Latest / Founder Talk with Alex Sheridan / The Moment This Dentist Stopped Drilling and Started Building an Empire | Dr. Abhishek Nagaraj
Transcript
- 0:00So Doctor Raj, you walked into a business that was about 40 years
- 0:04old, broken and going nowhere, and within 12 months you guys
- 0:07quadrupled the revenue and then you did it again and then you
- 0:12did it again. And today you run a multi
- 0:14location operation, Multi location operation in the
- 0:17station and the patients in a dental management firm built on
- 0:22one idea that most business owners are world class at their
- 0:25craft, but they're often times terrible at running the actual
- 0:27business. And that gap is what's costing
- 0:30them everything that they want. So Doctor Rush, welcome to the
- 0:33Founder Talk podcast, man, how you feeling?
- 0:35It's a it's a pleasure to be here.
- 0:36It's an honor. Thank you for having me on.
- 0:38This, Yeah, I'm excited. Move this over a little bit
- 0:39here. There we go.
- 0:43Perfect. So let's talk about that turn
- 0:45around story. So you quadrupled your the
- 0:47business's revenue in 12 months. Sounds like there's a story
- 0:51there. There's definitely a story
- 0:53there. You know what, I wish I could
- 0:55take all the credit, but this is me and my wife, Anushka.
- 0:58You know, we, we, we were dentists, right?
- 1:00We'd worked with other dentists for a while and for about a year
- 1:05or two and we realized the vision was different, right?
- 1:09We wanted to do a more same day dentistry vision where people
- 1:13could come in and get dentistry done the same day and walk out
- 1:16because let's, let's face it, nobody really wants to be at the
- 1:19dentist, right? I think we're one of the
- 1:21probably the, one of the most hated professions out there.
- 1:24And yeah, and we, we basically built our business that way
- 1:30knowing fully well that people want to come in, spend as little
- 1:33time as they can, get all the dentistry that that they can get
- 1:36done in one visit and get out of there as quickly as we can.
- 1:39And that I think was the foundation of how we grew our
- 1:42first business. So what were they doing?
- 1:44Were they very slow? It was scheduling.
- 1:46It was like long process, like what was the before?
- 1:48And then what'd you guys do to change it?
- 1:50Yeah, that's a really good question.
- 1:51I think most of dentistry's always been, hey, I'm going to
- 1:54go come in scene today and the dentist would then set up
- 1:57multiple visits or appointments to see patients.
- 2:01That means we're just delaying the torture of these patients,
- 2:05right? Why did they do that?
- 2:06Though I think part of it was that's just how dentistry was
- 2:09practiced for a really long time.
- 2:11It was more along the lines of the dentist didn't want to do a
- 2:14whole lot of comprehensive care in one visit because the dentist
- 2:19always thought, oh, this is a lot for patients, but the
- 2:22patients are asking for it. The dentists were like, no,
- 2:24we're going to just do like one tooth or two teeth at a time and
- 2:27then we're going to bring them back four or five times to
- 2:29finish a root canal. Let me tell you, I haven't had a
- 2:32root canal, but I've had some friends who've been in pain.
- 2:36And when you extend out that process over a four or five
- 2:39visit appointment, that's real torture.
- 2:42So that became the foundation of how we look at people.
- 2:46It's about giving, saving their time, but also making dentists a
- 2:51lot more comprehensive. And that's what we kind of
- 2:53really coach our dentists up to do is make them comprehensive.
- 2:57Don't waste people's time. Let's get done.
- 2:59Let's do as much dentistry as the patients can actually
- 3:02handle. Let's make dentistry affordable.
- 3:05Let's let's give them easy financing that way and let's
- 3:08give them a great experience along the way so that they can
- 3:11keep coming back because now they relate the dentist to not a
- 3:14lot of pain. And I think that's the insight
- 3:17for founders listening regardless of the business too,
- 3:19is get feedback from your customers, listen to your
- 3:22clients and then create a great experience for them.
- 3:24How did you guys know that this was the right way?
- 3:26Were you just asking patients and things or what?
- 3:28Yeah. You know, I have to give credit
- 3:30to my previous job where I started out, I worked at for
- 3:33about a year and three months. And I saw that as a dentist, as
- 3:36a dentist, as an associate dentist.
- 3:38And I saw we were 4 dentists in the practice and one or two
- 3:42dentists were, were getting a lot of stuff done there right in
- 3:451/1 visit. And I'd look at them and say the
- 3:48patients weren't complaining. In fact, the patients were like,
- 3:51thank you so much. They paid them a lot of money,
- 3:53but they were like, thank you, You got everything done.
- 3:56And one of the big bottlenecks in dentistry is as Dennis,
- 4:00sometimes we're the bottleneck, right?
- 4:02We think patients don't want to sit in the chair for three
- 4:05hours. That's not true.
- 4:06If we, if I tell you, if you had a mouthful of dentistry in
- 4:08cavities and if I told you, Hey Alex, I can get all of this
- 4:12done, but it'll take about 3 hours, it'd be like sign me up.
- 4:15For it do it. Do it get?
- 4:16It done because I don't want to come back six times.
- 4:18Exactly, that just makes that makes more shots more.
- 4:21Pain, right? Let's reduce.
- 4:22That OK. And so making those changes did
- 4:24what for the business and there had to been other things you
- 4:26guys did because that's a drastic swing.
- 4:28You come in, you know, to a company that's like broken and,
- 4:30and not doing much and then just boom, 12 months later, it's
- 4:33quadrupled. Right on right.
- 4:35I think that's the basis of how we treated patients.
- 4:37We said, hey, you have problems Here's let's be real, right.
- 4:40I think one of the Dennis we have as Dennis, we also have
- 4:43this thing called approval rejection.
- 4:45We're afraid of being rejected by patients because they they
- 4:48say, no, no, rejection is just part of the game, right?
- 4:51Sometimes people aren't going to fully reconcile the fact that
- 4:55they have problems in their mouth.
- 4:56That's OK. We didn't put it there right.
- 4:58And I think as long as we can have those real conversations
- 5:02with patients and say, hey, these are problems, I see.
- 5:04And I what we found also was that they people needed to see
- 5:08it, to believe it. Just having these cameras,
- 5:11interval cameras in their mouth, just showing them really quickly
- 5:14what they are like. You can talk about X-rays.
- 5:16X-rays can get a little too technical.
- 5:18You can talk about that all day long, or you can actually show
- 5:21them what the problem is. We want to have a shared
- 5:23experience with the patient where they are part of the
- 5:25treatment plan. The best treatment plants that
- 5:28my wife and I came up with are the ones that the patients came
- 5:32up with because they were asking us what is this that I see on
- 5:35this photo? What is that black dot?
- 5:37Is that a cavity? Now you know that you won half
- 5:40the battle and now you can actually educate them.
- 5:43And once you've done that, the perceived value is really high.
- 5:46Once the perceived value on any procedure is high, people are
- 5:49more motivated. They have a propelling force to
- 5:51go get that done the same visit. So I think that became the
- 5:55foundation. So we were able to do five times
- 5:58more dentistry just in the first month.
- 6:00In fact, we had some team members who pushed back on that
- 6:04said, oh, patients in this area can't afford this stuff.
- 6:07Nobody here likes financing. Nobody here likes evening
- 6:10appointments. We broke all those myths in a
- 6:13span of 30 days. Of course, we probably turned
- 6:16some team members over who'd who weren't, you know, behind the
- 6:18vision, but really got other team members excited because
- 6:23they were here to serve. Ultimately, I think as Dennis,
- 6:26we have to be there to serve anybody.
- 6:27Dennis, any business owner, I think we're here to serve our
- 6:30clients. And if he can't do that, then
- 6:32why are we in business? Do you find that some people,
- 6:35especially in your industry, feel like if you're all about
- 6:38making more sales or growing that for some reason you're not
- 6:40patient focused? Because I feel like what you
- 6:42guys just did was very patient focused, but also increased
- 6:45revenue. So it's like, don't they sort of
- 6:47go hand in hand? They absolutely go hand in hand
- 6:50and you know, sales, you know that, you know, the definition
- 6:53of sales is about helping people.
- 6:54I think Mark Cuban summarized it the best.
- 6:56You have to be able to help people as long as you're not
- 6:59being pushy or salesy about about and saying things like,
- 7:03what do I need to get this done right?
- 7:05We don't want to do that. We want to educate people.
- 7:08We want to give them the power to make their decisions.
- 7:11We want to give them maybe one or two options and say this is
- 7:15what happens and talk about consequences.
- 7:17I, I think a lot of times as owners, we talk about why people
- 7:21should do something, but we never tell them what the
- 7:23consequence of not doing it would be, right And moving, you
- 7:28know, that that moves the needle a lot.
- 7:30And dentistry never gets cheaper, right?
- 7:33More, you know, you if you waited just always more money,
- 7:36more time, more pain. So I think that's enough of a
- 7:40motivation for people to take action.
- 7:43Yeah, one of the things I've learned in sales conversations
- 7:45is, yeah, asking the question, why, Why do this in the 1st
- 7:48place or what happens if you don't do it?
- 7:49You know, why not just in marketing?
