Tag
#Ebitda Normalization
6 articles
The LOI Is Not the Deal: The Chronological Anatomy of a 90-Day Enterprise Value Extraction
85% of dental practice sellers lose enterprise value after the buyer's Quality of Earnings audit. Here is the exact chronological anatomy of what happens inside the 90-day exclusivity window — and how $4.2M becomes $3.15M.
The Overhead Lie: Why Your Practice's 60% Is Hiding a Valuation Problem
Your 60% overhead looks fine on a P&L. An institutional buyer sees something different entirely. Here's what the benchmarks actually mean at exit — and what they hide.
The Defense Gap: How Private Equity Monetizes Asymmetric Diligence in Dental M&A
Buy-side diligence teams spend $1.2-3M per transaction while sellers spend almost nothing. SRS Acquiom data shows 85% of deals face post-LOI adjustments. Here's why the clinical data layer is where dental-specific value extraction happens.
Successor Liability: The Algorithmic Cost of the Independent Contractor
The 1099 associate structure is the most common staffing decision in dentistry — and the most calculable forensic liability at exit. Here is exactly how buyers price it, from successor liability escrow to the compensation cascade.
How DSOs Actually Evaluate Your Dental Practice: The 11 Underwriting Criteria They Score But Never Publish
Former NADG regional director reveals the 11 criteria DSO underwriting teams actually score — and the specific thresholds that separate premium multiples from discount ones.
The Same Playbook: What a Harvard Hospital Study Tells Us About the Future of Dental Practice Valuations
A Harvard study on PE-owned hospitals revealed a 13% rise in ER deaths after acquisition. The same debt-loading, cost-cutting playbook runs in dental M&A — and understanding it is the difference between a defended exit and a seven-figure re-trade.