Is the private finance initiative dead?
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Program and funding changes in mental health service delivery in the past 15 years have resulted in ever-changing demands on the use of physical space in mental health facilities. An interactive planning process facilitated by a multidisciplinary design team can anticipate and address many difficulties with space utilization in construction or renovation. An architectural feasibility, study, including a careful definition of user requirements, is a useful document for facilitating intraagency communication, securing external funding, and moving capital projects to completion.
Conventional wisdom and previous studies strongly suggest that aging citizens oppose local school bond issues because the issues represent increased taxes without direct benefit to the aging. This article tests this assumption through an aggregate level analysis of voting in all Florida school bond referenda since 1969 (n = 56). Among the independent variables in the regression equations were three associated with the aging: percentage 65+, growth rate of population 65+, and an indicator of the degree of political organization among the aging in the election districts. Results showed that one or more characteristics of the aging population were significantly (statistically) and positively related to the percentage of "yes" votes, particularly for the years 1976-1988 and for summer referenda when more resident retirees are politically active. The study indicates that the presence of an organized, relatively affluent, and educated aging population can lead to increased support for local educational referenda.
In the early 1990s, the U.S. Environmental Protection Agency (U.S. EPA) started a grant program to assist communities redevelop brownfields, which are abandoned or underutilized sites that have real or perceived contamination. In addition to determining if the communities receiving the grants were the most distressed cities in the United States, we also evaluate the U.S. EPA program in terms of environmental justice at the macro scale. Using 1990 U.S. Census of Housing and Population data and a matched-cities methodology, we compared the brownfields pilot cities to other communities in the United States. We found that regardless of intent, the U.S. EPA program is environmentally just by disproportionately awarding grants to the most economically distressed cities. We also found that the cities that received funding in the early years of the program were more economically distressed than cities receiving the funding more recently.
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A developer is about to break ground on a $6.2 million medical office building on land owned by a California hospital. The deal will result in a haven for referral physicians at no cost to the hospital, though it will forgo equity and some management control.
Boston City Hospital is the first publicly owned and operated facility to be granted a guaranteed loan from the U.S. Dept. of Housing and Urban Development.
If community hospital executives think they have a tough time trying to issue tax-exempt debt these days, it could be worse. Case in point--the Fred Hutchinson Cancer Research Center in Seattle. The world-renowned center, which was seeking financing for replacement facilities, faced a tough sell after it found itself with a couple of strikes against it, namely a high reliance on federal grants and balking credit-rating agencies. But a long-awaited government exemption and letter-of-credit guarantees got the project going.
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