We closed an approximately $108 million refinancing for Mountain States Health Alliance (MSHA). This refinancing will save MSHA, the largest healthcare provider in upper East Tennessee and Southwest Virginia, millions of dollars each year. The financing was purchased by Bank of America and placed in their tender option bond program. The use of this program, which includes an interest rate swap, enhanced MSHA’s savings. 

Mountain States Health Alliance, a not-for-profit health care company, operates hospitals that serve residents in Northeast Tennessee, Southwest Virginia, Southeastern Kentucky, and Western North Carolina.