Dr. Dave Ensley runs Celebrate Dental & Braces, a 22-location DSO doing $70M in revenue. His biggest constraint wasn't demand or capital. It was recruiting orthodontists fast enough to keep expanding. Before Sagan, Dave had already built global teams: a 15-person call center in Mexico and a 20-person billing team in the Philippines. He chose Sagan to avoid staffing markup fees and deal directly with employees. Through Sagan, Dave hired a senior accountant in Pakistan to strengthen his finance team and ensure clean, timely books. But the real strategic move was using labor arbitrage to solve recruiting. By building efficient operations with global talent, Dave freed up capital to pay orthodontists above market rates. Now he's the most attractive employer in his markets. His growth constraint shifted from "we can't find doctors" to "how fast can we open locations?"