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

Kelly White Bryant Promoted to Chair of Stites & Harbison’s Health Care Service Group

LOUISVILLE, Ky.—Stites & Harbison, PLLC is pleased to announce that attorney K. Kelly White Bryant has been promoted to Chair of the firm’s Health Care Service Group.

by Stites & Harbison, PLLC July 17, 2023
Press Releases

Stites & Harbison Earns National and Regional Top 10 Honors from ABA Health Law Section

LOUISVILLE, Ky.—The American Bar Association (ABA) Health Law Section has ranked Stites & Harbison, PLLC in its Tenth Annual Regional Top 10 Law Firm Recognition List of Top 10. The firm ranked 8th in the inaugural National Top 10 list and 4th in the South Top 10 list. Stites & Harbison has been honored nine consecutive times to the South list.

by Stites & Harbison, PLLC May 19, 2023
Press Releases

Tom Halbleib Named Stites & Harbison's Louisville Office Executive Member

LOUISVILLE, Ky.—Stites & Harbison, PLLC has named attorney W. Thomas Halbleib, Jr., as its Louisville Office Executive Member.

by W. Thomas Halbleib Jr. May 09, 2023
Events

Kentucky Hospital Association 94th Annual Convention

Date: 5/15/23 - 5/17/23

Central Bank Center, 430 W Vine Street, Lexington, Kentucky 40507

Stites & Harbison attorneys Sarah Spurlock, Ameena Khan and Shea Luna will be speakers at this year's Kentucky Hospital Association Convention in Lexington, Ky.

Sarah Cronan Spurlock, Ameena R. Khan, and Stacy Shea Luna (Shea) April 05, 2023
Events

Louisville Regional Healthcare Compliance Conference

Date: 10/28/22
Time: 7:30 a.m. - 4:30 p.m.

Marriott Louisville East, 1903 Embassy Square Blvd., Louisville, KY 40299

Healthcare attorneys Shea Luna and Ameena Khan will be speakers at this healthcare compliance conference in Louisville, Kentucky on October 28, 2022.

Ameena R. Khan and Stacy Shea Luna (Shea) October 26, 2022