Public Finance

Health Care Financings

Your primary concern in financing a new infrastructure project is doing what’s best for your institution. That’s why we will find a financing solution that will provide you with the maximum flexibility with respect to financial covenants and we will structure the most economically efficient financing possible.

We have served as counsel to some of the largest health care organizations in the country as well as to the majority of the investment banking firms. We can draw upon our comprehensive experience and knowledge of new financing products to benefit your institution. We serve as bond counsel, underwriters’ counsel, and institutions’ counsel for hospitals and health care organizations. We work with all parties involved, including health care providers, financial analysts, and investment banking firms, to structure a financing that best meet the needs of your institution.

Quick Facts

  • National leader in the area of public finance for 25+ years
  • National reputation in taxable and tax-exempt health care financing
  • Extensive experience assisting health care institutions with optimizing and implementing financing structures
  • Bond practice comprised of a core group of approximately 20 professionals, supplemented, when necessary, by attorneys in our Health Care Practice and other practice areas
  • Borrowers’ counsel, bond counsel, and underwriters’ counsel on numerous transactions for the following:
    • Assisted living facilities
    • CCRCs
    • Community hospitals
    • Nursing homes
    • Obligated groups
    • Other health care providers
    • Teaching hospitals

  • Special advocacy counsel to the National Association of Health and Educational Facilities Finance Authorities (NAHEFFA), developing and advocating for its national legislative and regulatory agendas
  • Easy-to-use model to track clients’ private use

Areas of Focus

  • Formation and adaptation of obligated groups
  • Use of master indentures
  • Issuance of fixed, variable, and synthetic fixed debt, operating, and capital lease financings
  • Counseling and transactional assistance to health care institutions in connection with mergers, asset dispositions, bank facilities, ongoing tax compliance, pre-issuance and post-issuance disclosure obligations, investment agreements, and interest rate swaps
  • Develop policies and procedures and reviewing compliance with regulations regarding the use of bond-financed assets and also compliance with financial covenants
  • Negotiate interest rate swap and other derivatives transactions, credit enhancement devices, including letters of credit and standby bond purchase agreements, bond insurance and guarantees issued by financial institutions, credit support from governmental entities, and inter-creditor arrangements among health care creditors
  • Assist clients with post issuance compliance

Clients We Serve

  • State and local authorities
  • Development agencies
  • Hospitals
  • Continuing Care Retirement Communities (CCRCs)
  • Health systems