For DSO’s
Financial Infrastructure & Capital Strategy
Track EBITDA accurately. Raise capital confidently. Scale without losing control.
Most DSOs don’t lose value because they lack ambition. They lose value because the numbers don’t hold up under scrutiny.
When you have multiple sites, multiple clinicians, multiple revenue streams, and multiple entities, EBITDA can become a moving target—especially if bookkeeping, payroll, and reporting are inconsistent across the group.
Investors, lenders, and buyers reward DSOs that can prove performance with confidence:
- Clean, timely management accounts
- Consistent site-level reporting
- Clear revenue attribution (by site, provider, category)
- A disciplined approach to add-backs and normalisation
- A capital structure that supports growth without choking cash flow
At Samera, we build the finance engine that turns dental consolidation into real enterprise value.
Our Role
We build custom software, AI tools, and executive dashboards for Dental Service Organisations – so you can see what’s happening across the group, understand why it’s happening, and act faster.
This isn’t “generic BI”.
It’s purpose-built for DSOs: clinical performance, operations, finance, marketing, and procurement – connected in one decision system.
What We Help You Achieve
1.
Standardised group finance foundations
We put in place the structures that make reporting consistent and comparable across every site:
- Group-wide chart of accounts and reporting packs
- Tracking categories / dimensions by site, provider, and revenue type
- Monthly close routines (bank feeds, reconciliations, balance sheet discipline)
- Clear policies for cost allocation, intercompany charges, and central overhead
2.
Fast, accurate management accounts (that you can trust)
Speed matters – but accuracy matters more. We build a repeatable monthly reporting cycle that produces:
- Site-level P&L and group consolidated P&L
- Balance sheet with reconciled control accounts
- Budget vs actual reporting
- Cash flow visibility (operating cash, working capital movement, capex)
- Exception reporting (variances, margin leakage, unusual movements)
3.
EBITDA normalisation that stands up in diligence
We help you move from “reported EBITDA” to “defensible EBITDA”:
- Normalisation framework and add-back rules
- Evidence packs for key adjustments
- Clear separation of one-offs vs recurring costs
- Consistent treatment of owner costs, central overhead, and growth investment
- A bridge from statutory results → management accounts → EBITDA
4.
Cash flow, forecasting, and decision-grade insight
EBITDA is not cash. We implement forecasting and operating rhythms that support real decisions:
- Rolling 13-week cash flow forecasts
- Operating budgets and reforecasting cycles
- Scenario modelling for acquisitions, capex, and staffing changes
- Early warning indicators (collections, payroll drift, supplier exposure)
5.
Capital strategy built for growth
Growth needs capital. Capital needs discipline.
We support DSOs with:
- Capital structure planning (debt capacity, repayment strategy, covenant readiness)
- Lender/investor reporting packs designed for confidence
- Acquisition funding planning and post-deal integration finance playbooks
- Support on pricing strategy, margin improvement, and profitability levers
What you get (practical deliverables)
- Group finance blueprint (processes, policies, cadence)
- Standardised reporting pack (site + group)
- EBITDA definition + normalisation framework
- Month-end close checklist and timelines
- Rolling forecast model + cash flow forecasting rhythm
- “Diligence-ready” finance folder structure and evidence packs
- Executive dashboard requirements (what to track, how to attribute performance)
How we work
1
Diagnose the truth
We review your current bookkeeping, reporting cadence, payroll/associate pay processes, and how revenue and costs are allocated. We identify what is breaking EBITDA accuracy.
2
Build the foundations
We standardise the group structure: accounts setup, tracking categories, reconciliations, and reporting packs—so every site reports the same way.
3
Produce investor-grade reporting
We implement a monthly close and management accounts cycle that’s consistent, fast, and auditable.
4
Drive performance and capital readiness
We layer in forecasting, cash flow control, EBITDA normalisation, and capital strategy—so you can fund growth and defend valuation.
Global delivery, powered by our UK and India operations
This service is available to DSOs across the globe.
Our delivery model combines senior leadership oversight with a scalable execution engine through our UK and India operations – so you get:
- Consistent monthly reporting at scale
- Faster turnaround times without compromising quality
- A team that grows with your number of sites
- A structure that supports multi-entity and multi-location complexity
Who this is for
Founder-led groups
You’re scaling quickly and need clean numbers before complexity overwhelms the business—and before a capital raise or exit becomes “too hard”.
PE-backed platforms
You need reporting discipline, EBITDA confidence, and predictable performance tracking across sites to deliver the value creation plan.
International DSOs
You want standardisation across regions, reliable consolidated reporting, and a repeatable finance model that works across geographies.
Why Samera
We’ve spent years working with dentists, practices, and dental groups – building the finance systems that keep operations stable, reporting clean, and decisions evidence-based.
This is not generic finance consulting.
It’s dental-specific financial infrastructure built for scale, value, and exit readiness.
Fancy Getting Started?
If you want to track EBITDA accurately and build a finance function that investors trust, we should talk.
Or give us a call:
UK
(+44) 20 7100 8788
US
+1 (929) 542 1710
India
(+91) 011 4759 7224
Get in touch to discuss your current reporting, your growth plan, and what “institutional-grade” needs to look like for your group.