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What's a healthy DSCR for healthcare practice?

Short answer

For healthcare practice, a healthy DSCR is around ≥ 1.25×. That's the threshold lenders and sureties underwriting healthcare practice use as a pass/fail line.

Real peer data

Community median publishes once we have 5+ anonymous submissions from healthcare practice. Currently at 0. Run your numbers below to help build it — your ratios are shared, your business name and dollar amounts are not.

Formula

DSCR = EBITDA / (Annual Principal + Interest Payments)

Take EBITDA (operating cash earnings) and divide by your total annual debt service — both principal and interest payments combined.

Why DSCR matters for healthcare practice

DSCR is the single most important metric in commercial and SBA lending. A DSCR of 1.0× means your earnings exactly cover your debt — no margin for error. Most SBA lenders require ≥ 1.25×. Construction sureties often require ≥ 1.5×. Below 1.0× and you're net-cash-negative on debt.

For healthcare practice, DSCR is often the make-or-break number when applying for a loan, a line of credit, or (in construction) a bonding increase. Production is up but the bank account isn't.

DSCR across other industries

People also ask

Common questions about DSCR for healthcare practice

What is a good DSCR for healthcare practice?+

For healthcare practice, a healthy DSCR is around ≥ 1.25×. The exact number depends on scale, region, and business model, but this is the range most banks, acquirers, and industry consultants treat as "healthy."

How is DSCR calculated?+

Take EBITDA (operating cash earnings) and divide by your total annual debt service — both principal and interest payments combined.

Why does DSCR matter more for healthcare practice?+

Lenders in this sector treat this as the minimum acceptable ratio. Falling below it doesn't guarantee a rejection, but it does guarantee more scrutiny, higher pricing, and often a personal guarantee.

What's the fastest way to improve my DSCR?+

Run your numbers through CFO Grade — the free memo pinpoints the two or three levers that move DSCR fastest for a business your size, in your industry. Common fixes for healthcare practice include either accelerating debt paydown or restructuring existing debt to lower annual service..

See your DSCR — graded against healthcare practice peers.

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