Biomedical subjects
Publications and source records attributed to J Nemes.
More hospitals, many located in rural areas or battling tough competition, are getting the cold shoulder from tax-exempt bond investors, even though the facilities desperately need capital to advance their operations. Meanwhile, well-to-do systems and hospitals continue to reap the benefits of getting low-cost capital from the municipal bond market.
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While the group that represents tax-exempt bond authorities would like to see that investors receive more financial information from hospitals, some of its members are fighting proposed disclosure guidelines because they're fearful the rules would swamp their staffs with added paperwork and other administrative burdens and, in some cases, even threaten their very existence.
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The average base salary for hospital chief executive officers rose 9.7% this year to $150,800, according to a survey conducted by Hay Management Consultants and Modern Healthcare. That's down from the 10.9% increase last year, but is still considered high. As hospital executives' pay continues to rise, board members, community leaders and the local press are beginning to ask whether hospitals are getting their money's worth.
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A massive healthcare construction boom is under way in downtown Boston, prompting some observers to declare it a "medical arms race." Others, however, say the new projects are critical to some hospitals' ability to remain competitive. Whatever the case may be, there's big money involved--some $1.3 billion in projects that already have been started or soon will be.
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Hospital chief financial officers frustrated over some of the rules implementing last year's Medicare capital payment regulations may get some relief soon. HCFA's annual PPS regulations, expected to be released as early as later this month, will include a softening--or at least clarification--of some of the capital rules CFOs consider too harsh or onerous, one top HCFA official said.
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Explore the source record for details and available documents.