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We may use or disclose the personal information we collect for one or more of the following business purposes:. We will not collect additional categories of personal information or use the personal information we collected for materially different, unrelated, or incompatible purposes without providing you notice. We may disclose your personal information to a third party for a business purpose. When we disclose personal information for a business purpose, we enter a contract that describes the purpose and requires the recipient to both keep that personal information confidential and not use it for any purpose except performing the contract.

In the preceding twelve 12 months, we have disclosed the following categories of personal information for a business purpose:. We disclose your personal information for a business purpose to the following categories of third parties:. The CCPA provides consumers California residents with specific rights regarding their personal information. This section describes your CCPA rights and explains how to exercise those rights. You have the right to request that we disclose certain information to you about our collection and use of your personal information over the past 12 months.

Once we receive and confirm your verifiable consumer request, we will disclose to you any of the following, as requested:. You have the right to request that we delete any of your personal information that we collected from you and retained, subject to certain exceptions.

Once we receive and confirm your verifiable consumer request, we will delete and direct our service providers to delete your personal information from our records, unless an exception applies.

We may deny your deletion request if retaining the information is necessary for us or our service providers to:. You have the right to request that we correct any incorrect personal information that we collect or retain about you, subject to certain exceptions. Once we receive and confirm your verifiable consumer request see below , we will correct and direct any of our service providers that hold your data on our behalf to correct your personal information from our records, unless an exception applies.

We do not sell or share your personal information. If we did, California consumers have the right to opt-out of the sale or sharing of their personal information. We do not collect sensitive personal information. If we did, California consumers would have the right to limit our use and disclosure of sensitive personal information. We endeavor to respond to a verifiable consumer request within 45 days of its receipt. If we require more time up to 90 days , we will inform you of the reason and extension period in writing.

If you have an account with us, we will deliver our written response to that account. If you do not have an account with us, we will deliver our written response by mail or electronically, at your option.

The response we provide will also explain the reasons we cannot comply with a request, if applicable. We will not discriminate against you for exercising any of your CCPA rights. Unless permitted by the CCPA, we will not:. If you wish to exercise your rights under California law, please do not hesitate to contact us at:. Only you or a person registered with the California Secretary of State that you authorize to act on your behalf, may make a verifiable consumer request related to your personal information.

You may only make a verifiable consumer request for access or data portability twice within a month period. The verifiable consumer request must:. You will not be discriminated against in any way by virtue of your exercise of the rights listed in this Privacy Notice which means we will not deny goods or services to you, provide different prices or rates for goods or services to you, or provide a different level or quality of goods or services to you. We must verify your identity before fulfilling your requests.

If we cannot initially verify your identity, we may request additional information to complete the verification process. If you are an authorized agent making a request on behalf of a California consumer, we will also need to verify your identity, which may require proof of your written authorization or evidence of a power of attorney. We endeavor to respond to requests within the time period required by applicable law.

If we require more time, we will inform you of the reason and extension period in writing. If you have an account with us, we may deliver our written response to that account. We do not charge a fee to process or respond to your request unless it is excessive, repetitive, or manifestly unfounded. If we determine that the request warrants a fee, we will tell you why we made that decision and provide you with a cost estimate before completing your request.

We cannot respond to your request or provide you with personal information if we cannot verify your identity and confirm the personal information relates to you.

Making a verifiable consumer request does not require you to create an account with us. We may deny certain requests, or only fulfill some in part, as permitted or required by law. For example, if you request to delete personal information, we may retain personal information that we need to retain for legal purposes.

Contact Us Patient Portal. Internet Privacy Policy. Protecting Your Personal Information We have reasonable and customary physical security such as locks and alarm systems , electronic security such as passwords and encryption methods , and procedural security methods such as rules regarding the handling and use of information in place designed to protect against the loss, misuse, or alteration of information that we have collected from you at our Sites.

Information We Disclose About You We will only share your personal information with third parties as permitted by this Privacy Policy in its current or future form and as otherwise permitted by law. Envision Healthcare has agreements with its vendors that they will not share or use the information for purposes other than to maintain and enhance the services they provide to Envision Healthcare.

General E-mail Communications If you register your e-mail address with us, we use such information provided by you for internal purposes, and may send you information about new site features, services, or updates, information about our company, and promotional material or offers from some of our corporate partners, and other news. Some personal information included in this category may overlap with other categories. Yes No Protected classification characteristics under California or federal law Age 40 years or older , race, color, ancestry, national origin, citizenship, religion or creed, marital status, medical condition, physical or mental disability, sex including gender, gender identity, gender expression, pregnancy or childbirth and related medical conditions , sexual orientation, veteran or military status, genetic information including familial genetic information.

