The Premier Healthcare Lender to the Lower Middle Market
Headquartered in Charlotte, NC, Alpine Capital is a lower middle market healthcare-focused, specialty financial services firm that provides senior debt solutions to the healthcare industry. Our team has over 45 years of collective healthcare finance experience and has funded more than $2.5 billion in financing commitments. The healthcare industry is ever-changing. With a complex regulatory environment, declining reimbursement, and an aging patient base, there’s even greater pressure on healthcare providers today. We know the challenges healthcare providers are up against, and we have the creative solutions to solve them.
Healthcare Finance Industry Expertise
- 45+ years of collective healthcare finance experience
- Understand provider challenges, needs and complex reimbursement environment
Creative Financial Solutions
- Comprehensive solution – one stop shop. Can offer what many can not in one financing package (revolvers, term loans, DDTLs, equipment lines)
Access to Key Decision Makers
- Open door policy, unlike many other banks or finance companies – no bureaucracy
Clarity in Execution
- No bait and switch, credit focus up front
- Well-defined process and road map to getting a deal closed.
We are dedicated to providing capital to healthcare companies in the lower middle market. We take a long-term, partnership-based approach to structuring financing solutions unique to each specific situation and our extensive knowledge of the healthcare market allows us to quickly evaluate and complete a deal. Our client relationships are built on respect and a common goal to meet stated business needs and long-term strategies.
Our creative and comprehensive array of products are intended to manage working capital, refinance existing debt and finance growth and expansion. Our financing solutions include working capital revolvers, cash flow lines of credit, term loans, delayed-draw term loans, and equipment leases and lines of credit.
An introduction is usually made directly or through any one of our many relationships in our industry network via an initial telephone call or an in-person meeting. We take a long-term, partnership-based approach to structuring financing solutions. As such, it’s important to listen and understand the business’ unique capital needs.
During the initial meeting we will be going through a collaborative process whereby the borrower is able to learn more about who we are and our capabilities. And, vice-versa through our detailed conversation we are able learn more about the company, key principals and members of management, past and future performance and future plans and strategies, which are all key pieces of information needed to help us tailor our unique solution. Once both parties agree on the decision to move forward, we request standard information on the business to help us better ascertain the financing options.
The next phase of this process is the financial review and assessment of the proposed transaction by our team. Discussions with the business continue with regard to deal structure, pricing, and strategic goals. Using risk analysis as the basis, the proposed structure, terms and pricing are a function of the company’s leadership, business model, historical performance, profit margins, collateral, and working capital requirements. A typical term sheet will include details on pricing, financial covenants, a description of timing and the diligence process.
Each transaction is unique and each deal structure is designed to reflect the existing needs, desires and long-term strategies of the business. As we work toward our common goal, we attempt to offer a flexible, creative, and comprehensive financial solution that is agreeable to both parties. Once we have a complete financial and operational picture of the financing opportunity, and Alpine’s senior management approves, we’ll deliver a term sheet. Once the term sheet is signed we move into the confirmatory due diligence and underwriting phase. When Alpine issues a term sheet, we have a high degree of confidence that the opportunity will close on the terms proposed.
Due Diligence & Underwriting
Alpine Capital will conduct due diligence and underwrite the opportunity in an effort to better understand prospective borrower’s business and the competitive landscape. We conduct site visits, evaluate financial performance, review collateral information and speak with key members of management as a part of our due diligence. All of these activities help us to evaluate the businesses, its performance and potential growth opportunities.
Because each term sheet is approved by management, Alpine has a high degree of confidence that the financing will close on the proposed terms detailed in the term sheet. To add, we often run a dual process whereby we both paper our loan agreement while also performing our due diligence and underwriting. Running the documentation process concurrent with our underwriting and due diligence dramatically reduces the time to close. Once the diligence is completed, and a definitive credit agreement is negotiated and executed, the final step in the financing process is funding.
To fund our transactions, we draw from our committed funds and wire the money. Money is often wired to refinance existing indebtedness, make an acquisition, purchase equipment or provide working capital liquidity to the client.
Once the financing is closed, we leave the daily management of the business to the principals and company management and provide support wherever necessary. We view our relationship with you as a partnership. As such, to ensure that we continue to add value, we leverage our industry expertise and have frequent discussions with management to stay ahead of any planned strategies, goals, and industry trends, which may impact the growth of the company. This allows us to grow with you and provide support where we can.
Meet our CEO Al Regdos
Prior to becoming the CEO of Alpine Capital, he was the Chief Credit Officer for Healthcare Finance Group, LLC. – a nationally-based healthcare lending company with more than $1 billion in assets. He was responsible for managing professionals that supported business development, underwriting, due diligence, portfolio and client management functions. Through evaluation and managing, he was able to assess the credit risks and requirements for asset-based cash flow and real estate transactions. He established credit policies and procedures, was one of two voting credit committee members, and worked out of many credits without a single credit loss.
