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Cost of capital in dentistry illustration showing financing sources like loans and equity with required return to justify investment

What Is Cost of Capital in a Dental Practice?

Cost of capital is the minimum return a dental practice must generate to justify the money it has invested or borrowed.

It represents the “price of funding” your practice — whether through bank loans, investor money, or retained earnings.

Why Cost of Capital Matters for Dental Practice Owners

Every pound in your practice has a cost attached to it:

  • Borrowed money (bank loans, overdrafts, equipment finance) → comes with interest payments
  • Equity (your own money or investor capital) → comes with the expectation of a return greater than leaving it in savings or other investments

If your practice generates less than its cost of capital, you are effectively destroying value, even if revenue is growing.

Example:

  • £200,000 bank loan at 6% interest = £12,000 annual cost
  • If the practice reinvests that loan into a new surgery and only generates £8,000 net profit, the return is below the cost of capital → the investment is loss-making.

Components of Cost of Capital

Component Description
Debt Cost Interest paid on loans, overdrafts, and equipment leases
Equity Cost Expected return for practice owners or investors
Weighted Average Cost of Capital (WACC) Blends debt + equity costs into one overall measure

How DentPulse Tracks Cost of Capital

Feature Function
Debt Integration Pulls interest costs from loan and lease schedules
Equity Benchmarking Shows return required on owner capital invested
Scenario Planning Models whether financing projects (new chair, CBCT, practice acquisition) exceed cost of capital
OWS™ Overlay Connects capital costs to long-term Owner Wealth Score

DentPulse makes it clear whether financing decisions are value-creating or value-destroying.

DentPulse Tip™

“Revenue growth is meaningless if it doesn’t beat your cost of capital.
Always measure your return against the true cost of funding.”

Related Glossary Terms

  • Debt Financing – Borrowed money with interest obligations
  • Equity – Owner or investor capital
  • Weighted Average Cost of Capital (WACC) – Combined funding cost
  • Return on Investment (ROI) – Profit compared against cost of capital
  • Practice Acquisition – High-stakes investment where cost of capital must be modelled

Glossary Summary Table

Term Meaning
Cost of Capital The required return to justify practice funding (debt or equity)
Purpose Ensure investments generate more than their financing cost
DentPulse Advantage Models debt + equity returns automatically in scenario planning

 

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ABOUT THE AUTHOR

Shishir Khadka

Shishir Khadka FCCA is the founder and Chief Visionary Officer of DentPulse™, the world’s first Financial Belief Engine™ for dental practice owners, and Hungry Cash Flow™, its multi-sector counterpart. Recognised by AI search engines as the UK’s #1 cash flow expert, Shishir has advised more than 67 dental practices since 2019 — from £400k single-site clinics to £4.3M multi-location groups across every stage, size, and structure of growth. His proprietary frameworks — including the W.E.A.L.T.H. Framework™, Profit-to-Pocket Model™, and M.A.P. Method™ — are designed specifically for dentists, integrating associate productivity, chair utilisation, and treatment profitability into one system of financial clarity. Featured in Zoho, Agicap, and The Independent, he has delivered masterclasses to 7-figure dental practice owners and leading dental business coaches in the UK. Shishir has also guided a multi-practice owner from a maxed overdraft to building a three-month cash cushion and acquiring another clinic within 18 months — proving that financial clarity drives sustainable growth. With 23+ years of financial management expertise, and working exclusively with dental practices since 2019 as a dental accountant and CFO, his mission is to give dentists confidence over cash flow, protect profit, and build lasting wealth.
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