Independent Offer Review

DSO Offer Red-Flag Review for Dentists

Before you sign a DSO offer or LOI, know what the headline multiple does not tell you.

Prepared by Dr. Blane Jackson, DDS/MBA · Practicing dentist and multi-practice owner/operator · Updated May 2026

Important: This is an educational, operator-side review designed to help you ask better questions. It is not legal, tax, valuation, investment, or brokerage advice and does not replace your attorney, CPA, or transaction advisor.

Who this is for

  • You have received a written DSO offer or LOI.
  • You are comparing multiple DSOs or private equity-backed buyers.
  • You are being asked to sign quickly or enter exclusivity.
  • You are unsure how rollover equity, earnouts, employment terms, or non-competes affect the real deal.
  • You want practical seller-side questions to bring back to counsel and CPA.

Review tiers

Early offer

Express Scorecard

$497

1-2 page screen for verbal offers, early LOIs, or sellers deciding whether deeper review is warranted.

Start express scorecard

Flagship

Red-Flag Review

$1,500

Written red-flag report with risk scoring, missing questions, and attorney/CPA discussion points.

Request review

Final stage

Negotiation Prep

$3,500

Full review plus prep memo and call for multiple offers, signing deadlines, or high-stakes terms.

Request prep

What we review

Economic termsHeadline multiple, EBITDA basis, addbacks, working capital, debt, capex.
Cash at closeGuaranteed cash, escrow, holdback, deferred payment, seller note.
Rollover equityEntity, governance, dilution, liquidity path, recap assumptions.
EarnoutsMetrics, duration, seller control, exclusions, dispute process.
EmploymentTerm, compensation, schedule, production duties, termination rights.
Restrictive covenantsNon-compete radius/duration, specialty scope, non-solicit, future ownership limits.

Sample deliverable

What your report includes

  • Executive deal summary and missing-information list.
  • Risk scorecard across cash, rollover, earnout, employment, autonomy, non-compete, and buyer-specific concerns.
  • Top red flags to clarify before signing.
  • Questions to ask the buyer.
  • Questions to take to your attorney and CPA.
  • Suggested negotiation or clarification topics.

Request review

Submit the transaction basics

This intake routes active-offer sellers for free triage, the $1,500 Red-Flag Review, or the $3,500 Negotiation Prep package.

If you have the LOI or offer PDF, the confirmation step will ask you to send it securely using the same email address.

Request Received

Next step: send the document if you have it

If you already have the LOI or offer as a PDF, email it to sbevans4@hotmail.com with the same name and email used in the form so the intake can be matched.

Download checklistRead offer guide

Educational only. This site reflects general industry information and the author's personal experience as a practicing dentist who has bought and sold practices. It is not legal, tax, or financial advice. Every transaction is unique — engage a CPA, attorney, and qualified broker familiar with your jurisdiction before acting on any guidance here. We have no commercial relationship with any DSO unless explicitly disclosed on the relevant page.