Selling Your Dental Practice to a DSO: What to Expect
DSO acquisitions dominate the larger end of the UK dental practice market — but the deal mechanics are more complex than a private individual sale. This guide covers what DSOs are actually buying and why that drives the earn-out structure (25-35% deferred, 12-36 months, EBITDA- or UDA-linked); why non-interference provisions must be agreed at heads of terms (the DSO controls the cost base post-completion); the transition period remuneration trap; integration realities (clinical governance, branding timeline, PMS migration risk during earn-out); TUPE and staff retention as earn-out protection; clinical autonomy negotiation timing; and the Marren v Ingles earn-out right problem — CGT at BADR rate arises at completion before earn-out cash arrives. Includes a total economic value framework for comparing DSO offers.