Entrepreneurship in Dentistry

Gary Harker on Tax Strategies, Asset Protection & Cash Flow for Dentists

May 6, 2026
48
min.

Missing these tax insights can cost dentists hundreds of thousands.

Most dentists weren’t taught the business side of practice ownership — and that can get expensive fast.

Running a dental practice means more than providing excellent clinical care. Dentists also have to manage taxes, cash flow, legal exposure, staffing, overhead, and long-term financial planning.

In this episode of the Dental Office Rescue Podcast, Linda Kane talks with Gary Harker of Harker Advisory about tax strategies for dentists, asset protection, lawsuits, and the financial blind spots that can quietly drain a practice.

Why Cash Flow Feels So Tight for Dentists

Gary explains that many dentists struggle with cash flow, even when the practice is producing well.

Between payroll, supplies, insurance reimbursements, taxes, equipment, rent, and team costs, money can leave the practice quickly. For many practice owners, quarterly tax payments alone can feel overwhelming.

That cash flow pressure can lead to reactive decisions, including delaying hires, avoiding support, or even selling to a DSO sooner than planned.

Tax Planning Should Happen Before Tax Season

One of Gary’s biggest messages is simple: tax strategy has to happen during the year, not after it is over.

If dentists wait until tax season, many opportunities may already be gone.

Questions Gary recommends asking your CPA include:

  • Do you help build tax strategies throughout the year?
  • What tax strategies are available to me that I am not currently using?
  • Are my books structured for compliance only, or also for planning?
  • Have my CPA, attorney, and financial advisor ever worked together?

As Gary puts it:

“Failure to plan is a plan for failure.”

Asset Protection for Dental Practice Owners

Linda and Gary also discuss why dentists need to think carefully about legal structure and asset protection.

Many practice owners have separate entities for the dental business and the building, but they may not fully understand why. Gary explains that legal structuring is often about separating risk and reducing exposure if a lawsuit occurs.

That may include reviewing:

  • Business entities
  • Real estate ownership
  • Trusts
  • Rental properties
  • Personal assets
  • Practice ownership structure

The goal is not fear. The goal is preparation.

Why Dentists Need the Right Advisors

Dentists are highly trained clinicians, but most were not trained in business management, tax law, legal strategy, or financial planning.

That makes the right advisory team essential.

Gary encourages dentists to seek professionals who understand the bigger picture — not just filing taxes, but helping protect the practice, improve profitability, and support long-term goals.

A strong team may include:

  • A proactive CPA
  • A business attorney
  • A financial advisor
  • A tax strategist
  • Practice management support

Don’t Wait Until There’s a Problem

The biggest takeaway from this episode is to look at your financial and legal structure before there is a crisis.

If tax season is painful, cash flow feels tight, or you are unsure whether your assets are protected, it may be time for a second opinion.

Listen to the full episode of the Dental Office Rescue Podcast with Linda Kane and Gary Harker to learn how dentists can make smarter financial decisions, reduce stress, and better protect the practice they worked so hard to build.

Connect with Gary Harker

Learn more at:
harkeradvisory.com

Disclaimer: This episode and article are for educational purposes only and are not legal, tax, or financial advice. Always consult your CPA, attorney, or qualified financial professional about your specific situation.

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I can't recommend Zeroed-In Dental Solutions enough.

I've been working with Zeroed-In Dental Solutions for a little over 4 months now, and I have to say they are amazing! I brought in Linda Kane and her team into my new acquisition/startup when original staff created a huge billing mess. Handing the reigns over to Zeroed-In Dental Solutions is probably the single-best decision I made. The team has great work ethic, communication, attitude, dedication, and capability. Setting up with Zeroed-In was really easy, and they work around the clock to send, follow up, and clean up claims for you. I was also going through a software transition from Eaglesoft to Curve Dental and they knew exactly how to handle that situation as well and keep things accurate. They'll even verify insurances and handle patient billing for you as well. Everything is very professional from the team and they bring really good energy and a great attitude too! They make you want to bring them into your practice and keep them as your own personal team. I was deciding between a few billing/RCM teams when I was looking for one, and to be honest, they all kind of sound the same, right? But talking to Linda and Zeroed-In, they stood out with their expertise and capability, and I am really glad I chose them over everyone else. It has made a huge difference for my practice and is a lot less work and hassle for me day-to-day as well. Overall, I can't recommend Zeroed-In Dental Solutions enough and you'll love working with them and enjoy the benefits it brings to you and your practice.

— Fawaad Chaudhry

I have piece of mind that our patients are getting the best.

Linda and Michelle are extremely knowledgeable and professional allies to have on your side! Working with Zeroed is a breeze, and I have piece of mind that our patients are getting the best service possible from this team. Highly recommend!

— Elevated Dental Office

They have taken extra time to make our business better.

Very, very, very pleased with the zeroed in team. If I could give more stars I would do it. Linda and Michelle have been extraordinary in their care and help for our team. They have taken extra time to make our business better and more successful. Because of their extraordinary efforts, I have changed the way I practice dentistry and it has reshaped my views. I would not hesitate recommending their services! Thanks Linda and Michelle!!!

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