v3.25.1
Long-Term Debt and Financing Matters
3 Months Ended
Mar. 31, 2025
Debt Disclosure [Abstract]  
Long-Term Debt and Financing Matters Long-Term Debt and Financing Matters
Long-term debt consists of the following (in thousands):
 
 
March 31, 2025
December 31, 2024
Senior secured term loan facility
$774,032
$773,772
5.75% Senior Notes
299,619
299,596
Finance leases
24,922
20,907
Other debt
23,682
15,672
Deferred financing costs
(13,947)
(14,895)
Total debt
1,108,308
1,095,052
Less current maturities
(17,759)
(9,234)
Long-term debt, less current maturities
$1,090,549
$1,085,818
As of March 31, 2025 and December 31, 2024, the senior secured term loan facility reflected an original issue discount
(“OID”) of $3.5 million and $3.7 million, respectively. As of March 31, 2025 and December 31, 2024, the 5.75% Senior
Notes balance reflected an OID of $0.4 million.
Senior Secured Credit Facilities  
On August 24, 2021, the Company entered into a credit agreement (the "Term Loan B Credit Agreement") for its senior
secured term loan facility (the "Term Loan B Facility"), which provided funding up to a principal amount of $900.0 million
with a seven year maturity. Principal under the Term Loan B Facility was due in consecutive equal quarterly installments of
0.25% of the initial $900.0 million principal amount as of the execution of the credit agreement (subject to certain reductions
from time to time as a result of the application of prepayments), with the remaining balance due upon maturity of the Term
Loan B Facility. The proceeds from the Term Loan B Facility were used to prepay in full the Company's then-outstanding
$825.0 million senior secured term loan facility, including any accrued and unpaid interest, fees and other expenses related to
the transaction. On June 8, 2023, the Company further amended the Term Loan B Credit Agreement to replace the London
Interbank Offered Rate ("LIBOR") with the Term Secured Overnight Financing Rate ("SOFR") and Daily Simple SOFR
(each as defined in the amended Term Loan B Credit Agreement) as the reference interest rate. On June 26, 2024, the
Company used cash on hand to prepay $100.0 million of the $877.5 million outstanding principal on the Term Loan B
Facility, which prepaid all remaining required quarterly principal payments; and no modification was made to the Term Loan
B Credit Agreement as a result of this prepayment. Effective July 19, 2024, pursuant to the terms of the Term Loan B Credit
Agreement and as a result of the IPO, the applicable margin was automatically reduced by 25 basis points to 3.25% over
Term SOFR and 2.25% over base rate. On September 18, 2024, the Company executed an amendment to reprice its Term
Loan B Credit Agreement. The repricing reduced the applicable interest rate by 50 basis points from Term SOFR plus 3.25%
to Term SOFR plus 2.75% and from the base rate plus 2.25% to the base rate plus 1.75%, and it eliminated the credit spread
adjustment. No modifications were made to the maturity of the loans as a result of the repricing and all other terms were
substantially unchanged.
Effective July 8, 2021, the Company entered into an amended and restated senior credit agreement for its $225.0 million
senior secured asset-based revolving credit facility (the “ABL Credit Agreement”). The ABL Credit Agreement consisted of
a $225.0 million senior secured asset-based revolving credit facility with a five-year maturity. On April 21, 2023, the
Company further amended and restated the ABL Credit Agreement to replace LIBOR with the Term SOFR and Daily Simple
SOFR (each as defined in the amended ABL Credit Agreement) as the reference interest rate. On June 26, 2024, the
Company further amended the ABL Credit Agreement to increase the revolving commitment to $325.0 million and extend its
maturity date to June 26, 2029.
The Term Loan B Credit Agreement and ABL Credit Agreement contain a number of customary affirmative and negative
covenants that limit or restrict the ability of the Company and its subsidiaries to (subject, in each case, to a number of
important exceptions, thresholds and qualifications as set forth in the Term Loan B Credit Agreement and ABL Credit
Agreement):
incur additional indebtedness (including guarantee obligations);
incur liens;
make certain investments;
make certain dispositions and engage in certain sale / leaseback transactions;
make certain payments or other distributions; and
engage in certain transactions with affiliates.
