Business model of medical financing leasing

Summary of Business Model of Medical Financing Leasing

At present, most of the funds invested by private hospitals are in infrastructure, and the hospital's own real estate can be used for financial leasing. What are the modes of medical financing leasing business?

1, hospital financing lease

(A) public hospital system financing lease

The credit system of public hospitals has been relatively perfect, with dimethyl as the core, three-level hospitals as the main task, and channel development as the main task, which has rapidly formed a large number of excellent leased assets.

(1) access criteria

1) Level II first-class hospital; In principle, the medical income in the previous year was above 1 100 million yuan;

2) the top two at the county level and the top five at the municipal level, covering a population of more than 400,000;

3) the proportion of hospital drug income in the total annual hospital income.

4) It must meet the needs of hospital construction and equipment purchase, and it is not allowed to finance or misappropriate in the name of the government;

5) The leased property must have clear ownership and belong to the hospital without any other rights (including the leased property, cooperative equipment and mortgaged equipment of other leasing companies);

6) The leased property must have an invoice, and the value is determined based on the net fixed assets of the hospital, without discount;

7) Financial leasing projects should be registered online.

8) Credit granting without additional mortgage guarantee.

(2) the scale and duration of credit

1) In principle, the total amount of credit granted to hospital customers shall not exceed 80% of the total income of the previous year;

2) The debt repayment source of the hospital must cover the short-term financing interest and long-term financing principal and interest of all financial institutions (that is, deducting liabilities of other financial institutions);

3) Five years for secondary hospitals and eight years for tertiary hospitals, with equal repayment of principal and interest on a quarterly basis (similar to mortgage);

4) The contract interest rate is benchmark floating rate 10-50%, with a small amount of handling fee and deposit, and the comprehensive cost flat interest rate is controlled at benchmark interest rate-benchmark interest rate floating rate of 20%.

Collect information:

Brief introduction of the hospital (including introduction of key departments); Practice license; Certificate of legal person of public institution; Organization code certificate; Hospital rating documents; Dean's ID card and resume; Loan card and query results of loan card; Audit reports and recent financial statements of the hospital in recent three years (including but not limited to: balance sheet, income and expenditure summary table (income statement) and medical income and expenditure schedule);

The detailed list of income and cost of each department at the end of last year and in the near future printed on the spot in the hospital HIS system;

Print the health system 1- 1 table and the recent health system 1-8 table reported by the hospital to the health department at the end of last year on the hospital system (the health statistics report directly reported to the health department is generally in the medical record department or information center);

Provide bank statements of basic households (generally new rural cooperative medical insurance and medical insurance accounts) for nearly three months;

All bank credit, financing summary and long-term loan financing contracts (repayment progress page);

List of leased equipment and existing large-scale equipment configuration license;

Approval documents for new projects under construction, compliance documents such as environmental assessment, land and planning, and government financial allocation vouchers (if any).

(B) Private hospital system financing lease

Mode 1: Comprehensive credit granting mode of private medical groups.

Transaction core:

The leasing company gives comprehensive credit to the private medical group, and then leases equipment according to the financing needs of the hospitals under the group; Private medical groups provide guarantees for the financial leasing business of their hospitals.

Mode 2: Strategic alliance mode of private medical groups.

Transaction core:

Establishing strategic cooperative relationship between leasing company and private medical group; Minsheng Leasing provides financial leasing services for upstream and downstream customers in the medical industry chain, including pharmaceutical factories, consumable factories, equipment factories and other customers with the help of the resource advantages of private medical groups.

Mode 3: Reform mode of public hospitals

Transaction core:

Leasing companies provide financial leasing credit to public hospitals and obtain a certain proportion of equity in the process of transforming public hospitals into private hospitals.

(C) Medical real estate leasing model

Mode 1: financial leasing business model

At present, most of the funds invested by private hospitals are in infrastructure. Hospital-owned real estate can be used for financial leasing, and the ownership of the real estate can be transferred to the leasing company. The leasing company can obtain the corresponding proportion of liquidity according to the present value of the assets, and the leasing company can obtain stable rental income (approved rental-sales ratio). At the end of the lease period, the company will transfer the ownership of the real estate to the lessee.

Lease term: 10 years or more,

The profit model of financial leasing: stable rental income. (Buying and selling transfer fees is included in the cost of capital)

The leasing company is responsible for the maintenance and future operation management of the property, and can agree with the hospital to divide the operating profit of the hospital according to a certain proportion in addition to the fixed income.

Concerns: the hospital's own operating conditions, whether there are barriers to the sale of medical land; Transfer taxes and fees.

Mode 2: Operating lease business mode

If large-scale private chain hospitals or specialized hospitals need to land, leasing companies can find suitable properties (medical or commercial land) in first-tier cities according to the needs of hospitals and real estate centers, and cooperate with private hospitals after purchase. After the end of the lease period, it can be rented or sold as its own assets.

The profit model of operating lease: 1, and the fixed income from rent (calculate the appropriate `rental-sale ratio'); 2. The leasing company is responsible for the renovation project of the property according to the needs of the hospital (turnkey project); 3, property maintenance and future management, can be agreed with the hospital in addition to fixed income according to a certain proportion of hospital operating profits.

(four) the proceeds from the disposal of assets after the expiration of the lease.

Risk control measures: the phenomenon of late payment or non-payment of rent due to poor management and improper capital turnover of the lessee. In order to control this credit risk, our business personnel must strictly implement the relevant procedures of due diligence when accepting the project application, and carefully evaluate and judge the financial situation, cash flow and business development of the hospital, especially the value judgment of the real estate.

