Gross To Net

George Milton

 Gross to Net is a podcast about what people actually optimize for in business and life and what they're left with after all the costs are tallied. Most business podcasts ask "How did you succeed?" We ask "What did it cost?" Not just money. Time, health, relationships, meaning.  We talk to founders, investors, and operators about the real math: what went in, what came out, and whether they'd make the same tradeoffs again. No highlight reels. No sanitized success stories. Just honest conversations about what you're actually building and why.  Also, we are on a quest to eventually learn the meaning of life.

Episodes

  1. JAN 19

    Ep. 9 - Build Something You're Proud Of with Tim Otto | Gross To Net

    Tim Otto started his first business when he was 12, incorporated at 16, and sold it at 25. He had attained material wealth in his mid-20's but was burnt out. When Tim met Alex (now his wife) he was finishing his MBA while she was in her first year of dental residency. Alex Otto had the seed of an idea that ultimately turned into Alcan Dental Cooperative: their answer to PE consolidation of dental practices. Private equity has eaten dentistry. 34% of practices are now owned by DSO's, up from 2% in the 1990's. Alcan is an ownership model that keeps actual dentists in the ownership seat while providing the services and financial support of traditional PE-owned DSO's. The dental industry is about 20 years behind the medical industry in the US as far as PE consolidation goes. If we're not happy with how the medical industry works today, we won't be happy with how the dental industry works in a few decades if we don't change the incentives. Tim and Alex are doing just that. Tim and Alex also started Kids Tooth Team Outreach which is a mobile dental clinic providing free dental care to kids all across Central Texas. The dynamic duo realized that one of the major hurdles to care was geographic access to dental practices, not just financial access. To date, they've delivered almost $800k worth of free dental care to kids. Join me for a great conversation that will have you rethinking what it means to make a positive impact.

    1h 13m

Ratings & Reviews

5
out of 5
6 Ratings

About

 Gross to Net is a podcast about what people actually optimize for in business and life and what they're left with after all the costs are tallied. Most business podcasts ask "How did you succeed?" We ask "What did it cost?" Not just money. Time, health, relationships, meaning.  We talk to founders, investors, and operators about the real math: what went in, what came out, and whether they'd make the same tradeoffs again. No highlight reels. No sanitized success stories. Just honest conversations about what you're actually building and why.  Also, we are on a quest to eventually learn the meaning of life.