- 7:51I'm kind of like, why not just do nothing right now?
- 7:53Like, well, can't do that because I, I wouldn't, you know,
- 7:56have a brand that people, my clients wouldn't come to me.
- 7:58I wouldn't be able to get invited on stages or podcasts.
- 8:00And you're like, oh, OK, well, tell me more.
- 8:01You know, and it's just like you, they kind of work up this
- 8:03whole story. That is the reality, but it also
- 8:06kind of builds the case to where you say, well, we can take care
- 8:09of this for you if you want. Absolutely.
- 8:10And to your point, Alex, I think as people, we have a more loss
- 8:14aversion than seeking pleasure, right?
- 8:16We want to avoid pain than seek pleasure.
- 8:18So I think it's important not not not to say that we should
- 8:22scare people into doing anything.
- 8:23I think that's that. I would never propose that,
- 8:26right, or be a proponent of that.
- 8:27But just being real, I think people want to know both sides.
- 8:31As much as people want to know how much good is happening in
- 8:34their mouth or their body, people also want to know that.
- 8:39They want to know what what their issues are.
- 8:41And when you hold that back, we're doing them a disservice.
- 8:43It's truly how we think. So what else, what else took the
- 8:47business to the next level? Give me give me another good one
- 8:49that maybe founders can apply. What are some things sounds like
- 8:51you, you obviously packed more services in in a condensed
- 8:55period of time. Good for the patient, good for
- 8:56the business. You had a different kind of
- 8:58vision and mindset around the business and the team had to
- 9:01come with it. Or are they, you know, somewhere
- 9:02in a fit naturally? What else?
- 9:04Because it still just seems like it's such a drastic.
- 9:06You. Need to get more patients in.
- 9:09Absolutely. You need volume, right.
- 9:11Let's let's be real, you need volume to be able to do those
- 9:13procedures on. I think though, sometimes when
- 9:16you buy a, an, a dated practice that hasn't invested in their
- 9:20business, I think doing Google ad, you know, paper clicks or
- 9:25Facebook, just getting ourselves out there, getting the brand out
- 9:28there in itself will drive some organic flow.
- 9:31So really great SEO. Some, you know, ad campaigns can
- 9:36drive some inorganic traffic. I think that's, that's the
- 9:38patient lever volume, right? And just being available, I
- 9:42think that's, that's another thing, right?
- 9:44I will tell you it's really hard in today's world.
- 9:47And I know a lot of the owners that are probably watching this
- 9:50will agree, especially doctors Dennis that it's really hard to
- 9:53get Dennis to work on weekends and evenings, right?
- 9:56They want to work 9 to 4 hours. I always find that really
- 9:59challenging because that's when our patients are working too,
- 10:02right? Our patients want to come in.
- 10:04So just being available, my wife and I always took the approach
- 10:07of we need to be available when patients are available.
- 10:10So we would be in the practices till 8:00 or 9:00 PM and be
- 10:13there every Saturday for the first six years.
- 10:16I think that in itself, that was a huge unlock for us.
- 10:19The other thing I would add though, is just training up the
- 10:21team, right? Just really role-playing with
- 10:24the team because we want to be consistent in our messaging.
- 10:27You don't want your front desk to say one thing and then they
- 10:30come see the doctor and the doctors relaying a different
- 10:32message. So we would at at the minimum
- 10:35once a month get all our team members together in one of the
- 10:37practices, actually close the day even though that's loss of
- 10:40revenue technically we would, we would invest in them, train
- 10:45about half day, do role-playing to say let's keep it consistent.
- 10:48I think those two were like huge on locks in addition to the
- 10:51other things that I that I talked to you about.
- 10:53That's a big one too. So you would actually role play
- 10:55with your team? Yes.
- 10:56And how would how would that go? You know, Hey, I have a patient
- 10:58walking in the front desk, you know, hey, how's it going?
- 11:01And then you just kind of role play the whole situation.
- 11:03Yeah, and it was tricky because we aren't used to doing that in
- 11:07dentistry or healthcare. Right in any.
- 11:09Profession because we expect it's like putting an amateur on
- 11:13a, you know, on a basketball court and have them play against
- 11:16LeBron James and Michael Jordan. How how would that go right?
- 11:19But that's what we've been doing in dentistry and healthcare for
- 11:22the longest time. So people would all often push
- 11:25back on that, but we would just ease them into it.
- 11:28I would walk in as the patient and say, hey, just just tell me
- 11:30what's going on in my mouth or just tell me walk me through the
- 11:34steps that the doctor is going to do right?
- 11:36And then as long as you use their expertise to explain,
- 11:40right, if it's a dental assistant, you want them to
- 11:42explain all the things they're going to do, not what the doctor
- 11:45was going to do, right, but at least what they were going to
- 11:47do, how they were going to transition to the doctor.
- 11:50And then people started getting more and more comfortable.
- 11:52And then they were enjoying it. And then they saw the fruit of
- 11:55that when they did it with patients.
- 11:57Suddenly patients were like, Oh my God, this is like the most
- 12:00seamless experience I've ever had.
- 12:02So it was really cool to watch that, but it did.
- 12:05It was that was a bottleneck, right?
- 12:07Because people don't want to role play.
- 12:08Everybody just wants to get in the arena and just wing it.
- 12:12It never. Works.
- 12:13Why do you think they don't want to role play?
- 12:15I think it's a fear of it's probably fear that they don't
- 12:21know what they're talking about. Look stupid in front of other
- 12:25people. But I can promise you, you look
- 12:27way more stupider when you don't do it.
- 12:29The thing is when they're actually you're, if you're
- 12:30role-playing or if you're actually in a client
- 12:32conversation or paint patient conversation, there's no one
- 12:35there to say, hey, why'd you say that?
- 12:37Or you said that little off, or this wasn't, you know, how we
- 12:39typically do things where if you're role-playing in front of
- 12:41your team, a boss, you know? You get to call them out and say
- 12:44let's not do that in front of the patient because I can't tell
- 12:46you how many clients we lose, patients we lose when we don't
- 12:51role play and go wing it because that's that's the difference
- 12:54between an amateur and a pro. So what do you guys do at
- 12:57special that wows the clients or patients when they come in the
- 13:00door? Because I, I saw I was talking
- 13:01back and forth with a friend on LinkedIn about that.
- 13:03I said you got to wow your patience, your clients, you
- 13:06know, give them an incredible experience when they come in
- 13:09your office or they hop in the virtual car or they on board
- 13:12with you, regardless of what you do, what's what's some of the
- 13:14things that you guys do from that standpoint?
- 13:16That's a really good question. You know, surprisingly, the bar
- 13:18is pretty low, especially in today's world, right?
- 13:22I think if you can run on time and answer the damn phones, I,
- 13:26I'm sure your other guests have talked about, you know, the bar
- 13:28is so low, if you can just answer the phones and have just
- 13:31be really polite. I think people appreciate that,
- 13:34right? Because that's missing in
- 13:35today's world, a lot of that. So I think that just sets the
- 13:38right tone. And then when the patients come
- 13:40in, just having them seated and actually walking them through.
- 13:44A lot of times I've seen, I went to the physician like a few
- 13:47weeks ago and I was sitting in the lobby for a good 30 minutes.
- 13:50Nobody said hi, nobody checked me in.
- 13:53And then they said, they waved towards me.
- 13:55They said, come here, right? I, if I see this in, in one of
- 13:59our practices, that will never fly, right?
- 14:01I would literally write that person up or probably let them
- 14:04go. I, the expectation is exactly
- 14:06right. The expectation is they walk to
- 14:09the patient in front. Tell them what exactly?
- 14:12If we're running late, tell them that, right?
- 14:14Tell them, hey, we're running about 10 minutes behind, but
- 14:17here's the next steps. Here's what we're going to do.
- 14:20That just sets such a great tone.
- 14:21I think transfer of power is another thing that we do really
- 14:24well in our practices. Once, once the patient care
- 14:29ambassador goes up to the patient and tells them, hey,
- 14:32you're checked in, the dental assistant will come come get you
- 14:36and actually make that introduction to the dental
- 14:38assistant saying Sandra is here as the dental assistant.
- 14:42She's great and she's going to take care of you and I've filled
- 14:45her in on all the things. There's nothing for you to do at
- 14:48this point. I think that really puts people
- 14:50at ease. Let's be real, Anytime you go to
- 14:51the doctor, physician, dentist, people are anxious.
- 14:55They want to, they want to know everything is OK, and the least
- 14:58we could do is not screw that up by waving at them to come to the
- 15:02off front office like there's something wrong or discuss their
- 15:06treatment plan in front of all these other people.
- 15:08I see this so often that people are loudly discussing finances
- 15:13in front of other people. It's embarrassing for people,
- 15:15right? So we've got to just pay
- 15:17attention to the small things. The devil's in the details.
- 15:20I like that, yeah. Yeah.
- 15:21I think it's one of the things where I think about my business,
- 15:23it's like we work so hard to get a client or get a patient and
- 15:28then it's like sometimes then when they actually become that,
- 15:31then we just kind of like lose the wow factor.
