DentPulse

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Visual diagram of operating cash flow in dentistry highlighting patient receipts, NHS income, and plan fees as inflows, and expenses like associates, staff, labs, and overheads as outflows — operating surplus representation.

What Is Operating Cash Flow in a Dental Practice?

Operating Cash Flow (OCF) is the net cash your dental practice generates from its core day-to-day operations — treatments delivered, plans received, NHS contracts paid — after subtracting operating expenses like staff wages, associate pay, labs, materials, and rent.

It excludes financing (like loans or overdrafts) and investment activity (like buying equipment).

Why Operating Cash Flow Matters for Dental Practice Owners

OCF tells you whether your business funds itself — or relies on outside support.

If your practice:

  • Looks profitable but is cash-starved
  • Keeps needing top-ups from director loans or overdrafts
  • Has rising income but also rising debt…

…it’s likely your OCF is weak or negative.

Example:

  • Net collections: £80,000
  • Operating costs: £68,000
    → Operating Cash Flow = £12,000
    That’s your true monthly cash surplus — and the starting point for safe reinvestment or drawings.

What’s Included in Operating Cash Flow?

Included Excluded
✅ Net patient and NHS collections
✅ Staff and associate pay
✅ Labs, materials, and sundries
✅ Rent, utilities, admin expenses
✅ Marketing and practice software
❌ Loan repayments
❌ Equipment purchases (CapEx)
❌ Drawings, dividends, taxes
❌ Director loans or injections

DentPulse isolates this number so you can see exactly what your clinical business is generating in cash — before external inflows or outflows.

How DentPulse Tracks and Optimises Operating Cash Flow

Feature Function
LIQUIDIQ™ Dashboard Tracks OCF in real-time and flags negative trends
CFFP™ Engine Projects OCF vs. fixed commitments over the next 13 weeks
PPP™ Overlay Ensures drawings happen only if OCF supports it
CapEx + Loan Filters Separates true business cash from one-off transactions
Scenario Forecasting Models how changing costs or pricing affects OCF

DentPulse shows you whether your business is cash-healthy — or cash-hungry.

DentPulse Tip™

Operating cash flow is your financial pulse.
Ignore it, and you’ll make big decisions on false confidence.

Strong OCF means you can breathe, plan, and scale without fear.

Related Glossary Terms

Glossary Summary Table

Term Meaning
Operating Cash Flow Net cash generated from core dental operations — after paying costs, before debt or tax
Purpose Tracks cash health of your real business
Key Use Drawing limits, investment timing, growth planning
DentPulse Advantage Separates OCF from one-off cash spikes and shows real-time sustainability

 

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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