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Q4 2026Price published at release — up to 50% below it if you register before then. No credit card required now.Register →
Orthodontics

The one practice where the balance sheet is the business

Patients sign contracts running two years or more. The receivable that creates behaves nothing like accounts receivable anywhere else.

$1.44M
Contracts receivable
$888K
Net contract book
$2.68M
Going concern
$3.57M
Total value
What the tool shows

Contracts receivable of $1.44M discounts to a net book of $888K. The going concern is $2.68M, and the difference is what the tail is worth.

Production$2.25M
Collections$2.09M
Contracts receivable$1.44M
Treatment in progress$556K
Net contract book$888K
Discount for the tail (derived)$552K

Read from the calculator on its shipped example. Lines marked (derived) are the difference between two of its figures rather than one it displays directly.

Every figure above is computed from inputs you control. Change one and the whole model moves.

Coming Soon →

What it looks like

From the contract book to what it is worth
Contracts receivable
$1.44M
Discount for the tail
−$552K
Net contract book
$888K

A balance running two years or more is not worth its face. The discount is the risk of it not arriving.

What makes up the price
Going concern
$2.68M
Net contract book
$888K
Total practice value
$3.57M

Two assets, valued separately. One multiple across both misprices the practice.

What a lender sees, against what it is worth
Practice value
$3.57M
Lendable: the going concern
$2.68M
The contract book, not lendable
$888K

The book is 25% of the valuation and close to nothing as collateral — no equipment behind it, and no commercial debtor to pursue. Quoting total value to a lender overstates the advance by the whole book.

These charts are the calculator’s own, drawn from the example it ships with. Put your figures in and they redraw.

Coming Soon →
The mistake it prevents

Reading collections as the forward indicator. They hold up for a year on contracts signed years ago while new starts fall — and by the time collections drop, the decline is eighteen months old. Starts are what a buyer models.

What it models
  • Contracts receivable aged, with the tail discounted
  • Case starts as the forward indicator, separate from collections
  • Treatment in progress valued as work done but unbilled
  • Down-payment share, which decides who finances the patient
  • Going concern and contract book valued separately
  • Coverage tested on the going concern, because the contract book is not lendable
Conventions, not research
  • Tail discount rates are assumptions, stated in the tool.
  • Multiples default to bands circulating in orthodontic M&A.

Rules of thumb that circulate because they are roughly right. The calculator labels them as such and asks you to record your own source.

The tool applies all of this to your numbers, and tells you where it disagrees with itself.

Coming Soon →

Questions people ask

How is an orthodontic practice valued?

Differently from any other practice, because the balance sheet is the business. Contracts receivable of $1.44M discounts to a net book of $888K on the worked example, and that sits alongside a going-concern value of $2.68M.

Why are collections a poor indicator?

They hold up for a year on contracts signed years ago while new starts fall. By the time collections drop, the decline is eighteen months old — which is why the tool models case starts as the forward indicator.

Can an orthodontic practice be bought with debt?

Against the going concern, not the contract book. On the worked example a lender sees $2.68M of lendable value against a $3.57M valuation. The book is consumer paper on two-year treatment plans rather than commercial receivables, so CAPLines does not fit and a 7(a) lender discounts it rather than lending on it.

How much should contracts receivable be discounted?

Enough to price the risk of a two-year balance not arriving. The tool ages the book and applies a tail discount, and states the rate as an assumption rather than a standard.

Does the down-payment share matter?

It decides who is financing the patient. A low share means the practice is a lender as well as a clinic, and lenders are priced differently.

The answers above use the worked example. Your practice will give different ones.

Coming Soon →

How a purchase funds

This is the one practice where an asset-based lender and a cash-flow lender see different businesses. The contract book is a receivable, but it is consumer paper on two-year treatment plans, not commercial invoices.

  1. 1
    SBA 7(a) →Start here

    The practice purchase. A lender underwrites collections and case starts, and will discount the contract book rather than advance against it at face.

  2. 2
    Acquisition structure →Before you offer

    Where the contract book sits in the stack. It is an asset in the valuation and close to nothing as collateral, and the structure has to survive that.

  3. 3
    Seller financing →Usually essential

    Standby paper does more work here than in most practice deals, because the receivable a buyer is paying for arrives over years rather than at close.

  4. 4
    SBA 504 →If real estate is included

    Only if the building transfers. It funds premises and heavy equipment, never the contract book.

  5. 5
    Equipment loan and lease →For the clinical side

    Scanners and imaging. Useful life comfortably outlasts a five-year term, which is what makes borrowing to buy work.

  6. 6
    Personal financial statement →Required either way

    Every 20% owner files one. Expect questions about how the contract book was aged.

Do not assume CAPLines fits. It advances against commercial receivables and inventory; a book of two-year patient contracts is neither, and finding that out at underwriting costs weeks.
Before release · Q4 2026

Up to 50% off for owners who register now

Collections hold up for a year on contracts signed years ago. If new starts are moving, you want the contract book aged and discounted well before a buyer does it.

No credit card required now. As long as your details are in the system, we send the discount access details when the software opens.

And the financing calculators are free and working today. SBA 7(a), 504, CAPLines, Form 413, equipment and seller paper — your account opens all of them the moment you register, months before the valuation software ships.

  • No payment now. Nothing is taken until you choose to buy.
  • Pricing is published at release; your price is up to 50% below it.
  • The discount applies to the first calculator you buy at launch.
What you hand over

The whole analysis exports as one PDF, generated server-side — every tab, the five-year history, the normalization and the working behind each figure. Not a screenshot of the tab you happen to be on.

It carries the business name, the period, who prepared it and for whom, so a lender or a buyer can act on it without asking who produced the figures.

An illustration of the export layout, not a real page. The PDF is generated from your figures.
Register for early access

One email when the software opens, and nothing else. Your details are not sold or passed on.

Open Orthodontic practice →12 tabs · save your work if you want to · current as of August 2026