Common use of Third Party Payor Agreements Clause in Contracts

Third Party Payor Agreements. 38 (a) The Lessee or the Facility is fully qualified as a provider of services under and participates in all Third Party Payor Programs and referral programs as is necessary for the prudent operation of the Facility in the good faith exercise of commercially reasonable business judgment. (b) Attached hereto as EXHIBIT C is a list of national accounts and local discount agreements, which constitute all of the agreements between the Lessee or the Facility, on the one hand, and Third Party Payors on the other hand, pursuant to which the Lessee or the Facility agrees to provide services based on a discount factor from the rates regularly charged for services rendered by the Lessee or the Facility. (c) No member of the Leasing Group, nor the Facility has any rate appeal currently pending before any Governmental Authority or any administrator of any Third Party Payor Program or any other referral source other than such appeals which, if determined adversely to any member of the Leasing Group or the Facility would not have a materially adverse effect, either singly or in the aggregate, on the financial condition of any member of the Leasing Group or the Facility. (d) All cost reports and financial reports submitted to any Third Party Payor with respect to the Facility by any member of the Leasing Group have been materially accurate and complete and have not been misleading in any material respect. As a result of any audits by any Third Party Payor, there are no related recoupment claims made or contests pending or threatened other than such recoupment claims or contests which, if determined adversely to any member of the Leasing Group or the Facility, would not have a materially adverse effect, either singly or in the aggregate, on the financial condition of any member of the Leasing Group or the Facility. As of the date hereof, no cost reports for the Facility remain open or unsettled other than those listed on EXHIBIT D.

Appears in 1 contract

Samples: Development and Turnkey Services Agreement (Standish Care Co)

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Third Party Payor Agreements. 38 (a) A. The Lessee Borrower or each of the Facility Facilities is fully qualified as a provider of services under and participates participate in all Third Party Payor Programs and referral programs as is are necessary for the prudent operation of the Facility Facilities in the good faith exercise of commercially reasonable business judgment.; (b) B. Attached hereto as EXHIBIT C E is a list of national accounts and local discount agreements, which constitute all of the agreements between the Lessee Borrower or the any Facility, on the one hand, and Third Party Payors on the other hand, pursuant to which the Lessee Borrower or the any Facility agrees to provide services based on a discount factor from the rates regularly charged for services rendered by the Lessee Borrower or the such Facility.; (c) C. No member of the Leasing Borrowing Group, nor the any Facility has any rate appeal currently pending before any Governmental Government Authority or any administrator of any Third Party Payor Program or any other referral source other than such appeals which, if determined adversely to any member of the Leasing Borrowing Group or the any Facility would not have a materially adverse effect, either singly or in the aggregate, on the financial condition of any member of the Leasing Borrowing Group or the any Facility.; (d) D. All cost reports and financial reports submitted to any Third Party Payor with respect to the any Facility by any member of the Leasing Borrowing Group have been materially accurate and complete and have not been misleading in any material respect. As a result of any audits by any Third Party Payor, there are no related recoupment claims made or contests pending or threatened other than such recoupment claims or contests which, if determined adversely to any member of the Leasing Borrowing Group or the any Facility, would not have a materially adverse effect, either singly or in the aggregate, on the financial condition of any member of the Leasing Borrowing Group or the any Facility. As of the date hereof, no cost reports for the any Facility remain open or unsettled other than those listed on EXHIBIT D.F; ---------

Appears in 1 contract

Samples: Loan Agreement (Balanced Care Corp)

