Dalton Albertson, Marketing & Business Development at LAD Dental Group, and Brad Lenos, the company’s COO, take you behind the scenes of an 11-location Indiana network that began as a single Kokomo practice in 1978 and grew into a dental powerhouse—almost derailed by one bad lease. In Wabash they under-priced a brand-new build by $200,000, a cautionary tale for anyone who thinks location costs are just another line item.

They confront the brutal truth of today’s “dollar milkshake” economy, where owning real estate feels like a hedge against global liquidity—but inflated rents can turn thriving offices into cash hemorrhages. Their battle over whether to buy or lease has become the most controversial debate in multi-site healthcare real estate, and their lessons apply equally to med-spa operators, veterinary networks, and wellness chains.

You’ll hear how converting from cash-based to accrual accounting ripped away hidden write-offs, exposed distorted KPIs, and forced every hire to carry new financial accountability. In a 4 % unemployment market where staff wages have doubled while insurance reimbursements stayed flat, they reimagined benefit packages, reconsidered seven-day schedules, and doubled down on airtight 30/60/90-day reviews.

At the heart of their success lies ruthless execution and radical candor. Free snacks did nothing to stop turnover, but a culture built on unyielding follow-through and consistent training transformed every department into a margin-savvy machine.

If you’re scaling any service-based business, this episode hands you the real-estate playbook and leadership blueprint to dodge nine-figure mistakes and build teams that last. Stream now on YouTube or LinkedIn, and visit LADDental.com to see how a single square foot can make or break your next expansion.

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Real Estate Bites Back: Why Dental Offices Can't Afford $50 Per Square Foot

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