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Key takeaways
- Define the entities, periods, earnings measure and review scope.
- Test downward adjustments alongside proposed add-backs.
- Keep future operating assumptions separate from supported history.
What should the review examine?
Define the earnings measure, covered entities and dates before testing adjustments. Check whether the starting results agree with the books and source records. Note any differences in how the reports treat cash and accruals. Check later entries and which parts of the business are included in the sale.
Test the starting records with two fictional comparisons. The P&L and tax-return exercise identifies final books before explaining the tax difference. The best-month exercise compares one selected month with a complete sequence. Both help the reviewer name the evidence behind a figure before assessing its use.
RSM's financial-diligence description lists QoE alongside working-capital, cash-flow and balance-sheet analysis. Those areas can be related, but the list is not a required package. Read the actual scope, procedures and exclusions. A document called QoE does not, by its title, establish an audit of financial statements. (Source: RSM)
The financial-statements and cost-reports guide explains how different reports connect. The SEC's statement tutorial supplies basic definitions, while company-specific conclusions require the actual evidence. (Source: SEC)
A fictional adjustment in both directions
Assume a fictional business presents $600,000 of annual EBITDA. Suppose records support removing a $15,000 exceptional expense. It is already included in that figure. The review also finds $45,000 of omitted payroll expense belonging to the same historical period.
Under these stated assumptions, $600,000 plus $15,000 minus $45,000 equals $570,000. No other line counts these changes. No savings from the buyer's future plans are assumed. These invented figures demonstrate a limited correction, not a complete QoE report or an industry benchmark.
Test a proposed earnings add-back and any owner replacement cost separately. Necessary work does not disappear because ownership changes. The earnings-measure guide helps keep the starting definition consistent.
The one-time expense exercise examines three fictional recruiting charges with different vendor and account descriptions. Each paid for filling staff vacancies. Use that history to test the one-time label. Keep the amount included in the current year’s starting profit separate from earlier years’ costs.
What evidence should remain visible?
Keep the original amount, each proposed change and the source records in the review file. Show the open questions too. IRS guidance explains the role of supporting business records; it does not validate a particular transaction adjustment. (Source: IRS records guidance)
Read earnings with receivable aging and later collections. Strong reported revenue is a different question from when cash arrives. Carry unanswered issues into the buyer diligence checklist, with responsibility and a next step. Do not present an open question as an accepted adjustment.
Frequently asked questions
Is QoE the same as a list of seller add-backs?
No. An earnings review should test the starting records and proposed increases, as well as missing expenses, recurring costs and other downward changes. Its actual procedures depend on the agreed engagement.
Does a QoE report guarantee the purchase price?
No. Earnings help inform price. Risks, assets, debts, deal terms and comparable evidence also matter. A narrow arithmetic adjustment cannot establish the value of an entire care business.
Does the report replace clinical or licensing diligence?
No. Ask what the engagement covers and excludes. Financial findings do not establish care quality, licensing authority, transfer approval or the resolution of legal and tax questions.
Can a buyer's planned savings increase historical earnings?
Keep prospective changes in a separate forecast unless the historical adjustment itself is supported. Identify implementation costs, timing and assumptions. Planned benefits do not become achieved results because they appear in a purchase model.
Sources
Sources are dated to distinguish current guidance from earlier publications. They support the identified facts; the transaction questions and examples are educational analysis.
- RSM US: Financial due diligence service scope (Undated; retrieved 2026). Retrieved September 6, 2026.
- SEC: Beginners Guide to Financial Statements (2014). Retrieved September 6, 2026.
- IRS: business recordkeeping (2026). Retrieved September 5, 2026.