Post-close · Healthcare Services

Platform & Add-On Integration Counsel for Healthcare Services Acquisitions

When the deal is healthcare services and the question is Platform & Add-On Integration, 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

An independent sponsor closing healthcare services transactions in the $15M to $120M EV range has a defined set of moves at the Platform & Add-On Integration stage. Most of them are not in a generic M&A textbook.

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 Platform & Add-On Integration actually gets structured.

  1. Plan integration sequencing in the 100-day plan, with clear go-live dates.

  2. Map customer contracts, vendor relationships, and employee benefits for transfer.

  3. Update the platform's operating agreement to reflect new add-on equity and governance.

  4. Coordinate insurance program consolidation across platform and add-on entities.

  5. In healthcare services, layer in PC/MSO structuring as part of the Platform & Add-On Integration workstream.

The common mistake

Leaving the add-on as a parallel entity. The synergies live in the integration, not the addition.

Jason's take
"Integration is when the multiple actually expands. Plan it as a deal, not an aftermath."
Jason Powell · Platform & Add-On Integration
Capital after close

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.

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

Platform & Add-On Integration for Healthcare Services, 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.