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014

Case 014Comps and relative valueCore

You are handed ten possible comparables for a niche dental imaging software company. Choose the comp set, justify every inclusion and exclusion, and pick the multiple.

NomuraSan Francisco · 2026

1The situation

Pixora Labs sells cloud software that dentists use to store, read and share X-ray and 3D scan images, on annual subscriptions. Revenue is Rs 150 crore, growing 30% a year, with a gross margin near 78%; the company is close to break-even because it spends heavily on sales.

A colleague hands you ten candidates: two dental practice software firms, a horizontal SaaS company selling project tools to all industries, a hospital software vendor, a dental clinic chain, a radiology equipment maker, a dental consumables company, two medical imaging software firms and a large diversified health IT group. Each trades on public markets; their growth and EV to next-year revenue are in the chart.

2Your task

Which companies go in the comp set and why, which multiple do you use, and what range does it give for Pixora?

Quick check

Which candidate is the worst comparable, even though it has 'dental' in its description?

Worked solution

Try it on paper, then open one step at a time.

30-second answerThe answer to give first

Use the two dental software and two medical imaging software firms, on EV to next-year revenue: a median of 7.25x, about Rs 1,414 crore. They share Pixora's subscription model, high gross margin and 24% to 32% growth. Keep horizontal SaaS and hospital software as reference points, and exclude the clinic chain, consumables, equipment and diversified group, whose economics differ. Choosing on the word 'dental' would give about Rs 907 crore instead.

Step 1What makes one company comparable to another?

How it makes money, how fast it grows, and how profitable each extra rupee of sales is. Comparable means the same economics, not the same customers. A dentist buys software, drills, gloves and treatment chairs, but the companies selling them have nothing in common except the dentist. Think of valuing a flat by comparing it with other flats in the same building, not with the furniture shop on the ground floor, even though both serve the same residents.

Step 2Which of the ten go in, and why?

Sort them into three groups and say one sentence for each. The core set is the two dental practice software firms and the two medical imaging software firms: subscription revenue, gross margins in the high 70s, growth of 24% to 32% against Pixora's 30%. Dental software shares the customer and the sales motion; imaging software shares the product and the cloud storage costs. Together they bracket Pixora from both sides.

Two are reference points, shown but not averaged. Taskfold, the horizontal SaaS company, has similar margins but sells to every industry and grows 35%: a ceiling. Wardline, the hospital software vendor, sells to a slower, budget-bound customer and grows 12%: a floor for health software. Four are out. The clinic chain is a services business, the equipment maker sells hardware with lumpy orders, the consumables company sells products with a manufacturing margin, and the diversified health IT group's conglomerate discountThe lower valuation markets often give a group of unrelated businesses than the sum of its parts would suggest. and mix make its multiple uninformative.

Ten candidates, placed by business model and growth10%20%30%40%Business model similarity to PixoraunlikealikeRevenue growthPixora grows 30%12345678910Candidate, EV / next-year revenue1Dental practice software7.5x2Dental practice software6.8x3Medical imaging software8.4x4Medical imaging software7.0x5Horizontal SaaS10.5x6Hospital software vendor4.0x7Diversified health IT group3.0x8Radiology equipment maker1.8x9Dental consumables2.5x10Dental clinic chain2.2xChosen four: median 7.25x
Placed by business model similarity and growth, the four software comparables sit together at 24% to 32% growth, near Pixora's 30%, and trade at 6.8x to 8.4x next-year revenue; the clinic chain, consumables maker, equipment maker and diversified group sit far away at 1.8x to 3.0x.
Step 3Which multiple, and why not EBITDA?

Pixora is near break-even because it is spending on growth, so an EBITDA multiple would divide by a number close to zero. Use EV to next-year revenue, which compares companies at a similar stage on what they sell, and cross-check with EV to gross profit since margins are close. Next-year revenue is Rs 150 crore grown 30%, Rs 195 crore. The core median of 7.25x gives about Rs 1,414 crore, and the range of the four, 6.8x to 8.4x, gives Rs 1,326 crore to Rs 1,638 crore.

Comp setMedian EV / next-year revenueImplied EV, Rs crore
Four software comparables (chosen)7.25x1,414
Every company with 'dental' in its description4.65x907
All ten candidates5.40x1,053
On next-year revenue of Rs 195 crore, the chosen software set values Pixora at about Rs 1,414 crore, while a set picked on the word dental gives about Rs 907 crore and all ten candidates about Rs 1,053 crore.

Close with the limit. Four comparables is a small set, and any of them could be mispriced on a given day; say you would check that the medians hold on two dates and that none of the four is distorted by a pending deal. The choice of companies moved the answer by more than 50%, which is why interviewers ask for the reasoning, not the number.

Where candidates lose it

Candidates filter on the word 'dental' and include the clinic chain and the consumables maker. Their low multiples pull the median down to under 5x and value Pixora about a third too low.

The other miss is throwing in the horizontal SaaS name because it is software. It grows faster, sells to everyone and trades at 10.5x; averaging it in flatters Pixora.

What the interviewer asks next

  • If Pixora were growing 15% instead of 30%, which comparables would you add?
  • How would you adjust the multiple for Pixora's smaller size and lower liquidity?
  • When would you use EV to gross profit instead of EV to revenue?
  • A recent acquisition of a dental software firm happened at 11x revenue. How do you use it?

Asked at Nomura, Investment Banking, San Francisco, 2026 (Wall Street Oasis): Case study by far (find comparable companies to a niche industry vertical they cover)

← Case 013An agro processor asks its bank for a five-year term loan to fund an expansion that only earns from year 2. Should the bank lend, and on what terms?Case 015 →An office REIT owns three buildings at different cap rates. Work out its net asset value per unit, its loan to value, and whether the units trade at a premium or a discount.

Company names and figures are illustrative.

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