Healthcare Asset Based Lending

The Healthcare Asset Based Lending team has > 15 years of experience financing middle market healthcare companies. We provide capital to companies spanning the continuum of healthcare delivery and related products and services such as: hospital operators, nursing home operators, physician practices, pharmaceutical and medical device manufacturers and distributors, and outpatient services providers (see transactions).  Our capital is attractive to companies undertaking lifecycle changes with structured capital needs such as: growth capital investment, acquisitions, management buy-outs, recapitalizations, or restructurings.  We specialize in revolving lines of credit secured by accounts receivable, inventory, and other current and long-term assets.  We also provide one-stop financing solutions in which we augment our revolving lines of credit with mezzanine term loans.    

MidCap Financial Services, LLC*

William Gould
President – Specialty Lending • Bethesda, MD
wgould@midcapfinancial.com • 301-841-6437

William Gould is a co-founder of MidCap Financial and President of Asset Based and Life Sciences Lending. Prior to joining MidCap, Mr. Gould created and ran the life sciences venture finance practice for Merrill Lynch Capital Healthcare Finance. Mr. Gould also served as a Team Leader responsible for underwriting asset based and specialty real estate loans at Merrill Lynch Capital. From 2001 to 2003, Mr. Gould was a Vice President at GE Capital’s Healthcare Commercial Finance business unit where he led the asset based underwriting group. Mr. Gould also spent four years in the corporate and securities group of the law firm of Hogan and Hartson. Mr. Gould holds a B.A. in Philosophy from Haverford College and a J.D. from the University of Virginia School of Law.

Garrett Fletcher
Product Head – Healthcare Asset Based Lending • Bethesda, MD
gfletcher@midcapfinancial.com • 301-841-6439

Garrett Fletcher currently heads MidCap’s Asset Based Lending group. Mr. Fletcher has over 10 years of experience originating, structuring and executing debt financings for healthcare companies. Prior to joining MidCap, Mr. Fletcher was head of asset based underwriting for Merrill Lynch Capital Healthcare Finance. Mr. Fletcher has also worked in various underwriting capacities for GE Capital Healthcare Commercial Finance and its predecessor entities, Heller Healthcare Finance, and Healthcare Financial Partners. Mr. Fletcher holds a B.A. in Biology with Distinction from the University of Virginia.

Bill Rubenstein
Managing Director – Healthcare Asset Based Lending Originations • Chicago, IL
brubenstein@midcapfinancial.com • 312-234-0298

Bill Rubenstein is an originations officer for MidCap’s Asset Based Lending group. Mr. Rubenstein has over 15 years of experience originating, structuring and executing debt financings for healthcare companies. Prior to joining MidCap, Mr. Rubenstein was a Director for Merrill Lynch Capital’s healthcare unit. Mr. Rubenstein has also held originations positions at DVI Business Credit Corp. and Bank of America’s Healthcare Capital Division. Mr. Rubenstein holds a B.S. in Commerce from DePaul University.

Thomas Couch
Managing Director – Healthcare Asset Based Lending Originations • Atlanta, GA
tcouch@midcapfinancial.com • 404-419-2420

Thomas Couch is an originations officer for MidCap’s Asset Based Lending group. Mr. Couch has over 25 years of experience originating, structuring and executing all types of senior debt facilities to a broad range of healthcare companies in a variety of complex scenarios. Prior to joining MidCap, Mr. Couch was a Director for CapitalSource Healthcare Group. Mr. Couch has also held positions at Merrill Lynch Capital Healthcare Group, and Siemens Financial Services–Healthcare Finance. Mr. Couch has a B.S. from Florida State University.

Bruce Jennings
Managing Director – Due Diligence • Bethesda, MD
bjennings@midcapfinancial.com • 301-760-4625

Bruce Jennings currently directs MidCap’s due diligence services, working primarily with the Asset Based Lending and Real Estate Lending groups. Mr. Jennings has over 10 years of experience in healthcare finance, most recently managing due diligence efforts at Merrill Lynch Capital Healthcare Finance. Mr. Jennings has also worked in various accounting and finance, due diligence and portfolio management roles with GE Capital Healthcare Commercial Finance, Heller Healthcare Finance and Healthcare Financial Partners. Mr. Jennings has an additional eight years experience in the healthcare industry, serving as CFO and Controller with several nursing home, hospice and home health organizations. Mr. Jennings holds a B.S. in Business Administration from Cornell University.

Michael Ciatto
Managing Director – Healthcare Asset Based Lending Underwriting • Bethesda, MD
mciatto@midcapfinancial.com • 240-383-1608

Michael Ciatto is an underwriter in the Asset Based Lending group at MidCap Financial where he is responsible for structuring, negotiating and executing senior financing for middle market healthcare companies. Prior to joining MidCap, Mr. Ciatto was a Vice President in the Financial Sponsors Group in the Investment Banking Division at Barclays Capital, based in Los Angeles. Prior to Barclays, Mr. Ciatto was an Associate in the Investment Banking Division at Credit Suisse. Mr. Ciatto earned his M.B.A. from the Wharton School at the University of Pennsylvania, and his B.S. in Finance and Management Information Systems from the Robert H. Smith School of Business at the University of Maryland.

David Ding
Director – Healthcare Asset Based Lending Underwriting • Bethesda, MD
dding@midcapfinancial.com • 240-383-1595

David Ding is an underwriter in MidCap’s Asset Based Lending Group where he is responsible for structuring, negotiating and executing senior financing for middle market healthcare companies. Prior to joining MidCap, Mr. Ding was an Investment Banking Associate in the Financial Institutions Group at Goldman Sachs where he focused on mergers and acquisitions. Mr. Ding started his career at SNL Financial. Mr. Ding holds an M.B.A. from the Darden School of Business and a B.S. from the McIntire School of Commerce at the University of Virginia.

* See "Firm Overview" page for information on MidCap Financial's relationship with MidCap Financial Services, LLC and Apollo Capital Management, L.P.