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Free cash flow graphic showing cash left after expenses, tax, buffer, and drawings for reinvestment or debt repayment

What Is Free Cash Flow (ECFTI™) in a Dental Practice?

In DentPulse, Free Cash Flow is referred to as ECFTI™ – Excess Cash Flow To Invest. It represents the surplus cash remaining after all essential business costs, tax obligations, buffer protection, and owner drawings are accounted for.

Unlike traditional free cash flow — which simply deducts CapEx from operating cash — ECFTI™ adds strategic filters to determine true investable cash that can be safely used to:

  • Expand locations
  • Purchase equipment
  • Hire new staff
  • Reinvest in marketing or tech
  • Pay down debt early

Why ECFTI™ Matters for Dental Practice Owners

Every dental clinic wants to grow.
But without knowing how much excess cash is truly available — many:

  • Invest too early and burn their buffer
  • Overextend during seasonal dips
  • Draw too much, too soon
  • Buy equipment before it pays for itself

Example:
Your operating cash flow shows £62,000 surplus.
But DentPulse’s ECFTI™ deducts:

  • £18,000 Corporation Tax
  • £9,000 future VAT payment
  • £12,000 to restore your 8-week buffer
  • £21,000 in committed owner drawings

→ Leaving £2,000 ECFTI™ — not £62,000.

This prevents premature spend decisions.

ECFTI™ vs. Traditional Free Cash Flow

Metric What It Includes
Traditional FCF Operating Cash Flow – Capital Expenditure
DentPulse ECFTI™ Operating Cash Flow
– Tax Exposure
– Buffer Recovery
– Owner Drawings
– Fixed Cost Pressure

ECFTI™ reflects how much cash is truly safe to invest — without destabilising the business.

How DentPulse Calculates ECFTI™ in Real Time

Feature Function
CFFP™ Engine Tracks cash inflow/outflow pairing by timing logic
PPP™ Model Reserves what’s needed for safe drawings and tax
Buffer Protection Ensures buffer (e.g. 12 weeks) is restored before showing surplus
Investment Planner Suggests where ECFTI™ can be directed for maximum return
Scenario Modeller Tests what happens to ECFTI™ if you increase team, rent, or debt repayment

DentPulse is the only system that shows true excess cash — not just a bank balance.

DentPulse Tip™

Your bank balance isn’t your investment budget.
ECFTI™ is.

Every decision — hiring, refurbishing, expanding — should come after buffer, tax, and profit needs are locked.

Related Glossary Terms

Glossary Summary Table

Term Meaning
ECFTI™ (Excess Cash Flow To Invest) DentPulse’s version of free cash flow — the cash safely available for reinvestment after all commitments are met
Key Filters Tax, buffer, drawings, fixed cost pressure
Use Case Reinvestment, expansion, debt repayment
DentPulse Advantage Tracks ECFTI™ live — not just historically — using real-time tax, buffer, and profit data

 

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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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