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Owning your office has great advantages.

September 21, 2018

Owning your office has great advantages.

Additional revenue, say by providing Nerve Conduction Velocity (NCV) and/or Cardiac Studies in there practice, rather than referring out in one’s medical practice can easily provide the 10% down payment for an SBA loan. Owner occupied by 20% and 80% leased out – your rent is covered. Here’s a matrix with shows the details:

Description SF Lease/SF Gross Annual Lease Per MO
Current lease data 3,000 $15.00 $45,000 $3,750
Building Purchase 15,000
Owner Occupied 20.00% 3,000 $0
Tenants 80.00% 12,000 $15.00 $180,000 $15,000
Gross Income $180,000
Vacancy -10.00% ($1,500)
Expenses -25.00% ($45,000)
CADS $133,500
P&I PMT ($45,656)
Taxes & Insurance 3.00% ($15,750)
NOI $72,094
ROI (cash on cash) 137.32%

Working Capital, Patient Care: Nerve Conduction Velocity: Benefits and Detail

August 2, 2018

Working Capital, Patient Care: Nerve Conduction Velocity: Benefits and Detail

Summary: Many physician ask us about working capital and loans. In many cases, the solution is right in front of them. Below is a summary of NCV testing which provides both, enhanced patient care, assuring better outcomes and increased working capital for the medical practice.

Patient Benefits:

  • Convenience: Patient stays right within the comfort zone of your practice with familiar location and office.
  • Timely: Patient is scheduled for test in days (not months) so their pain can be addressed more quickly.
  • Friendly & professional testing technician: Our certified technicians are professional, and patient focused.
  • Rigorous report: Tests are read board-certified neurologist and provide an extensive report in 2-3 days.
  • Continuity of Care: As insurance guidelines dictate, the patient may be tested every 6 months while the condition being treated remains. Ongoing testing will allow doctors to track the progress of the complaint and/or treatment to determine if it is improving or worsening.
  • Therapy support: Reports verify and define the need for the treatment plan – including physical therapy.
  • Patient out-of-pocket: Given the number of patients on high-deductible plans combined with the fact that 40% of Americans are unable to cover an unexpected expense of $400 or more, co-pays and deductibles can be a major problem for many. Depending on the billing model chosen by the practice, the patient’s co-pay can be zero to minimal. (see page 2)

Physician Benefits:

  • Patient Care and Control: Physicians maintain supervision of patient care for better Continuity of Care.
  • Quickly confirm or alter your patient’s treatment plan as needed. Testing corroborates injuries and, therefore, confirms medical necessity. This validates your CPT code.
  • Extensive reports on patient so that treatment plans are defined or modified in a timely fashion.

 Practice Benefits:

  • Liability: Solid documentation to support treatment plans and verify patient outcomes and progress.
  • Revenue: Allows practice to capture more potential patient revenue which can result either in re-investment into the practice and/or net income to the shareholders.
  • Patient referrals: In-house diagnostics sets your practice above others. This positive patient experience leads to their referrals of other patients within their center of influence.

The Ugly Truth About Merchant Cash Advances

June 14, 2018

The Ugly Truth About Merchant Cash Advances

If your practice has either struggled financially in the past, or is struggling right now, you know the pressure is overwhelming. This leaves many doctors in a panic to take any deal available, including bad deals like a Merchant Cash Advance (MCA)*. To make things worse, once you’re in an MCA, you’re “un-bankable” to most other lenders until it’s paid off. Learn more about MCAs here.

We’ve had many doctors ask us if we can get them out of MCA’s that are putting a huge squeeze on their cash flow. Yes, we can!

GPA Capital will refinance your MCA (and other short term debts) into a long-term SBA Loan. But this is Step 2. Step 1 in the GPA Capital Plan is to first increase your Internal Capital Growth dramatically, allocating that revenue to pay off any MCA or other business/personal loans.

GPA Capital uses this reported income for those six months to qualify you for a long-term SBA loan. Apply Here so that we can get you out of this pressure and on the right track.

*On the average, Drs. receive 6 to 8 MCA solicitations/MO, yep and 24 hour funding to boot!

A “make sense” proposition!

May 15, 2018

A “make sense” proposition!

Many healthcare providers that come to us for commercial loans find the revenue from implementing a new service like Range of Motion and Muscle Testing provides the income they need without a loan (under $100k). For larger loans, they find that by implementing this, they don’t use their Operating Capital for Debt Service. The service costs you and your patient nothing (you make $3-10k/mo based on frequency), improves your level of service, patient loyalty and improves outcomes.

