Medical receivables that insurers are legally required to pay
Ironton Capital logo

8 yrs in medical receivables

$100M+

open

Medium Term Income Fund II

Medical receivables that insurers are legally required to pay

Ironton advances capital against receivables hospitals are owed and collects when insurers pay — target 11–13% a year, paid quarterly.

Asset class

Private credit

Annual cash yield

12%

Distributions

Quarterly

Minimum

$50,000

How you make money

Cash flow

Quarterly income from receivables insurers must pay

Hospitals and surgical centers are owed money by insurance carriers but wait months to collect. Ironton advances that capital at a discount and is repaid in full when the carrier pays on its legally mandated schedule.

12%

Annual cash yield

Quarterly

Distributions

3 mo

First distribution

How the deal works

Hospitals and surgical centers are owed money by insurance carriers but cannot access it for months. Ironton advances capital against those receivables at a discount, then collects the full amount when the carrier pays on its mandated schedule. The discount is the return. With more than 25,000 small receivables held at once, no single default moves the portfolio.

  1. Insurers are legally required to pay, so the income isn't a forecast

    The cash comes from claims that carriers are obligated by law to pay hospitals and surgical centers. This isn't a bet on growth or a sale — it's collecting money that is already owed.

  2. Bought at a 25–35% discount, collected in full on the insurer's schedule

    Ironton advances against receivables below face value and is repaid the full amount when the carrier pays. That spread is the return, earned on a legally mandated timeline rather than the market's.

  3. 25,000+ receivables, cross-collateralized — diversification by design

    The portfolio holds more than 25,000 small receivables at any time, and every loan to a given provider is cross-collateralized. No single provider or default can move the fund.

  4. 32 straight quarters paid, near-zero correlation to stocks

    Investors have been paid every quarter for eight years without a miss. The return has moved almost independently of equities, interest rates, and real estate — historically about 0.01 correlation to the stock market.

About the sponsor

32

consecutive quarterly distributions

$5M+

distributed to investors

~0.01

correlation to stocks

Scaled from roughly $30M to over $100M in AUM; funding medical-receivables loans since 2010.

LW

Lon Welsh

Founder & Managing Partner

BG

Brent Guyor

Chief Executive Officer

NE

Nick Elder

Director of Investor Relations

What you should know

What should I weigh?+
  • Collections depend on insurers meeting their obligations; payment delays or disputes can slow distributions.
  • Capital is locked for the first 12 months, and withdrawals afterward require three months' notice.
  • The 11–13% target is not guaranteed, and past distributions do not predict future results.
When can I access my money?+

There is a 12-month lockup. After that, you can request a withdrawal with three months' notice. The fund's full term runs to 2034, but you are not locked in for that period.

How and when are distributions paid?+

In cash, every quarter. You can also invest through a self-directed IRA or 401(k) to hold the income tax-advantaged.

What actually backs the returns?+

Payments that insurance carriers are legally required to make on medical claims — not equity, real estate, or market performance. That is why the return has almost no correlation to stocks.

Who can invest?+

Accredited investors only, with a $50,000 minimum. Funding can be cash, a self-directed IRA, or a self-directed 401(k).

Meet the team

Speak with Investor Relations before committing

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