Healthcare Lending - Executive Recruiting Service

The Assignment Division of Healthcare Collateral Consulting, LLC accepts both retained and contingency assignments in both healthcare asset based lending and healthcare private equity marketplace. We are committed to providing confidential, professional services to our clients and candidates alike.

We engage in full range of search assignments including field audit, credit, collateral, underwriting, portfolio/account management, operations, accounting, business development, marketing, sales management, and senior management positions located throughout the nation.

To Our Clients: We know your business. At HCC's-Assignment Division, innovative recruitment for the right talent is imperative. Only after one-on-one interviews do we consider a candidate for placement. All credentials and references are thoroughly checked and validated. Your satisfaction with our candidate's level of performance is central in establishing a strong relationship and providing innovative outsourcing solutions.

• Our contingency fees are below the industry average.
• We have candidates eager to work for your organization.
• Call today or email for our rates.

To Our Candidates: We are committed to providing our candidates with prompt, confidential service. Healthcare Collateral Consulting, LLC-Assignment Division offers challenging job opportunities to help meet their personal and professional goals. The most important pledge that we make to our candidates is to represent them in a fair and honest manner.

How do you get started?

To learn more about Healthcare Collateral Consulting, LLC's executive recruiting service or to register with our division, please email hcc.assignments@gmail.com .

We look forward to hearing from you,

David J. Lacasse, Managing Director

Healthcare Collateral Consulting, LLC

Fairfield County, Connecticut

healthcarecollateralconsulting@gmail.com

Personal Note: Congratulations to National Medical Health Card Systems Inc. (NMHC)

It's always a pleasure to see one of your prior clients become acquired. Between January-2004 and Mid-2005, NMHC was one of my clients when I was Portfolio Manager within the healthcare lending industry. At the time, they were a thriving business and had taken on private equity which in turn drove the stock price to record highs. They were always a pleasure to work with and I wish them the best.

David J. Lacasse, Managing Director - djlacasse@gmail.com
Healthcare Collateral Consulting, LLC

SXCI signed a definitive agreement to acquire National Medical Health Card Systems Inc. (NMHC) for $143 million, or $7.70 in cash and 0.217 shares of SXC common stock, a 13% premium to National Medical's 20-day average closing price. SXC, a Lisle, Ill., healthcare information technology provider, expects the deal with the Port Washington, N.Y., pharmacy benefit program manager to close in the second quarter of 2008. SXC expects the acquisition to decrease earnings in fiscal 2008 and add to earnings after that. SXC said the combined company, which will be renamed InformedRx, will be based in Lisle, Ill., with Gordon Glenn as chairman and chief executive. The company said Mark Thierer of SXC will remain president and chief operating officer, and Jeff Park will remain senior vice president, chief financial officer and secretary.

Link:
http://www.marketwatch.com/news/story/sxc-health-acquire-ntl-medical/story.aspx?guid=%7B39B76FBB%2D32B3%2D493F%2DB98C%2D2BC0085C2354%7D&dist=hplatest

The Need for ABL Human Capital

In a recent Q&A with The Secured Lender, industry executives offered their reflections on the direction of asset-based lending and factoring, with an eye towards moderate growth in 2007 and 2008. As credit markets tighten, as a result of the subprime debacle, asset-based lenders are predicting additional opportunities for their sector.

Excerpt from the Article: The Need for Human Capital

Warren K. Mino, president and COO of Webster Business Credit, Mino's worry remains the need for additional seasoned professionals in the ABL sector should a serious upswing in business occur. Bill Davis, recently retired managing director of Wachovia Capital Finance agrees, noting that one of the bigger concerns for asset-based lenders is the need for more quality people to manage operations and grow portfolios. Davis says, “It’s a very tight market on the human capital side. Good people are at a premium.”

Now, those in the field are scouting out possible prospects outside of asset based lending — those with transferable skills sets. Davis notes, “We have been looking outside of the industry to recruit corporate bankers, for one, or those in investment banking. Generally, they’re looking at portfolio people who have some asset-based experience.”

Experienced people are certainly going to be in need, as industry execs do foresee a growth in business, says Jim Rothman, president of Capital Temp- Funds. He predicts a backlog of business for the ABL sector in 2008, especially as these lenders expand their operations to accommodate other services. Rothman refers to these “value-added alliances” with other industries as a critical component to growing business.

Healthcare Collateral Consulting, LLC ("HCC") offers innovative value added services including field examinations, credit, underwriting, risk analysis, account management, and executive recruiting for healthcare lenders, including banks, asset-based lenders, private equity and institutional investors. HCC's associates have extensive healthcare experience in credit, collateral, underwriting, audit, workout management, operations, and account management.

Article: Lenders predict credit crunch will bring increased business for 2008, but express concerns about the U.S. economy and the need for human capital. - By Myra A. Thomas

Link: http://www.cfa.com/documents/TheSecuredLender_Thomas_Jan08.pdf

If you are interested in learning more, Mr. David J. Lacasse can be reached at the following email address: djlacasse@gmail.com . Please included your name, title, company name and phone number.

