Alejandro Ruiz

Overview

Alejandro (Alex) Ruiz advises clients on the tax aspects of complex domestic and cross-border transactions and on the formation and operation of private equity funds, with an emphasis on mergers and acquisitions (M&A), joint ventures, growth capital, continuation vehicles, and divestitures involving private equity sponsors and private companies.

Alex’s clients include private equity funds, private and public companies, venture capital funds, individuals, hospitals, physician practices, ambulatory surgery centers (ASCs), strategic investors, and tax-exempt organizations. He has extensive experience advising buyers, sellers, founders, and joint venture partners in transactions involving healthcare companies, particularly in the development of tax efficient financial arrangements and transaction structures designed to comply with federal and state healthcare laws.

Additionally, Alex has experience advising on the tax aspects of fund sponsor compensation arrangements, management co-investments, and incentive equity compensation, as well as drafting equity purchase and profits interest agreements and complex bonus plans.

Results

Represented several private equity funds in various healthcare M&A transactions, including investments in and/or acquisitions of physician practice management companies, behavioral health providers and facilities, dental services organizations, ASCs, urgent care facilities, home health providers, specialty pharmacies, clinical laboratories, and population health management and technology companies
Represented founders and/or sellers of healthcare-related businesses to private equity funds or strategic buyers, including the sale of urgent care centers, national and regional medical and/or clinical provider groups (including in the fields of pain management, hospitalists, radiology, dermatology, and family practice), health and wellness technology companies, outpatient mental health and addiction treatment programs and clinics, dental management companies, ASCs and related ancillary services (including labs, imaging centers, and pharmacies), and addiction recovery and behavioral health treatment centers
Represented Gauge Capital in its acquisition of Comprehensive EyeCare Partners, a practice management business that provides support services to ophthalmologists and optometrists

Represented Comvest Partners in its acquisition of a leading manufacturer of area rugs and other home décor products
Represented H.I.G. Capital in its acquisition of 4Refuel, a market leader in mobile on-site refueling services
Represented Nautic Partners in its acquisition of Harrington Industrial Plastics, LLC, a leading US-based distributor of industrial plastic piping products
Represented Hidden Harbor Capital Partners in connection with several acquisitions and divestitures, including in its:
- Acquisition of Island Pump & Tank, a provider of maintenance, environmental, construction, and alternative energy services to fuel retailers and government agencies in the northeastern United States
- Acquisition of Rapid Pump & Meter Service Company, LLC and Machinery Services Co., LLC, providers of turnkey construction and pump services for the municipal, industrial, commercial, and transportation sectors
- Sales of Stella Environmental Services, LLC to Leonard Green & Partners LP and Cloyes Gear & Products, Inc. to MidOcean Partners
Represented LightBay Capital in its investment in Rancho Family Medical Group, a leading provider of primary care and family medical services in Southern California
Represented Kelso & Company and its portfolio company, Physicians Endoscopy, in its strategic partnership with Capital Digestive Care and the formation of PE Practice Solutions, a physician-oriented practice management services organization serving gastroenterologists
Represented Enhanced Healthcare Partners in various transactions, including the merger of Prospira PainCare with National Spine and Pain Centers; the platform investment in Howard J. Chudler & Associates, a provider of autism therapy; and a growth investment in Vytalize Health
Represented Iron Path Capital in its investments in ClearChoiceMD and Carewell (and subsequent formation of Emergence Health), Versant Diagnostics, and Capitol Pain Institute, as well as several add-on acquisitions by Capitol Pain Institute in the interventional pain management field
Represented Quad-C Management in its investment in US Endo Partners and in the sale of VMG Health to Northlane Capital Partners
Represented H.I.G. Capital in the formation of various buyout, credit, real estate, and non-US funds
Represented Martis Capital in the formation of its fourth fund, Martis Partners IV
Represented Lorient Capital in the formation and fundraising of its first continuation fund, Lorient Peregrine Investment, a single-asset continuation fund that acquired a majority interest in ShiftKey, a healthcare technology company valued at more than $2 billion
Represented Speyside Equity Fund I LP and Speyside Equity Opportunity Fund LP in a single-asset continuation vehicle transaction to support future growth initiatives at their portfolio company, Opta Group LP