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

Alexandra 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

July 2026

us fertility

$1.068 Billion

Senior Secured Credit Facilities

Joint Lead Arranger
Joint Bookrunner
Administrative Agent

us-fertility-senior-secured-credit
July 2026

Forgent Power Solutions, Inc.

$2.5 Billion

Follow-On Offering

Joint Bookrunner

forgent
June 2026

smileamericapartners

acquired by

kaltroco

Sell-Side Advisor

smile-america-partners-kaltroco
June 2026

California Resources Corporation

$550 Million

Senior Notes

Joint Bookrunner

california-resource
June 2026

nutrisense

acquired by

dexcom

Financial Advisor

nutrisense-dexcom
May 2026

vsp

$500 Million

5.4% Senior Notes Due 2033

$500 Million

5.65% Senior Notes Due 2036

Active Joint Bookrunner

vsp-issues-public-bonds
May 2026

seatgeek

$200 Million

Senior Secured Credit Facilities

Left Lead Arranger
Joint Bookrunner
Administrative Agent

seatgeek
May 2026

Forgent Power Solutions, Inc.

$2.3 Billion

Follow-On Offering

Joint Bookrunner

forgent-power
May 2026

elevate infrastructure

a portfolio company of

arclight capital

$173.4 Million

Senior Secured Credit Facilities

Joint Lead Arranger
Administrative Agent
Collateral Agent
Depository Bank

elevate-infrastructure
May 2026

National Fuel Gas Company

$500 Million

Senior Notes due 2029

$500 Million

Senior Notes due 2031

$500 Million

Senior Notes due 2036

Co-Manager

national-fuel-gas
May 2026

spg

$24 Million

Term Loan, Delayed Draw Term Loan, Revolving Line of Credit, Equipment Finance Line

Sole Lender

shared-practices-group
May 2026

pbf energy

$500 Million

Senior Notes

Co-Manager

pbf-energy
May 2026

flatiron search partners

Line of Credit

Sole Lender

flatiron-search-partners
May 2026

harvest midstream

$1 Billion

Senior Notes

Joint Bookrunner

harvest-midstream
May 2026

tokkion

acquired by

siris

Senior Secured Credit Facilities

takkion-group
May 2026

delek

$800 Million

Senior Notes

Co-Manager

delek-logistics-partners
May 2026

virtus

$200 Million

Senior Secured Credit Facilities

Joint Lead Arranger
Administrative Agent

virtus-real-estate-enhanced
April 2026

diversified energy company

$1.5 Billion

Senior Secured Credit Facility

Administrative Agent
Coordinating Lead Arranger
Sole Bookrunner
Joint Lead Arranger

diversified-energy
April 2026

the queen senior

The Queen Senior

Construction Loan

queen-senior
April 2026

the meadow on seneca

The Meadow on Seneca

$14.8 Million

Construction Loan

meadow-on-seneca
April 2026

yesway

$322 Million

Initial Public Offering

Joint Bookrunner

yesway
April 2026

lakeview at westpark

Lakeview at Westpark

$54 Million

FHA (Fixed-Rate Loan)

lakeview-at-westpark
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

wallkill living center

Wallkill Living Center

Equity Bridge Loan and LIHTC Equity

wallkill-living-center
March 2026

palm villas in red bluff

Palm Villas in Red Bluff

$32.7 Million

Construction Loan, Permanent Loan, and KCBM Swap Contract

palm-villas-red-bluff
March 2026

forgent

$1 Billion

Follow-On Offering

Joint Bookrunner

forgent-power-solutions
March 2026

modbox storage - piedmont

ModBox Storage - Piedmont

$7.1 Million

CMBS Fixed-Rate Loan

modbox-storage-piedmont
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

Connect With Us

Find an Expert