting, he explains, isn’t about restriction, it's about directing resources toward what genuinely creates fulfillment.He closes with an equation: Real goal = Freedom of choice + Peace of mind. By avoiding marginal thinking, making intentional financial decisions, and nurturing relationships above all, practice owners can use money not just to build wealth, but to create a more fulfilling and happier life.Key PointsHappiness from money comes from how you spend, not just how much you make.Buy experiences, not things; scarcity makes luxuries more meaningful.Use money to buy time and reduce stress.Pay now, consume later to avoid financial anxiety.Invest in others generosity builds well-being.Align spending with your values to define “enough.”Budgeting is about purpose, not restriction.True wealth equals freedom of choice plus peace of mind.Strong relationships remain the #1 driver of lasting happiness.Hashtags #DentalBoardroomPodcast #DentalFinance #HappyMoney #DentistLife #FinancialFreedom #WealthMindset #PracticeCFO #WesReadCPA #MoneyAndHappiness #DentalPracticeOwners

In this episode of the Dental Boardroom Podcast, host Wes Read, CPA and financial advisor at Practice CFO, explores the mindset shifts and habits that separate high-income dentists who struggle financially from those who build lasting wealth and freedom.Wes begins by revisiting the connection between money and happiness. He explains that while money can reduce stress, it does not automatically create fulfillment. How you use your money matters more than how much you earn. Many dentists experience stress from debt, high overhead, and lifestyle creep, which erodes both financial stability and mental wellbeing.He encourages building strong financial hygiene early: creating personal and business cash reserves, delegating financial complexity to trusted professionals, and resisting the urge to overspend. True wealth, he explains, is measured not by income but by freedom of time and choice, the ability to live without needing to work.Drawing from the book The Millionaire Next Door by Thomas J. Stanley and William D. Danko, Wes outlines four defining traits of mass affluent millionaires:Frugality — live below their means, avoid lifestyle inflationDiscipline — save and invest consistently, use debt strategicallyIndependence — value time freedom over showing statusStealth wealth — quietly build net worth without outward displayHe warns that many dentists earn high incomes but remain asset-poor because they focus on appearances rather than net worth. Instead, he urges owners to maintain a personal balance sheet, grow appreciating assets, minimize liabilities, and track progress toward financial freedom.This episode reframes wealth not as a number, but as a mindset and discipline choosing simplicity, consistency, and intentional spending so that money supports your life rather than controls it.Key PointsMoney reduces stress only when used intentionally, not emotionally.Build reserves, delegate complexity, and live simply to lower financial anxiety.True wealth is time and choice freedom, not just high income.Millionaires tend to be frugal, disciplined, independent, and understated.Track net worth, not income, to measure real progress.Avoid lifestyle creep; prioritize saving, investing, and debt discipline.Focus on long-term security instead of short-term appearances.

In this episode of the Dental Boardroom Podcast, host Wes Read, CPA and financial advisor, explores how money impacts happiness, especially for dental practice owners facing financial stress and responsibility. Drawing on landmark studies by Daniel Kahneman, Angus Deaton, and Matthew Killingsworth, Wes uncovers the surprising truths about income, emotional well-being, and life satisfaction and how dentists can build both wealth and contentment.He explains that while money does increase happiness, it does so only up to a point, and then its effect plateaus. Beyond that threshold, happiness depends less on income and more on mindset, purpose, and how money is used. He warns that chasing more income without aligning it to personal values can lead to burnout, not fulfillment.This episode helps dental practice owners reframe how they view money as a tool, not the driver and offers practical guidance on creating both financial security and happiness.The episode breaks down five key concepts:Emotional well-being vs. life satisfactionEmotional well-being (daily happiness) improves with income until basic needs are met (~$100K), then flattens.Life satisfaction (big-picture fulfillment) continues rising with higher income.Diminishing returns of incomeAbove ~$200K especially in high-cost areas like San Diego, extra income produces smaller happiness gains.More money reduces stress, but doesn’t guarantee joy.Dentists’ unique challengesHigh student debt, business pressures, and lifestyle expectations create financial anxiety.Intentional planning, not just earning more, drives peace of mind.Money amplifies your mindsetQuote from Epictetus: Wealth consists not in having great possessions, but in having few wants.Quote from Ayn Rand: Money is a tool. It will take you wherever you wish, but it will not replace you as the driver.Purposeful financial planningAlign spending with values and long-term goals.Build systems that reduce stress, provide security, and support a balanced life.Key PointsMoney increases happiness only until basic needs are met; after that, returns diminish.Life satisfaction rises with income, but daily happiness levels out.More income alone doesn’t solve unhappiness; mindset and purpose are crucial.Dental practice owners face unique financial stress that requires intentional planning.Use money as a tool to support your values, not define your success.Build wealth through consistent habits (saving, reducing taxes, managing expenses).True fulfillment comes from aligning financial choices with personal priorities.

