medium · Asset-Backed Securities

A Hospital System issues a $100 million healthcare receivables ABS facility. The 'Advance Rate' is set at 80% of Net Realizable Value (NRV).

If the hospital files for bankruptcy, what is the primary risk to the ABS investors despite the 'True Sale' structure?

  1. The Medicare and Medicaid programs will automatically terminate and cancel all outstanding receivables the moment the provider files for bankruptcy.
  2. The hospital's patients and their private insurers will simply stop paying outstanding medical bills once the hospital enters bankruptcy or financial distress.
  3. The 'Automatic Stay' in bankruptcy may temporarily delay the transfer of collections to the trust while the court reviews the true-sale characterization.
  4. The Advance Rate must be immediately increased to 100% of Net Realizable Value in order to provide the hospital with emergency operating capital during the case.

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