Find out more here: ROM/Muscle Testing Handout

Click for “How to Get Started ROM/Muscle Testing Quick Start Guide”

Financial Trends 1st Quarter 2018

March 3, 2018

Financial Trends 1st Quarter 2018

by: Charles Pope, Certified Commercial Lender

February was a “banner month” for GPA Capital’s funding program. THANK YOU! Yes, we helped many Medical Practices with their Finances, but, we also learned what’s trending in today’s Healthcare Financial Environment and, as promised, we are sharing what’s trending:

  • A large percentage of physicians who “threw the towel in” several years ago, sold their practice and went to work for a larger company, e.g., a hospital, realized that “that” was not a panacea and are re-entering private practice.
  • That being said, the game has changed over the past several years. We can now define the PPR (Potential Patient Revenue) more accurately than ever. This allows the provider to see less patients, provide higher quality of care and receive more income. This allows us put these systems in place for our clients, enabling us to accurately forecast income which, in-turn, is used to demonstrate the physician’s ability to amortize borrowed funds.
  • A much larger “Sales and Marketing” budget is now required. This is not only true for the roll-out, but even in a debt consolidation refinance, the fresh start budget has proven to be necessary to break the mold of the downward spiraling cash-flow.

Why a capital company endorses mobile diagnostic testing?

February 8, 2018

Why a capital company endorses mobile diagnostic testing?

Simple – GPA Capital’s clients have found that implementing it not only improves the quality of their practice, the additional revenue makes it much easier to pay back their loans. With over 25 years of mobile diagnostic testing and hundreds of satisfied physician clients across the country, GPA Capital’s mobile diagnostic imaging partner guarantees Better Patient Outcomes, Continuity of Care, and Increased Revenue.

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7 Facts Primary Care Providers Need to Know About Mobile Diagnostic Testing

1. Patient Comfort and Convenience

Patients prefer the familiar surroundings and service of your office and staff.

2. Patient Care and Control

Physicians maintain supervision of patient care for better Continuity of Care. Quickly confirm or alter your patient’s treatment plan as needed.

3. Patient Retention

Your practice experiences improved patient retention through in-office testing and reducing referrals. Most importantly to your patients, we do everything we can to cover your patient’s deductibles (up to $1,000).

4. Board Certified Radiologists, Neurologists, and Cardiologists

Notable interpreting physicians are experts in their fields and give accurate and timely diagnostic evaluations.

5. Capital Expense Control

This program costs you nothing – no costly outlay for testing equipment, additional staff, or supplies. In fact, you are paid a “Fair Market Rent” of $1,000 every day of testing and you bill for all follow-up visits to review the test results.

6. Clinical Services

A full array of the most valuable diagnostic testing and superior patient service capability.

7. Decades of Expertise

From skilled and compassionate technicians to notable board-certified physicians, GPA Capital and our imaging partner’s management expertise is an invaluable addition to your practice team.

Here’s a quick video explaining the process and how easy it is to begin.

 

To explore adding this to your practice, get started here.

 

 

Chiropractic Care and Diabetic Peripheral Neuropathy!

January 12, 2018

Chiropractic Care and Diabetic Peripheral Neuropathy!

Diabetes is a leading cause for Peripheral Neuropathy, as 60% of those with diabetes will develop this painful condition. Although chiropractic isn’t a cure for Peripheral Neuropathy, it should be an integral part of any diabetic patient’s treatment plan.

“Chiropractic care is an effective treatment for Peripheral Neuropathy because it targets the root cause for a patient’s pain symptoms; we do not simply rely on medication to numb this pain. While chiropractic care is not a ‘cure’ for Peripheral Neuropathy, it is an important part of an effective treatment program.”   Chiropractor Paul Raveling.

Raveling also believes that early diagnosis and treatment may reduce the severity of the motor nerve and sensory nerve damage, as well as help patients with the management of the disease. Therefore, Nerve Conduction Velocity (NCV) and Electromyogram (EMG) testing should be a pivotal part of every chiropractor’s diabetic patient’s treatment plan. GPA Capital writes this into our business plans for our chiropractic clients (PCPs also), as we focus on the top two business strategies 1. better patient outcomes and 2. better practice cash flow.

