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Hillcrest Healthcare System

The sale of Hillcrest reflects one of the largest and most complex "conversions" in history.

Category
Description
Profile
  • Based in Tulsa, OK
  • 14 hospital system, 1,308 beds
  • Net revenues, $500 million; total assets, $488 million; long-term debt, $225 million
Situation
  • Debt downgraded to "B"
  • No access to capital
  • Operations sound
  • High financial leverage
  • Complicated urban/teaching/rural structure
  • Difficult market structure
Outcome
  • Divestiture to strong for-profit company
  • Long-term commitment to provide capital
  • Maintenance of mission and teaching programs
  • Creation of substantial foundation
Special Features
  • Retirement of bonds became central issue of closing
  • Bonds trading at 65 prior to transaction
  • Non-callable, unclear re. defeasance
  • Bondholders ultimately insisted on defeasance
  • Compromise reached to utilize Federal Aagencies' securities

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