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Article #281: A Hospital Finds Best Funding Solution Through Trial And Error

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Question: When is a business loan not a receivable funding:
sufficient strategy to meet the working * After almost six months, hospital
capital needs of a hospital or other management was in the exact same cash
healthcare provider? Answer: When the flow situation they were in prior to
provider needs to improve its cash flow, their accepting the asset-based loan.
but cannot afford or chooses not to * The asset-based bank line was
increase its debt capacity...and/or the insufficient for their needs due to the
time constraints and the needed amount of bank's non-realistic and significantly
capital cannot be adequately served by "undervalued" valuation of the assets
the inherent limitations and delays in owned by the hospital.
the loan application process. * The bank was closely monitoring the
While loans are a viable and traditional hospital's accounts receivable (a
part of the working capital strategy of significant asset in the pool) and was
hospitals nationwide, they are not the quick to disqualify that collateral once
only funding vehicle available, nor are the aging reached 90 days. Consequently:o
they necessarily the best suited option The funding line at that point became
for a healthcare provider's growth, dependent on the hospital accounts
expansion, and, in some cases, healthcare receivable paying in 90 days or less.o
financial survival. The following case The line became "maxed out" and once
study clearly exemplifies how a hospital again meeting daily cash requirements
found its most effective funding solution became a challenge.
by trial and error. * Hospital management realized that the
The California-based hospital applied for significantly higher valuation of
medical accounts receivable funding with receivables by SCH as well as a longer
Sun Capital HealthCare, Inc. (SCH), while eligibility period provided the most
simultaneously applying for an appropriate solution to funding their
asset-based line of credit. In the financial requirements.
initial discussions, hospital management Using medical accounts receivable
indicated that their need was strictly funding, this capital-strapped healthcare
improved cash flow and that they viewed institution quickly put itself in a
medical accounts receivable funding as stronger cash position. They were able to
their funding method of choice. It would create new services and procedures, thus
provide them with a predictable and increasing hospital revenues, as a direct
steady cash flow stream based solely on result of this working capital strategy.
their hospital accounts receivable and In addition, because SCH's highly
the amount of funding would not be experienced owners know the healthcare
limited by the hospital's asset pool business, not just fund healthcare
being evaluated by a bank at "fire-sale" businesses; the SCH team was able to
prices. However, after SCH presented a assist hospital management and its
letter of intent that outlined the terms advisors with operational counsel that
and conditions of the transaction being contributed to the healthcare providers'
offered, hospital management instead financial survival and subsequent growth.
chose to execute an asset-based loan In less than two years, a traditional
being offered by a large regional lender, bank loan product was provided for the
largely due to their inability to move hospital that now is a very financially
away from the comfort-zone of their strong medical facility. Quoting the
traditional financial mind-set. hospital's CEO, "Without the help of Sun
Less than six months later, hospital Capital HealthCare's accounts receivable
management returned to SCH requesting funding program, we never would have
another accounts receivable funding reached a level of financial health that
proposal in order to secure the level of enabled us to qualify and appropriately
capital and flexibility they required. benefit from a bank's traditional
Here are the reasons the hospital gave financing facility. Thank you, Sun
for making the switch to accounts Capital HealthCare, Inc.






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