Pre-close · Dental Practice Management

Cross-Border Structuring for Dental Practice Management Independent Sponsors

When the deal is dental practice management and the question is Cross-Border Structuring, the structure decisions in the first 30 days outlast the next five years. This is where Jason Powell works.

EV range $10M to $130M EV EBITDA $2.5M to $22M Audience Buy & Sell-side
The deal context

Every dental practice management acquisition has its own gravity. Cross-Border Structuring is the workstream where independent sponsor counsel earns the seat.

The typical dental practice management platform sits at $10M to $130M EV with EBITDA in the $2.5M to $22M range. The thesis runs on DSO buy-up under an MSO. Insurance mix dictates valuation. Read the PPO contracts before the EBITDA.

The moves

How Cross-Border Structuring actually gets structured.

  1. Map jurisdictional tax exposure with US and foreign counsel before the LOI.

  2. Plan repatriation mechanics if cash is generated offshore.

  3. Address CFIUS review where foreign capital is in the LP base.

  4. Structure for treaty benefits where the operating geographies allow.

  5. In dental practice management, layer in MSO model documented per state as part of the Cross-Border Structuring workstream.

The common mistake

Treating cross-border deals like US deals with extra steps. Tax, regulatory, and timing assumptions break differently.

Jason's take
"Cross-border deals need three sets of advisors at the table from day one. Bring them."
Jason Powell · Cross-Border Structuring
Capital after close

The deal is one thing. The capital that opens up after close is another.

Refinancing, recaps, growth rounds, and the right strategic conversation eighteen months early are all downstream of relationships that take years to build and minutes to use.

MONTH 18
Senior refi
MONTH 24
Dividend recap
MONTH 36
Growth equity
YEAR 4–5
Strategic exit
ENGAGE THE PRACTICE

Cross-Border Structuring for Dental Practice Management, on independent sponsor terms.

Independent sponsor counsel that already speaks fluent deal-by-deal economics, structures clean LPAs, and travels with capital markets relationships for what comes after close.