RE:No debt = suboptimal capital structureMaybe the banks who are willing to lend Viemed 90 million didn't want 1$ of debt to be before them? That could be a reason. They want to be in first position. That would mak sense with the low fixed rate you mentioned.
It seems to me that the two M & A guys they hired seven months ago have to be working on something. Management seems to be talking more about making a deal than ever before.