Served as bond counsel in more than 100 North Carolina Medical Care Commission financings for health systems, hospitals and continuing care retirement communities totaling approximately $5.7 billion, including approximately $1.5 billion in tax-exempt NCMCC bond financings for Duke University Health System.

Served as bond counsel in tax-exempt financings totaling approximately $2 billion for The Charlotte-Mecklenburg Hospital Authority d/b/a Atrium Health (formerly Carolinas HealthCare System).

Served as underwriter’s counsel, representing Citigroup, Wells Fargo, J.P. Morgan, Bank of America, BB&T (now Truist), Ziegler, and Herbert J. Sims, in more than 70 health care facilities financings totaling approximately $7.8 billion.

Served as bond counsel for more than $4.9 billion in Duke University financings.

Served as bond counsel, underwriter’s counsel and/or bank counsel in student housing financings for Appalachian State University, UNC Pembroke, North Carolina Central University and North Carolina A&T University.

Served as bond counsel, underwriter’s counsel, bank counsel or borrower’s counsel in exempt facility and industrial development bond issues throughout the country, including bonds for multifamily housing, airports, docks and wharves, solid waste disposal facilities and manufacturing facilities.

Drafted or maintained variable rate demand bond forms for three different banks and assisted them in the development of new modes and products. Represented Citigroup in the development of the Window VRDB product.

Served as bond counsel and dealer’s counsel for tax-exempt commercial paper programs.

Negotiated, or participated in the bidding of, more than $2 billion in notional amount of interest rate swaps.

Served as bond counsel for three health systems in connection with the novation of existing swaps to new counterparties.

Represented an educational institution in the mediation and settlement of swap liability to the Lehman bankruptcy estate.

Advised health systems and hospitals in structuring proposed merger, integration and affiliation transactions to comply with bond document requirements and related bond tax law.

Represented governmental transferors and transferees in transfers of hospital facilities pursuant to the North Carolina Municipal Hospital Act and served as counsel in financings to consummate such transfers.

Served as underwriter’s counsel in connection with the creation of a separate obligated group by a leading private university through (a) organization of a controlled affiliate, (b) conveyance of the university’s health care delivery system (including its academic medical center) to the newly-created affiliate, and (c) utilization of a replacement master indenture provision to allow the affiliate to assume the related bond debt without defeasing or redeeming any of the bonds.

Served as special counsel to a leading private university located in New York with respect to analysis and structuring of a proposed spinout of its school of medicine and health care delivery system (including its academic medical center), including corporate structure and governance issues, bond issues (e.g., creating a separate obligated group) and debtor-creditor issues.

Served as counsel to a for-profit developer and operator of retirement communities in the sale of eight communities in North Carolina, South Carolina, Georgia and Florida for $476 million.

Served as counsel to a nonprofit operator of retirement facilities in connection with the acquisition of a for-profit continuing care retirement community.