Third Party Payor Agreements. 38 (a) The Lessee or the Facility is fully qualified as a provider of services under and participates in 'n all Third Party Payor Programs and referral programs as is necessary necessary, in Lessee's reasonable discretion, for the prudent operation of the Facility in the good faith exercise of commercially commercial y reasonable business judgment. (b) Attached hereto as EXHIBIT C F is a list of Provider Agreements currently in effect. (c) Attached hereto as EXHIBIT G is a list of national accounts and local discount agreements, which constitute all of the agreements between the Lessee or the Facility, on the one hand, and Third Party Payors on the other hand, pursuant to which the Lessee or the Facility agrees to provide services based on a discount factor from the rates regularly charged for services rendered by the Lessee or the Facility. (cd) No member of the Leasing Group, nor the Facility has any rate appeal currently pending before any Governmental Government Authority or any administrator of any Third Party Payor Program or any other referral source other than such appeals which, if determined adversely to any member of the Leasing Group or the Facility would not have a materially adverse effect, either singly or in the aggregate, on the financial condition of any member of the Leasing Group or the Facility. (de) All cost reports and financial reports submitted to any Third Party Payor with respect to the Facility by any member of the Leasing Group have been materially accurate and complete and have not been misleading in any material respect. As a result of any audits by any Third Party Payor, there are no related recoupment claims made or contests pending or threatened other than such recoupment claims or contests which, if determined adversely to any member of the Leasing Group or the Facility, would not have a materially adverse effect, either singly or in the aggregate, on the financial condition of any member of the Leasing Group or the Facility. As of the date hereof, no cost reports for the Facility remain open or unsettled other than those listed on EXHIBIT D.H.

Appears in 1 contract

Samples: Facility Lease Agreement (Alterra Healthcare Corp)

Third Party Payor Agreements. 38 (aA) The Lessee Lessee, the Acceptable Licensed Operator (as applicable) or the Facility is fully qualified as a provider of services under and participates in all Third Party Payor Programs and referral programs as is necessary for the prudent operation of the Facility in the Lessee's good faith exercise of commercially reasonable business judgment. (bB) Attached hereto as EXHIBIT C D is a list of national accounts and local discount agreements, which constitute all of the agreements between the Lessee or the Facility, on the one hand, and Third Party Payors on the other hand, pursuant to which the Lessee or the Facility agrees to provide services based on a discount factor from the rates regularly charged for services rendered by the Lessee or the Facility. (cC) No member of the Leasing Group, nor the Facility has any rate appeal currently pending before any Governmental Authority or any administrator of any Third Party Payor Program or any other referral source other than such appeals which, if determined adversely to any member of the Leasing Group or the Facility would not have a materially adverse effect, either singly or in the aggregate, on the financial condition of any member of the Leasing Group or the Facility. (dD) All cost reports and financial reports submitted to any Third Party Payor with respect to the Facility by any member of the Leasing Group have been materially accurate and complete and have not been misleading in any material respect. As a result of any audits by any Third Party Payor, there are no related recoupment claims made or contests pending or threatened other than such recoupment claims or contests which, if determined adversely to any member of the Leasing Group or the Facility, would not have a materially adverse effect, either singly or in the aggregate, on the financial condition of any member of the Leasing Group or the Facility. As of the date hereof, no cost reports for the Facility remain open or unsettled other than those listed on EXHIBIT D.E.

Appears in 1 contract

Samples: Facility Lease Agreement (Alternative Living Services Inc)

Third Party Payor Agreements. 38 (a) The Lessee or the Facility is fully qualified as a provider of services under and participates in all Third Party Payor Programs and referral programs as is necessary for the prudent operation of the Facility in the good faith exercise of commercially reasonable business judgment. (b) Attached hereto as EXHIBIT C is a list of national accounts and local discount agreements, which constitute all of the agreements between the Lessee or the Facility, on the one hand, and Third Party Payors on the other hand, pursuant to which the Lessee or the Facility agrees to provide services based on a discount factor from the rates regularly charged for services rendered by the Lessee or the Facility. (c) No member of the Leasing Group, nor the Facility has any rate appeal currently pending before any Governmental Authority or any administrator of any Third Party Payor Program or any other referral source other than such appeals which, if determined adversely to any member of the Leasing Group or the Facility would not have a materially adverse effect, either singly or in the aggregate, on the financial condition of any member of the Leasing Group or the Facility. (d) All cost reports and financial reports submitted to any Third Party Payor with respect to the Facility by any member of the Leasing Group have been materially accurate and complete and have not been misleading in any material respect. As a result of any audits by any Third Party Payor, there are no related recoupment claims made or contests pending or threatened other than such recoupment claims or contests which, if determined adversely to any member of the Leasing Group or the Facility, would not have a materially adverse effect, either singly or in the aggregate, on the financial condition of any member of the Leasing Group or the Facility. As of the date hereof, no cost reports for the Facility remain open or unsettled other than those listed on EXHIBIT D.

