Mezzanine Debt Explained

When looking for ways to fund the goings on of an ASC or urgent care center, an owner operator must adopt a businessman’s mindset. In other words, he or she must look at the center as a small or large business.

Dallas, Texas, August 11, 2014 - When looking for ways to fund the goings on of an ASC or urgent care center, an owner operator must adopt a businessman’s mindset. In other words, he or she must look at the center as a small or large business.

Whether an owner is looking to buy out a partner or expand the center in some way, extra capital can be a hard thing to come by, especially if the amount is substantial.

Seeking out a loan from a bank in the form of asset backed financing is own common option. However, in an article published by The Ambulatory M&A Advisor, a type of financing called “mezzanine” financing is explained.

According to Rodger Davis, Partner at Northcreek Mezzanine in Cincinnati, mezzanine debt financing is, “subordinated to a senior lender. It has a second priority lean on the assets of the business. Hence the word ‘mezzanine,’ because it sits between senior debt and equity.”

The article, which can be read in full here, goes into further detail about differences in equity and collateral between mezzanine and asset backed bank financing. Robert Stewart, General Partner at Spring Capital Partners, L.P., also offers insights and comments in the article.

The Ambulatory M&A Advisor is an online publication that covers the most up-to-date trends and topics surrounding ambulatory care center deal making, including information on investment banking in the ambulatory care realm.

To read this article and others like it, visit the publication at www.ambulatoryadvisor.com.

Contact:
Blayne Rush, MHP, MBA
Ambulatory Alliances, LLC
18181 Midway Rd Ste 200
Dallas, Texas 75287
469-385-7792
publisher@AmbulatoryAdvisor.com
http://www.ambulatoryadvisor.com

The Beginner’s Guide to Selling you ASC

Making the decision to sell your ASC can stem from a number of reasons. However, the preliminary steps to preparing your ASC or urgent care center can be the most pivotal to the sale.

Dallas, Texas, August 09, 2014 - In a recent article published by The Ambulatory M&A Advisor, the first thoughts an owner should have and the first steps he or she should take are explored and explained in reference to the selling process. Additionally, Blayne Rush, President of Ambulatory Alliances, LLC, and Curtis Bernstein, managing director of Sinaiko Healthcare Consulting.

One of the more significant points to keep in mind when preparing your outpatient center for sale involves the perception of potential buyers.

“When it comes to buyer perception, buyers are influenced by appearances,” Rush said. “The better prepared you are, the better organized you are and the better you understand and convey your unique message, the better your ASC will look in the eyes of the potential investors. The more authentic and knowledgeable you come across, the more believable your story will be and the more influence you will have on the buyers.”

Further helpful concepts, including aspects of an ASC’s financial reports and balance sheets are detailed in the article, which can be read in full here.

The Ambulatory M&A Advisor is an online publication that features articles covering business, legal and transactional updates and insights around ambulatory care center deal making. To read this article and others like it, visit the publication at www.ambulatoryadvisor.com.

Contact:
Blayne Rush, MHP, MBA
Ambulatory Alliances, LLC
18181 Midway Rd Ste 200
Dallas, Texas 75287
469-385-7792
http://www.ambulatoryadvisor.com

Pain Management In-Office Procedures Decline with Reimbursement Rates

The proper business management of an Pain Management Center will be the key to success going forward, according to industry professionals.

Dallas, Texas, April 26, 2014 - In an article published by The Ambulatory M&A Advisor, Dr. Rudi Gari of Texas Pain Relief Group weighs in on the matter, noting that physician-owners of Pain Management Centers need to keep the business side of their practice in mind, even if it doesn’t come second nature.

“Physicians are typically not the best business people,” Gari said. “You may be the best doctor the world has ever known, but if you don’t know how to manage your finances and manage your office, you’re not going to have an office to practice in.”

This emphasis on business is a result of declining reimbursement rates, according to Dr. Al Liceaga, Medical Director of Orangewood Surgical Center and Regional Pain Treatment Medical Center.

“ASCs reimbursement for procedures are often paid on only one CPT code and global fees now limit payment and reduce access to care by not allowing reimbursement for certain procedures within the global time period,” he said. “Reimbursement for hardware and implants has dramatically changed also. The majority of implants are now inclusive of the global fee.”

These changes in reimbursement rates had a noticeable impact on in-office procedures, with higher costs causing a reduction in such procedures.

To read the full article, which also features input from the COO of Kure Pain Management Bill Hughes, visit The Ambulatory M&A Advisor here.

The Ambulatory M&A Advisor is a one-stop information destination for business, legal, and transactional insights on Ambulatory Care Centers. With contributions from industry professionals, as well as on-staff writers, the publication recognizes excellence, presents thought leadership and facilitates connections among the industry's leading deal making experts.

Contact:
Blayne Rush
The Ambulatory M&A Advisor
18181 Midway Rd Ste 200
Dallas, Texas 75287
469-385-7792
publisher@AmbulatoryAdvisor.com
http://www.Ambulatoryadvisor.com