Al also worked at GE Capital and Heller Financing as Vice President in their Portfolio Management, Underwriting, and Audit Groups where he was responsible for directing a team of Portfolio Managers, Underwriters and Auditors. He started his career at Freed Maxick Sachs and Murphy, an accounting firm. He holds at Bachelor of Science degree from Canisius College and is a Certified Public Accountant.
Al created and grew Alpine Capital from the ground up and started the venture in May of 2015. Because of the rapid success and growth, Alpine was purchased by Eli Global less than a year later. In his role as CEO, Al still handles all operations and takes great pride in helping businesses succeed.
Terrell leads the business development efforts to include originating and expanding new financing opportunities, evaluating and structuring transactions, negotiating loan terms, as well as working with PE Sponsors, principals and intermediaries in order for Alpine to become a valued partner and debt capital resource.
Throughout his career, Terrell has held various commercial banking leadership and relationship management roles that includes, but is not limited to time spent both in Bank of America’s Middle Market Healthcare Group, where he was a member of a specialized coverage group that evaluated, analyzed and executed debt and equity financing, LBOs, advisory assignments and M&A transactions for public and private healthcare companies in the Southeast and at PNC Bank in the Greater DC area where he managed a team of bankers focused on lower, middle-market C&I, healthcare, and non-profit companies.
Terrell received his Bachelor of Science in Business Administration in Finance from the University of Louisville and his MBA from Vanderbilt’s Owen Graduate School of Management.
Mark leads the underwriting and structuring of Alpine’s credit facilities for its healthcare clients, in addition to managing the current portfolio on an ongoing basis helping clients meet their financing needs to grow their business.
Mark has a wide breath of experience in all facets of the healthcare finance industry having served as a Chief Credit Officer, Underwriting Manager and Head of Operations at various organizations where he has underwritten over $300 million in transactions. Most recently, Mark ran his own consulting company and was at Lakeside Capital Advisors, LLC, a specialty finance company, managing credit quality and credit risk of healthcare loans to middle market companies such as hospitals, skilled nursing homes, home health companies and specialty pharmacy companies. Prior to Lakeside, Mark started a consulting and advisory firm monetizing and restructuring hedge fund assets for Pricewaterhouse Coopers Bermuda and DZ Bank AG.
Mark started his career at Healthcare Finance Group, LLC where he became a portfolio manager overseeing asset based loans to a wide range of companies in the healthcare sector. He holds a Bachelor of Science degree from Boston College.
As an Account Executive for Alpine Capital, Ryan manages the current portfolio, underwrites transactions, provides solutions, and assists clients with their ongoing financing needs.
Ryan has over 15 years of experience in commercial relationship management that spans healthcare, asset-based and traditional commercial lending. During that time, he has held multiple management positions in commercial banking. Prior to joining Alpine, he spent time managing commercial underwriting for a regional bank where he redeveloped a number of processes and procedures, and was also a member of the M&A team.
Ryan also has healthcare and real estate lending experience, and started his career in public accounting. Ryan holds a Bachelor of Science degree in Accounting from the Rochester Institute of Technology.
Travis works alongside prospective Borrowers, guiding them through the underwriting process: inclusive of due diligence, credit approval, and legal documentation, in order to make for a smooth transition toward closing for the Borrower. Travis also assists existing clients in renewals, line increases, and other financing requests as needs arise.
Travis began his career in operations for Bibby Financial Services, later being promoted to an Account Executive role, managing a portfolio of lower and lower-middle market commercial clients across various industries. Responsibilities there included collateral monitoring, managing funding requests, and assisting clients with renewals and amendments to their legal agreements. Travis later moved on to an underwriting role with Wells Fargo Capital Finance, underwriting and managing the due diligence, compliance, and legal documentation functions for prospective borrowers in the lower to lower-middle market for the better part of the next decade. Travis’s experience at Wells Fargo Capital Finance included underwriting working capital lines of credit, capital structure refinancing, loan renewals, line extensions, as well as merger and acquisition financing.
Travis’s accomplishments include several recognition and achievement awards for exceptional client service, creative strategizing for closing deals, systems changes, and numerous recognition awards related to the achievement of closing goals and other special projects.
Travis received his Bachelors of Science in Business Administration with an emphasis in Finance from the University of Missouri at St. Louis, as well as his MBA from Webster University in St. Louis.
To learn more about Alpine Capital, give us a call. We’re happy to discuss how to best help you take your practice to the next level. Contact us here!