US Fertility completes Senior Debt Refinancing

Overview

Deal Type Debt Capital Markets
Size $635 Million
Client & Transactional Partners US Fertility
Amulet Capital Partners
Our Role Left Lead Arranger
Joint Bookrunner
Administrative Agent

Summary

KeyBanc Capital Markets and Cain Brothers successfully closed the syndication of $635 million in Senior Secured Credit Facilities in support of US Fertility Enterprises, a portfolio company of Amulet Capital Partners.

The Credit Facilities consist of a $60 million Revolving Credit Facility, a $550 million Term Loan, and a $25 million Delayed Draw Term Loan. Proceeds from the Credit Facilities will be used to refinance existing indebtedness and to pay transaction-related fees and expenses. This transaction represents US Fertility’s inaugural broadly syndicated facility.

KeyBanc Capital Markets and Cain Brothers were selected to serve as Left Lead Arranger and Administrative Agent due to our best-in-class leveraged finance platform, expertise in the women’s health space, and long-standing relationship with Amulet Capital Partners. 

US Fertility is the leading fertility group in the United States offering a broad range of assistive reproductive technology services and ancillary life sciences offerings. Since 2021, the Company has grown from ~85 physicians across 59 locations to the leading IVF platform in the nation with over 200 physicians across 105 treatment locations and 30+ embryology labs.

Amulet is a middle market private equity investment firm based in Greenwich, Connecticut, and Walnut Creek, California, focused exclusively on the healthcare sector. Amulet seeks to achieve long-term capital appreciation through privately negotiated investments in healthcare companies. Amulet focuses on those segments it believes have the most attractive long-term fundamentals with a target investment size between $25 million and $200 million.

Cain Brothers

Ryan Stilphen

Carl McCarden

Alex Clemens

KeyBanc Capital Markets is a trade name under which the corporate and investment banking products and services of KeyCorp and its subsidiaries, KeyBanc Capital Markets Inc., member FINRA/SIPC (“KBCMI”), and KeyBank National Association (“KeyBank N.A.”), are marketed. Securities products and services are offered by KeyBanc Capital Markets Inc. and by its licensed securities representatives. Banking products and services are offered by KeyBank N.A.

Recent Deals

April 2026

redding rancheria

$80 Million

Senior Secured Credit Facilities

Structuring Agent
Sole Lender

redding-rancheria
April 2026

caturus

$600 Million

Senior Notes

Joint Bookrunner

caturus-energy
April 2026

moosilauke vision

$30 Million

Term Loan & Revolving Line of Credit

Hedge Provider
Treasury Services

moosilauke-visions
March 2026

bcdsk

affiliated with

highmark

Financial Advisor

blue-cross-blue-shield-kansas-city
March 2026

forgent

$1 Billion

Follow-On Offering

Joint Bookrunner

forgent-power-solutions
March 2026

andesa

acquired by

terminus

Exclusive Buy-Side Advisor

terminus-capital-partners
March 2026

dme express

acquired by

palladium equity partners

Sell-Side Advisor

dme-express-acquired-by-palladium-equity-partners
March 2026

tigergenco

$146 Million

Senior Secured Credit Facilities

Coordinating Lead Arranger
Administrative Agent

tigergenco-bayonne-energy-center-iii
March 2026

adb

a portfolio company of

warren

Senior Secured Credit Facilities

Exclusive Debt Advisor

adb-companies
March 2026

lti

acquired by

diversis capital

Exclusive Sell-Side Advisor

lti-technology-solutions
March 2026

infinity

$550 Million

Senior Notes

Joint Bookrunner

infinity-natural
March 2026

supercare health

Joint Lead Arranger
Joint Bookrunner
Administrative Agent

supercare-health-excellere
March 2026

supercare health

acquired by

excellere

Sell-Side Advisor

supercare-health-excellere-partners
March 2026

california resources corporation

$350 Million

Add-On Senior Notes

Joint Bookrunner

california-res
March 2026

cnl

merged with

sonida

$3.3 Billion

Combined Value

Exclusive Sell-Side Advisor

cnl-healthcare-properties-inc
March 2026

xcel energy

$1.2 Billion

First Mortgage Bonds

Active Joint Bookrunner

xcel-energy-northern-states-power
March 2026

sm energy company

$1 Billion

Senior Notes

Joint Bookrunner

smenergy
March 2026

pacific avenue

acquired

stuart rush

a subsidiary of

columbus mckinnon

Exclusive Buy-Side Advisor

pacific-avenue-capital-partners
March 2026

visualize

acquired

bmm

$70 Million

Senior Secured Credit Facilities

Joint Lead Arranger
Joint Bookrunner

bmm-testlabs
February 2026

hlsg

acquired by

sterling group

Sell-Side Advisor

hlsg-acquired-by-sg
February 2026

peoria resources llc

$1 Billion

Senior Secured Credit Facility

Joint Lead Arranger
Joint Bookrunner

peoria-resources-llc
February 2026

matador resources company

$750 Million

Senior Notes

Active Joint Bookrunner

matador-resources-company
February 2026

infinity natural resources

$1.5 Billion

Senior Secured Credit Facility

Joint Lead Arranger
Joint Bookrunner

infinity-natural-resources-inc
February 2026

crescent royalty finance llc

$1 Billion

Senior Secured Credit Facility

Joint Lead Arranger
Joint Bookrunner

crescent-royalty-finance-llc
February 2026

morongo

$350 Million

Senior Secured Credit Facilities

Joint Lead Arranger
Joint Bookrunner
Administrative Agent

morongo-band-of-mission-indians
February 2026

cmh

affiliated with

prime hc foundation

Sell-Side Advisor

cmh-and-phf
February 2026

olympic steel

merged with

ryerson

Lead Financial Advisor
Fairness Opinion Provider

olympic-steel
February 2026

soboba band of luiseño indians

$219 Million

Senior Secured Credit Facilities

Left Lead Arranger
Joint Bookrunner
Administrative Agent

soboba-band-of-luiseno-indians
February 2026

thermo fisher scientific

$1 Billion

Senior Notes due 2031

$750 Million

Senior Notes due 2033

$1.3 Billion

Senior Notes due 2036

$750 Million

Senior Notes due 2046

Co-Manager

thermo-fisher-scientific
February 2026

flexi international software

Line of Credit

Sole Lender

flexi-software
February 2026

Brazos Midland, LLC

$1.1 Billion

Senior Secured Credit Facility

Joint Lead Arranger

brazos-midland
February 2026

solv energy standard

$589.4 Million

Initial Public Offering

Joint Bookrunner

solv-energy

Connect With Us

Find an Expert