M. Elizabeth Walker

Expert guidance on a complex hospital bond issuance

Our community hospital board engaged Elizabeth Walker to navigate a complex public finance project for a new outpatient facility. With her dual recognition in Health Care and Public Finance Law, she was uniquely positioned to understand both the regulatory landscape of healthcare and the intricate mechanics of municipal bonds. Her 20 years of experience, including her background at a firm like Barnes & Thornburg, was evident from our first strategy session. She meticulously explained the risks and structured the financing in a way that was both secure and advantageous for our institution. Her drafting of the bond documents was flawless, and her negotiations with underwriters were steadfast, saving the hospital significant long-term costs. While her expertise is undeniable, there were a few instances during the peak of the transaction where response times to non-urgent emails stretched to a couple of days, which, given the pace of our internal deadlines, caused minor delays in our side of the preparations. That said, when it mattered most, she was always available. The transaction closed successfully, and we have a far stronger financial foundation because of her work. We would confidently recommend her for any healthcare entity facing a public finance challenge.