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Financial Operations and Transactions

Capital Restructuring

How much debt can your organization safely take on to finance large capital projects? Many hospitals and healthcare organizations have capital and infrastructure needs that exceed the size of their capital reserves and their ability to fund large capital projects from current operations. To meet these capital needs, many organizations issue debt to finance major capital projects. When used appropriately, debt can serve as an effective source of funds, effectively matching repayment of borrowed funds with the useful life of the assets funded with debt.

We work collaboratively with you to help determine capital capacity, debt structure, and product mix within the context of your credit rating or financial targets. We pay close attention to maximizing flexibility while minimizing cost and risk, understanding that any goal or target must first need to be communicated and agreed upon internally before communicating them to capital market constituents.

For more than 40 years, we have provided independent financial advice to hundreds of clients across the country to secure billions of dollars in financing for them. Our clients span the credit spectrum ranging from some of the strongest rated providers to those who are not rated.

Our services include:

  • Plan of finance education and development
  • Transaction execution
  • Ongoing advisory such as capital structure review and funding and credit and financial ratio analysis