In episode 11 of the M&A Healthcare Insights Podcast, host Andre Ulloa and guest Ken Yood dive into what it takes to close deals successfully, the importance of sell-side due diligence, and how regulatory changes are shaping transactions. 

By the end of this episode, you'll have a solid understanding of the intricacies involved in healthcare M&A and the strategies you can implement to ensure a successful deal.

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In this episode of the M&A Healthcare Insights podcast, you’ll hear from Ken Yood, a partner at Holland & Knight, who brings over 30 years of experience in healthcare law. Ken and M&A Healthcare Advisors Managing Partner Andre Ulloa dive deep into the current healthcare M&A landscape, focusing on what it takes to close deals successfully, the importance of sell-side due diligence, and how regulatory changes are shaping transactions.
 
Whether you’re a healthcare provider, investor, or advisor, you’ll gain valuable insights on navigating deal complexities, structuring agreements, and minimizing risks in the ever-evolving world of healthcare mergers and acquisitions.

Timeline of Main Points

  • 2:15 – The importance of healthcare-focused legal expertise in M&A transactions
  • 5:30 – Key trends in healthcare M&A, including private equity involvement
  • 8:45 – How to approach sell-side preliminary due diligence and why it’s critical for sellers
  • 12:00 – When and how to bring an attorney into the M&A process
  • 15:45 – Understanding the key components of an LOI (Letter of Intent)
  • 21:30 – The importance of exclusivity and deal milestones
  • 26:50 – Addressing multiple offers and ensuring a deal will close
  • 31:45 – Common deal breakers and how to avoid them
  • 36:15 – How regulatory changes, especially in California, affect healthcare M&A
  • 42:00 – Final thoughts on preparing for a successful transactio

What You’ll Learn:

When to Engage Legal Counsel in M&A
You’ll learn why it’s crucial to bring in legal experts early in the process to help you avoid common pitfalls. Ken advises that the earlier an attorney is involved, the better they can help you with preparing sell-side preliminary due diligence, ensuring you’re presenting a clean, accurate picture of your business to potential buyers.

How to Protect Yourself with a Strong Letter of Intent (LOI)
The LOI sets the framework for your transaction. Ken explains how to structure it to manage expectations around the purchase price, liabilities, and other key issues. You’ll hear why you need to include binding provisions like exclusivity, which ensure buyers are serious and prevent wasting time.

Sell-Side Preliminary Due Diligence: Why It’s Critical
Ken emphasizes that understanding your business from a buyer’s perspective is essential. This includes knowing your financials, regulatory status, and any liabilities that could surprise a buyer during due diligence. By conducting sell-side due diligence, you can prevent offers from dropping or deals falling apart later in the process.

Multiple Offers: Evaluating the Right Buyer
Not all high offers are good offers. Ken highlights the importance of vetting buyers for their ability to close the deal. You’ll learn how to assess whether a buyer has the financial backing and experience to complete the transaction, and why sometimes a lower but more reliable offer might be the better option.

Regulatory Risks in Healthcare M&A
Regulatory issues can kill a deal, especially in healthcare. Ken shares examples from his experience, such as California’s five-year hospice rule and reimbursement changes that can drastically affect valuations. You’ll gain an understanding of how to mitigate these risks and ensure a smoother process

Best Practices for Closing Deals
You’ll hear tips on how to structure definitive agreements, including navigating indemnity, representations, and warranties. Ken also discusses the importance of anticipating issues, like landlord or payer contract consents, which can derail a deal if not addressed early.

Episode 11 Resources