- 15:33Like we stop trying to impress them or like take it to the next
- 15:36level. And I have to think about this
- 15:37and like, you know, I try to create a good experience for my
- 15:39guest. I try to have their favorite
- 15:40drink or like, you know, we send them videos beforehand, we give
- 15:43them all the content. I create this, you know, good
- 15:45environment for them, make them feel comfortable.
- 15:47And then it's like, am I doing the same thing for my clients,
- 15:51you know, the paying clients who actually keep this whole thing
- 15:53going? And I think, you know, what are
- 15:54you doing when someone becomes a client?
- 15:56Do you send them a gift box or something cool?
- 15:58Or do you have a certain onboarding process so that where
- 16:01they're like, whoa, this is I've never experienced this before,
- 16:04you know you. Hit the nail on the head, Alex.
- 16:06I think by the way, you do a really great job of just
- 16:09generally, you know, really interacting with people really
- 16:13well, right? You do such a great job of that.
- 16:15I see you. I see you on LinkedIn.
- 16:16I follow you on LinkedIn. I think you do a great job of
- 16:19that. I think that's half the battle,
- 16:21but you're right, the other half is actually how do you retain
- 16:24and keep your people who are paying you a lot of money happy?
- 16:27And this is something that both Anushka and I spend a lot of
- 16:30time thinking, right? One of the things that we've
- 16:33been just able to do is just put a small note right?
- 16:37Like I tell her, hygienic. We look at our hygienists as
- 16:39very important to the business because they are the retention
- 16:42tool in in a company, right? So when any patient comes in, we
- 16:47need to understand what they're propelling forces are.
- 16:49When I say propelling forces, what I mean is what do they?
- 16:52Why are they actually here? You write that down and you
- 16:55repeat them back that back to them at every appointment of
- 16:59theirs. The patients will never forget
- 17:01you. They feel heard, they feel seen,
- 17:04they feel valued, right? And also a little thing about
- 17:07their kids or something that actually matters to them.
- 17:10Like some, some of my patients are into cars.
- 17:13Like every time I had a patient come in, I'd say like, how's
- 17:15that Mercedes? He's like, oh doc, you still
- 17:17remember I had a Mercedes, huh? By the way, I changed to BMW.
- 17:20I'm quickly going and making a note of that 'cause next time I
- 17:23don't want to talk about the Mercedes, I want to talk about
- 17:25the BMW. Just little things that really
- 17:28makes people valued. I don't think it's like anything
- 17:31crazy that we need to do because they already are bought in.
- 17:34It is so much easier to have an existing patient refer another
- 17:38client to you 'cause the trust is already there, but it is so
- 17:41much harder with the new client because they don't trust you
- 17:44yet. That is such a great point too.
- 17:46And I have tried to do that on my meeting notes, you know,
- 17:48after I have conversations with clients too, if they mention
- 17:50something where they're going or their kids or this or that or
- 17:52what they're into, you try to make a note of that because it
- 17:55is refreshing when people actually remember and they say,
- 17:57hey, how was that trip to XY and Z or hey, I remember your kids
- 18:00are into this, this and this. What do you guys got coming up
- 18:02for that? You know, and it's just like,
- 18:04it's a good experience and when you don't do it and you miss it
- 18:07and they feel like I've already told this guy or gal like 3
- 18:09times that I have kids or this or that.
- 18:12And you kind of just are not remembering that.
- 18:14It's not like it could, I mean, sometimes it could kill the
- 18:16relationship, but it's just one of those things that doesn't
- 18:18feel good. You know, it's like they're not,
- 18:20they're just like I'm a number. I'm a.
- 18:22Transaction, yes, and they've forgotten about me.
- 18:24They were so great when I started out.
- 18:26One other thing too that I I consciously try to remember in
- 18:30the business is especially when they're cash paying.
- 18:33We can't discount insurance patients because of all these
- 18:35rules and regulations. But when they're paying you a
- 18:37lot of cash and I've had patients see me for 10 years
- 18:40that have followed me from different offices to the one
- 18:43that, you know, we we practice out of is being conscientious of
- 18:48giving your existing patient base this like cash discount
- 18:53that you would easily dole out to a new client just to get
- 18:56their business. But sometimes we lock in
- 18:59business and then we forget to do that with that existing
- 19:01client. They that goes a really long
- 19:04way. I I've seen that time and time
- 19:06again. They really appreciate that even
- 19:08if they never ask me for discounts my existing patients,
- 19:12but just to say I really appreciate you.
- 19:14I'm going to write you a 10% discount on this just because I
- 19:17appreciate you walk them through out to the door when they're
- 19:19done with treatment. Those things go such a long way.
- 19:22I love that you're asking about this.
- 19:24This is great it. Really matters, man.
- 19:26Running a good business. I think in general, especially a
- 19:28practice, we have patients coming in the physically all the
- 19:30time too. But I think there's so many
- 19:31parallels regardless of what business you run.
- 19:33I think what you said earlier too, is being transparent about
- 19:36what you're doing with your clients is so freaking
- 19:38important. Like, I had an awesome dental
- 19:40hygienist for, gosh, probably 10 years.
- 19:43And then she retired and me and her were like friends.
- 19:45I mean, she knew everything about me.
- 19:46I knew about her. We'd have a great time when she
- 19:48came in a little chatty, but she was awesome, you know?
- 19:51And then a new person came in and like what?
- 19:54What my old dental hygienist would do, Flora is her name.
- 19:57She would explain everything that she does.
- 19:59So you go, hey, Alex, I'm going to come in your mouth right now
- 20:01with this, this and this. And what I'm doing is I'm
- 20:03looking for this, this and this. You know, I'm scrubbing for
- 20:06this. If you hear this noise, that's
- 20:07what that means, right? And then the new lady came in
- 20:10and she just like has some new machine thing, which is probably
- 20:12not like new in dentistry, but I just never had used it before to
- 20:14you new to me, right? And she starts using this thing
- 20:17and I had to ask her midwife. There I go, what is this thing?
- 20:19And she's like, oh, this is what we do for this, this and this.
- 20:21And I was kind of like, man, if you were to, you know, explain
- 20:24that and just say, Hey, I don't have you used this before?
- 20:26Have you seen this before? So what I'm going to do now is
- 20:28I'm going to do this and this. And I try to do that in my
- 20:30business too, where it's like, hey, next step of the process,
- 20:33I'm going to go behind the scenes and start doing this,
- 20:35this and this. And what I need from you is to
- 20:37do this, this and this. And then what's going to happen
- 20:38is we're going to bring it all together.
- 20:40And this is what it's going to look like for the next few
- 20:42weeks, you know, And I think that is if you can just, again,
- 20:44it seems like very small stuff, but it all adds up to the
- 20:47experience that you give your clients or your patients.
- 20:50And as I'm sitting here, I'm observing that I took a look at
- 20:53that as feedback right in, you know, in pediatric kids
- 20:57dentistry, there's a concept called telshow do, right?
- 21:00So you never want to just introduce a sharp instrument
- 21:03into a kids mouth because then they're never going to trust
- 21:06you, right? And they're never going to and
- 21:08you're going to damage them, mentally traumatize them.
- 21:11So they're never going to see the dentist.
- 21:12But I find a lot of adults that come in are traumatized, were
- 21:15traumatized as kids. So I think Telstra do should
- 21:19apply to adults too, right? You tell them what you're going
- 21:21to do, you show them a model or hey, this is what we're going to
- 21:25do. And then you do it.
- 21:26So they're not surprised when you introduce a sharp instrument
- 21:30in in in their mouth. So I love that.
- 21:32No, I think no one's gonna be mad at you for explaining what
- 21:35you're about to do to them exactly.
- 21:37Yeah. As long as we don't, you know,
- 21:39derail or waste time like like you said, because people have
- 21:44things to shit to do, you know, it's like. 10 minutes later.
- 21:46And like so. Anyways, this was invented in
- 21:471920. Five.
- 21:48I was like, let's make it quick. Let's keep it moving.
- 21:50Right, that's right. Every be respectful at the time.
- 21:53So when you started moving to so this practice went well, you
- 21:55came in and you're like, you know, you're probably like, all
- 21:56right, let's see if we can do this.
- 21:57I think we can. I think we, you know, we got the
- 21:59skills to be able to do this. You start doing it, then you
- 22:02take it to other practices. Was it easier the next time that
- 22:05you try to? Because I think about a business
- 22:06owner, I think, you know, I'm six years in, it's like you
- 22:09start a new company now it's a lot easier.
- 22:11You know, it's just like, not that it's easier, but maybe you
- 22:13just got a lot better. You know, it's like you just
- 22:15kind of know, yeah, definitely don't do that.
- 22:17That's a waste of time. And hey, when we start, let's
- 22:18remember we have this in place first.
- 22:20And did you experience that too? We did, I think we, our
- 22:24leadership was in a better spot, right?