For this reason we created just published the attached white paper to bring clarity to this subject [click for whitepaper].

Planning a Profitable 2018: A Daunting Task

December 29, 2017

Planning a Profitable 2018: A Daunting Task

strategic-planWhereas Cash Flow is the “life blood” of any business, recording, collecting and analyzing your business’ operations is the “heart.” The goal, always, is Continuity and Diversity of Income. Therefore, successful practices start their fiscal year with a plan that describes the strategic goals of the organization, its financial and other resource needs. Capital partners such as banks may require a formal business plan before approving credit. GPA Capital has developed a Planning Tool to help our followers and clients. You will benefit by reviewing these Top 10 Strategies:

Strategies I: Strategic plan

Strategies II: Budget

Strategies III: Legal

Strategies IV: Finance

Strategies V: Insurance

Strategies VI: Credentialing/Third-party payors

Strategies VII: Facilities

Strategies VIII: Staffing

Strategies IX: Practice Management

Strategies X: Banking Relationship

For further assistance and direction, feel free to complete GPA Capital’s brief Medical Practice Questionnaire at no cost or obligation.[Start Here]

Top 10 Reasons Physicians’ Commercial Loans Are Declined.

December 14, 2017

Top 10 Reasons Physicians’ Commercial Loans Are Declined.

Whether expanding your existing practice, purchasing a practice or planning your exit, at some point you will be planning to borrow funds for your Medical Practice. Each loan is like “going to battle” with a bank. Listening to the horror stories of our clients who have come to us after being shot down for their commercial loan request, we felt that it would help future borrowers to share what we have learned. Below is the short list and attached is the whitepaper.

  1.  Applying with the wrong lender. Simple, but the number one reason.
  2.  Lack strong “compensating factors”
  3.  Can’t properly document your income
  4.  Inexperienced loan officer or mortgage broker
  5.  Your reasons for seeking a long don’t make sense.
  6.  You don’t have a solid business plan.
  7.  The outside conditions are too risky.
  8.  Picked the wrong type of venture or initiative
  9.  Sandbagged by a know-nothing appraiser
  10.  Bushwhacked by new rules

GPA Capital tailors each unique loan for its providers to best serve their needs. Equally as important, we structure the loan package for minimum chance of being declined. Plus, we always have backup plans 2 and 3. Funding to a conclusion is our goal. Please review the material and should you decide, you can get started here.

Art & Science Behind Healthcare Borrowing

November 15, 2017

Art & Science Behind Healthcare Borrowing

Art & Science
Art & Science

As commercial financiers with decades of experience, we recognize that successful healthcare borrowing requires both “art and science.” Unfortunately, many providers don’t understand this and after weeks spent rounding up documents and filling out forms (then more weeks of waiting), 62% of loan applications still get turned down due to inadequate paperwork or poor communication.

Why?

Producing a successful commercial loan package requires 2 different skill sets. In school, most people are either good in English/Creative Writing classes (art) or good in Math classes (science) – or if not good, at least prefer one or the other. However, a successful commercial financier must excel in both.

How?

  • Writing: Clearly summarizing a borrower’s past (especially details surrounding issues like bankruptcy), the current status of the practice and then presenting future goals that lender’s buy into is crucial. Two fundamental rules in writing are “know your audience” and “know your subject.” By having an MBA in Finance and decades as both a commercial loan officer and commercial loan broker, Chuck Pope at GPA Capital has both rules covered. Knowing how loan officers analyze loan packages and the skill developed from writing hundreds of them himself provides the skill required to focus on each application’s highlights and downplay any deficiencies. Like any good biography, the story must lineup with the facts – in this case, the attached financial documents.
  • Math: Analyzing and extrapolating critical data from often thousands of pages of various personal and business financial documents going back years is hard. Then repackaging that data into clear and concise documentation that even the busiest loan officer can quickly find is even harder. By understanding exactly what data loan officers and underwriters are looking for, GPA Capital knows that, with a multitude of loan types and access to hundreds of lenders, with the right financial documentation, there is a fit for almost every situation.

Results?

By working closely with our clients, we craft loan applications that provides the required financial documentation and is framed in the best light possible. The result is a much faster loan with the best rates and terms available.

For more on this subject, get the free PDF Art & Science Behind Borrowing

To begin the loan application process, fill out this Confidential Conference Request.

If you have any questions or comments, please contact us at:

877.247.2776

info@gp-assoc.com

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