In this episode, Wes Read, CPA and financial advisor, highlights a common mistake among dental practice owners: treating financial planning as a one-time task instead of an ongoing cycle. Just like dental hygiene requires regular checkups, financial hygiene needs consistent monitoring, updating, and adjustment.Wes explains the fourth phase of financial planning: Implement → Monitor → Revise → Repeat. Following a structured rhythm ensures clarity, accountability, and faster progress toward financial independence.Seven Key Activities for Dental Practice Owners:Review monthly financial statements (profit & loss, balance sheet, cash flow).Update long-term personal financial plan annually (ideally in January).Revisit personal spending plan annually to track expenses accurately.Complete tax projections twice yearly (June and October/November).Update family payroll annually in January to optimize taxes and 401(k) contributions.Adjust doctor payroll three times yearly (January, June, October) for taxes and retirement.Complete cash flow forecasts and allocate surplus capital in June and October.Wes notes that traditional CPAs often focus on historical data and compliance, while dental-specific financial advisors help align practice cash flow with personal financial goals, creating real traction toward wealth.Key Takeaways:Financial planning is an ongoing cycle, not a one-time event.Monthly reviews and annual updates keep you proactive.Semi-annual tax and cash flow planning prevent surprises.Working with a dental-specific advisor accelerates wealth building.Consistency compounds into financial freedom and lifestyle flexibility.Resources Mentioned:Financial Activity Cadence 

In this episode of The Dental Boardroom Podcast, host Wes Read, CPA CFP®, shares key financial and tax strategies for dental practice owners. He covers retirement plans (401(k), SEP IRA, Simple IRA, defined benefit/cash balance plans) and explains how to maximize contributions while managing employee costs and staying compliant. Roth IRAs and backdoor Roth conversions are also discussed for tax-free growth.Wes advises a disciplined investment approach, highlights the risks of speculative investments, and explains how to evaluate debt, use tax deductions, and leverage payroll strategies for family members. He also explores fringe benefits, state-level tax breaks, and practical ways to improve practice profitability, like raising fees and moving toward fee-for-service models.Finally, he emphasizes automating savings, debt payments, and retirement contributions to secure long-term financial success. This episode gives practice owners practical tools to reduce taxes, boost cash flow, and grow wealth inside and outside their practice.Key PointsUnderstand the differences and trade-offs among 401(k), SEP IRA, Simple IRA, and defined benefit/cash balance plans.Use Roth IRAs and backdoor Roth conversions to secure tax-free retirement growth.Avoid risky, illiquid investments inside retirement accounts—stick to disciplined, diversified portfolios.Evaluate debt payoff vs. investing by considering interest rates, volatility, and financial goals.Use payroll strategies (kids, spouses) to reduce taxable income and build long-term wealth.Document home office deductions and leverage allowable fringe benefits cautiously.Maximize savings with state-level pass-through entity tax deductions.Regularly raise UCR fees and consider transitioning to fee-for-service to boost profitability.Automate savings and contributions to build financial resilience and consistency.Resources Mentioned📄 Financial and Tax Strategies PDF