Appears in 1 contract

Samples: Development Agreement (Standish Care Co)

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Third Party Payor Agreements. 38 (a) The Lessee or the Facility is fully qualified as a provider of services under and participates in all Third Party Payor Programs and referral programs as is necessary for the prudent operation of the Facility in the good faith exercise of commercially reasonable business judgment. (b) Attached hereto as EXHIBIT C G is a list of national accounts and local discount agreements, which constitute all of the agreements between the Lessee or the Facility, on the one hand, and Third Party Payors on the other hand, pursuant to which the Lessee or the Facility agrees to provide services based on a discount factor from the rates regularly charged for services rendered by the Lessee or the Facility. (c) No member of the Leasing Group, nor the Facility has any rate appeal currently pending before any Governmental Authority or any administrator of any Third Party Payor Program or any other referral source other than such appeals which, if determined adversely to any member of the Leasing Group or the Facility would not have a materially adverse effect, either singly or in the aggregate, on the financial condition of any member of the Leasing Group or the Facility. (d) All cost reports and financial reports submitted to any Third Party Payor with respect to the Facility by any member of the Leasing Group have been materially accurate and complete and have not been misleading in any material respect. As a result of any audits by any Third Party Payor, there are no related recoupment claims made or contests pending or threatened other than such recoupment claims or contests which, if determined adversely to any member of the Leasing Group or the Facility, would not have a materially adverse effect, either singly or in the aggregate, on the financial condition of any member of the Leasing Group or the Facility. As of the date hereof, no cost reports for the Facility remain open or unsettled other than those listed on EXHIBIT D.H.

Appears in 1 contract

Samples: Facility Lease Agreement (Arv Assisted Living Inc)

Third Party Payor Agreements. 38 (aA) The Lessee Lessee, the Acceptable Licensed Operator (as applicable) or the Facility is [, OR WILL BE AFTER COMPLETION OF THE RENOVATIONS] fully qualified as a provider of services under and participates in all Third Party Payor Programs and referral programs as is necessary for the prudent operation of the Facility in the Lessee's good faith exercise of commercially reasonable business judgment. (bB) Attached hereto as EXHIBIT C D is a list of national accounts and local discount agreements, which constitute all of the agreements between the Lessee or the Facility, on the one hand, and Third Party Payors on the other hand, pursuant to which the Lessee or the Facility agrees to provide services based on a discount factor from the rates regularly charged for services rendered by the Lessee or the Facility. (cC) No member of the Leasing Group, nor the Facility has any rate appeal currently pending before any Governmental Authority or any administrator of any Third Party Payor Program or any other referral source other than such appeals which, if determined adversely to any member of the Leasing Group or the Facility would not have a materially adverse effect, either singly or in the aggregate, on the financial condition of any member of the Leasing Group or the Facility. (dD) All cost reports and financial reports submitted to any Third Party Payor with respect to the Facility by any member of the Leasing Group have been materially accurate and complete and have not been misleading in any material respect. As a result of any audits by any Third Party Payor, there are no related recoupment claims made or contests pending or threatened other than such recoupment claims or contests which, if determined adversely to any member of the Leasing Group or the Facility, would not have a materially adverse effect, either singly or in the aggregate, on the financial condition of any member of the Leasing Group or the Facility. As of the date hereof, no cost reports for the Facility remain open or unsettled other than those listed on EXHIBIT D.E.

Appears in 1 contract

Samples: Facility Lease Agreement (Alternative Living Services Inc)

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