Single Case

Cross-Border M&A Carve-Out

Global MedTech Separation & Standalone Optimization

Uncoupling a $1.4B Global Medical Technology Conglomerate into an Autonomous Market Leader

How Acuity Advisory engineered an accelerated 18-country operational decoupling, dismantled $45M in stranded corporate overhead, and delivered +$1.8B post-closing enterprise valuation headroom within an aggressive 7-month horizon.

The 4-Pillar Fiduciary Intervention Blueprint

Acuity mobilized a dedicated cross-functional task force of veteran carve-out partners, regulatory attorneys, and operational systems engineers to orchestrate Day-1 autonomy.

01.

Dedicated Cross-Border PMO & Day-1 Cutover Room

Established a war-room operating framework governing 8 workstreams across Zurich, Boston, and Singapore. Daily burn-down matrices and autonomous decision logs eliminated consensus paralysis with the seller.

02.

Standalone Cloud ERP & Infrastructure Uncoupling

Architected a clean greenfield instance of Microsoft Dynamics 365. Extracted 8.4 million historical device quality and serialization data records, migrating 42 master vendor contracts within 90 days with zero order downtime.

03.

Commercial Re-Anchoring & GPO Contract Transfer

Independently novated 340 master hospital procurement contracts and top Group Purchasing Organization (GPO) agreements. Renegotiated distributor margin tiers to immediately capture 320 basis points of trapped value.

04.

Stranded Cost Eradication & Lean HQ Engineering

Dismantled legacy parent corporate cost allocations ($78M annual chargeback). Engineered a purpose-built corporate center in Basel with modern shared-service nodes in Warsaw, unlocking $45M net annualized cash flow.

Entangled Parent Monolith vs. Aggressive Private Equity Mandate

The business had functioned as a captive manufacturing division of an industrial conglomerate for 32 years. When secondary market divestiture was authorized, the newly independent entity faced crippling intercompany dependencies, stranded corporate fees, and severe regulatory exposure.

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From corporate restructuring to digital transformation and capital allocation, our multidisciplinary teams engineer strategic resilience.

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Cumulative Value

+$4.82B

Aggregate enterprise value unlocked across client M&A, operational restructuring, and capital optimization mandates to date.

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Re-architecting Industrial Footprints: Nearshoring Realities and CapEx Rationalization

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