Health Care

Health Care - Business Transactions & Finance

Bond Financing & Tax Incremental Financing

Like any businesses looking to grow, health care facilities of various types require, at times, assistance with commercial real estate and public debt financing.

Over the past 30 years, our firm has represented every major commercial bank in Kentucky and Tennessee, many Georgia-based and regional banks, and a number of insurance companies. Our attorneys have handled financing transactions ranging from small-ticket lease programs and small business loans to sophisticated, complex structured-financing transactions like syndicated credit facilities, synthetic lease transactions, securitizations, tax-exempt bond financing, tax increment financing, tax credit financing and other creative financing arrangements.

Our experience also includes:

  • Leveraged equipment financing
  • Vendor financing programs
  • Project financing
  • Conduit lending
  • Mortgage warehouse lending
  • Leveraged acquisition lending
  • Leveraged employee stock ownership plan loans
  • A variety of asset-based loan transactions with collateral ranging from traditional accounts receivable and inventory to more specialized property like hospital and nursing home assets, health care complexes, and medical centers.

Mergers, Acquisitions, Joint Ventures and other Affiliations

We provide a full range of merger and acquisition (M&A) services to our health care clients. Whether a health care business is acquiring or being acquired by another business, our attorneys help determine the most beneficial structure for the M&A transaction from a corporate, financing, tax, liability, antitrust, regulatory and (in the case of a closely held business) estate planning perspective.

Our experience in negotiating and documenting M&A transactions is extensive. In addition, the broad range of experience within our firm allows us to assist and expedite virtually any regulatory aspects of the M&A transaction itself or the businesses involved – including, for example, obtaining the necessary health care licenses, permits and registrations.

Tax

The attorneys of Stites & Harbison assist both for-profit and not-for-profit health care clients with tax planning and litigation on the federal, state and local levels. Our tax practitioners include a former United States Tax Court law clerk and a former attorney for the Internal Revenue Service's Office of Chief Counsel (Tax Court).

Other services include:

  • Helping clients structure corporate reorganizations, redemption transactions, spinoffs, splitoffs, liquidations, and tax free exchanges. We also represent clients before the Internal Revenue Service Appeals Office, the United States Tax Court, the U.S. District Courts, and federal appellate courts on federal income tax matters.
  • Representing a number of large multistate, multinational corporations in complex State and Local Tax ("SALT") matters, and successfully representing many other businesses and individuals as well.
  • Appearing before the Kentucky Department of Revenue, Board of Tax Appeals, and all levels of the courts regarding state income and license taxes, sales and use taxes, and property taxes.
  • Several members of our tax practice group have Master-of-Law degrees in taxation.
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Press Releases

Bill Joseph recognized in Georgia Trend's 2019 Legal Elite

ATLANTA—Georgia Trend magazine has selected Stites & Harbison, PLLC attorney William M. (Bill) Joseph as one of its 2019 Legal Elite. This is the sixth time Joseph has earned the Legal Elite honor.

by Stites & Harbison, PLLC December 09, 2019
Press Releases

Stites & Harbison ranks 7th in ABA Health Law Section's Regional Top 10 List for 2019

LOUISVILLE, Ky.—The American Bar Association (ABA) Health Law Section has ranked Stites & Harbison, PLLC in 7th place in its Seventh Annual Regional Law Firm Recognition List for the South region for 2019. This year marks Stites & Harbison’s sixth consecutive time being named to the Top 10 list.

by Stites & Harbison, PLLC November 05, 2019
Press Releases

Brian Cromer elected to Kentucky Chamber Board of Directors

LOUISVILLE, Ky.—The Kentucky Chamber of Commerce has elected Stites & Harbison, PLLC attorney Brian Cromer to its Board of Directors.

by Stites & Harbison, PLLC October 28, 2019
Articles

No-fault insurance in Kentucky

House Bill 151, “An Act Relating to Insurance Fraud,” was signed by the Kentucky Governor on March 26, 2019 and went into effect on June 27, 2019.

by K. Kelly White Bryant, and Sarah Cronan Spurlock July 09, 2019
Press Releases

Stites & Harbison Welcomes Bill Joseph to the Atlanta office

ATLANTA—Stites & Harbison, PLLC welcomes attorney William M. Joseph (Bill) to the Atlanta office.

by Stites & Harbison, PLLC April 24, 2019
Press Releases

Dustyn Jones selected for Elevate Kentucky Class of 2019

LEXINGTON, Ky.—Leadership Kentucky recently selected Stites & Harbison, PLLC attorney Dustyn Jones as one of 25 participants for the Elevate Kentucky Class of 2019.

by Stites & Harbison, PLLC April 18, 2019
Press Releases

Oz Shariff Earns ABA Emerging Young Lawyers in Healthcare Award 2019

LOUISVILLE, Ky.—The American Bar Association’s Health Law Section recently honored Stites & Harbison, PLLC attorney Ozair Shariff with the 2019 Emerging Young Lawyers in Healthcare Award at the Annual Emerging Issues in Healthcare Law Conference held in Orlando, Fla.

by Stites & Harbison, PLLC March 28, 2019
Client Alerts

Taking Stock of Your 2019 Cybersecurity Resolutions

Did you decide that 2019 will be the year you tackle those cybersecurity threats to your organization that keep you up at night? It’s February, and a good time to take stock of whether your organization is following through on its cybersecurity goals. Some estimate that 80% of resolutions fail by the second week of February.

by Jennifer Henry Jackson, and Sarah Cronan Spurlock February 08, 2019