Tag
#Clinical Ledger
8 articles
The Seller's 3–5-Year Advantage: Why a Buyer's Two-Year Lookback Is Not a Seller's Starting Line
A buyer tests the two years of operating history before the deal. The Preparation Gap is the distance between that window and the three to five years an owner needs to build proof a buyer can trust.
The Owner's Shadow: Why Empowerment Is the Missing Half of Transferable Systems
Most owner dependence looks like a good owner being available. The Owner's Shadow is the gap between the systems a practice says it has and the decisions the team cannot make without the owner, and it is what a buyer actually tests.
Engineering Yourself Optional: Why Transferable Systems Are the First Runway to an Exit
A busy schedule and strong collections do not prove a practice can perform without its owner. Transferable systems, tested before a buyer tests them, are the first runway to an exit.
The Three Faces of Phantom EBITDA
Phantom EBITDA has three faces: accounting, operational, clinical. Each is found by a different reader on the buyer's side and prices differently. One $10M practice, all three.
The Decay Constant: Why Your Hygiene Reappointment Rate Is Not a Scheduling Metric
Hygiene reappointment is not a scheduling KPI. The Decay Constant is the rate a practice protects the next appropriate visit before the patient leaves.
The Completion Gap: Why Case Acceptance Is Not the Truth Metric
Case acceptance is a decision at a moment in time. Treatment-plan completion is the proof. The Completion Gap is the distance between them — and what a buyer actually pays for.
The Clinical Ledger: The Half of Practice Value Your P&L Cannot Show
Every dental practice has two ledgers. The financial ledger records results; the Clinical Ledger reconstructs the system that produced them — and whether it transfers.
The Retirement Gap: How Operating Habits Follow You to Exit
Retirement shortfalls are usually operating problems surfacing at exit: how daily habits shape practice transferability, and why measurement starts years early.