Why We Wrote an MSO Handbook While Closing a Deal

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January 11, 2026

by a searcher from St. Cloud State University - Herberger Business School in Sheridan, WY 82801, USA

We’re in the final stretch of closing an ophthalmology platform in New York and the work right now is all governance and decision rights. Now, working through this live in final docs, we wrote down the framework we’re using just to keep our own thinking straight. If you saw my earlier post on MSO structures this is the applied version showing what the last mile actually looks like in practice. https://www.verdira.com/blog-2 Curious if others found decision rights were the biggest bottleneck right before closing?
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