On 13 August 2024, Ramsay Santé completed the Amend & Extend process of its ?1,650m Senior Debt facility, including a ?100 million revolving credit facility, a ?100 million capex facility, and a ?1,450 million Term Loan B facility, proactively extending its upcoming 2026-2027 debt maturities to 2029-2031. This transaction was arranged by BNP Paribas and Crédit Agricole CIB as Global Coordinators for Europe and Physical Bookrunners, MUFG as Global Coordinator for Asia and Physical Bookrunner, as well as Natixis CIB as Physical Bookrunner. The Amend & Extend was supported by existing lenders as well as a large number of new investors, allowing Ramsay Santé to fully extend its Term Loan B facility (TLB) whilst optimizing pricing during syndication: a ?425 million 5-year TLB priced at E+325bps /99.50 OID (vs E+325-350bps /99.50 initial guidance); a ?1,025 million 7-year TLB priced at E+400bps /99.75 OID (vs E+400-425bps /99.50 initial guidance).

Ramsay Santé is fully engaged in the combination of economic, human et environmental interests in order to create the conditions for a sustainable growth. Therefore, the ESG scheme of existing Term Loan B facility has been reconducted and updated in a specific framework document coordinated by Crédit Agricole CIB and Natixis CIB, which enables a possible adjustment on margin (upwards or downwards) based on the evaluation of specific KPIs related to patient satisfaction, medical care for underserved population & preventive healthcare, employees? satisfaction & prevention of psychological risks, as well as reduction of CO2 emissions (scope 1&2).

Such refinancing will enable Ramsay Santé to ensure to all its stakeholders a long-term financing framework and further support the implementation of its key initiatives as part of its ?Yes We Care 2025? strategy plan, to offer integrated care pathways with digi-physical solutions to the patients.