CarolinaEast Health System Healthcare System Revenue Refunding Bond Series 2022

Overview

Size $52,395,000
Client & Transactional Partners CarolinaEast Health System
Our Role Financial Advisor

Summary

Cain Brothers served as Structuring Agent & Advisor for CarolinaEast Health System’s Healthcare System Revenue Refunding Bond, Series 2022.

The Series 2022 Bond refinanced CarolinaEast’s Healthcare System Revenue Bond, Series 2016. Cain Brothers negotiated a 10-year hold period with the existing bondholder ahead of the October 2023 Mandatory Put Date on the Series 2016 Bond related to the purchase of the variable rate Series 2022 Bond. In addition, Cain Brothers worked with the swap counterparty to execute a partial termination of the CarolinaEast termination option on the fixed pay interest rate swap associated with the Series 2016 Bond through an adjustment to the fixed pay interest rate and set the Optional Termination Date on the swap to match the Mandatory Put Date on the Series 2022 Bond. The Series 2022 Bond utilized Daily Simple SOFR (Secured Overnight Financing Rate) as the index to replace 1-Month LIBOR (being discontinued in June 2023). As a result of the transactions, CarolinaEast will benefit from an attractive low cost of capital for at least the next 10 years.

CarolinaEast Health System is a premier multi-facility health care provider located in the heart of eastern North Carolina that provides comprehensive health care services to the people of Craven, Jones, Pamlico, and surrounding counties. CarolinaEast is comprised of two organizations, CarolinaEast Medical Center, a 350-bed medical center offering a complete suite of inpatient and outpatient services, and CarolinaEast Physicians. CarolinaEast is a sole community provider.

Cain Brothers

Recent Deals

August 2025

The mississippi band of choctaw indians

$295 Million

Senior Secured Credit Facilities

Joint Lead Arranger
Joint Bookrunner
Administrative Agent

band-of-choctaw-indians
July 2025

city of huber heights logo

City of Huber Heights, Ohio

$56.2 Million

Various Purpose Notes, Series 2025 (General Obligation) (Limited Tax)

Sole Manager

city-of-huber-heights-ohio
July 2025

omni

a portfolio company of 

merit

acquired by

sterling group

Exclusive Sell-Side Advisor

omni-glass-and-paint
July 2025

parkohio industries

$350 Million

Senior Secured Notes

Co-Syndication Agent
Joint Bookrunner

parkohio-industries-inc

Connect With Us

Find an Expert