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Your Source for Healthcare Finance(877) 247-2775
Medical Practice FinanciersGrice, Pope & Associateswww.gp-assoc.com
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Healthcare Finance 101 - Web Clinic – 11.16.2016
ÜMedical Practice Finance 101
Ü Clinic designed to help Healthcare Stakeholders with their Financing Needs
Ü “Thought, Theory & Insights” of Medical Practice Financing
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Agenda❶ Presenters
❷ Preface
❸ Decreasing Revenue the face of
❹ Funding Denial
❺ Funding Approval + More Cash
❻ Implementing One Revenue Enhancement – Nate Hollander
❼ Conclusion, Q&A, Plan Forward
Ü Demands for Improved Patient OutcomesÜ Payor SystemsÜ Discerning & Decreasing Patient Population
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Presenters
Healthcare CapitalGreg GriceManaging [email protected]
Charles PopeCertified Commercial Lender #1248 Managing [email protected]
Grice, Pope & Associates, Inc.
Ø $453M +/- institutional funding
Ø $272M +/- non-traditional funding
Ø $192M + self funding vehicles
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Loan Mechanics
Ü Three C’s
Ü Collateral
Ü Practice Valuation - Intangibles
Ü Cash Flow
Ü Payback
Ü Implementation
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Payors’ Preferences
ü Payers are demanding better outcomes; practices must be more productive,
ü Patient population is needier than ever
ü Chronic disease management, (Diabetes, Heart Disease, COPD, Stroke, Chronic Kidney Disease)
ü Revenue Enhancements and the services they provide have become essential
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Funding Approval/Denial
1.17
1.32
1.46
1.61
1.76
0 1 2 3 4
1.17 1.32 1.46 1.61 1.76
$12,000 $13,500 $15,000 $16,500 $18,000
Increased Debt Service Coverage f(Revenue Enhancements)
Loan size; avg 1 provider term loan $1,000,000
Term, 10 Years 120
Int Rate Level term 4.25%
Mo Pmt Monthly $10,244
Revenue Enhancement 1 Service $1,500
Revenue Enhancements CADS DSCR
Current $12,000 1.17
One Service $13,500 1.32
Two Services $15,000 1.46
Three Services $16,500 1.61
Four Services $18,000 1.76
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Funding Approval & Increased Cash
$976,205
$1,098,230
$1,220,256
$1,342,281
$1,464,307
0 1 2 3 4
$12,000 $13,500 $15,000 $16,500 $18,000
Cash Available f(Revenue Enhancements)
CADS Services Loan Size Pmt
$12,000 0 $976,205 $10,000.0
$13,500 1 $1,098,230 $11,250.0
$15,000 2 $1,220,256 $12,500.0
$16,500 3 $1,342,281 $13,750.0
$18,000 4 $1,464,307 $15,000.0
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Benefits
ü Earn extra income for your practice with no additional capital outlay or staffing costs, yet, all tests performed by licensed technicians
ü Retain patients “in-house” for both allergy testing and treatment, rather than referring them to a specialist or allergist
ü Provide a convenient, on-site allergy testing clinic right in your office
ü Treat patients and monitor their immunotherapy program
ü Test and treat any patient over two years old
ü Patients receiving quality care refer their friends growing patient base
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v Licensed techniciansv Board certified neurologists or radiologists
• Radiating pain• Headaches• Neck & Shoulder pain• Back Pain• Carpal Tunnel Syndrome• Myelopathies• Neuropathies• Skin Disturbances• Sciatica• Sensory Loss• Muscle Weakness• Entrapments• Paresthesia
Retain Patients & Revenue• Nerve Conduction Velocity• Evoked Potentials• Balance Testing – VNG• Ambulatory EEG• Routine EEG• General Ultrasound• Abdominal• Arterial• Carotid• Duplex Arterial• Echocardiogram• Thyroid• Transcranial Doppler• Venous• Musculoskeletal Ultrasound
Tests
Neurological and Ultrasound
Conclusion
Ø Additional Revenue, bring DSCR into Loan Approval
- No Cost to implement
- Comply w/Payor Systems
- Increase Patient Volume
- No drain on staff
Ø Earlier Debt Retirement
Ø Increased Valuation of Business for Exit
Ø Additional Cash Available for Growth
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Questions, Answers & Path Forward GPA
Contact & Conferences
Healthcare CapitalGreg GriceManaging [email protected]
Direct: 727-455-7922
Charles PopeCertified Commercial Lender #1248 Managing [email protected]
Direct: 772-260-6731
GPA(877) 247-2775