Healthcare Collateral Consulting, LLC
healthcarecollateralconsulting@gmail.com
Fairfield County, Connecticut
203-610-2515

www.linkedin.com/in/davidjlacasse

CMS TAKES NEXT STEP TO IMPROVE QUALITY IN NATION'S NURSING HOMES

LATEST IN A SERIES OF ACTIONS TO EXPAND INFORMATION

The Centers for Medicare & Medicaid Services (CMS) today built upon historic action it took last November by making public more names of underperforming nursing homes across the country. On November 29, 2007, the agency began publishing the names of Special Focus Facility (SFF) nursing homes that had failed to improve significantly after being given the opportunity to do so.

Once a facility is selected as an SFF, state survey agencies are responsible for conducting twice the number of standard surveys and will apply progressive enforcement until the nursing home either (a) significantly improves and is no longer identified as an SFF, (b) is granted additional time due to promising developments, or (c) is terminated from Medicare and/or Medicaid.

“This is the latest in a series of steps we will be taking to improve quality and oversight in nursing homes,” said Kerry Weems, CMS acting administrator. “We are issuing more information on special focus facilities to better equip beneficiaries, their families, and caregivers to make informed decisions and stimulate robust improvements in nursing homes having not improved their quality of care.”

Between November and February, CMS worked with states to assure that the SFF list (see link provided) is current and provides consumers with the information needed to make a distinction between nursing homes that are improving and those that are not.

Today’s release includes a broader list of all nursing homes identified in the SFF initiative. This updated and expanded list identifies facilities by the category they fall within, such as:

New Additions: nursing homes added within approximately the past six months;
Not Improved: nursing homes that have failed to improve significantly in at least one survey after being named as a SFF nursing home;
Improving: nursing homes that have significantly improved on the most recent survey, including no findings of harm to any resident and no systemic potential for harm;
Recently Graduated: nursing homes that have sustained significant improvement for about 12 months, indicating an upward trend in quality improvement compared to the nursing home’s prior history of care; and those
No Longer in Medicare and Medicaid: nursing homes that were either terminated by CMS from participation in Medicare within the past few months, or voluntarily chose not to continue participation.

The SFF initiative was created by CMS in 1998 in response to the number of facilities that were consistently providing poor quality of care. Those facilities were periodically instituting enough improvement so that they would pass one survey, only to fail the next (for many of the same problems as before). Facilities with this compliance history rarely addressed underlying systemic problems that were giving rise to repeated cycles of serious deficiencies.

This link is provided to you by Healthcare Collateral Consulting, LLC:
http://www.cms.hhs.gov/apps/media/press/release.asp?Counter=2897&intNumPerPage=10&checkDate=&checkKey=&srchType=1&numDays=3500&srchOpt=0&srchData=&srchOpt=0&srchData=&keywordType=All&chkNewsType=1%2C+2%2C+3%2C+4%2C+5&intPage=&showAll=&pYear=&year=&desc=&cboOrder=date

Monitoring Healthcare Facility Survey Results: Healthcare Collateral Consulting, LLC can offer its clients facility survey results as a likely time saving opportunity. HCC can also recognize potential collateral issues with a revolving line of credit if the facility is non-compliant from its survey results. HCC has access to the Surveys, Certifications, and Reporting database – this includes facility characteristics and health deficiencies issued during the most recent state inspection and recent complaint investigations. Healthcare facilities are required to be in compliance with the State and Federal regulations, to receive payment under the Medicare or Medicaid programs. HCC can save its clients the burden of identifying non-compliant facilities and alerting them of any impending collateral issues. Healthcare Collateral Consulting, LLC can increase visibility and productivity by centralizing this survey monitoring function.

If you are interested in learning more, or would like to get in touch with Mr. David J Lacasse; He can be reached at the following email address: djlacasse@gmail.com . Please included your name, title, company name and phone number where Mr. Lacasse can reach you.

Terms of a Healthcare Provider's Revolving Line of Credit

Revolving Line of Credit

Revolving line of credit lets you draw and repay the balance repeatedly over the life of the loan. You may borrow any amount you need up to your available credit limit, and use your eligible accounts receivable to secure the loan. As your receivables are paid, the cash is used to pay down your outstanding loan balance.

Lender's committed lines of credit provide availability based on the net collectible value (reimbursement rate) of a borrower's accounts receivable, typically up to 85% (range: 80% to 90%) against receivable aged up to 180 days (range: 90 to 180 days). Self-Pay receivables are usually excluded. Commitments to these credit facilities range from one to five years (average 3 years). Lender's also includes float days (numbers of days before collections are posted) in the term sheet; the range is typically 2 to 5 days. Lender takes first lien on all accounts receivable.

Pricing on Revolving lines of credit are typically in the range of Libor plus 1.50% - 5.00% (prime rate is also used), depending on the size of the commitment, and credit quality of the borrower. A commitment fee of 0.75 – 2.00% is typical (average is 1.00%).

