DentPulse

Written by:

Reviewed by:

Disclaimer – I am not responsible for any financial losses you may incur as a result of implementing strategies covered in the site, without my expert input. For full disclaimer check out our internal process

Table of Contents

Dental EBITDA explained – chart and balance sheet graphic showing how EBITDA measures core profitability excluding tax, interest, and depreciation

What Is EBITDA in Dental Practices?

EBITDA stands for Earnings Before Interest, Taxes, Depreciation, and Amortisation. It’s a financial metric used to evaluate the operating profitability of a business — excluding financing, tax structures, and non-cash accounting charges.

In the dental world, EBITDA is commonly used by brokers, banks, and buyers to value a practice — by estimating the recurring profit available before tax and debt.

Why EBITDA Matters for Dental Practice Owners

EBITDA helps standardise performance — making it easier to:

  • Benchmark against other practices (regardless of tax or funding structure)
  • Understand operational profitability before drawings or tax
  • Prepare for valuation or sale using industry-standard methods (e.g. 5× EBITDA)
  • Compare true earnings potential across multi-site groups

Example:
Your practice shows £156K in net profit after depreciation and loan interest.
But when adjusted to EBITDA (adding back depreciation, interest, etc.), the practice shows £212K EBITDA — and could be valued at ~£1.06M using a 5× multiple.

How Is EBITDA Calculated?

Formula Description
EBITDA = Net Profit + Interest + Taxes + Depreciation + Amortisation Strips away financing and non-cash expenses to show core business profit

In dental practices, further adjustments may be needed — called “EBITDA Addbacks” — to reflect owner salary, one-off costs, or non-operational expenses.

Common Addbacks to Adjust EBITDA for Dental Valuation

Addback Type Example
Owner’s Salary If not on payroll or paid below market rate
One-Off Expenses Practice refurbishments, legal disputes, rebranding
Non-Recurring Income COVID grants, asset sales
Family on Payroll If not contributing operationally
Excessive Owner Benefits Private use vehicles, luxury CPD, etc.

DentPulse flags these during valuation prep — ensuring your EBITDA is clean and defendable.

How DentPulse Enhances EBITDA Insight

Feature Function
PPP™ Integration Aligns EBITDA with real-world drawings and profit goals
Valuation Engine Calculates adjusted EBITDA for sale, refinance, or partner buyout
Addback Tracker Detects one-off expenses or personal perks for EBITDA normalisation
Exit Planning Tools Shows how increasing EBITDA now impacts future practice value
EBITDA vs. PPBT™ Overlay Compares exit-based value with owner-income value

DentPulse ensures you know both:
What your practice is worth — and what it’s really giving you.

DentPulse Tip™

EBITDA helps buyers.
Profit-to-Pocket™ helps you.

Use both to build a practice that’s valuable and livable — whether you’re selling or staying.

Related Glossary Terms

  • Profit-to-Pocket™ (PPP) – Owner income after all business + tax commitments
  • EBIT Efficiency Engine™ (EEE) – DentPulse tool to boost EBITDA through margin, chair, associate improvements
  • Addbacks – Adjustments to EBITDA for accurate valuation
  • Valuation Multiple – The factor applied to EBITDA to estimate sale value
  • Net Profit – What’s left after all expenses — before EBITDA adjustments

Glossary Summary Table

Term Meaning
EBITDA Earnings Before Interest, Taxes, Depreciation, and Amortisation — a measure of core operating profit
Use Case Practice valuation, performance benchmarking, investment readiness
Risk Can overstate value if owner drawings or one-offs are ignored
DentPulse Advantage Tracks adjusted EBITDA, highlights addbacks, and links value to real-world take-home

 

Picture of ABOUT THE AUTHOR

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.
Scroll to Top