Seller-only and nonrecurring care
$1,600,000 → $1,520,000
Evidence, reviewer, and condition that changes the decision
Adjustment has the minimum period, supporting document, reviewer role, overlap control, and reviewed-with-limits state.
Buy pathway · Five documented dollar adjustments
Reconcile the seller’s collections with the buyer’s case.
Seller collections are a historical result. Reconcile that history with five separately documented dollar adjustments, then keep first-year timing, restored costs, practice capital, and protected household cash in their proper places.
Buyer-repeatable collections and capital workbench
Replace multiplied retention guesses with a visible dollar bridge.
Use aggregate, coded assumptions only. Each change is entered once, first-year timing stays separate from steady-state collections, and practice funding stays separate from household reserve.
Formulav2.1.0Five non-overlapping collection lines + timing + operating and capital bridges
Fictional example
Model v2.1.0Results use the entered assumptions. Evidence and safety checks still require review.
Current result: Buyer-repeatable collections $1,160,000; steady-state ownership cash after debt $146,800; first-year ownership cash after debt $101,800; 8 open safety checks.
No input edits yet. Unchanged example values remain fictional assumptions. No changes since the last download or opening state.
Assumptions, evidence still needed, and local saving
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Planning case — assumptions and evidence require review. Includes fictional example assumptions. Formula v2.1.0.
Blank means unknown. Enter 0 only for a known zero or an item that does not apply and has no cost or use. Example values and modeled estimates are assumptions until supported by your records.
Step 1 · Buyer mandate
Define the clinical practice before measuring the deal.
Step 2 · Seller snapshot
Begin with the reported amounts—but do not stop there.
Step 3 · Five collection adjustments
Enter each dollar once—and show what prevents overlap.
Start from completed historical collections. Remove seller-only or nonrecurring care, then buyer clinical exclusions, documented patient/referral loss, the buyer’s fee effect, and a separately defined collection loss. Do not apply a second percentage to dollars already removed.
−$80,000
Buyer clinical-model exclusion
$1,520,000 → $1,370,000
Evidence, reviewer, and condition that changes the decision
Adjustment has the minimum period, supporting document, reviewer role, overlap control, and reviewed-with-limits state.
Documented patient and referral loss
$1,370,000 → $1,260,000
Evidence, reviewer, and condition that changes the decision
Documented patient and referral loss: requires 24+ months, a reviewed-with-limits state, a supporting document, a named reviewer role, and a written overlap check.
Buyer payer and fee effect
$1,260,000 → $1,190,000
Evidence, reviewer, and condition that changes the decision
Buyer payer and fee effect: requires 24+ months, a reviewed-with-limits state, a supporting document, a named reviewer role, and a written overlap check.
Separate collection loss
$1,190,000 → $1,160,000
Evidence, reviewer, and condition that changes the decision
Separate collection loss: requires 24+ months, a reviewed-with-limits state, a supporting document, a named reviewer role, and a written overlap check.
Step 4 · First-year timing
Move cash between periods without shrinking the steady-state practice.
Credentialing, adjudication, patient payment, and transition can defer receipts beyond the first year. Prior-service receipts can move into it. Neither amount is a permanent retention factor.
Step 5 · Operating and capital bridges
Separate operating return, practice funding, and household protection.
Ordinary operating costs exclude owner clinical compensation, debt service, and personal tax. Purchase funding, opening working capital, practice operating reserve, and household reserve answer different questions and stay on separate lines.
Decision Summary · Step 6
Follow every dollar from history to repeatable cash.
Step 7 · Safety checks that cannot be averaged away
Strong cash cannot clear a weak lease, missing authority, or unsafe handoff.
“Reviewed with limits” only records the user’s current evidence state. It does not mean DenQAI verified the record or that a professional approved the transaction.
Lease and siteRequested
Team and transitionRequested
Liabilities and authorityRequested
Working capital and reservesReviewed with limits
Day-one readinessRequested
Independent reviewRequested
- Documented patient and referral loss: requires 24+ months, a reviewed-with-limits state, a supporting document, a named reviewer role, and a written overlap check.
- Buyer payer and fee effect: requires 24+ months, a reviewed-with-limits state, a supporting document, a named reviewer role, and a written overlap check.
- Separate collection loss: requires 24+ months, a reviewed-with-limits state, a supporting document, a named reviewer role, and a written overlap check.
- Lease and site: supporting document and named reviewer have not reached reviewed-with-limits status.
- Team and transition: supporting document and named reviewer have not reached reviewed-with-limits status.