If you would like to compare Lender's costs; Healthcare Collateral Consulting, LLC can perform a complete analysis of a prospective borrower's proposed RLOC terms and fees. Using the lender's term sheet and historical data for the last 12 to 24 months, HCC can give the prospective borrower insight into the true cost of the revolving line of credit and allow the prospective borrower to test different fee schedule scenarios. HCC can also offer a collateral simulation to determine if the collateral supports the loan balance on any historical month. HCC will then make term sheet recommendations leading to improved cost savings, and/or the ability to obtain additional funds from untapped collateral.

How do you get started?
If you are interested in learning more, or would like to get in touch with Mr. David Lacasse; He can be reached at the following email address: djlacasse@gmail.com . Please included your name, title, company name and phone number where Mr. Lacasse can reach you.

Healthcare Collateral Consulting, LLC
healthcarecollateralconsulting@gmail.com
Fairfield County, Connecticut
203-610-2515

Healthcare Collateral Consulting, LLC - “An Innovative Outsourcing Strategy for Healthcare Lenders and Investors”

Healthcare Collateral Consulting, LLC (HCC) provides lenders in Healthcare and Life Sciences with additional insight into healthcare trade risks that cannot be provided by most other consulting or audit firms. Healthcare Collateral Consulting, LLC ("HCC") offers innovative cost-saving services including field examinations, credit, underwriting, risk analysis, account management, and executive recruiting for healthcare lenders, including banks, asset-based lenders, private equity and institutional investors. HCC's associates have extensive healthcare experience in credit, collateral, underwriting, audit, workout management, operations, and account management.

Healthcare Collateral Consulting, LLC has mission to provide superior, cost effective, value added services to our clients. HCC is committed to establishing strong relationships with its clients and providing inventive outsourcing solutions with the highest quality of service. "Many of the players in healthcare lending are focusing on booking transactions without adequate back-office and due diligence support, which has created a void in the marketplace for the type of account management and due diligence services we offer," said David J. Lacasse, Managing Director at HCC. "HCC's services are designed to provide a customized solution from healthcare finance professionals ".

Here is a link to Healthcare Collateral Consulting, LLC's press release on ABFjournal.com. http://www.abfjournal.com/story.asp?id=20633

Healthcare Collateral Consulting, LLC has established a web-blog dedicated to Healthcare Lending and Healthcare Reimbursement. You will find this information useful in your Healthcare lending endeavors. http://healthcarecollateralconsulting.blogspot.com/

HCC's services are designed to provide a customized solution and include:

• Remote Performance & Loan Compliance Reviews
• Underwriting/Due Diligence
• Collateral Exams
• Remote Financial Assessments
• Scheduling Engagements & Staffing
• UCC Research
• Monitoring Healthcare Facility Survey Results
• Best Practices Analysis
• Revolving Line of Credit Simulation
• Inventory Analysis
• Hard-asset Verifications
• Special Assets Divestitures

Executive Recruiting Service: The Assignment Division of Healthcare Collateral Consulting, LLC now accepts both retained and contingency assignments in both healthcare asset based lending and healthcare private equity marketplace. We are committed to providing confidential, professional services to our clients and candidates alike. For more infromation, email your inquiry to hcc.assignments@gmail.com .

About HCC's Management:
Managing Director and President - David J Lacasse has more than 11 years of experience in asset based lending, healthcare finance, and medical device manufacturing, most recently managing the loan portfolio for a prior healthcare finance business since 2004.

How do you get started?
If you are interested in learning more, or would like to get in touch with Mr. David Lacasse; He can be reached at the following email address: djlacasse@gmail.com . Please included your name, title, company name and phone number where Mr. Lacasse can reach you.

We look forward to hearing from you,

David J Lacasse, Managing Director
Healthcare Collateral Consulting, LLC
203-610-2515
Fairfield County, Connecticut
djlacasse@gmail.com

Personal Note: Congratulations to Matria Healthcare Inc.

Inverness Medical to Acquire Matria in $900 Million Deal

It's always a pleasure to see one of your prior clients prosper. Matria Healthcare was one of my portfolio clients when I was Portfolio Manager within the healthcare lending industry. They were always a pleasure to work with and I wish them the best.

David J. Lacasse, Managing Director - djlacasse@gmail.com

Inverness Medical Innovations Inc. said it will acquire Matria Healthcare Inc. in a cash-and-stock deal valued at $900 million that officials hope builds on the U.S. company's core focus -- women's health, oncology and cardiology.

Matria, based in Marietta, Ga,, provides programs for managing diseases and high-risk pregnancies. Through its health-enhancement and women's and children's health divisions, Matria provides services to more than 1,000 employers and managed-care organizations. The deal values each share of Matria at $39 -- $6.50 in cash and $32.50 in Inverness preferred stock -- a 27% premium to Friday's closing price. Inverness will also assume $280 million in Matria debt.
Inverness, based in Waltham, Mass., intends to consolidate Matria with the recently acquired Alere and Paradigm businesses to form a unit that focuses on the large and rapidly growing health management market.

Link:
http://online.wsj.com/article/SB120152316911121953.html?mod=yahoo_hs&ru=yahoo