The Affordable Care Act is affecting most aspects of the health care sector, including financing, in part because of ACA-spurred M&A. Lenders can expect to see increased demand for capital from both care providers and acquirers. "There are increasing pressures on middle-market providers that cause them to seek financing from the private markets," says Claudia Gourdon, senior vice president of Healthcare Finance Group.

HFG, a portfolio company of Fifth Street Finance Corp. (Nasdaq: FSC), lends to health care companies and provides revolving lines of credit, term loans, equipment-lease lines, letters of credit, loan syndication, debtor-in-possession financing and exit loans.

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