- Liabilities and authority: supporting document and named reviewer have not reached reviewed-with-limits status.
- Day-one readiness: supporting document and named reviewer have not reached reviewed-with-limits status.
- Independent review: supporting document and named reviewer have not reached reviewed-with-limits status.
Save or share your review
Start with the readable Excel workbook or printable review.
The workbook includes instructions, examples, units, formulas, questions, and a data dictionary. Save the DenQAI project file only if you want to reopen these exact inputs here. All files stay local to your browser.
Download acquisition workbook (Excel)
Advanced data exports
These CSV files are raw row-and-column data for advisers or analysts. They are not the recommended reading format.
Fictional aggregate example loaded. Replace every value and verify the documents behind each important assumption.
Before you enter numbers
Gather the records for your first result.
You are deciding how much of the seller’s reported performance you may be able to continue—and which missing records must be resolved before price or debt can be trusted.
- Seller collections by provider, procedure group, and a clear source period
- Aggregate patient cohorts, referral history, buyer-specific payer terms, expected allowed amounts, and cleared-cash reconciliation
- Lease, equipment, technology, staffing, benefits, maintenance, and recurring-capital records
- Purchase terms, transaction and transition costs, debt, opening working capital, practice operating reserve, funding sources, and separate household reserve
- First useful review
- 30–45 minutes for a preliminary transfer case
- What you receive
- Seller starting collections, five visible dollar adjustments, steady-state and first-year collections, ownership cash, complete practice funding gap, and open safety checks
Guided steps, detailed review, outputs, and privacy
Guided review
Start here if you are learning the decision or do not have every record yet.
- Write the buyer’s care and household boundaries
- Enter one documented dollar adjustment for each transfer category and state how overlap was prevented
- Separate first-year collection timing from steady-state value, then fund every practice use without using protected household cash
Detailed review
Use this after the first result, or with advisers and stronger records.
- Document every adjustment with its source period, reviewer, overlap control, limitation, and next request
- Review lease, team, liability, readiness, liquidity, and independent-review checks separately
- Carry the result into price, structure, and professional review
Your output order
- Read and print the plain-language result on this page.
- Download the Excel decision workbook when one is available.
- Save a DenQAI project file if you want to reopen your inputs.
- Use raw CSV only for advanced data work.
The transfer contract
Five dollar adjustments. No percentages multiplied together and no blended score.
Each adjustment needs its own period, supporting document, reviewer, overlap check, uncertainty, and condition that would change the result. A reduction already taken on one line cannot be taken again on another.
Remove documented, nonrecurring collections and care that depends on a seller or provider who will not remain.
Remove only the remaining collections tied to care this buyer would not independently diagnose, perform, or support.
Adjust the remaining base for documented patient or referral loss—without repeating a provider or procedure reduction.
Reprice the remaining units using buyer-specific plan products, expected allowed amounts, and effective dates; do not apply another volume haircut.
Apply only the separate loss between priced receivables and cleared cash that has not already been counted elsewhere.
Complete fictional example
A $1,600,000 history becomes $1,160,000 after five visible adjustments.
The fictional case removes seller-only care, buyer clinical exclusions, patient/referral loss, payer/fee effects, and separate collection loss in dollars. First-year timing is then shown separately; none of these entries is a benchmark.
Historical starting point
After five non-overlapping dollar adjustments
After restored costs and separate clinical pay
Including payer, patient, lease, team, liability, readiness, review, and liquidity
The loaded case does not say “buy” because cash remains positive. It asks for the missing payer, patient, site, team, liability, readiness, and independent-review records; reconciles every practice funding source and use; and leaves the household reserve outside the transaction.
Continue the diligence chain
The workbench narrows the questions. Direct records and qualified review answer them.
Clinical transfer audit
Use procedure, provider, cohort, quality, and independent chart-review evidence without turning outliers into accusations.
Open →Price bridge and counterofferConvert unsupported value, restored cost, capex, working capital, and alternatives into price or structure.
Open →Master data requestControl the broader financial, patient, payer, team, site, legal, security, transition, and financing record request.
Download ↓Local Project FileCarry unresolved sources, reviewers, contradictions, owners, dates, and decision gates without an account.
Open →The seller’s history is not your forecast
Price what transfers. Fund what must be rebuilt. Refuse what the records cannot support.
The result is a disciplined starting case—not an appraisal, fairness opinion, clinical conclusion, legal opinion, or recommendation.
Carry the evidence into price and structure