- 22:26Just expectations wise with team members, what we expect, what do
- 22:29we need them to do? What, what does a practice have
- 22:31to do day one day? I think that stuff we got
- 22:33better. But what we didn't realize the
- 22:36reason we opened a second practice was because there was
- 22:39two of us, right? But it was my wife and I were
- 22:41both dentists. We were probably tired of seeing
- 22:43each other every single day. And we were like, we can go do
- 22:46this separately and then, you know, come together and talk
- 22:49about all the issues. So that part was easy for us,
- 22:54right? The hard part is you don't
- 22:56realize when you have one physical location and you scale
- 22:59that to a second. If you don't have the unit level
- 23:02economics down in one location. And then you're taking the same
- 23:05mistakes you did in the first because you don't have a full
- 23:08understanding of what you did wrong and then you're doing the
- 23:11same mistakes in the second. So as much as you can scale your
- 23:14success, you can scale your mistakes and chaos too.
- 23:17I found that to be very true. That's a really good point.
- 23:20What what was some of the biggest mistakes that you guys
- 23:22made in the business taking it from the first operation to the
- 23:25second? I think probably in hindsight
- 23:29hiring too quickly, I think was was a mistake.
- 23:32I think we should have really taken time hiring our first few
- 23:34team members, right. We were just so gung ho about
- 23:38scaling the business that we hired the wrong people.
- 23:41We also hired some good people along the way.
- 23:43But I think when you make 5050 hires where I think that's too
- 23:48much of a mistake, right? When you have 50% good, 50% bad,
- 23:52that's not good enough. You got to get 8085% of your
- 23:54hires right in order to scale the business to 4X or five.
- 23:58XI think there's always people that are going to slip through
- 24:00the cracks, I think and not letting go people quickly enough
- 24:04to that's another one when we thought you make excuses for
- 24:07them. I think that's a lot of
- 24:09healthcare because we need bodies, you know, people need
- 24:12bodies. So they're like, I'm just going
- 24:14to hold on to Susie. See here, who is crappy?
- 24:17Everybody. She makes everybody miserable in
- 24:18the practice, but I'm just going to hold on to her because if I
- 24:21lose Susie, then I'm not going to be able to fill that seat.
- 24:24So I think a lot of that too initially, but I'm way better
- 24:27about that today. Let's.
- 24:29Let's stay on that because I think it's an interesting one
- 24:31for for other founders and business owners listening.
- 24:33I'm hiring right now. I think a lot of us are hiring.
- 24:37How do you hire great people? What is the What is the secret
- 24:40there that you've learned? The secret is great interviews,
- 24:43right? But also I think just interviews
- 24:45aren't enough. I think now today my wife and I
- 24:48do a personality testing on people, right?
- 24:51We do a yeah, I think we do a Colby at the minimum, right?
- 24:54Because you want your people to be high follow throughs and
- 24:58decent fact finders. And if it's a front office
- 25:02position or if it's a operations person, you want them to have a
- 25:06high follow through or not a very high quick start.
- 25:09Don't you think those personality tests though, people
- 25:11can just like, put in the answers they think you want to
- 25:12hear or no? No, not with Colby.
- 25:14I find that to be like one of the most accurate because Colby
- 25:18tests people, they're cognitive side of the brain.
- 25:21So Colby is about testing them on how they would react under
- 25:24pressure. So it's instinctively are they
- 25:27high follow through, are they high?
- 25:28But. They're not under pressure when
- 25:29they take it though, right? They're not under pressure, but
- 25:32that's but the questions test them on whether how they would
- 25:35react on under pressure. They without without them
- 25:38knowing that, and that's the beauty of that.
- 25:40What do you mean by that? You don't really know that some
- 25:44of the questions that that have been designed in a Colby are
- 25:47based on how bad situations could go or how pressure
- 25:52situations. Those are the questions they're
- 25:53asking and these are multiple choice often.
- 25:55So you can pick anything you. Want You're almost all right
- 25:58answers to some degree. You're just testing.
- 25:59There's no right or wrong, right?
- 26:01It's just tricky. How do you how do you build a
- 26:03complementary team? That's one of the mistakes we
- 26:05did was we usually hire people we like and I think that's the
- 26:08mistake that we do. We've got to hire people that
- 26:11have complementary skills. But how do you know that if you
- 26:13don't know yourself? I know I'm a high quick start.
- 26:16My wife has a high follow through and that's complementary
- 26:18to us. We need all our operations team
- 26:21to be high follow throughs. I don't need any more quick
- 26:23starts in the business. Defined what those differences
- 26:25are. The difference would be when
- 26:27somebody has a high follow through, they're getting their
- 26:29projects completed. Whereas quick start means you
- 26:32have a bias for action. You can start stuff quickly, but
- 26:35not having a high follow through, that's me.
- 26:38But having a medium follow through means I need somebody
- 26:40with a very high follow through to finish the thing that I
- 26:43started. That would be our operations
- 26:45team in our in our case, right. I don't need our operations team
- 26:48to have a very high. I need them to act.
- 26:51I need them to have a low to medium, a quick start.
- 26:53That means if they're too low on a quick start, then they're
- 26:56never getting started, right? It's, you know, analysis by
- 26:59paralysis thing. But once they start, they are
- 27:02going to complete that stuff, right?
- 27:04So that's for operations. But if if it's somebody on the
- 27:07growth side, they need to have a high, high quick start, that
- 27:10means they need to go, you know, do business development.
- 27:14That's a higher quick start personality.
- 27:16So my wife and I have different roles because of that, right?
- 27:19I operate more on the growth side and she operates more on
- 27:22the system side. And but this is not something we
- 27:24knew until we took the Colby and now we hire based on that.
- 27:28And then you do a disk on top of that, right, just to understand
- 27:31how people react, right? Disk is you, you put you haven't
- 27:35taken the disk. Got it.
- 27:36It's D is the person. The way I look put it is the
- 27:39person driving the car AD and an eye eyes person sitting next
- 27:43who's guiding the the driver. The S is somebody who is, you
- 27:47know, looking at making sure everybody's OK.
- 27:50And the C is the cautious one looking at the map, making sure
- 27:53that we're going the right spot. So if it's an insurance person
- 27:56you, you want to hire in your business, you want to make sure
- 27:58they're they're ADNSC. If you hire a DNI, good luck to
- 28:03you. Your bills are never getting
- 28:04collected, right? Because you want a patient care
- 28:07ambassador or fund office to be influential with people.
- 28:10So those two things are a must, I think.
- 28:14Founders, do you see how well he understands his team and how
- 28:17he's putting these together? I mean, this to me is like the,
- 28:20and I know you're always learning and growing and that
- 28:22kind of stuff, right? No one has it all figured out.
- 28:23But I think the level of detail that you're talking about, how
- 28:26you screen people, what you're looking for in your team, who
- 28:28compliments who and what does that look like?
- 28:31That speaks to someone who knows how to put together A-Team and
- 28:34run businesses and things like that.
- 28:35So I appreciate you sharing that, of course.
- 28:36So that's the hiring side. Do you also, there are certain
- 28:39good questions that you ask to try to, you know, aside from the
- 28:42test and things like that, which I think that does sound like a
- 28:44good idea. Maybe we'll start doing that.
- 28:45Are there certain questions that you found?
- 28:47They're like this one really pulls the realness out.
- 28:50You know, I try to follow the Elon Musk rule.
- 28:52Just tell ask people an open-ended question.
- 28:55Tell me about your story and tell me about the things that
- 28:59you did rather you want to find out if they're technical, if
- 29:01they're BS ING you right. I really like that question,
- 29:05especially on the leadership hires that we've made.
- 29:07We ask very open-ended questions.
- 29:09Tell us about a time where things went wrong.
- 29:13What did you do? You'll really quickly know
- 29:15whether someone is technical or not by the end of that answer,
- 29:18right? You want technical people in
- 29:20your business, right? That's kind of the conclusion
- 29:22I've come to because you don't need like Fluffy, Oh, I want to
- 29:25be in strategy type answers because there's, as founders,
- 29:28we're good at strategy. We know we can see 10 things I
- 29:31had we can already do that need people to come and execute in
- 29:34the business. So I asked very technical
- 29:37questions, but very open-ended questions.
- 29:40I want them to just talk and just get really comfortable that
- 29:43we're good listeners and I just shut up.
- 29:46Really. My wife and I've learned to shut
- 29:47up. Just ask 20% of the questions,
- 29:5080% shut up and people will show you who they are if you just let
- 29:53them talk. That's so true, man.
- 29:55Yeah. And sometimes you just need to
- 29:56say, like, little follow up phrases, like.
- 29:58Tell me more about that. Exactly.
- 30:00There's a story there. Why'd you do that and then just
- 30:03sit back? Just sit back.
- 30:04Yeah, just sit back. It's, it's amazing, isn't it,
- 30:07how much people will volunteer? Yeah.
- 30:10And I was like to ask like how do you measure success, you
- 30:12know, in your role, Like what was success to you and how often
- 30:14did you hit that? And because that that tells me
- 30:17from a content marketing standpoint, you know, if it's
- 30:19success is like, well, we posted this amount of times and we got
- 30:22this many impressions. It's like, OK, but was there a
- 30:24lead generation opportunity? Was there revenue that got
- 30:27impacted by the marketing? Like I want to know how do they
- 30:29measure their role and and then the next question is how did you
- 30:34do and what happens when you missed it?
- 30:36I love that and those type of questions.
