National Healthcare Law

Representative Transactions

The following transactions represent Nelson Mullins’ attorneys experience in healthcare finance (aggregating nearly $5 billion):

Representations of Lead Arranger/Administrative Agent in Syndicated Credit Facilities

$345,000,000 syndicated revolving and term loan facility for a long-term acute care hospital operator (including a second lien term loan tranche).
$230,000,000 syndicated revolving and term loan facility for addiction treatment centers.
$120,000,000 syndicated revolving and term loan facility for hospice services company (including a $35,000,000 second lien term loan facility).
$110,000,000 syndicated revolving and term loan facility for long-term acute care hospital system. Documentation included equity co-investment by certain lenders.
$101,000,000 of credit facilities for a long-term acute care hospital system (consisting of a $69,000,000 syndicated revolving and term loan facility and a $32,000,000 issuance of senior subordinated notes). Documentation included equity co-investment by certain lenders.
$100,000,000 syndicated revolving and term loan facility for group purchasing organization.
$100,000,000 syndicated revolving and term loan facility for a long-term acute care hospital operator.
$95,500,000 syndicated revolving and term loan facility (including a $30,000,000 second lien term loan facility) for group purchasing organization.
$90,000,000 syndicated revolving and multiple tranche term loan facility for addiction treatment company.
$85,000,000 syndicated revolving and term loan facility for a home healthcare provider (including a second lien term loan tranche).
$65,000,000 syndicated revolving and term loan facility for hospice services company. Documentation included warrants issued to certain lenders.
$60,000,000 syndicated revolving and term loan facility for behavioral treatment centers.
$55,000,000 syndicated revolving and term loan facility for home healthcare services company.
$45,000,000 syndicated revolving and term loan facility for hospice services company. Documentation included equity co-investment by certain lenders.
$40,000,000 syndicated revolving and term loan facility for healthcare staffing company.
$30,000,000 syndicated revolving credit facility for a medical device manufacturer.
$18,500,000 syndicated revolving and term loan facility for cardiology services company.
$17,500,000 syndicated revolving and term loan facility for medical equipment manufacturer.

Representations in Subordinate Lender Credit Facilities

$9,820,000 mezzanine loan facility with a warrant kicker for a healthcare staffing agency.
$2,000,000 mezzanine loan facility for a skilled nursing facility.
$4,120,000 mezzanine loan facility for skilled nursing facility.
$3,600,000 mezzanine loan facility for series of skilled nursing and assisted living facilities.
$3,600,000 mezzanine loan facility for a series of assisted living facilities.
$2,250,000 mezzanine loan facility for a skilled nursing facility.
$6,000,000 mezzanine loan facility with a warrant kicker for a series of rehabilitation hospitals.
$1,050,000 mezzanine loan facility for an institutional pharmacy.
$3,000,000 mezzanine loan facility and a $3,000,000 equity investment for several independent living facilities.
$2,000,000 mezzanine loan facility for assisted living facility.
$2,250,000 mezzanine loan facility for a skilled nursing facility.
$2,500,000 mezzanine loan facility for a skilled nursing facility.
$1,600,000 mezzanine loan facility for an institutional pharmacy.
$3,000,000 mezzanine loan facility for a skilled nursing facility.
$2,000,000 mezzanine loan facility for a nursing staffing company.
$11,700,000 mezzanine loan facility for an Alzheimer’s care facility.
$600,000 mezzanine loan facility for a skilled nursing facility.
$3,500,000 mezzanine loan facility to a home health agency.
$3,000,000 mezzanine loan facility for a skilled nursing facility.
$4,000,000 mezzanine loan facility for a skilled nursing facility.
$8,000,000 mezzanine loan facility for a skilled nursing facility.
$4,750,000 mezzanine loan facility for a skilled nursing facility.
$4,120,000 mezzanine loan facility for a specialty hospital.

Representations in Single Lender Credit Facilities

$88,000,000 of credit facilities ($13,000,000 for standby letters of credit and $75,000,000 for standby bond purchase arrangements) for a hospital system.
$38,000,000 revolving and bridge loan facility for hospital.
$30,000,000 revolving loan facility for pharmacy management services company.
$27,000,000 revolving and term loan facility for troubled youth treatment services provider.
$25,000,000 revolving and term loan facility for behavioral treatment centers.
$25,000,000 revolving and term loan facility for managed care company in connection with subsequent issuance of $7,500,000 of subordinated debt.
$24,000,000 letter of credit facility to secure tax exempt bond financing for a nursing home.
$20,000,000 revolving loan facility for a Medicare/Medicaid cost recovery provider.
$15,000,000 letter of credit facility for hospital.
$12,000,000 revolving loan facility for pharmacy management services company.
$9,000,000 revolving, construction and term loan facility for an oncology practice with multiple locations in the Southeast.
$8,500,000 revolving loan facility for hospital.
$8,000,000 letter of credit and revolving loan facility for a nursing home operator with multiple locations in the Southeast.
$3,000,000 refinancing of a medical office building.
$4,250,000 mezzanine loan facility for home healthcare agency.
$1,020,000 senior loan for a skilled nursing facility.
$1,650,000 senior loan for a 510(k) licensed drug testing company.
$15,000,000 mezzanine loan and $3,750,000 senior loan for several skilled nursing facilities and independent living facilities.
$3,000,000 senior loan for a skilled nursing facility.
$1,000,000 senior loan and AR line for a radiologist staffing company.
$1,100,000 senior loan for an Alzheimer’s care facility.
$2,000,000 senior loan for an Alzheimer’s care facility.
$275,000 senior loan for a long-term care management company.
$2,500,000 mezzanine loan and $520,000 senior loan for several skilled nursing facilities.
$16,261,000 senior and mezzanine loans to several skilled nursing facilities.
$530,000 mezzanine loan and $100,000 senior loan for several skilled nursing facilities.
$4,000,000 senior loan for a skilled nursing facility.
$3,400,000 mezzanine loan purchase relating to a loan for a skilled nursing facility.
$4,120,000 senior loan for a physical therapy company.
$11,500,000 senior loan for several skilled nursing facilities and several assisted living facilities.
$3,700,000 senior loan and $1,000,000 equity investment for an assisted living facility.

