How to Read a Letter of Intent From a DSO
A Letter of Intent (LOI) from a DSO is a critical framework, not a final offer. Many dentists sign without fully understanding key sections like purchase price structure, earnout provisions, employment terms, and non-compete scope. Understanding what's negotiable and what's not in an LOI is crucial for securing the best outcome for your practice sale.
By Tim McNeely, CFP®, CIMA®, CEPA®, CPFA® | LifeStone Family Office
# How to Read a Letter of Intent From a DSO
For many dental entrepreneurs, a Letter of Intent (LOI) from a Dental Support Organization (DSO) feels like the finish line. It arrives with a promising number, a sense of validation, and the allure of a future transition. Yet, this initial document is rarely what it seems. It’s not a final offer, nor is it a simple handshake. An LOI is a framework, a foundational blueprint that sets the stage for the entire transaction. Most dentists, eager for the next chapter, sign these documents without fully grasping the intricate details they are agreeing to, often leaving significant value on the table or committing to terms that don't align with their long-term vision.
This document, often presented as a non-binding gesture, contains binding elements that can dictate the success or failure of your practice sale. Understanding its nuances is critical. The LOI is where the deal is truly made or lost, long before your attorney ever sees the definitive purchase agreement. It’s a moment that demands precision, foresight, and a clear understanding of what’s negotiable and what’s not.
## The Purchase Price: Beyond the Headline Number
The most prominent feature of any LOI is the purchase price. It’s the figure that often captures immediate attention, but it’s crucial to look beyond this headline number. The true value of your sale is deeply embedded in the **structure** of that payment. Is it an asset sale or a stock sale? This distinction carries significant tax implications that can dramatically alter your net proceeds. An asset sale typically means the DSO buys the practice's assets (equipment, patient charts, goodwill), while a stock sale involves buying the corporate entity itself. Each has different tax treatments for both buyer and seller, and understanding these differences is paramount to maximizing your take-home value.
Beyond the asset vs. stock debate, consider the payment terms. Is the entire purchase price paid in cash