No No Commercial information Records of personal property, products or services purchased, obtained, or considered, or other purchasing or consuming histories or tendencies.

No No Biometric information Genetic, physiological, behavioral, and biological characteristics, or activity patterns used to extract a template or other identifier or identifying information, such as, fingerprints, faceprints, and voiceprints, iris or retina scans, keystroke, gait, or other physical patterns, and sleep, health, or exercise data.

No No Geolocation data Physical location or movements. No No Sensory data Audio, electronic, visual, thermal, olfactory, or similar information. No No Professional or employment-related information Current or past job history or performance evaluations. Section g, 34 C.

Part 99 Education records directly related to a student maintained by an educational institution or party acting on its behalf, such as grades, transcripts, class lists, student schedules, student identification codes, student financial information, or student disciplinary records.

No No The above chart represents the personal information we intentionally collect from you. Personal information does not include: Publicly available information from government records. De-identified or aggregated consumer information. We obtain the categories of personal information listed above from the following categories of sources: Directly and indirectly from activity on our website.

For example, from submissions through our website portal or website usage details collected automatically. Indirectly from you when you visit and interact with our website.

Use of Personal Information We may use or disclose the personal information we collect for one or more of the following business purposes: To provide you with information, products or services that you request from us. To provide you with email alerts, event registrations and other notices concerning our products or services, or events or news, that may be of interest to you.

To improve our website and present its contents to you. For testing, research, analysis and product development. As necessary or appropriate to protect the rights, property or safety of us, our clients or others.

To respond to law enforcement requests and as required by applicable law, court order, or governmental regulations. As described to you when collecting your personal information or as otherwise set forth in the CCPA. To evaluate or conduct a merger, divestiture, restructuring, reorganization, dissolution, or other sale or transfer of some or all of our assets, whether as a going concern or as part of bankruptcy, liquidation, or similar proceeding, in which personal information held by us is among the assets transferred.

For Envision, its credit agreement provided addbacks for "run rate" cost savings and revenue synergies over the subsequent month period that likely provided ample addbacks, especially given the disruption to its business caused by COVID. It also included addbacks for losses related to newly opened or acquired facilities new projects for up to 24 months. Envision's Aug. The lenders choosing to participate in the new money funding proportionally funded the new-money first-out loan.

All of these loans mature in March , versus the original maturity of October This transaction inhibits the company's option to draw on the delayed-draw tranche under AmSurg's first-lien credit agreement, as it pushes the borrower beyond a certain ratio test found in the first lien documentation. In an uptier exchange transaction the borrower negotiates with the necessary lenders to amend its existing credit agreement to allow for new, so-called "priming" debt that will take a first-out priority position in terms of access to the value of the collateral serving as security for the existing lenders.

This new priming debt usually comes with a new-money tranche as well as rollup tranches, whereby the lenders participating in the transaction are able to roll up a portion of the outstanding debt owed to them into the junior priming position behind the new money but ahead of the position of non-participating lenders, which are sometimes better referred to as excluded lenders since they may not be offered the option to participate.

For the new money, the borrower may already have capacity under its incremental debt allowances and only need to amend the credit agreement to allow the new money to be senior to the existing debt. If this capacity is not there, the participating lenders who typically must account for at least The amendments needed to complete the rollup portion can be a bit trickier. Like the new money component, there is a priority debt amendment, but potentially problematic to this portion of the transaction are pro rata sharing requirements under the credit agreement.

Typically credit agreements require that lenders receive, at par, their pro rata share of prepayments or cash proceeds from the sale of collateral. These pro rata provisions are often included as a so-called "sacred right," meaning the threshold to amend those provisions requires the approval of "all" or "all affected" lenders. Therefore, in credit agreements with strong pro rata provisions and an "all" or "all affected lenders" requirement to alter those provisions, members of the majority group attempting to amend the credit agreement to allow the transaction must find creative ways to work around the restrictions.

One way they do this is to take advantage of the pro rata exception often found in the "assignment" section of credit agreements, whereby lenders can assign see footnote 5 their outstanding debt holdings to the borrower on a non-pro rata basis and receive the new superpriority loans in a cashless workaround.

