5 Things to Know About Debt Guarantees and Related Fees for ASCs

Here are five things to know about ASC debt guarantees and related fees for ASCs, according to HealthCare Appraisers’ 2010 ASC Valuation Survey, which includes responses from 17 organizations representing over 500 surgery centers throughout the country.

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1. The tightening credit markets over the past 18 months have resulted in some difficulties in securing debt financing. HAI has seen numerous arrangements arise whereby the majority partner in a center guarantees 100 percent of the center’s debt obligation on behalf of the partnership. In exchange for providing this guarantee, the majority partner may charge the minority investors a loan guarantee fee.

2. Ninety-four percent of the respondents require a personal guarantee of a pro rata share of any initial debt obligation for de novo centers. Seventy-one percent of the respondents require a personal guarantee from an investor purchasing a minority interest in an established center with outstanding debt.

3. Nearly half of the respondents indicated they had guaranteed debt on behalf of a joint-venture center.

4. Of those respondents who have provided a debt guarantee for a center, 25 percent indicated that they charged a fee to the other owners of the joint venture

for providing the guarantee.

5. Of those respondents who have charged minority investors a fee for providing a debt guarantee for a center, 75 percent reported that the fee charged was based upon the investor’s pro rata share of the outstanding debt obligation. Furthermore, half reported that they charged an annual fee equal to 2 percent of the outstanding loan balance. The remaining half indicated that the fee charged varies depending upon factors such as the credit risk of the particular center and that of the investors in the center.

To receive a copy of the 12-page Healthcare Transactions 2010 ASC Valuation Survey, please contact HAI at info@hcfmv.com This e-mail address is being protected from spambots. You need JavaScript enabled to view it

or (561) 330-3488 or download a PDF version at www.healthcareappraisers.com.

Learn more about ASCs from HealthCare Appraisers’ surveys:

5 Things to Know About ASC Management Fees

3 Things to Know About the De Novo ASC Market

5 Things to Know About the ASC Acquisition Market

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