DenQAI decision lab

Build, buy, or walk away

Clear separate safety checks, compare viable entry paths, and identify the assumption that changes the decision.

Use this ifYou need to test an assumption before spending money, signing a contract, or treating a composite score as an answer.

DecisionIdentify the viable path, the downside case, the assumption that breaks it, and the next diligence request.

Evidence neededUser-entered records, source dates, verification states, actual contract and schedule data, provider activity, procedure history, staffing, and cash timing.

Work productA transparent calculation with exposed formulas, limitations, stop-and-verify conditions, and a printable decision record.

Method, stop-and-verify condition, and required review

Method: Use ranges and scenario stress; keep illustrative defaults separate from user data; never let a composite score override a non-negotiable gate.

Stop and verify: Do not treat results as an appraisal, diagnosis, legal conclusion, coding source, lender approval, or substitute for primary records.

Human review: Buyer, dental CPA, lender, counsel, clinical reviewer, benefits specialist, and operator according to the calculator.

Last reviewed: July 24, 2026

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Calculator 01

Build, buy, or walk away

Read each evidence dimension and safety check separately. An average can conceal the one condition that makes a path unsafe or infeasible.

Evidence dimensions

Use 1 for unsupported, 3 for partly supported, and 5 for current, traceable support. No average or recommended path is produced.

Collectible, capturable demandCapacity evidence supportPayer economicsHiring feasibilityBuild execution readinessTarget transferabilityPurchase value vs. startupTransaction certaintyFamily and geography fit

Non-negotiable gates

Inherited treatment can be independently supportedRecords and system actions are attributable to unique usersThe seller has documented authority to transfer every promised assetThe downside case has enough working capital and owner runwayThe location and ownership load are acceptable to the family

Review postureEvidence gaps remain

2 evidence dimensions remain below partly supported.

Open safety checks0

Low-support dimensions2

Dimensions reviewed9

No composite score.

Demand, capacity, payer economics, hiring, build execution, transferability, price support, transaction certainty, and family fit stay visible in their entered units. DenQAI does not average them or recommend build, buy, or walk away.

Method, not magic

Every output should create a diligence request.

01Reconcile

Use adjusted production, collections, units, provider days, patients, and source reports. One percentage cannot carry the conclusion.

02Segment

Separate provider, procedure family, payer, patient cohort, and month. A blended average can hide the exact thing the buyer will lose.

03Stress

Run buyer-fit, staff-loss, no-show, denial, wage-reset, and entrant cases. Record the case that breaks the deal.