- 30:38Yeah. Oh, I love that.
- 30:39And you know, that's a great way to weed out the snakes in the
- 30:41grass too, because if somebody really owned their metric, they
- 30:46will be able to tell you exactly how they did it.
- 30:48And that's the key difference, right?
- 30:50And I've seen this with some of our leadership team too, when we
- 30:54asked them, tell me what part of the business you impacted,
- 30:57because this is especially true for operations folks, right?
- 31:01Where they can tend to take credit for a lot of the things
- 31:03that happened, but they were because they were generally
- 31:06touching things, they tend to take credit for a lot of the
- 31:09stuff. So if you want to pinpoint, ask
- 31:11them pointedly. Tell me which part of this,
- 31:14right? I'll tell you.
- 31:15I'll give you an example. Why I bring this up is we've
- 31:17hired, made some poor leadership decisions, hires in the past.
- 31:21And I didn't know that any better back in the day.
- 31:24I thought, oh, this person scaled this group from like 30
- 31:27locations to 100 locations, but I forgot to ask them, was it
- 31:32private equity backed? Were they buy and build?
- 31:35Who was buying 'cause they had a whole other team that was buying
- 31:38revenue and EBITDA behind the scenes.
- 31:40Of course it would make you look really good as an operator.
- 31:43Of course it would make you, what did you impact in that,
- 31:46right? Those are the nitty gritty
- 31:48details that sometimes as founders, we're afraid to ask
- 31:50these questions, 'cause you don't want to lose that
- 31:52candidate, but if it's the right candidate, they'll be really
- 31:55excited. If you ask the detailed
- 31:56questions, for sure they will. Yeah, I see that in social media
- 31:59marketing where it's like you talk to a social media marketer
- 32:01and they're like, you know, hey, I grew the company page to
- 32:0450,000 followers and it's like, OK, how'd you do it though?
- 32:07Well, it's a billion dollar company and they give us
- 32:08unlimited ad spend and so we just ran ads until we hit
- 32:1150,000. It's like, all right.
- 32:12So like organically though, how do you, how did you grow?
- 32:14What revenue did it produce? Did it actually build a brand?
- 32:17Did you generate leads? And, you know, to your point,
- 32:19it's like you can have a result on your resume, but that doesn't
- 32:23mean that you actually did the thing to get there.
- 32:26It could have been an overarching, you know, other
- 32:27people involved or, you know, private equity money, unlimited
- 32:31money coming in that maybe you won't have in this next
- 32:33opportunity. And so, yeah, those types of
- 32:35things definitely play a role. So what about we talked about
- 32:37hiring? What about firing?
- 32:39You said you need to fire as quickly as you can.
- 32:43I think any red flags, right, based on your core values,
- 32:45right? We have 5 core values in the
- 32:47business, one of them being on your stuff.
- 32:49So for example, if somebody deflected and blamed, I think
- 32:52that would be a red flag. We, we people analyze our, our
- 32:56people on, on the OS, we people analyze once 1/4 And if it's
- 33:00more than two negatives on any of our 5 core values, I think
- 33:06the decision is let's let's kind of face this person out and help
- 33:10them succeed somewhere else. How do you phase them out?
- 33:12What's that like? Do you have a real conversation
- 33:14with them and say, hey, you're falling short on this system,
- 33:16this? It's always a very core values
- 33:18driven conversation. We can't make it emotional,
- 33:20right? That's one of my learns as a
- 33:22business owner. And when I started out, probably
- 33:24it was more reactive, more emotional, like you said this
- 33:27and you did this. No, it doesn't have to be that
- 33:29way. And I think people appreciate
- 33:31that as well. Just making it very core values
- 33:33driven, right? You have to find the the right
- 33:35person means core values. The right seed is do they get
- 33:38it? Do they want it to have the
- 33:39capacity for it? I think that becomes pretty
- 33:42apparent. I think as founders, we know a
- 33:44lot of times this person, we have this instinct just leaning
- 33:48into that instinct more. I think that's what my wife and
- 33:50I do better now than we used to back in the day do.
- 33:53You find there's a balance of being being careful, of not
- 33:56being too hard on people versus, you know, expecting too much
- 34:00versus like, you know, hey, this is what you need to do.
- 34:03Like this is your job. These are our core values.
- 34:05What's the balance there? Sometimes that can be a little
- 34:07tricky. It's like I want to, I feel like
- 34:09I'm over demanding because I'm a crazy founder, you know?
- 34:12So I never expect someone to work like me obviously, of
- 34:14course, but it's also like I do want to demand excellence from
- 34:17myself and others. You're right about that.
- 34:19I think that's hard, right and for any leader.
- 34:22But just, I think as long as we've done the right onboarding
- 34:26for them and laid out our expectations, it doesn't have to
- 34:29be like you need to do this for me or it's just I ask you to do
- 34:32these things and we're going to check in once a week and we need
- 34:36to get all our todos done for the week and we need to get our
- 34:3990 day goals done. And and then you see a pattern
- 34:43of those, do those todos actually get done?
- 34:45And if it's like once or twice you have a conversation and say,
- 34:49we need to pivot. I think we need to be very clear
- 34:51about that. That's one of my learns is when
- 34:53people don't get done, you tolerate it.
- 34:55That means you've allowed it the second time.
- 34:57Then it's a habit. Then they think it's OK for me
- 35:00to not do it the second time. I'm never give people a chance,
- 35:03but never a second. This is something I learned,
- 35:05right? And I think I kind of stand by
- 35:07that because the second chance is like, I need you to really
- 35:09pivot. And this is where we need to go.
- 35:12And after that, it's more along the lines of, hey, we need to
- 35:15probably talk about performance improvement here.
- 35:17Yeah. It's kind of like you give them
- 35:20the freedom, but if they're going to take advantage of the
- 35:22freedom, you know, then then you, well, now we got to get
- 35:25clear. Now we got to get the, the, the,
- 35:28the leash gets a little bit tighter.
- 35:30It just has to because it's like, hey, I'd love to give you
- 35:32the freedom, but if you're not going to take it and run with it
- 35:34and do it, then you don't have the freedom.
- 35:36It's just how it works. You're right, because it's also
- 35:38not fair to the other A players in your business, right?
- 35:40They're watching too, and they're thinking, oh, this
- 35:43person just got away with that, so maybe let me push the limits
- 35:47on this too. And then now suddenly the
- 35:50culture is like, we underperform and it's OK in this company,
- 35:54right? I, and that's something we
- 35:55struggled with too, right? Because of necessity needing
- 35:59people. And you know, as you know, in
- 36:01healthcare, sometimes it's hard to get people to get them
- 36:04motivated in dentistry to come and do an insurance job 'cause
- 36:08they can make $20.00 an hour just flipping a burger versus
- 36:12dealing with a tough insurance agent in the Philippines.
- 36:14Then people would rather do the other thing.
- 36:17So then getting them motivated is hard.
- 36:19This is especially true in healthcare.
- 36:21I find that. You know, a lot of people say
- 36:23core values are overrated or emissions overrated.
- 36:27I don't think it is. I think it is when you don't
- 36:29when you establish it on a a piece of paper on a wall or a
- 36:32poster on a wall, but it doesn't really mean anything to the
- 36:34company of the people. I think it's everything.
- 36:37And I look at some of the biggest mistakes I've made in
- 36:38hiring is exactly what you just said earlier.
- 36:40I wasn't clear from the beginning.
- 36:42I wasn't like, and then I look back and I'm like, oh, they're
- 36:44not doing this as this. I'm like, well, Alex, that was
- 36:46never instilled in them as core values make it go.
- 36:48You never talked about it every single meeting and every day and
- 36:51every interaction that you had. You never gave people shout outs
- 36:54and said, wow, do you? This person was really
- 36:56demonstrating our core values. Like let's give a round of
- 36:58applause, maybe a bonus or something, you know?
- 37:00And on the flip side, it's, you know, making sure you have
- 37:02conversations around, hey, you know, you drop the ball on this
- 37:05and you know, I want to try to coach you up and get you to
- 37:07where you need to be. But when things keep happening
- 37:09and it's a violation of the core values, then that's a
- 37:12conversation. And other people need to know
- 37:13like, hey, this is the standard we have.
- 37:15It's almost like your standards. Right.
- 37:16Yeah, I think you, you make such a good point, Alex, because
- 37:20that's you owning your stuff, right?
- 37:21I think core values aren't just meant for your team members.
- 37:24It starts with us, right? And I think just, you know,
- 37:27maybe giving your team members the, the safe space to call you
- 37:31out on your crap, to own your stuff, like I said, is one of
- 37:34her core values. That means I've got to own my
- 37:36stuff. Anoushka's got to own her stuff.
- 37:38When we, if we aren't owning our stuff, it becomes tricky to ask
- 37:41people to abide by these core values 'cause then they can
- 37:45inherit. They'll, they're saying yes.
- 37:48But you can always look at people's how they nod, they say
- 37:53yes like this, right? But do you actually pay
- 37:55attention to what they're doing in body language?
- 37:57But that's what they're truly doing, right?
- 37:59They're saying yes, but they're doing this.
