Cross-Border Structuring for Healthcare Services Independent Sponsors
When the deal is healthcare services 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.
Every healthcare services acquisition has its own gravity. Cross-Border Structuring is the workstream where independent sponsor counsel earns the seat.
The typical healthcare services platform sits at $15M to $120M EV with EBITDA in the $3M to $20M range. The thesis runs on roll-up of physician practices and ancillary service lines. Most off-market healthcare deals come through advisors who have seen the structure before. Have one in your call list.
How Cross-Border Structuring actually gets structured.
Map jurisdictional tax exposure with US and foreign counsel before the LOI.
Plan repatriation mechanics if cash is generated offshore.
Address CFIUS review where foreign capital is in the LP base.
Structure for treaty benefits where the operating geographies allow.
In healthcare services, layer in PC/MSO structuring as part of the Cross-Border Structuring workstream.
Treating cross-border deals like US deals with extra steps. Tax, regulatory, and timing assumptions break differently.
"Cross-border deals need three sets of advisors at the table from day one. Bring them."Jason Powell · Cross-Border Structuring
The deal is one thing. The capital that opens up after close is another.
Capital after close is where the IRR actually gets made. The right introductions at month nine through month thirty are where this practice works as hard as it does at the LOI.
Related deal pages.
Independent Sponsor Economics for Healthcare Services
The package of deal-by-deal carry, management fees, and transaction fees that compensates the independent spo…
Management Fee Structuring for Healthcare Services
The annual fee paid by the deal entity to the independent sponsor for ongoing oversight, board service, and p…
Transaction Fee Structuring for Healthcare Services
The fee paid at closing to the independent sponsor for sourcing, structuring, and closing the platform deal a…
Working Capital Adjustments for Healthcare Services
The closing-date true-up that protects the buyer from receiving a business stripped of normal-course working …
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Bring the healthcare services deal. Get Cross-Border Structuring done right.
Direct counsel from a securities and M&A attorney with billions in structured transactions, the independent-sponsor-native playbook, and the capital markets network that opens up post-close.