In addition, the ABL Credit Agreement contains a springing financial covenant that requires the maintenance, after failure to
maintain a specified minimum amount of availability to borrow under the senior secured asset-based revolving credit facility,
of a minimum fixed charge coverage ratio of 1.00 to 1.00, as determined at the end of each fiscal quarter. Management
believes that, as of March 31, 2025 and December 31, 2024, the Company maintained more than the minimum amount of
availability under the senior secured asset-based revolving credit facility and, therefore, the minimum fixed charge ratio
described herein was not applicable.
Borrowings under the Term Loan B Facility bear interest at a rate per annum equal to, at the Company’s option, either (i) a
base rate (the “base rate”) determined by reference to the highest of (a) the federal funds effective rate plus 0.50%, (b) the
rate last quoted by Bank of America as the “Prime Rate” in the United States for U.S. dollar loans, and (c) Term SOFR
applicable for an interest period of one month (not to be less than 0.50% per annum), plus 1.00% per annum, in each case,
plus an applicable margin, or (ii) Term SOFR (not to be less than 0.50% per annum) for the interest period selected, in each
case, plus an applicable margin. The applicable margins are as follows:
under the Term Loan B Credit Agreement, the applicable margin was equal to 2.50% for base rate borrowings and
3.50% for Term SOFR borrowings;
effective July 19, 2024, pursuant to the terms of the Term Loan B Credit Agreement and as a result of the IPO, the
applicable margin was automatically reduced to 2.25% for base rate borrowings and 3.25% for Term SOFR
borrowings; and
effective September 18, 2024, the Company completed a repricing of its Term Loan B Credit Agreement, upon
which the applicable margin was reduced to 1.75% for base rate borrowings and 2.75% for Term SOFR borrowings.
The $325.0 million senior secured asset-based revolving credit facility is comprised of two tranches: (1) a $275.0 million
non-UT Health East Texas borrowers’ tranche and (2) a $50.0 million UT Health East Texas borrowers’ tranche available to
the Company’s East Texas Health System, LLC subsidiary (collectively referred to as the “ABL Facilities”). At the election
of the borrowers under the applicable ABL Facility loan, the interest rate per annum applicable to loans under the ABL
Facilities is based on a fluctuating rate of interest determined by reference to either (i) the base rate determined by reference
to the highest of (A) the federal funds effective rate plus 0.50%, (B) the rate last quoted by The Wall Street Journal as the
“Prime Rate” in the United States for U.S. dollar loans from time to time, and (C) Term SOFR (as adjusted for any applicable
statutory reserve rate) applicable for an interest period of one month, plus 1.00% per annum, in each case, plus an applicable
margin, or (ii) the higher of Term SOFR or 0.00% per annum for the interest period selected, in each case, plus an applicable
margin. The applicable margin is determined based on the percentage of the average daily availability of the applicable ABL
Facility. The applicable margin for the non-UT Health East Texas ABL Facility loan ranges from 0.5% to 1.0% for base rate
borrowings and 1.5% to 2.0% for Term SOFR borrowings. The applicable margin for the UT Health East Texas ABL Facility
loan ranges from 1.5% to 2.0% for base rate borrowings and 2.5% to 3.0% for Term SOFR borrowings.
The Term Loan B Facility and ABL Facilities are collectively referred to herein as the “Senior Secured Credit Facilities.”
The Senior Secured Credit Facilities are guaranteed by the Company and certain of the Company’s subsidiaries. Guarantees
of the Company’s subsidiaries that are tenants under the Ventas Master Lease (“Tenants”) are limited to (i) the Term Loan B
Facility and (ii) the obligations of the loan parties under the ABL Facilities (excluding any obligations of the entities that
constitute the UT Health East Texas system). In addition, the guarantees of the Tenants with respect to the indebtedness
incurred under both the Term Loan B Facility and ABL Facilities are subject to an aggregate dollar cap amount.
