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illustrations of net cash flow in dentistry explaining positive vs negative cash balance and its impact on practice survival

What Is Net Cash Flow in a Dental Practice?

Net Cash Flow is the difference between all cash inflows and outflows in a given period — usually a month or quarter.

It tells you whether your practice gained or lost cash, regardless of what your profit and loss statement says.

  • Positive net cash flow = more cash came in than went out
  • Negative net cash flow = more cash went out than came in

Net cash flow is the ultimate “can we afford this?” metric — from drawings to debt repayments.

Why Net Cash Flow Matters for Dental Practice Owners

Most dentists track profit — but cash flow is what pays the bills.

A practice can be highly profitable and still struggle if:

  • Patients pay late
  • VAT or tax bills land at the wrong time
  • You over-invest in CapEx or expansion without cash cover
  • Drawings or associate pay exceed inflows

Example:

  • Revenue: £90K
  • Outflows: £84K
    → Net Cash Flow = +£6K
    Even if profit was only £3K, your cash position improved — and you have room to invest or draw.

Net Cash Flow vs. Profit: Key Differences

Area Net Cash Flow Net Profit
Timing Based on when money moves Based on when income is earned
Purpose Tracks liquidity Tracks performance
Includes CapEx ✅ Yes ❌ No
Includes Loan Payments ✅ Yes ❌ No
Affected by Depreciation ❌ No ✅ Yes

DentPulse helps you track both — but prioritises cash visibility so you avoid timing-based mistakes.

How DentPulse Tracks and Improves Net Cash Flow

Feature Function
CFFP™ – Cash Flow Future Pairing Pairs upcoming inflows with outflows to protect future net cash
LIQUIDIQ™ Score Ranks your liquidity strength based on current and forecasted cash flow
PPP™ Overlay Ensures drawings only occur when net cash flow supports it
Variance Alerts Flags if actual cash differs sharply from forecast
Scenario Simulator Models how changes to pay, tax, or reinvestment affect cash flow

DentPulse ensures your net cash flow is visible, manageable, and linked to strategic decisions.

DentPulse Tip™

Profit tells you how well you’re doing.
Net cash flow tells you if you’ll survive to keep doing it.

Never draw, expand, or relax based on profit alone.
Always check net cash.

Related Glossary Terms

Glossary Summary Table

Term Meaning
Net Cash Flow The total change in cash over a set period, after all inflows and outflows
Purpose Tracks cash health, not just profit
Key Use Determines ability to invest, pay debt, or draw income
DentPulse Advantage Real-time visibility and forward pairing to prevent hidden risks

 

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.
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