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AHLA Health Care Finance: A Primer (AHLA Members)

Health Care Finance: A Primer addresses all the basics, from a discussion of the particular needs of various types of health care entities, to specific financial arrangements and and the attending documents that are integral to them.

Publisher: AHLA
Print Book :Softbound
3rd Edition
$109.00
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ISBN/ISSN: 9781632841841
Publisher: AHLA
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For those involved with the health care industry, an understanding of the underlying principles of health care finance is a must. The Third Edition of Health Care Finance: A Primer addresses all the basics, from a discussion of the particular needs of various types of health care entities, to specific financial arrangements and the attending documents that are integral to them. In addition, the publication includes sample documents for various types of loans, and sample representations and warranties for life sciences companies and health care facilities.

The eBook versions of this title feature links to Lexis Advance for further legal research options.

Published October, 2015.

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Table of contents

Chapter 1   Introduction

1.1   Health Care Finance is More Important than Ever

1.2   Cost of Capital


Chapter 2  Legal and Economic Issues in Health Care Lending

2.1   Health Care Laws

2.2   Payment Issues


Chapter 3   Types of Potential Health Care Providers Needing Capital

3.1   Hospitals

3.2   Long-Term Care Facilities

3.3   Life Science Companies

3.4   Medical Device and Equipment Manufacturers

3.5   Other Health Care Providers and Service Companies


Chapter 4   Various Financing Concepts and How They Work

4.1   Cash Flow Financing

4.2   Asset-Based Financing

4.3   Lockbox Lending

4.4   Real Estate Financing

4.5   Equipment Financing and Capital Leases

4.6   HUD Lending for Long-Term Care Facilities

4.7   FHA Section 242 Mortgage Program

4.8   Construction Loans

4.9   Sale-Leaseback Arrangements

4.10   Vendor Financing

4.11   Bond Financing

4.12   Mezzanine Financing

4.13   Special Issues with Acquisition Financing


Chapter 5   Legal Concepts and Documents Relevant to Most Health Care Transactions

5.1   Term Sheet; Commitment

5.2   Due Diligence

5.3   Structure of the Transaction

5.4   Credit Agreement/Loan Agreement

5.5   Promissory Note

5.6   Legal Opinions

5.7   Deposit Account Control and Restriction Agreement

5.8   Pledge Agreements

5.9   Landlord Waivers

5.10   Commonly Negotiated Loan Provisions

5.11   Post-Default Complications Unique to Health Care

5.12   Special California Rules


Chapter 6   Four Prototypical Deals and Their Related Documents

6.1   Type 1 – Cash Flow Loans

6.2   Type 2 – Real Estate Based Loans

6.3   Type 3 – Asset Based Loans

6.4   Type 4 – Equity Deals


Chapter 7   Potential Credit Enhancement and Risk Reduction Sources

7.1   Letters of Credit

7.2   Insurance

7.3   Guaranties

7.4   Interest Rate Risk Protection for Variable Rate Loans: Derivatives, Swaps, and Other Hedging Devices

7.5   Cross-Default and Collateralization Provisions

7.6   Equity Infusions

7.7   Subordinated and Mezzanine Debt

7.8   Syndication

7.9   Capital Markets & Securitization


Chapter 8   Conclusion


Appendix A   A Short Primer on Debt, Equity, and Legal Terminology


Appendix B   Sample Opinion Long-Term Care Facility (Real Estate Loan)


Appendix C   Sample Asset-Based Opinion of Counsel


Appendix D   Example Representations and Warranties for Life Science Companies


Appendix E   Example Representations and Warranties for Health Care Facilities


Appendix F   Flow of Funds Chart-Revolving Loan


Appendix G   Revocable Standing Medicare/Medicaid Deposit Account Service Agreement


Appendix H   Government Health Care Receivables Deposit Account Agreement


Index