MED ParentCo L.P. plans to issue a new $1.4 billion first-lien term loan maturing in April 2031 and $425 million of payment in kind (PIK) preferred equity to refinance its existing first- and second-lien term loans. The company will also upsize its revolver to $150 million and extend the maturity to April 2029. We have affirmed our 'B-' issuer credit rating with a stable outlook. At the same time, we assigned our 'B-' issue-level rating and '3' recovery rating to the proposed first-lien debt. The '3' recovery rating indicates our expectation of meaningful (50%-70%; rounded estimate: 55%) recovery in the event of a payment default. The stable outlook on MED reflects our view that its credit metrics and operating margins