Representations of Lenders Participating in Syndicated Credit Facilities

$841,000,000 syndicated revolving and term loan facility for a health maintenance organization.
$495,000,000 syndicated revolving loan facility for a pharmacy services provider.
$400,000,000 syndicated revolving loan facility for a pharmacy services provider.
$131,000,000 syndicated revolving loan facility for a surgical implant manufacturer.
$57,500,000 syndicated revolving and term loan facility for a radiology practice management company.
$48,500,000 syndicated revolving and term loan facility for a group purchasing organization.

Representations in Other Healthcare Finance Transactions

Representation as issuer counsel in connection with a hospital system’s issuance of over $300,000,000 in aggregate amount of public bonds in a series of five bond offerings.
Representation as credit enhancer counsel in connection with a regional hospital system’s issuance of $110,000,000 in public bonds.
Representation as issuer counsel in connection with a governmental development authority’s issuance of $100,000,000 in public bonds to fund expansion of a children’s hospital.
Representation as issuer counsel in connection with a governmental development authority’s issuance of $87,000,000 in public bonds to fund a general hospital expansion.
Representation as bond counsel in connection with a regional hospital system’s issuance of over $77,000,000 in public bonds.
Representation as issuer counsel in connection with a governmental development authority’s issuance of $56,000,000 in public bonds to fund the expansion of a spinal injury hospital.
Representation of a hospital system in the consolidation and refinance of its existing debt financing through the issuance of $35,000,000 of governmental revenue bonds in preparation for the issuance of $40,000,000 of governmental revenue bonds for capital improvements.
Representation of a hospital system in the issuance of $17,500,000 of governmental revenue bonds.
Representation of a non-profit hospital system in a $8,500,000 debt financing for infrastructure improvements and renovations.
Representation as bond counsel in connection with a primary care facility’s issuance of $8,000,000 of public, tax-exempt, high yield bonds, with a companion issuance of $800,000 of public, taxable, high yield bonds.
Representation as underwriter counsel in connection with a radiology practice group’s issuance of $7,395,000 of privately placed demand obligations.
Representation as underwriter counsel in connection with an eye surgery center’s issuance of $3,250,000 of privately placed demand obligations.
Representation as underwriter counsel in connection with an outpatient rehabilitation facility’s issuance of $2,625,000 of privately placed demand obligations.
Representation of a non-profit hospital system in over $1,700,000 in lease financings of medical and hospital equipment.
Representation of a public-entity hospital system in a $950,000 lease financing of a CT scanning system.

Representative Mergers & Acquisitions

The following transactions represent Nelson Mullins’ attorneys experience in mergers and acquisitions in the healthcare industry(aggregating nearly $10 billion).

$25,000,000 exchange offer for leading ambulatory surgery center.
$8,500,000 acquisition of IDTF freestanding radiology company by public imaging company.
$20,000,000 acquisition of software company by healthcare IT company.
Acquisition by leading pharmaceutical company of a smaller pharmaceutical company
$56,500,000 acquisition of a staffing services company, by another leading staffing company.
Acquisition of a durable medical equipment producer by a long term care company.
Acquisition of a retail pharmacy by a leading pharmacy company.
$41,000,000 acquisition of an online healthcare services company, by a leading internet healthcare company.
$207,000,000 acquisition of a staffing services company, by another staffing company
Acquisition of a medical supply distributor, by a leading DME company.
Acquisition of a medical supply company, by a leading DME company.
$12,500,000 acquisition of series of CyberKnife systems.
$4,298,000 acquisition of physical therapy company.
Acquisition of series of specialty pharmacies by largest public wound care and specialty pharmacy company.
Acquisition of DME management company by a medical device supplier.
$2,500,000 acquisition by a managed care plan of a PPO.
$2,200,000 strategic acquisition of a 510(k) licensed drug testing kit company.
$5,000,000 convertible debt offering for a nursing staffing company.
$1,000,000 convertible debt offering for an ambulatory surgery center company.
$10,000,000 preferred stock offering for an ambulatory surgery center company.
$330,000 strategic acquisition by an ambulatory surgery center of another ambulatory surgery center.
$27,000,000 preferred stock purchase by private equity group of the largest for-profit hospice company.
Acquisition of management agreement of free standing ambulatory surgery center.
Majority equity investment in several long term care facilities.