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Published on 4/29/2024 in the Prospect News High Yield Daily.

New Issue: U.S. Acute Care Solutions prices $800 million five-year secured notes at 98.071 to yield 10¼%

By Abigail W. Adams

Portland, Me., April 29 – U.S. Acute Care Solutions LLC priced $800 million of five-year senior secured notes (B3/B-) at 98.071 with a coupon of 9¾% to yield 10¼%, according to a market source.

Pricing came on top of talk for a discounted offer price of 2 points and at the wide end of talk for a yield of 10% to 10¼%.

Early guidance was for a coupon in the high 9% area and a discounted offer price to yield 10¼%.

Timing was accelerated with the deal initially slated to stay in the market until Tuesday.

The notes are non-callable for two years.

Barclays, Deutsche Bank Securities Inc., KeyBanc Capital Markets Inc., J.P. Morgan Securities LLC and Capital One Securities Inc. were bookrunners for the Rule 144A and Regulation S for life offering.

Proceeds will be used to refinance the company’s senior secured notes and to repay borrowings under a revolving credit facility.

U.S. Acute Care Solutions is a Canton, Ohio-based physician-owned emergency medicine, hospital and observation services provider.

Issuer:U.S. Acute Care Solutions LLC
Amount:$800 million
Issue:Senior secured notes
Maturity:May 15, 2029
Joint bookrunners:Barclays, Deutsche Bank Securities Inc., KeyBanc Capital Markets Inc., J.P. Morgan Securities LLC and Capital One Securities Inc.
Co-manager:Apollo
Coupon:9¾%
Price:98.071
Yield:10¼%
Spread:Treasuries plus 559 bps
First call:May 15, 2026 at 104.875
Trade date:April 29
Settlement date:May 8
Ratings:Moody's: B3
S&P: B-
Distribution:Rule 144A and Regulation S for life
Price talk:OID of 2 points and yield of 10% to 10¼%
Marketing:Investor call

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