Willkie has extensive experience in the health care and life sciences field, both in the United States and abroad. We represent companies and investors in the areas of biotechnology, pharmaceuticals, medical technology, wellness and providers. Our work includes corporate transactions, mergers and acquisitions, joint venture transactions, compliance matters, IP issues, patent litigation and counseling, and general litigation.

Willkie has extensive experience in the health care and life sciences field, both in the United States and abroad. We represent companies and investors in the areas of biotechnology, pharmaceuticals, medical technology, wellness and providers. Our work includes corporate transactions, mergers and acquisitions, joint venture transactions, compliance matters, IP issues and general litigation.

Business Reorganization and Restructuring

  • Medical Resources, Inc.: Represented Medical Resources, an operator of diagnostic imaging centers primarily in the northeastern U.S., in its chapter 11 and restructuring case.

    Rural/Metro Corporation: Represented the largest U.S. ambulance and related services provider in its ongoing effort to implement a balance sheet restructuring through a chapter 11 process. We advised Rural/Metro in expedited negotiations with its senior lenders and noteholders that led to Rural/Metro’s confirmation of their prenegotiated chapter 11 plan of reorganization less than five months after its filing. 

    Texas Health Resources (THR): Represented creditor Warburg Pincus in the chapter 11 case of THR.

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Capital Markets and Finance

  • Brookdale Senior Living Inc.: Represented the underwriters, led by BofA Merrill Lynch and Goldman, Sachs & Co as the joint book-running managers and CSCA Capital Advisors, LLC and RBC Capital Markets as the co-managers in Brookdale’s $300 million offering of common stock. We also represented Morgan Stanley & Co. LLC in Brookdale’s $621 million secondary offering. Advised Connectmed, a provider of direct medical and interactive telemedical care for underserved areas, on multiple rounds of financing.

    HealthEquity, Inc.: Represented HealthEquity, Inc., one of the largest U.S. Health Savings Account non-bank custodians, in its approximately $412 million offering of 6.75 million common shares and its $257.6 million offering of 4.6 million common shares.  We also represented Health Equity in its initial public offering and follow-on offerings.

    Permira Credit Solutions: Represented Permira Credit Solutions in the financing for Vitruvian Partners’ acquisition of Berlin-based healthcare staffing company doctari.  

    Ventas: Represented Ventas, Inc., the leading senior housing and healthcare REIT in the United States, in numerous offerings and related transactions, including:

    • $700 million offering of senior notes.
    • $850 million offering of senior notes.

    Sunrise Senior Living, Inc.: Represented Sunrise Senior Living in connection with three separate construction loans with multiple lenders, which will be used to finance construction of new facilities in Torrance, California, Burlingame, California and Dublin, Ohio.

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Corporate Matters

  • Pharmaceutical Marketing Services, Inc. (PMSI): Provided PMSI, a provider of information and market research services to pharmaceutical and healthcare companies in the United States, with general corporate and board representation for various matters.

    Schein Pharmaceuticals, Inc.: Represented founding family members in connection with the reorganization of Schein Pharmaceuticals, Inc., the spin-off of Henry Schein, Inc. (the largest distributor of healthcare products and services to office-based medical and dental practitioners, laboratories and veterinary clinics, and related institutions), and in connection with stock sales and governance matters.

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Mergers & Acquisitions, PE & VC Investments, Joint Ventures and Other Business Combinations

  • A Place for Mom/General Atlantic and Silver Lake/Warburg Pincus: Represented A Place for Mom, North America's largest network connecting families to senior living service providers, in its acquisition by private equity firms Silver Lake and General Atlantic from Warburg Pincus.

    CapStreet Group/Keais Records Service, LLC: Represented CapStreet Group in its acquisition of a majority stake in Keais Records Service, LLC, a leading medical records processor.

    CapStreet Group/Surgical Notes: Represented CapStreet Group in the completion of its majority recapitalization of Surgical Notes LLC, a group of Texas-based companies that provide healthcare coding and billing services.

    Centerbridge Partners/Davis Vision/Visionworks: Represented Centerbridge Partners in its acquisitions of a majority stake in Davis Vision and a minority stake in Visionworks.

    Centerbridge Partners/Superior Vision: Represented Centerbridge Partners in its acquisition of Superior Vision Corporation, a leader in managed vision care, from Nautic Partners.

    Court Square Capital Partners/WindRose Health Investors/Medical Knowledge Group: Represented Court Square Capital Partners in the recapitalization and acquisition of Medical Knowledge Group from WindRose Health Investors.