- 38:01That means they don't actually buy in to you.
- 38:03And sometimes people are saying no, but they're saying doing
- 38:06this right. It's the opposite is true.
- 38:08Also. Wow.
- 38:09That's interesting. Yeah.
- 38:11So I want to ask you about the MBA.
- 38:12Yeah. Is it worth it to get your MBA?
- 38:14Because I look at Someone Like You and I'm like, you are a
- 38:16thoroughbred entrepreneur. You've got businesses like I'm
- 38:19like, what the hell can an MBA teach a guy like you?
- 38:22No, I think there's all there's so much more to learn and I
- 38:24think so I'll, I'll tell you this right in in healthcare, we
- 38:28don't get any business training, right.
- 38:30A lot of like as as Dennis, we just have to kind of lie, learn
- 38:33on the fly, make a lot of mistakes.
- 38:36And I think business cool is less about giving you tools for
- 38:40like how to run your business. It's more about frameworks.
- 38:43How do you think about stuff more rigorously?
- 38:46Like MBA kind of hammers that into, especially at Booth,
- 38:49They're quant focus. They're extremely like, you need
- 38:53to think through this decision before you make it, especially
- 38:56if it's like $100,000 check that you're about to invest in
- 38:59something, right? And I think those are things
- 39:02that when you learn on the fly, when you're experimental, you
- 39:05just go invest and then find out it was the wrong decision.
- 39:08But are these people that the people teaching you, are they,
- 39:10are they people that have built businesses?
- 39:12Some some are, and some are Nobel laureates who have written
- 39:16books and papers on how this stuff needs to be done right.
- 39:21Because I would look at them with a little bit of like maybe.
- 39:23I agree. A not a taint, but just like I'd
- 39:28look at them like you've never actually built a business
- 39:31before. So not that you're not credible,
- 39:32not that you don't know anything because there's plenty of smart
- 39:34executives that have done incredible stuff.
- 39:36But you know, as a founder, it's kind of like, all right, you can
- 39:38tell me this shit, man, but you've been five years into a
- 39:41business and had, you know, challenges and had a fire and
- 39:43this and that. And it's different when you're
- 39:45in the in the arena, the man in the arena.
- 39:47You're right, and I agree with you.
- 39:48I think that was our thought process to going in there,
- 39:51right? It's just Founder Energy's
- 39:52different, only about 1, maybe 115th of our classes, founders,
- 40:00The rest are all corporate, you know, execs or VPS, consultants,
- 40:05VPS, you know, making their ascendant to AC suite.
- 40:08Those are the guys and we're often in Business School.
- 40:11You're talking about billion dollar companies that may not
- 40:13feel as applicable, right? We're talking about analyzing
- 40:16Apples, Apple and Tesla and NVIDIA balance sheets.
- 40:21But I think it just gives you a sense of.
- 40:24OK, if Apple can do this at a very high level, you can
- 40:27certainly take some of those things and do this 'cause you
- 40:29have a much smaller scale. How do you move faster?
- 40:32How do you think about stuff more rigorously?
- 40:34I think that's the stuff that MBA is teaching us.
- 40:37I'm not, we're not done with our program.
- 40:38We're only about a year in. We have another year to go.
- 40:40And I'll, I'll update you next year.
- 40:42Maybe I'll come back on this next year and I'll update you on
- 40:46like what I truly think about getting an MBA.
- 40:48But so far you also make great friendships though, and that's
- 40:52another one. The cohorts are everybody's
- 40:54there to learn. People are super humble.
- 40:56They want to they want to help you and you connect with people
- 40:59from all over the world. I don't think you could do that.
- 41:02You could go become members of EO and YPO and all that stuff.
- 41:05We're members, but you still don't have the variety of people
- 41:08that you meet. You meet some wickedly smart
- 41:11math majors, hedge fund type people in Business School that I
- 41:15thought I was good at math. Wait till you hang out with
- 41:17them. You'll have a freaking
- 41:18inferiority complex when you hang out with some of these
- 41:20people. They're like 10 times fast.
- 41:23They do some complex math, like, like that, right?
- 41:26That's cool to be around. Yeah, I can do that.
- 41:29Right? But there's something about
- 41:30brain power that you know, when you surround yourself with
- 41:32people like that, it levels you up to your.
- 41:35Extent No, I agree. And I think there's things you
- 41:37know, I came from before I started this business, I came
- 41:38from a multi billion dollar staffing and recruiting firm.
- 41:41And so you know, coming from that business, I was around a
- 41:43lot of very smart people. They didn't have their own
- 41:46businesses, but they operated in a business that was very well,
- 41:49it was a well oiled the machine. I mean, the sales training,
- 41:51leadership training, the structure, the accountability,
- 41:54the IT was impressive, man. And I learned a lot from there.
- 41:56And I think actually the reason I found success early as an
- 41:58entrepreneur is because I had that background, to be honest.
- 42:01But but there was a ton of things that I took there and
- 42:03then used in my business. And there's people that now have
- 42:06a lot of people have left there to start their own businesses
- 42:08now since 2020, it's just become a whole thing.
- 42:10But I think there's always things you can learn from the
- 42:12big company going to a smaller company.
- 42:14And then there's stuff you can learn from the smaller company
- 42:16going to the bigger company because they both have strengths
- 42:18and weaknesses. All the more reason for Someone
- 42:21Like You to do an MBA, Alex, because as much as as much as
- 42:26it's about, you know, getting from others and professors, you
- 42:30have a lot to offer too. And that's something I've been
- 42:32thinking too, Like people really appreciate that too.
- 42:35It's a way to give back. Yes, it's a, it's an expensive
- 42:38check you're writing the return on investment is there.
- 42:40It causes a one to two degree separation over like maybe 10
- 42:44years, I think. And as you know, the other
- 42:47point, the one last point I'll make about this is in
- 42:49healthcare, you know, when you deal with finance and private
- 42:53equity, we've always they've all dentists and doctors have always
- 42:56been told you're the doctor, you're the technician.
- 42:59Go do your craft while we manage the spreadsheets the.
- 43:01Finances. I think it's good to have an MBA
- 43:04to just be able to speak the same language.
- 43:06At least from my perspective. I it is super intense.
- 43:10It takes you away like many days.
- 43:12So if you don't have a well oiled machine, the team, it's
- 43:15gonna, it's really hard and it's super rigorous too.
- 43:18So I got some questions. What's it like?
- 43:20Like working with your wife by the way, before I get to these.
- 43:23It's amazing. Yeah, you guys seem like you
- 43:25have a good relationship. We, we have a really good
- 43:27relationship. We're best friends and we, not
- 43:30that we didn't butt heads when we started our business because
- 43:32we hadn't done that together either.
- 43:34But I see a lot of people, I have friends who say things like
- 43:38my wife and I could never do business together, right?
- 43:41And I feel bad about that, right?
- 43:42Because. To me, there was a disconnect.
- 43:44There it is a disconnect there because you're sharing.
- 43:47If you have the same goals, you should chase after the same
- 43:49goals, as long as you understand what roles and responsibilities.
- 43:52That's where we used to probably butt heads 'cause we were
- 43:55overlapping into each other's skill sets because we did not
- 43:58clearly understand what our skill sets were, what our unique
- 44:02abilities exactly. OK, cool.
- 44:04Cool. Yeah, I think it'd be kind of
- 44:05fun. I don't know, you probably talk
- 44:07about business during dinner and stuff sometimes.
- 44:08We do, we have a hard cut off now for 8:00 PM, right?
- 44:12Because we used to talk into the night and then, you know, it
- 44:15spikes cortisol, you sleep somewhere.
- 44:17We did that for so long. Now we have an 8:00 PM cut off.
- 44:20We don't talk business after that.
- 44:22So it protects our marriage a little bit.
- 44:24And also on the weekends, I think Sundays, we really take to
- 44:28reset with us and our dogs. We we, we do talk business shop
- 44:32on Saturday though. I bet it's hard.
- 44:34It's hard not to talk about it when you love what you do and
- 44:36you're like, you're building shit and it's like, I just love
- 44:38it. It doesn't feel like work.
- 44:39No, it's like, yeah, I used to work out in my porch and stuff
- 44:42in the old place we had, and I'd have this lady walking her dog
- 44:44that would always go by and go, oh, you're still working.
- 44:46It'd be like 6:00 PM or like in the morning.
- 44:48And I'd beg, yeah, but to me, it's not working.
- 44:52Like, it's not like I have some job I hate.
- 44:53And I'm like, oh, I can't wait to clock out and do something
- 44:55else and go watch Netflix. The ironic thing is if I was up
- 44:59there like watching Netflix and like just throwing a ball
- 45:01around, she would have been like, hey, enjoy.
- 45:02Your day but. Because I was like building
- 45:04something. And to me, I think it's a lot of
- 45:06other people's insecurities bouncing off me and back to them
- 45:10because maybe they didn't have something that they felt that
- 45:11passionate about, that they wanted to build, that they were
- 45:13excited about. And so they see you doing it and
- 45:15it's like, why are you working so much?
- 45:16Why are you gonna lose this net? It's like, 'cause I love it,
- 45:19man. It's none of your business.
