When an indebted infant health-care company in Atlanta wanted to borrow hundreds of millions of dollars to buy a rival in Pasadena, it turned to a lender thousands of miles away in London.
Barclays Plc. is helping Aveanna Healthcare LLC get a $221 million loan for its purchase of Premier Healthcare Services LLC, adding to a $900 million debt last year. The deal will push Aveanna’s borrowings to more than 10 times its earnings and leave it with “little room for error,” S&P Global Ratings said.