NHA's experience and capabilities in the area of healthcare
finance include various roles in both taxable and tax exempt
bond issues, conventional financing, private placements and
equity raises. Various services identified above are often
prepared with the debt or equity source requirements taken into
consideration with the deliverable used in support of securing
role in the area of financial and operational services for
healthcare providers includes the following:
Modeling, Forecasting, and Feasibility
includes modeling the business operations for healthcare
providers addressing pricing and rate setting, third party
reimbursement considerations, net earnings from a given
business opportunity, cost shifting and revenue enhancement
potential and preparing financial budgets and projections.
Our scope of work also includes the additional tasks and due
diligence to prepare financial feasibility studies for
internal use as well as debt and equity raises.
Finance Expert Witness
involves providing necessary litigation support in the areas
of economic damages, regulatory matters, impact of market and
business dynamics on a given entity and certificate of need
Analysis and Evaluations
includes evaluation of historical operational and financial
patterns, assessing current operational/financial business
activities and projecting future business potential.
This work product also includes business valuation services
including determining capitalization rates, discount rates,
gross revenue multipliers and price-earnings ratios and
ultimate opportunity and value of business being evaluated.
Determination and Analysis of Financing Alternatives
scope of work involved in this type of service includes
identifying financing sources, assisting in securing related
commitments, structuring off balance sheet transactions,
public - private partnership development, preparing financial
forecasts to support debt or equity placement and
identifying capital resources consistent with partner and
joint venture objectives.
and Joint Venture Structuring
includes identifying alternative organizational and ownership
structures, assisting with transaction negotiation and
structuring, assisting with asset acquisition or disposition,
structuring off balance sheet transactions, contract
preparation, negotiation and review, public - private
partnership development, identifying capital resources
consistent with partner and joint venture objectives,
implementing joint venture projects on behalf of owners and
providing ongoing oversight of the management company, serving
as the owner's representative to review continuing performance.