- 45:20We're the what's that saying? We're the only people that would
- 45:24not get paid something along the lines of not get paid to be
- 45:27unemployable and still work seven days a week or something
- 45:30like that, not get paid for it. Yeah, that's so true, man.
- 45:34So I'm curious what the day in the life looks like for you as
- 45:36someone. And we got some founder talk
- 45:38community questions. So we have a community of
- 45:40founders in the area, all Chicago land founders.
- 45:42And I I given them an opportunity to ask questions
- 45:44before a guest comes on. Hey, I got this guest coming on.
- 45:47Here's what they've done. Here's a background and say, oh,
- 45:48I got a few questions. But before I get into these and
- 45:51these kind of have to do with where I'm going next, I'm
- 45:53curious like, where is your day spent?
- 45:55Like if I looked at your schedule because obviously
- 45:56you're not a practicing dentist anymore, right?
- 45:59Where is your time? Is it like man back-to-back?
- 46:02Is it in meetings? Is it like?
- 46:04Certainly not back-to-back. And I think when when I feel
- 46:07bad, when founders have their calendars stacked every minute
- 46:09of every day, it just tells me that they don't have their time
- 46:12control or calendar control. But what about the Gary Vees?
- 46:16Because he always, you know, Gary Vaynerchuk.
- 46:17You know what that is, right? Like guys like that, like I
- 46:20think they almost brag about like 15 minutes meeting because
- 46:23then I gotta get to the next one, next one, next one.
- 46:24And I don't know what makes them feel like they're so busy.
- 46:26They're so and not a knock on Gary's done amazing things.
- 46:29But of course, I'm just curious your perspective.
- 46:30You know, sometimes you take things with a grain of salt,
- 46:33right? Because Gary V is not telling us
- 46:34about the time that he just spends away from the business,
- 46:37right? His team is operating in full
- 46:39flow, right? He's talking about the times
- 46:40maybe. Is that a day, a week where he
- 46:42has that stacked? Like I'd I'd like more context
- 46:45on stuff like that. Right, that's.
- 46:46So good for me. I think because I work on the
- 46:49growth side, I'm not in the nitty gritty day-to-day of the
- 46:53operations as much because we have a really good operations
- 46:56team at this point, very talented.
- 46:59And my wife Anushka is actually OP strategy.
- 47:03So she deals with the operations team unless there's like
- 47:06something we both need to talk about.
- 47:08I'm looking, I spend most of my day looking at analyzing deals,
- 47:13looking at PNLS, looking at like maybe 8 to 6 to 8 PNLS a day
- 47:19because you. Want to require other dental
- 47:21practices? Acquire, yeah, exactly partner
- 47:24require the right fit and doing a lot of that and then when
- 47:29something piques my interest going and visiting that site.
- 47:33So I'm doing a lot of that. And also I also I'm in charge of
- 47:36pipeline creation in, in the business like in terms of
- 47:39scouting talent for the leadership team.
- 47:41So I'm looking at resumes. I'm also looking at dentist
- 47:45resumes too. My OPS team, although does a lot
- 47:48of this screening. I'm like, I look at that to make
- 47:51sure they're the right fit for us and then maybe get on final
- 47:55screenings with Dennis. So I do a lot of that.
- 47:58So I think that fills fills up, you know, the the three days of
- 48:02my time, the other three days, obviously I'm in the NBA right
- 48:05now. And so that takes up lots of
- 48:07still assignments and stuff like.
- 48:08That yeah, yeah, you'd have to have a business where it can run
- 48:11without you to do that stuff, because otherwise it'd be
- 48:13impossible to step away. So a few questions from the
- 48:15founder Talk community. One, how did you capture your
- 48:17expertise for the rest of the team to operate from it?
- 48:20Meaning, how did you kind of pass down your knowledge and
- 48:23skill sets so that other people can do the job?
- 48:25Lots of, lots of SO PS standard operating protocols.
- 48:29My wife is great at that. I, I, again, I recognize my
- 48:33strengths and it's not like I not building systems, so to
- 48:37speak, although I'm, I'm pretty decent at it.
- 48:39She's actually great at it. So I, I leverage her or you
- 48:43could leverage another person in your business who's actually
- 48:45great at SO PS or if you don't have that person, I think highly
- 48:48recommend hiring somebody with a high follow through and who can
- 48:52build systems and OPS did that. And then once we captured a lot
- 48:56of the SO PS, it was really easy to tell people not to come to us
- 49:00directly and to go look at the SOP.
- 49:02We have a central place with all the SO PS If they don't go there
- 49:05and they come to us directly, we asked did you go there and then
- 49:10we send them back. There, that's good.
- 49:11How did you get past? The other question here is how
- 49:13did you get past clients or patients wanting to work with
- 49:15you as the expert or the dentist in this case versus you're going
- 49:19to be working with somebody else or someone else is going to be
- 49:20your dentist or was that a hard shift to make?
- 49:23In my case, I had actually transitioned to about a day or
- 49:27just two days a week in in the chair from about four to five
- 49:31days one year or two I went down.
- 49:33So when I went down from that five to two days a week, being
- 49:36the technical technician myself, patients were like, oh, you're
- 49:40not available as much, but I, but I was continued to tell them
- 49:43that I'm here for you on the two days.
- 49:46Just my calendar shrinks a little bit, but I will still see
- 49:49you in those two days. So patients already understood
- 49:52that, my teams understood that. But when I fully transitioned
- 49:55out of the chair for both Anishka and myself, our goal was
- 49:58to find somebody as good, if not better.
- 50:02And that was a long process for us, right?
- 50:04Because obviously as founders, you do whatever you need to, to
- 50:08like keep it going. You're you're going to be
- 50:10scrappy. But sometimes the other dentists
- 50:12don't want to be that they want what they want.
- 50:13They want like all these, you know, equipment devices.
- 50:17So it's just finding the right fit.
- 50:18It took some time. It took took us about a year to
- 50:20find the right dentist. I actually replaced myself with
- 50:24a specialist who is, I would say in a lot of ways is better in
- 50:28the clinical aspect of things. And she's great.
- 50:31She's a great core values fit and my patients, I felt like I
- 50:34really left them with an amazing clinician.
- 50:38And so they never felt like, oh, you just just left me out to
- 50:41dry. I never got that.
- 50:43Same with Anishka too. We were able to replace her with
- 50:46a pretty seasoned dentist. I think that's key.
- 50:47If you're going to replace yourself, do it with somebody
- 50:50great, if not better than you. That's a great point, as you do
- 50:54miss practicing at all. Occasionally, yes.
- 50:57I placed a lot of implants. I did a lot of implant
- 50:59surgeries, so I do miss the the feeling of implant going through
- 51:03somebody's bone, right. I know it sounds morbid.
- 51:07I know it sounds morbid, but that's the stuff I miss.
- 51:09Thank God there's people that do that though, But I know there's
- 51:12Dennis in my group that are doing a great job of that.
- 51:15But I I have enough in my plate now that probably don't miss it
- 51:18as much as I was probably a six months ago.
- 51:20OK. Yeah.
- 51:21When you look at the timeline of your entrepreneurial career,
- 51:24when were you the most happiest and most fulfilled?
- 51:28I. Think the probably in the last
- 51:31one to two years as I've been able to step away from doing it
- 51:34because you have to think about your impact, right?
- 51:37I deeply care about impact and 'cause if you're doing it just
- 51:41for the money, then what's the point, right?
- 51:43Money just becomes a number at the end of the day, then it.
- 51:45Does you have so much is like all right, what more would an
- 51:47extra of $500? Like it doesn't do anything to
- 51:50your life, right? It's but impact does.
- 51:52So I think probably in the last two years as I stepped back, as
- 51:57I was able to recruit more Dennis and empower them to do
- 52:00this stuff, I was only able to service 10 patients a day or 15
- 52:04a day. Now my impact is because I've
- 52:06hired 15 dentists, they can go service 10 each.
- 52:09That's 150 people that I'm able to impact indirectly, right?
- 52:14I, I look at it that way and I would rather spend a lot of time
- 52:17zoning, honing in on our dentist to make sure that they're living
- 52:21up to our standards at this point.
- 52:23Love that man. Gives a lot of hope for people
- 52:24that are trying to accomplish that.
- 52:25Listening to that. Some people have that are
- 52:27listening, but a lot of people are striving towards that, of
- 52:29course. So you can kind of stay in your
- 52:30zone a genius now and do the thing that you really want to do
- 52:32that makes you happy, but it absolutely, you know, creates
- 52:35the most impact. Yeah, you have to, you have to
- 52:37realize you I I think you have to reconcile with the fact that
- 52:40do you want to let go of the craft?
- 52:43Do you want to be the engineer yourself or do you want to be
- 52:45the orchestrator of the engineers?
- 52:47I think that's a decision one has to make until you make that
- 52:50and really reconcile with that. Because I know Dennis that do
- 52:54half this and half business and half dentistry and they're
- 52:57always frustrated. They're always pissed off at
- 52:59their teams. They're always pissed off that
- 53:01things aren't moving, you know, the way they want it to.
