Illustrative decision record

A favorable-looking acquisition becomes a renegotiate-or-walk case.

Every number below is a teaching example. It demonstrates the structure of a decision record and is not a valuation benchmark or forecast.

DecisionAcquire Target A?
Current postureRenegotiate or walk
Seller ask$1.18M
Downside affordability ceiling$865K
Transparent gap$315K
Decision dateIllustrative
Required reviewDental CPA, counsel, lender, clinical reviewer

01 · Stop-and-verify conditions

Two issues must clear before price can solve the deal.

ClearAuthority to sell

Entity and signatory records reconcile.

UnresolvedClinical values and transfer

Crown-heavy production requires blinded, tooth-level independent review.

UnresolvedAttributable records

Provider-level collections and earned A/R do not yet reconcile.

ClearFamily and capital boundary

Only if total cash commitment remains inside the downside ceiling.

02 · Buyer-repeatable collections bridge

The asking price was built on cash the buyer may not repeat.

Reported collections$1.48M
Seller-only or nonrecurring activity−$178K
Buyer clinical-model exclusions−$74K
Patient and referral loss−$48K
Buyer payer and fee effect−$35K
Collection loss−$20K
Buyer-repeatable steady-state collections$1.125M

Prior-service receipts, current-service deferral, prepayments, credit balances, working capital, and reserves are reviewed in separate first-year timing and closing schedules.

03 · Scenarios

One attractive base case is not enough.

CaseCollectionsImmediate cash needAffordability posture
Seller presentation$1.48M$125KAppears financeable
Buyer-repeatable base$1.125M$225KThin at ask
Downside$1.01M$280KAsk exceeds ceiling

04 · Conditions that change the decision

State the facts that would pause, renegotiate, or reverse the decision.

  • The target cannot substantiate buyer-repeatable provider collections.
  • Independent clinical review finds unsupported treatment or a values gap the buyer cannot ethically continue.
  • Key payer contracts cannot transfer or be replaced on acceptable terms before cash runway is exhausted.
  • Immediate equipment, lease, staffing, and working-capital needs push total commitment above the downside ceiling.
  • A dental shell or startup alternative reaches the same patient segment with materially less risk-adjusted cost.

05 · Next evidence requests

Convert uncertainty into assigned work.

Seller / accountantProvider-level production, adjustments, collections, and bank reconciliation

Needed before the earnings base is accepted.

Clinical reviewerBlinded sample stratified by provider, patient cohort, and crown/direct-restoration history

Needed before treatment-mix transfer is priced.

Benefits specialist / counselExecuted contracts, fee schedules, leasing clauses, amendment rights, and credentialing timeline

Needed before payer portability is credited.

Buyer / lenderDownside sources-and-uses case without disclosing the maximum approval to seller-side vendors

Needed to set the walk-away ceiling.

Build your own record

Start with the decision—not the seller’s binder.

Choose the path and gather only the evidence that resolves the next gate.

Choose a practice path