Healthcare Finance

Skilled in navigating the intricate legal, financial and regulatory landscapes of healthcare, Benesch’s Healthcare Finance team guides clients through the complexities of healthcare lending, borrowing and investment. Combining the deep sector knowledge of our nationally recognized Healthcare Practice Group with the technical skills and transactional strength of our Commercial Finance & Banking team, we craft strategic finance solutions that help clients access capital, manage risk and drive growth in a heavily regulated environment.

Overview

Whether facilitating a multimillion-dollar syndicated loan for a skilled nursing facility or advising an investor on tax and regulatory compliance in a healthcare acquisition, we bring sharp insight, multidisciplinary expertise, proven strategies and flawless deal execution.

Our Clients

We represent the full array of stakeholders in healthcare finance transactions, including:

  • Healthcare providers such as hospitals, nursing homes, assisted living and independent living facilities, memory care facilities, outpatient clinics, rehabilitation centers and pharmacies
  • Pharmaceutical, biotech and life sciences companies
  • Commercial lenders, including traditional national and regional banks, credit unions, specialty finance companies and nontraditional lenders
  • Investors, including private equity firms, venture capital firms, investment funds, angel investors and family offices
  • Bond issuers, underwriters, indenture trustees and institutional investors
  • New and emerging as well as industry-leading businesses in digital health, medtech, and related healthcare sectors
  • Nonprofit and governmental healthcare organizations

Meeting Our Clients’ Needs Throughout the Healthcare Finance Lifecycle

Our team advises clients across the healthcare finance lifecycle. We regularly:

  • Structure and negotiate investment, acquisition and expansion financings
  • Advise on project finance, equipment leasing, debtor-in-possession financing and intercreditor agreements
  • Guide clients through capital raises, recapitalizations and sale-leaseback transactions
  • Ensure compliance with healthcare, tax, securities and financial regulations
  • Assist in minimizing financial risk, cash flow strategies and debt restructuring
  • Represent clients in IRS audits, bankruptcy-related matters and loan workouts
  • Serve as bond counsel on healthcare-related taxable and tax-exempt financings
  • Navigate regulatory requirements, including Stark Law, Anti-Kickback Statute, and HIPAA compliance in connection with financing transactions

Backed by full-service capabilities, we also provide vital insight and solutions regarding licensure issues, regulatory disclosures and diligence that may impact deal terms and outcomes.

We are experienced across the full spectrum of debt financing instruments, including:

  • Senior, subordinated and mezzanine debt
  • Asset-based loans (ABL), term loans, revolving credit facilities and bridge loans
  • Project finance and sale-leaseback transactions
  • Equipment leasing, including for high-value medical and diagnostic technology
  • Debtor-in-possession (DIP) financing and intercreditor agreements

Where Healthcare Industry Insight Meets Sophisticated Finance Execution

What sets Benesch apart is our seamless integration of healthcare industry acumen and finance smarts.

We know healthcare, finance and how to close industry-leading deals, bringing together the right skill set, including:

  • Industry Immersion and Finance Savvy—Regularly operating at the convergence of healthcare and finance, we give our clients an advantage when facing the sector’s unique regulatory, legal, business and transactional complexities.
  • A Dealmaker’s Mindset—We deliver practical solutions, risk-balanced outcomes and efficient, flawless execution.
  • Integrated Counsel—Benesch’s team excels in healthcare regulatory compliance, commercial finance, real estate, tax, securities, M&As, operations and growth strategies
  • Broad Market Expertise—Our lawyers advise providers, lenders and investors, and we bring a well-rounded perspective when structuring and negotiating transactions.
  • Middle-Market Sector Expertise—Benesch is a go-to firm for middle-market lenders and borrowers in the healthcare space. Combining responsiveness, deep market knowledge, finance acumen and outstanding service, we deliver exceptional value.
  • Tailored, Scalable Service —From single-facility financings to multistate asset portfolios, we tailor and scale our services based on our clients’ immediate and long-term strategic goals and timeframes.

Our work in action

Representative Examples

Represented a national lending institution

in a $100 million tax-exempt bond revolving liquidity facility for a major hospital system, including integration into a master trust indenture and handling intercreditor issues.

Represented a national lender

as administrative agent in a syndicated financing for 18 nursing home properties across multiple states.

Represented a senior lending institution

in the $150 million consolidation and refinancing of 25 skilled nursing facilities in five states.

Represented a commercial bank as agent and lender 

in a $48 million term loan acquisition for five skilled nursing facilities in Florida, as well as a $3 million revolving loan and a mezzanine loan provided by a financial institution.

Represented HTLF Bank as agent and co-lender 

in the refinancing of a $50 million term loan, a $5 million delayed draw term loan, and a $2 million revolving credit facility for eight assisted living facilities.

Represented a commercial bank

in a $90 million syndicated term loan acquisition of nine skilled nursing homes and in related $10 million mezzanine and $14 million working capital financings.

Represented SLR Healthcare ABL

in $300 million in debt financing to a medtech company, including a $250 million term loan and $50 million asset-based revolver.