Tag
#Ebitda Normalization
9 articles
What Comes Off Your Number: The 14 Ways a Buyer Reprices a Dental Practice's EBITDA
In a dental practice sale, the add-backs list runs in reverse. The 14 adjustments a buyer's diligence team makes to EBITDA, grouped by what each comes off: the price, the terms, or the cash at close, with what each one costs at 7x.
The SBA Just Made Phantom EBITDA a Loan Condition
From October 1, a $3 million practice purchase financed through an SBA 7(a) loan needs an independent Quality of Earnings the seller can't supply. Here is what it will find, and what it won't.
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 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.