Houlihan Lokey Advises U.S. Oral Surgery Management

Houlihan Lokey is pleased to announce the successful placement of a $110 million senior secured credit facility for U.S. Oral Surgery Management LLC (USOSM), a portfolio company of RiverGlade Capital, LP. The transaction closed on July 31, 2020.

Formed in 2017 and headquartered in Irving, Texas, USOSM is a management services company to the oral surgery sector, serving the largest and only multi-regional, integrated oral surgery platform in the U.S. The company has established a well-diversified platform of oral surgery partner practices spanning six states: Texas, Colorado, Georgia, Tennessee, Minnesota, and Alabama. USOSM provides operational, marketing, and administrative support services, reinvests resources, and applies best practices to drive continued practice success and accelerate profitable growth. USOSM is poised for significant growth due to its market-leading position in a highly fragmented market in which oral surgeons’ increasing preference is to partner with platforms focused exclusively on oral surgery.

RiverGlade Capital is a growth investor focused on healthcare services investments in the U.S. middle market. The sponsor has successfully scaled a number of healthcare businesses and is currently investing out of a $325 million fund.

Houlihan Lokey served as the exclusive placement agent to USOSM, assisting the company in arranging, structuring, and negotiating the acquisition financing. Houlihan Lokey leveraged the competitive dynamic from the financing process to raise very attractive financing during an unprecedented market environment due to the COVID-19 pandemic. Houlihan Lokey ran an accelerated process and secured competitive financing terms, including the structuring of a significant delayed draw term loan to support the company’s future growth.

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