Seller Finance in M&A: Equity Structuring for Healthcare Acquisitions

Added:

Seller Finance Basics
Second Position Nuances
Example Deal Analysis
Negotiating Terms
Deal Feasibility Check
Final Deal Structure

Seller Finance Basics

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Playing Section
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    Explains the difference between first and second position seller carryback notes.

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    Advises exhausting traditional financing options before requesting seller financing.

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    Suggests using deal-specific challenges as leverage when negotiating seller terms.

Fundamental principles of Mergers & Acquisitions (M&A), including standard corporate valuation and the concept of a capital stack.
Basic corporate finance and debt mechanics, specifically how to calculate EBITDA and analyze cash flow statements.
The concept of debt subordination, distinguishing between senior (first-position) and junior (second-position) creditors.
Structuring and negotiating Intercreditor Agreements and Subordination Agreements between senior commercial lenders and seller-note holders.
Navigating healthcare-specific legal and regulatory hurdles in transactions, such as the Corporate Practice of Medicine (CPOM) and Stark Law.
Designing advanced contingent payment structures in M&A, such as earn-outs and equity rollover mechanisms.
Post-acquisition cash flow management and operational optimization to satisfy strict Debt Service Coverage Ratio (DSCR) covenants.
15.9K views478likes19:25@JasonPaulRogersOriginal Release: 2019-10-21

In M&A transactions, seller carry-back financing can be structured as first position (replacing traditional bank financing entirely) or second position (supplementing bank financing). First position seller finance is typically pursued when traditional financing is difficult to obtain and sellers are highly motivated, offering tax benefits and interest income to sellers. Second position seller finance, where sellers carry the remaining 20% after securing 80% bank financing, requires careful negotiation of terms (interest rate, amortization period) to ensure banks accept it as equity. Banks are more likely to accept second position notes when terms are favorable (matching first lien rates, long amortization periods) and when the deal has strong financial metrics like a Debt Service Coverage Ratio (DSCR) exceeding 200%, which demonstrates sufficient cash flow to service all debt obligations.