However, in some credit agreements there is a broader exception for open market purchases that allows the borrower to make cash purchases on a non-pro rata basis at market prices i. Likewise, there are even credit agreements that do not have the pro rata sharing provisions as a sacred right, leaving those provisions open to amendment by just the required lenders. A credit agreement with language like that would provide the borrower the least amount of possible resistance to effecting the uptier exchange, as the borrower and lenders would 1 have a direct exception for non-pro rata open market cash transactions, or 2 could amend the credit agreement for non-pro rata payments as necessary with the required lenders making up the participating lenders in the uptier exchange.

Charts 3 and 4 show the before and after of the uptier transaction at RemainCo, while chart 5 shows the new full debt structure after phases one and two of this restructuring. These actions alleviated significant near-term liquidity and maturity pressures.

Even so, the company's credit profile remains burdened by significant longer-term pressures, and we continue to view the company's debt structure as unsustainable. Further, consolidated debt leverage remains extremely high at roughly 20x, excluding management addbacks, as of June 30, From an operational perspective, the company's physician services business segment the non-ambulatory services portion of Envision continues to post poor operating results due to reduced elective patient volumes, higher than normal labor costs, and persistent payor pressure on service rates.

We expect these challenges to persist and result in meaningful discretionary cash flow deficits over the next few years. We note the company maintains some flexibility and capacity to make additional below-par open market purchases and secured loans from AmSurg to RemainCo. First restructuring collateral transfer : We have seen a number of these so-called "drop-down" transactions since July when the J. Crew restructuring demonstrated how aggressively the flexibility embedded in loan documents could be used.

Although the companies that have transferred significant collateral assets differ in sector, size, and market power, they all suffered for lack of liquidity needed to service what we considered unsustainable debt burdens and they were owned by private equity firms. For the most part, these transactions, through the new money raised, are meant to provide liquidity, some debt reduction, maturity extensions, and a longer runway for the company to effect a turnaround sufficient to handle its debt load.

Each of the borrowers that completed these restructurings got the liquidity they were seeking. All, however, also came out of the transaction with a negative rating outlook--meaning analysts believed there was a meaningful chance that the company could see its rating lowered in the following 12 months.

More than half of the companies went on to have additional significant restructuring events followed by bankruptcy. Two of the companies--PetSmart and Party City--with the help of favorable market conditions, improved sufficiently to be upgrade out of the 'CCC' category over the next few years.

Envision follows in this pattern. After completing its transaction Envision was rated 'CCC' and placed on CreditWatch negative, meaning analysts believed there was a higher probability of the company being downgraded in the next 90 days, as the company had indicated it may complete additional below-par debt repurchases. Second restructuring priming uptier loan exchange : While Envision's second restructuring provides a longer runway to resolve its operational and balance sheet pressures, we continue to view the company's debt structure as unsustainable, as indicated by our issuer credit rating of 'CCC'.

Further, we have a negative outlook on the firm, which indicates a meaningful chance of a downgrade within the next 12 months. Reasons for larger recovery impairments for these transactions include a propensity based on lender incentives for participating lenders to roll up a portion of their existing debt into a priming position relative to the nonparticipating lenders. Envision's ratings outcomes follow in this trend.

First restructuring collateral transfer : A larger portion though not nearly all of and credit agreements have language designed to curb or reduce the potential impact of a collateral transfer transaction. Many of these types of provisions are addressing only one issue, such as limiting the transfer of intellectual property to unrestricted subsidiaries, but in many cases the provisions are plugging only one hole in a boat taking on water from multiple locations.

As we mentioned in "A Look At 'J. What hasn't been a common approach is an explicit blanket statement, or section, addressing the concepts, motivations, and investor outcomes of these liability management transactions, or a general asset threshold limit for unrestricted subsidiaries as a collective. Second restructuring priming uptier loan exchange : After the spurt of uptier loan exchanges in the middle of , an increasing number of new credit agreements have included language designed to prevent uptier exchanges from happening without the consent of all lenders or all affected lenders.

Often seen in the "amendments" section--where the credit agreement spells out what amendments can be made to the credit agreement and by what threshold of lenders--that any amendment causing the subordination of the obligations related to the credit agreement be done on the approval of all or all affected lender, thereby making such an amendment a so-called "sacred right.

Sometimes referred to as an "available amount" or "cumulative credit. The Content shall not be used for any unlawful or unauthorized purposes. Credit-related and other analyses, including ratings, and statements in the Content are statements of opinion as of the date they are expressed and not statements of fact. Rating-related publications may be published for a variety of reasons that are not necessarily dependent on action by rating committees, including, but not limited to, the publication of a periodic update on a credit rating and related analyses.

Additional information about our ratings fees is available at www.

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