    EyeCare Partners/FFL Partners/Partners Group: Represented FFL Partners and its portfolio company EyeCare Partners, a leading medical vision services provider, in the sale of ECP to Partners Group.

    EyeCare Service Partners/Harvest Partners/Delray Eye Associates: Represented Harvest Partners and EyeCare Service Partners in the acquisition of Delray Eye Associates. 

    HealthEquity/Wageworks: Represented HealthEquity, the nation's largest independent health savings account custodian, in its acquisition of WageWorks for approximately $2 billion.

    HealthcareSource/Francisco Partners/Insight Venture Partners: Represented HealthcareSource, the leading provider of talent management solutions for the healthcare industry, in its agreement to be acquired by private equity firm Francisco Partners. Insight Venture Partners was the majority owner of HealthcareSource.

    Hospitals Insurance Company/FOJP Service Corporation/ The Doctors Company: Advised the sellers in the $650 million sale of Hospitals Insurance Company and FOJP Service Corporation to The Doctors Company.

    MedAssets, Inc./Pamplona Capital Management: Advised this provider of healthcare supply chain management and revenue cycle management services on its agreement to be acquired by Pamplona Capital Management for $2.7 billion.

    Midwest Dental/FFL Partners/Smile Brands/Gryphon Investors: Represented Midwest Dental, a portfolio company of FFL Partners, in Midwest Dental’s sale to Smile Brands Inc.

    PAI Partners/DomusVi/SARquavitae: Represented PAI Partners and its portfolio company DomusVi in its acquisition of SARquavitae, one of the leaders of elderly care services in Spain, valuing the company at approximately €440 million on an enterprise basis.

    Quantum Strategic Partners/Oak Street Health: Represented Quantum Strategic Partners in its minority investment in Oak Street Health, operator of primary care centers focused on seniors in the Chicago metropolitan area. 

    RegionalCare: Represented Warburg Pincus portfolio company RegionalCare Hospital Partners, an owner and operator of regional acute care facilities, in its agreement to be acquired by Apollo.

    Seaport Capital/Linen King: Represented Seaport Capital in a strategic investment in Linen King, a regional leader in healthcare laundry services.

    Sunrise Senior Living, Inc.: Advised Sunrise Senior Living in connection with real estate matters relating to its definitive merger agreement to be acquired by Health Care REIT, Inc. in an all-cash transaction valued at $1.9 billion (including debt). 

    Tenet Healthcare Corporation/United Surgical Partners International/SurgCenter Development: Represented Tenet Healthcare Corporation and its subsidiary United Surgical Partners International in the acquisition of up to 45 ambulatory surgery centers from SurgCenter Development and its physician partners for approximately $1.1 billion.

    UBS Securities/Ramsey Health Care: Represented UBS Securities in the sale of Ramsey, an international hospital group.

    Ventas/Cogdell Spencer: Represented Ventas, Inc. and its affiliates in connection with the acquisition of Cogdell Spencer Inc., a REIT focused on medical facilities, for approximately $770 million including assumed debt.

    Warburg Pincus/Alignment Healthcare Partners: Represented Warburg Pincus in its $115 million investment in Alignment Healthcare Partners, LP.

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Other Significant Matters

  • ELZ Sağlık Yatırım A.Ş.: Represented project sponsor and borrower ELZ Sağlık Yatırım A.Ş. and its shareholders in the Elazıg Integrated Health Campus Project, a public-private partnership (PPP) in Turkey providing for the design, construction, equipment, financing of the health campus, comprising an 888-bed main hospital, 150-bed high-security forensic psychiatric hospital, and 60-unit oral and dental clinic.

    HealthSouth Corporation: Participated in investigations or inquiries into potential accounting issues and financial reporting matters at Healthsouth.

    Meridiam and Ronesans: Represented Meridiam and Ronesans as the main sponsors of the first healthcare PPP project in Turkey. The  €550 million project will create a major healthcare facility in Turkey’s fifth largest city,  The 250,000 square meters facility will include a general hospital, an oncology hospital,  a cardiovascular hospital , a women and children's hospital, a physical medicine and rehabilitation hospital, and a forensic psychiatric hospital.

    NDC Health: Advised NDC on “one-stop shopping” bank/bond acquisition and recapitalization financing for NDC, an Atlanta, Georgia-based provider of electronic health information processing services for pharmacies, physicians and hospitals.

    Sponsors (including Meridiam, Rönesans, Sila Group, and Sam Yapi): Represented the sponsors and the project company in the second healthcare public-private partnership (PPP) in Turkey, which provides for the design, financing, construction, operation and maintenance of a new 476-bed hospital in Yozgat, Turkey.

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