Market Overview

MiraMed Announces New Senior Secured Credit Facility


Facility Includes an Accordion Feature to Support Acquisition Growth

Global Services
(MiraMed), a leader in healthcare revenue cycle
management (RCM) services and business process outsourcing (BPO)
solutions, announces it has completed a new five-year, $75 million
syndicated senior secured credit facility. This new facility replaces
the company's prior facility, which was scheduled to expire in December,
2018. The new facility enhances MiraMed's financial flexibility,
providing increased capacity to drive growth through strategic
acquisitions along with working capital, as needed.

Facility Includes an Accordion Feature to Support Acquisition Growth

The credit facility also includes an accordion feature, which could
expand commitments in revolver or incremental term loans, at MiraMed's
option, under the credit agreement.

"This credit facility provides MiraMed with the financial flexibility to
better serve the growing needs of our healthcare clients and to continue
to pursue accretive acquisitions aligned with our growth strategy,"
stated Tony Mira, founder and chief executive officer of MiraMed Global
Services. "We appreciate the strong support and confidence of our new
global lender group, which is well equipped to address the needs of our
growing, global organization."

Citibank, N.A. (Citi) acted as the sole book runner and lead arranger
for the syndicated credit facility. Citizens Bank acted as lead arranger
and syndication agent. HSBC Bank and Fifth Third Bank acted as
co-documentation agents. Gibson Dunn & Crutcher, LLP advised MiraMed and
Reed Smith, LLP acted as Agent's counsel on the transaction.

Steve Green, Director and Head of Middle Market for Citibank Midwest,
states, "Citi was pleased to support a syndicated senior secured credit
facility for MiraMed Global Services to help support their capital needs
as they pursue the continued growth of their family of companies."

About MiraMed

Headquartered in Jackson, Michigan, MiraMed Global Services stands as
the premier global provider of business process outsourcing solutions to
healthcare organizations nationwide. MiraMed partners with hospitals,
health networks, physician practices and related industry service
organizations to provide a broad portfolio of customizable solutions,
uncover and capitalize on hidden financial opportunities, improve
productivity and ultimately increase profits. MiraMed has offices in
Jackson, MI, Chicago, IL, Birmingham, AL, Thousand Oaks, CA, Walnut
Creek, CA, Boston, MA, Dearborn, MI, Portland, OR, Dallas, TX, Chennai,
India and Manila, Philippines.

MiraMed pairs healthcare industry experts with world-class processes,
infrastructure and technology to deliver meaningful and measurable
results. This proprietary model enables sustainable change by delivering
a complete, customizable enhanced revenue cycle solutions devised to
meet a client's own unique financial and organizational needs.

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