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TeamHealth
activeHealthcare — Blackstone
Deal Terms
Entry Year2017
Entry EV$6.1B
Entry Multiple13x
Leverage7x
Debt Amount$4.27B
Outcome
PIK ActiveYES
Risk Metrics
LTV (est.)70%
Debt / EV0.70x
Notes
$6.1B LBO by Blackstone. $4.27B debt. Physician staffing firm hammered by No Surprises Act (same as Envision). Moody's downgraded to Caa2. Blackstone wrote down equity by 50%+. PIK toggle on subordinated debt. Lobbying Congress to weaken surprise billing rules.
Sponsor
Blackstone$1270B AUM
Hot Potato History
2009→Public Market
2017→Blackstone($6.1B)
Deeply distressed. $7B+ in debt. Restructuring discussions ongoing. No Surprises Act crushed the revenue model. Blackstone equity likely worth near zero.