The non-UT Health East Texas ABL Facility is secured by first priority liens over substantially all of the Company’s and
each guarantor’s accounts and other receivables, chattel paper, deposit accounts and securities accounts, general intangibles,
instruments, investment property, commercial tort claims and letters of credit relating to the foregoing, along with books,
records and documents, and proceeds thereof, subject to certain exceptions (the “ABL Priority Collateral”), and a second
priority lien over substantially all of the Company’s and each guarantor’s other assets (including all of the capital stock of the
domestic guarantors), subject to certain exceptions (the “Term Priority Collateral”). The obligations of the UT Health East
Texas ABL Facility and obligations in excess of the maximum aggregate dollar cap amount permitted to be guaranteed by the
Tenants under the Term Loan B Facility and ABL Facilities, in each case, are not secured by the assets of the subsidiaries that
are also Tenants.
The Term Loan B Facility is secured by a first priority lien on the Term Priority Collateral and a second priority lien on the
ABL Priority Collateral. Certain excluded assets are not included in the Term Priority Collateral or the ABL Priority
Collateral. The obligations in excess of the maximum aggregate dollar cap amount permitted to be guaranteed by the Tenants
under the Term Loan B Facility and ABL Facilities, in each case, are not secured by the assets of the subsidiaries that are also
Tenants.
Subject to certain exceptions (including with regard to the ABL Priority Collateral), thresholds and reinvestment rights, the
Term Loan B Facility is subject to mandatory prepayments with respect to:
net cash proceeds of issuances of debt by AHP Health Partners or any of its restricted subsidiaries that are not
permitted by the Term Loan B Facility;
subject to certain thresholds, reinvestment permissions and carve-outs, 100% (with step-downs to 50% and 0%,
based upon achievement of specified senior secured net leverage ratio levels) of net cash proceeds of certain asset
sales;
subject to certain thresholds, reinvestment permissions and carve-outs, 100% (with step-downs to 50% and 0%,
based upon achievement of specified senior secured net leverage ratio levels) of net cash proceeds of certain
insurance and condemnation events;
50% (with step-downs to 25% and 0%, based upon achievement of specified senior secured net leverage ratio levels)
of annual excess cash flow, net of certain voluntary prepayments of secured indebtedness, of AHP Health Partners
and its subsidiaries commencing with the fiscal year ending December 31, 2022; and
net cash proceeds received in connection with any exercise of the purchase option of the loans by Ventas under the
Relative Rights Agreement.
5.75% Senior Notes due 2029
On July 8, 2021, AHP Health Partners (the “Issuer”) issued the 5.75% Senior Notes, which mature on July 15, 2029, pursuant
to an indenture (the “2029 Notes Indenture”). The 2029 Notes Indenture provides that the 5.75% Senior Notes are general
unsecured, senior obligations of the Issuer and are unconditionally guaranteed on a senior unsecured basis by the Company
and certain subsidiaries of the Issuer. In addition, the guarantees of the Tenants are subject to an aggregate dollar cap amount.
The 5.75% Senior Notes are subordinate to the Senior Secured Credit Facilities.
The 5.75% Senior Notes bear interest at a rate of 5.75% per annum and accrue from July 8, 2021. Interest is payable semi-
annually, in cash in arrears on January 15 and July 15 of each year, commencing on January 15, 2022. The Issuer may
redeem the 5.75% Senior Notes, in whole or in part, at any time and from time to time, at the redemption prices set forth
below, plus accrued and unpaid interest, if any, to the redemption date, subject to compliance with certain conditions:
Date (if redeemed during the 12 month period beginning on  July 15 of the years indicated below)
Percentage
2025
101.438%
2026 and thereafter
100.000%
If the Issuer experiences certain change of control events, the Issuer must offer to repurchase all of the 5.75% Senior Notes
(unless otherwise redeemed) at a price equal to 101% of the principal amount thereof, plus accrued and unpaid interest, if
any, to the repurchase date. If the Issuer sells certain assets and does not reinvest the net proceeds or repay senior debt in
compliance with the 2029 Notes Indenture, it must offer to repurchase the 5.75% Senior Notes at 100% of the principal
amount thereof, plus accrued and unpaid interest, if any, to the repurchase date.
Future Installments
Future installments of long-term debt at March 31, 2025, excluding unamortized discounts and unamortized deferred
financing costs, are as follows (in thousands):
 
2025 (remaining nine months)
$14,460
2026
9,072
2027
7,703
2028
782,176
2029
303,691
Thereafter
9,003
Total
$1,126,105