Channel development

At present, the development level of private hospitals is uneven. In order to ensure the stable development of hospitals in the future, we must first bind large chain private hospitals, medical management groups with certain management capabilities, and high-end physical examination and health management centers involved in large group pharmaceutical companies (listed companies).

At present, the main target of social medical treatment is small and medium-sized hospitals, mainly secondary hospitals. In the future, the society will experience a process in which the scale of a hospital will grow from small to large, and the social capital of small hospitals and specialized hospitals will change from slow to fast, and large medical groups will take shape in this process. Of course, pharmaceutical companies entering the medical market through acquisitions and other means will also usher in a stage of rapid expansion. Specialized hospitals and high-end rehabilitation hospitals supporting comprehensive public hospitals will be the future development direction of private hospitals.

2. Financial leasing of medical equipment

According to the statistics of medical device industry association, in 20 13 years, the output value of domestic medical device industry in China was about15 billion US dollars, and the imported medical devices were about15 billion US dollars.

(1) Lease of imported medical equipment

Imported medical equipment has high value and good reliability. However, the equipment manufacturers are big international manufacturers, and basically do not undertake the repurchase responsibility. Therefore, the direct leasing mode of imported medical equipment and some powerful domestic medical equipment manufacturers largely disperses the risk control measures in hospitals and large distributors.

Mode 1: direct leasing mainly by leasing hospitals.

Compared with leaseback business, direct leasing business has a smaller financing scale and shorter lease term, which has a direct role in promoting hospital income. The main conditions for direct leasing business in single hospitals are as follows:

1, the hospital level is not lower than dimethyl, the income is controlled above 80 million, and the asset-liability ratio is generally not more than 70%;

2. The term is 3-5 years;

3. Other conditions refer to the credit conditions of the Second Hospital.

Mode 2: direct lease with large distributors and hospitals.

Large distributors and hospitals have long-term cooperation and certain strength, and have assumed several roles in the transaction. First, the role of channels; Second, prepaid rent plays a buffering role to ensure that our project will not be overdue, and at the same time strengthen the dealer's continuous communication responsibility to the hospital.

1, the hospital level is not lower than the second level, the income scale is controlled above 50 million, and the asset-liability ratio is generally not more than 70%;

2. The term is 3 years, and it shall not exceed 4 years under special circumstances. During the construction period (6-9 months), the hospital will not repay the principal and interest;

3. Distributor shall bear the responsibility of unconditional debt repurchase.

(2) leasing domestic medical equipment

Mode 1: Financial leasing of medical device manufacturing enterprises

The direct financing of medical device manufacturers is used to support their expansion of production, working capital and other purposes.

Access conditions: the top 20 enterprises in market sales revenue rank the top 5 in product market share and have stable sales channels.

Financing amount: up to 30% of the sales revenue of the previous year.

Mode 2: Supplier Lease

Provide financial leasing to its agents and end customers based on the reputation of the manufacturer. For the cooperative manufacturers, a certain credit line is given comprehensively, and the manufacturers bear the ultimate repurchase responsibility for the financial leasing risk within the credit line.

Agency mode

Key points of cooperation:-Equipment with a unit value of more than 500,000 yuan.

Select the top 5 agents of the manufacturers to cooperate.

The agent provides other repayment guarantee measures.

Supplier leasing is not suitable for the operation of medical devices with low unit price because of its complicated operation and many participants. It is temporarily planned to start operation at a unit price of more than 500,000 yuan, focusing on promoting domestic manufacturers. If foreign manufacturers have the opportunity, they can also refer to it.

Mode 3: Joint lease mode

Key points of cooperation:-Choose a professional leasing company with rich customer resources.

The manufacturer provides a repurchase guarantee.

3. Financial leasing of pharmaceutical factories and medical service providers

Mode 1: Basic business model-direct lease and leaseback.

The financing of pharmaceutical enterprises will be mainly based on direct lease, supplemented by leaseback. The customers supported by financial leasing companies are concentrated in leading enterprises in sub-sectors, and most enterprises in this target area are listed companies.

Mode 2: high volume trading mode

In addition to the three parties involved in traditional leasing, financial institutions such as banks/peers have also been added. The lessor and the lessee enter into a series of lease-related contracts, including financial lease contracts, sales contracts, guarantee contracts, and financing contracts between the lessor and fund providers (such as banks, insurance companies, trust companies, investment funds, financial leases, etc.). This model itself has the function of blood supply, and it is a high asset reversal model, that is, factoring/securitization of the project during the operation of the pharmaceutical factory project, which requires high quality of the project.

Mode 3: leasing mode of pharmaceutical equipment enterprises.

In the pharmaceutical industry chain, the pharmaceutical company with the largest monomer scale, the most complete pharmaceutical chain and independent pricing power is an absolute advantage. In addition, pharmaceutical machinery factory is also our potential high-quality customers. Is the cooperation mode with medical device production traditional? Supplier leasing model? , can you use it? Two-way development? The strategy is to understand/market pharmaceutical equipment enterprises through the direct lease project of pharmaceutical factories; Establish manufacturer mode cooperation with pharmaceutical equipment enterprises and recommend pharmaceutical customers to us. Target customers include: Dongfulong, Chutian, xinhua medical, Far East Pharmaceutical, Nano, Qian Shan, Yuan Yue, Canaan, Sedley and South China Pharmaceutical.

Collect information:

1. Business license of enterprise as a legal person (original and copy)

2. Organization code certificate

3. Enterprise tax registration certificate (national tax and local tax)

4. Articles of Association (including the latest effective version of all amendments)

5. Loan card and password

6. Capital Verification Report (Final Draft)

7. Company Profile

8. ID card and identification certificate of the legal representative

9. Audited annual reports and latest financial statements for the past three years.

10. Query information of enterprise credit report

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