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Sword Health · Pre-IPO · Secondary-market sales

Sword Health secondary market sales guide

How Sword Health employees sell shares on the secondary market before a liquidity event, with tax treatment and counterparty mechanics.

What Sword Health actually allows

Every private-company stock transfer goes through a layer of approval. The company's bylaws and your grant agreement define whether you can sell, to whom, and under what conditions. Most late-stage cos maintain a right of first refusal (ROFR) on any proposed sale; some run quarterly company-approved transfer windows. Sword Health has active secondary-market activity, which typically means pre-approved platforms (Forge, EquityZen, Hiive, Nasdaq Private Market) will handle transfers with the company's cooperation.

Tax treatment

A secondary sale of vested RSU-origin shares is a capital gain event with basis equal to the vest-date FMV. For ISO-origin shares, the treatment splits based on holding periods: qualifying dispositions (two years from grant, one year from exercise) produce long-term capital gains on the full spread; disqualifying dispositions treat part of the spread as ordinary income.

The ROFR question

Before you list shares, request the current transfer-restriction language from your stock plan administrator. ROFR periods typically run 30-60 days. Buyer-side pricing in the secondary market already accounts for this wait; plan for the tax event in the quarter the sale actually closes, not when you list.

Frequently asked

Is Sword Health stock publicly tradable?
No. Sword Health is a late-stage private company. Shares can only be transferred through approved secondary market platforms, company-run tender offers, or private sales subject to right of first refusal.
When should I exercise ISOs at Sword Health?
The answer depends on the current 409A, your own AMT capacity, and the probability of a liquidity event in the next 12-24 months. Model AMT before any exercise larger than $50k of bargain element. The active secondary market lets you sell some vested shares to cover exercise cost and tax.
Does QSBS apply to my Sword Health stock?
Potentially, if Sword Health was a C-corporation at issuance with under $50M in gross assets, and you acquired the stock at original issuance (or via ISO/NSO exercise) and will hold it five years from acquisition. Request a QSBS attestation letter from the company before you need it at sale.
Should I participate in a Sword Health tender offer?
Usually yes for some portion, to reduce concentration risk. The full-stack question is: what percentage of your net worth is in Sword Health? What's the tender price versus 409A? What's your tax rate on the gain? Run the secondary-sale calculator before responding.

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