What Is a DSO Earn-Out — And Why Most Dentists Don't Understand What They're Signing dental earn-out agreement dental strategy dental valuation dso deal structure dso earn-out clause selling your dental practice to a dso May 18, 2026

The letter of intent arrived on a Thursday. It looked good — 7x EBITDA, a two-year earn-out with solid upside, rollover equity with a projected second-bite return. The dentist called his accountant, who said the number looked reasonable. He signed the LOI the following week.

Eighteen months later, ...

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