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Guide · 14 questions

What buyers ask first.

The 14 questions a buyer’s team will ask, and the records that answer each one.

Download the PDF PDF, 8 pages. A companion to your Buyer Map.

Why this guide

Your Buyer Map shows who is likely to look at your company. This guide shows what each of them will ask once they do.

Most buyers of healthcare software ask the same questions in roughly the same order. The ones that slow a deal down are rarely about the product. They are about the records behind the numbers: whether the earnings adjustments have support, whether the recurring revenue really recurs, and whether the business runs without its founder.

Each of the 14 areas that follow has three parts:

What they ask
The question as a buyer’s team tends to put it.
Have ready
The records that answer it.
First step
What to do now if those records are not ready.

Each part ends with articles from Capital Row that go deeper. The links open in your browser.

The areas are grouped into four parts: the numbers, the revenue, the company and the technology. Start with whichever part your Buyer Map flagged. The checklist at the end puts all 14 on one page.

This guide is general information, not legal, tax, accounting or valuation advice.

1

The numbers

What the business earns, and whether the records prove it.

Earnings adjustments

What they ask
What evidence supports each adjustment, and what cost would a new owner still incur?
Have ready
Adjustment schedule, invoices or payroll records, three-year expense history, and replacement-cost assumptions.
First step
Give each proposed adjustment a source, rationale and treatment of continuing costs.

Profit to cash

What they ask
Which differences between reported earnings and cash are timing, and which may affect sustainable earnings?
Have ready
Monthly P&L and balance sheets, bank statements, and a reconciliation for the same periods.
First step
Reconcile the periods and document timing differences before defending an earnings number.

Working capital

What they ask
What operating working capital is needed, and how would the proposed closing terms treat it?
Have ready
Monthly balance sheets, receivable and payable aging, deferred revenue, seasonality and proposed definitions.
First step
Understand the operating pattern before negotiating a working-capital target or closing adjustment.

Price and structure

What they ask
Are both sides pricing the same earnings, assets, liabilities, transition obligations and payment structure?
Have ready
Valuation assumptions, debt and cash treatment, working-capital definitions, and any draft terms.
First step
Write down assumptions behind the headline number and identify where expectations differ.
2

The revenue

Why the revenue will still be there after the owner leaves.

Revenue durability

What they ask
What is contractually committed, what is behaviorally repeatable, and what must be won again?
Have ready
Contracts, renewal and cancellation terms, customer cohorts, repeat purchases, backlog and pipeline evidence.
First step
Separate contracted, recurring, repeat and one-off revenue; test the history behind each label.

Revenue retention

What they ask
What share of last year’s recurring revenue did you keep from existing customers, and why did the rest leave?
Have ready
Customer-by-month recurring revenue for 24 months, cancellation and downgrade reasons, and the contracts behind the largest accounts.
First step
Calculate retention from customer-level records, then explain the largest losses and what has changed since.

Customer concentration

What they ask
What happens to earnings if the largest customer leaves, reduces spend, or renegotiates after a sale?
Have ready
Customer-level revenue for 24 months, contracts, renewal dates, margins, and relationship ownership.
First step
Review retention history, contract rights and the transition plan for the largest relationships.

Growth evidence

What they ask
What evidence supports the growth in your forecast, and what has the pipeline converted at in the past?
Have ready
Pipeline by stage for 24 months, win rates, sales cycle length, new-customer revenue by month and the assumptions behind the forecast.
First step
Track the pipeline by stage and record conversion, so the forecast rests on history rather than expectation.
3

The company

Who runs it, who owns what, and what it has promised customers.

Founder dependence

What they ask
Which revenue, approvals, knowledge and customer relationships depend on one person?
Have ready
Responsibility map, customer relationship owners, operating procedures, and a proposed transition plan.
First step
Map the dependencies, then assign owners, documentation and a realistic transition period.

Transferability

What they ask
Which contracts, IP rights, licenses or consents could restrict the proposed transaction?
Have ready
Material contracts, change-of-control provisions, IP ownership records and relevant licenses or permissions.
First step
Have appropriate legal and specialist advisors review transaction-specific rights and required consents.

Compliance and security

What they ask
Which security and compliance commitments have you made to customers, and what documents show you meet them?
Have ready
Security and compliance reports, policies, customer contract terms on data and security, incident history and any open remediation items.
First step
List the commitments in customer contracts, match each to a document, and plan the gaps with a realistic date.
4

The technology

What a technical buyer will find, including the new questions about AI.

Technology and data

What they ask
What would it take, in time and cost, to bring the product, security and data practices to what a new owner expects?
Have ready
Architecture overview, security policies and any third-party assessments, hosting and data agreements, the roadmap, and who maintains each part of the code.
First step
Document the architecture and security practices, assign ownership of each part of the code, and list known technical debt with an estimate to address it.

AI and data rights

What they ask
Which customer data do your AI features use, under what contract terms, through which vendors, and how would you show what the AI did on a given day?
Have ready
Customer contract terms on data use, a list of AI vendors and their terms, logs of AI actions, human review steps, and any testing for prompt injection or data leaks.
First step
List every AI feature, the data it uses and the vendor behind it; confirm customer contracts allow that use; turn on logging and human review wherever the output is regulated or acted on.

AI replacement risk

What they ask
What would a customer lose by switching to an AI tool, and what happens to your pricing if seats shrink?
Have ready
Usage and integration data, proprietary datasets, switching costs, win and loss notes against newer tools, and your pricing model.
First step
Write down what an AI tool cannot copy (your data, integrations, workflow depth and compliance), show it in usage data, and test pricing that does not depend only on seats.

The one-page checklist

Tick each area when the records are together in one place.

Download the PDF

When you are ready to talk it through

Capital Row helps healthcare software owners prepare for buyer review and meet the right buyers. A confidential 20-minute call is the first step.

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Capital Row is an independent advisory firm. It performs non-attest services only, does not issue audit, review or examination opinions, and is not a registered broker-dealer.