Capital raise · Healthcare Services

Healthcare Services Independent Sponsor Economics: An Independent Sponsor's Counsel

When the deal is healthcare services and the question is Independent Sponsor Economics, the structure decisions in the first 30 days outlast the next five years. This is where Jason Powell works.

EV range $15M to $120M EV EBITDA $3M to $20M Audience Independent Sponsor
The deal context

Every healthcare services acquisition has its own gravity. Independent Sponsor Economics 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.

The moves

How Independent Sponsor Economics actually gets structured.

  1. Anchor on 20 to 25 percent carry above an 8 percent preferred return, with a 50/50 catch-up.

  2. Set the management fee at 2 percent of invested capital, capped at three years.

  3. Charge a transaction fee of 2 to 3 percent at close, with a clear LP-approval ceiling.

  4. Document the waterfall in the LPA, not in a side letter.

  5. In healthcare services, layer in PC/MSO structuring as part of the Independent Sponsor Economics workstream.

The common mistake

Negotiating economics with the LP only after the LOI is signed. By then, the leverage is gone.

Jason's take
"If you are an independent sponsor, your economics are your firm. Defend them in the LPA, not in conversation."
Jason Powell · Independent Sponsor Economics
Capital after close

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

Most independent sponsors solve the closing capital and then run into the post-close capital problem alone. The capital markets relationships that matter at month 18 are part of this practice.

MONTH 18
Senior refi
MONTH 24
Dividend recap
MONTH 36
Growth equity
YEAR 4–5
Strategic exit
WORK WITH JASON

Bring the healthcare services deal. Get Independent Sponsor Economics 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.