- 53:04I wonder why, right, Because they haven't made that decision
- 53:07yet. We both know Brad Hughes.
- 53:09He's very active online. Of course, shout out to Brad if
- 53:12you're watching this. But I feel like he's he's in his
- 53:14own, a genius. You can just tell he's having
- 53:16the time of his life. And making an impact.
- 53:18He's a great guy. And you know, he, he likes what
- 53:20he does. He's great at what he does, too.
- 53:22Yeah, Yeah, he is. I agree.
- 53:23So actually a quick question for you from your business
- 53:26standpoint, I'm going to play a clip from you actually, what's
- 53:30next for you guys? Like what is the bigger picture?
- 53:32What are you really trying to accomplish?
- 53:33Because you know, arguably you could just kind of coast here.
- 53:35So what do you what's what's keeping you going?
- 53:37And what is that next? Thing, you know, and, and
- 53:38that's, that's a really, I think about a year ago we had to
- 53:41reconcile with that, right? Do we coast?
- 53:43Do we good because we're in a good spot, right?
- 53:45Do we coast? But but that also breeds some
- 53:48complacency. And I probably would say, you
- 53:50know, I probably got a little bit complacent maybe for about
- 53:53two to three months. But we've also Anushka and I
- 53:57have enough awareness that complacency doesn't let you move
- 54:00forward, it actually keeps you there.
- 54:02So we have great leadership coaches that are challenging us
- 54:05at this point to push higher impact more people.
- 54:09For us, it's like how, who can we serve at this point?
- 54:12Our, our clients are the, our leadership team at this point.
- 54:15That's our client and doctors are our clients, right?
- 54:18We need to find a way to really support our dentists at a very
- 54:21high level. If you aren't doing that, then
- 54:23I'm like I would not be in business.
- 54:25So for us it's about bringing on more dentist and really helping
- 54:29them accomplish their goals. We call them the $1,000,000
- 54:32dentist helping dentist achieve $1,000,000 of production per
- 54:36year or revenue per year. And a lot of dentist want that,
- 54:39but they have no clue, no idea how to do that.
- 54:42So we have a pathway for that so that we're really zoned in on
- 54:44that, zoned in on, you know, bringing in more practices.
- 54:49Again, for the same reason, if you aren't serving the dentist,
- 54:52I would not go buy more practices at this stage.
- 54:54But I feel like we have the bandwidth to be able to do that.
- 54:57Very cool, man. And if you stepped away from the
- 54:59business for six months, what would happen?
- 55:02That's a really good question. I think the business would be OK
- 55:12with where it is. I think we would continue to
- 55:14grow, probably not at such a fast clip, but not not double
- 55:18digit growth, right, because you need to.
- 55:21The the truth is, I think most founders want to be passive.
- 55:24I don't I don't at least believe that that's a thing, right?
- 55:27You have to be active until you can get it to enough scale where
- 55:30you're ready to actually walk away from it.
- 55:32That's truly one passive. You know, passivity comes in
- 55:36will. You do that eventually, will you
- 55:37guys walk away? I don't.
- 55:39I don't think so. I think we really like what we
- 55:41do until I'm enjoying it. I feel like we're serving our
- 55:43dentist and they feel well supported.
- 55:45There's no reason for us to do that.
- 55:47What if someone came by right now?
- 55:48It's like we'll buy everything for 100 million and you can go
- 55:51do whatever you wanna do. Now that you say 100 million?
- 55:54You can do your life work. You're gonna make impact,
- 55:56obviously, because knowing you and founders like us, we're not
- 55:58just gonna sit on a beach and drink margaritas all day.
- 56:00Sure. Boring 100 million would
- 56:02probably be hard to say no to, I'll be honest.
- 56:05But you know what? We're in a really good spot.
- 56:08I think again, it's like, I wish like, yeah, money plays a
- 56:12factor, money plays a role, but we're in a good spot where I, I
- 56:16don't think our work is complete.
- 56:17I think there's a lot of things we still need to accomplish.
- 56:20Just getting yourself out of the chair is just one aspect of it.
- 56:23We need to do this. We need to repeat this more and
- 56:25more like 50 more times before before I can feel like, OK,
- 56:30we've served a lot of people. We've served a lot of patients
- 56:32and a lot of doctors. So there's a lot lot left.
- 56:35Very cool, man, I love that. And I think that is the key is
- 56:37that when you stop growing and learning and stop trying to make
- 56:40the impact, I just think that just doesn't sound like an
- 56:43appealing life to me personally. You know, even if you do have
- 56:46the money or this or that or success, it's like, I always
- 56:48want to be kind of like feeling like I'm building something or
- 56:50making a difference or doing something that I enjoy.
- 56:53I just couldn't imagine, like, what are you going to watch TV,
- 56:56take a couple trips on the beach?
- 56:57Just doesn't sound that fun, you know?
- 57:01But I think having freedom is, is cool, you know, having the
- 57:03freedom to say I'm going to do what I want to do now and not
- 57:06these things that I, I wish I could get off.
- 57:09I I couldn't agree more. Dan Sullivan says says it best,
- 57:12right? You need freedom from freedom of
- 57:15relationships, freedom of purpose, freedom of money and
- 57:17freedom of time. If you can check out those boxes
- 57:20every day a little bit, you know, and then ultimately, not
- 57:24freedom to just sit around to your point, but freedom to
- 57:27actually move things ahead, make more impact, serve more people.
- 57:30That's really what it's about. If you aren't doing that, then
- 57:32what's the point? That's it.
- 57:34Yeah. I'm going to play this clip from
- 57:35you speaking on stage. I think you guys weren't
- 57:37accepting at a. War, yeah, and.
- 57:39Then I'm going to get your thoughts on this.
- 57:40I think what you said is really cool.
- 57:45Hold on, I got the volume to low here.
- 57:47There we go. It's hard not going.
- 57:54Three things that I want to say while we're on this stage.
- 57:57Growing is hard. Not going is hard.
- 58:01Deciding who gets promoted in your business is hard.
- 58:04Strategy is hard. Having no strategy is hard.
- 58:08Pursuit of excellence is hard. Showing up every day to do the
- 58:11work is hard. Being a dentist is hard.
- 58:14Being CE OS is hard. Running a multi site practice
- 58:18operations is hard. It's all hard.
- 58:20You have to pick your heart. It's all hard.
- 58:23You have to pick your heart. It's.
- 58:24It really is. Everyday is hard, right?
- 58:27Like as much as feel like we can coast, it is hard every day.
- 58:32You have to show up for your teams.
- 58:33There's stuff that happens in your especially in a multi side
- 58:37location. There's fires every day in some
- 58:39location, right? As much as you have great
- 58:42people, there's somebody there that's you know that did
- 58:45something, didn't lock the door. As owners, you, you're
- 58:47responsible for all of it. You have to, you know, make sure
- 58:50payroll is good. You have to make sure your bank
- 58:52balances are good to pay people. You have to make sure you're,
- 58:55you're investing in the right things in the business.
- 58:57You have to make sure you're, you're growing, your people are
- 59:01growing and they're happy and otherwise the culture gets
- 59:04blamed. I, I find it extremely hard, but
- 59:08the hard, I think that's where the, you know, Tony Robbins said
- 59:11something really great, right? Leadership is pain.
- 59:14I used to think leadership is suffering, but after how he
- 59:17coached Alex Hormozi when he said I leadership is a lot of
- 59:21suffering, Tony Robbins said I think suffering is a choice.
- 59:27It was amazing. I think suffering is a choice.
- 59:29So I've changed my mindset on that.
- 59:31It should not be suffering 'cause if you're suffering every
- 59:33day, then what's the point? It is painful though it is
- 59:36painful, but I like pain. My both my wife and I, like we
- 59:39know you, we embrace that pain because on the other side of
- 59:42pain is growth. So that's, yeah.
- 59:45Wow, this has been an incredible conversation.
- 59:47Raj I. You at the knack for great
- 59:49questions by the way. You made it really easy for me.
- 59:52Thank you. Well, it's also easy.
- 59:53We have a great guest. Where can people find you,
- 59:55connect with you, learn more about what you guys are doing,
- 59:57and if you want to say a little bit more about what you're
- 59:58doing, totally fine. Yeah, our company's called Aereo
- 1:00:01Dental, aereodental.com. We I'm also on LinkedIn, pretty
- 1:00:06active. Doctor Abhishek Nagaraj.
- 1:00:08My wife is Doctor Anushka Gagani.
- 1:00:10On Instagram I am Doctor Dentagram.
- 1:00:13That's Dr. Dentagram. My wife is doctor entrepreneur.
- 1:00:18So yeah, you know, find us, hit us up.
- 1:00:20Happy to chat, happy to talk to anybody.
- 1:00:23I, I do spend a lot of time mentoring some of my folks that,
- 1:00:28that run a business, but maybe slightly smaller scale that want
- 1:00:31to get to the next step. Happy to share anything that I
- 1:00:34can, but also happy to learn from other people too.
- 1:00:37Wow, Yeah. Thank you so much for being
- 1:00:38here. Appreciate you.
- 1:00:39Appreciate you guys for watching and we'll see you on the next
- 1:00:42one. Thank you so much.