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

Stites & Harbison Earns 2024 Regional Top 10 Honors from ABA Health Law Section

The American Bar Association (ABA) Health Law Section has ranked Stites & Harbison, PLLC in its 12th Annual Regional Top 10 Law Firm Recognition List. The firm ranked 5th on the South Top 10 list for 2024. Stites & Harbison has been honored 11 consecutive times on the South list.

by Stites & Harbison, PLLC December 10, 2024
Press Releases

Betsy Johnson Appointed to Lexington’s Human Rights Commission

Lexington Mayor Linda Gorton and the Urban County Council recently appointed Stites & Harbison, PLLC attorney Elizabeth “Betsy” Johnson to the Lexington-Fayette Urban County Human Rights Commission. Her term expires on January 1, 2028.

by Stites & Harbison, PLLC September 04, 2024
Events

2024 Kentucky Health Law Institute

Date: 9/4/24 - 9/5/24

The Campbell House, 1375 South Broadway, Lexington, Kentucky

Stites & Harbison attorney Kelly Bryant is on the Planning Committee for the 2024 Kentucky Health Law Institute presented by UK Rosenberg College of Law. Healthcare attorney Shea Luna will be one of the speakers. The Institute is being held in Lexington, Kentucky September 4-5,

K. Kelly White Bryant and Stacy Shea Luna (Shea) July 11, 2024
Events

Kentucky Hospital Association Annual Convention

Date: 5/20/24 - 5/22/24

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

Health care attorneys Shea Luna and Sarah Spurlock will be presenters at the Kentucky Hospital Association's Annual Convention in Lexington, KY being held May 20-22, 2024.

Stacy Shea Luna (Shea) and Sarah Cronan Spurlock April 22, 2024
Client Alerts

Retirement Plans: How to Guard Against Fiduciary Liability

In recent years, we have seen more and more ERISA class action claims against retirement plan sponsors and committees for breach of fiduciary duty. In the past, such claims were generally only made against very large plans but we are starting to see claims against smaller plans. The primary allegation is often that the fiduciaries failed to seek the lowest fees available or put another way the fiduciaries were “asleep at the wheel.” By one report, 463 lawsuits have been filed over the last eight years claiming fiduciaries failed to obtain the lowest available fees. Lexington office attorney Andy Jacobs takes a look at the issues in this Stites & Harbison Client Alert.

by Andrew R. Jacobs March 28, 2024
Press Releases

Betsy Johnson Elected to Kentucky Nonprofit Network Board

LEXINGTON, Ky.—Kentucky Nonprofit Network (KNN) recently elected Stites & Harbison, PLLC attorney Elizabeth “Betsy” Johnson to the organization’s Board of Directors. She will serve a three-year term.

by Stites & Harbison, PLLC February 19, 2024
Client Alerts

Could Changes Be Coming to Kentucky's Certificate of Need Program?

Certificate of Need (“CON”) laws are often hot button issues for state lawmakers – and for Kentucky lawmakers there is no exception. During the 2023 regular session of the Kentucky General Assembly, House and Senate Concurrent Resolutions were introduced calling for the establishment of a Certificate of Need Task Force (“CON Task Force”). Health care attorney Betsy Johnson takes a look at the Task Force's findings in this Stites & Harbison Client Alert.

by Elizabeth Ann Johnson (Betsy) January 02, 2024