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Bond volume jumps 90% in third quarter.

Tax-exempt healthcare bond volume soared 89.6% in the third quarter to $5.9 billion as hospitals took advantage of lower interest rates and anticipated a change in Internal Revenue Service rules regulating "reimbursement bonds." A total of 174 bond issues were sold during July, August and September, 82% of them were sold to finance construction and renovation projects.

Capital Financing↗

Construction budget: the financial manager as part of the planning team.

The financial manager can best fulfill his role and have the most beneficial effect on a facility planning project as an active member of the planning team from the onset of the project. In addition to representing a realistic financial planning perspective to the project's development, the financial manager can, very early in the process, begin to determine and refine various costs associated with facility planning and construction. The role is a vital and active one from the first planning meeting through development, financing, construction and activation.

Budgets↗

Straight talk. New approaches in healthcare. Capital financing: beyond the shores of your typical transaction.

If you're in the market to renovate or expand but are concerned about overloading your balance sheet with debt or if you plan to build a for-profit facility, consider a Design, Build, Finance, and Operate (DBFO) arrangement. In such deals, experts in finance, construction, real estate, and support-service provision manage risk and day-to-day responsibility for facility management. Evaluating alternatives to tax-exempt financing is a critical piece of capital planning today because competition for traditional sources of funding has become global.

Capital Financing↗

Development deals can help finance growth.

A New York hospital has broken new ground in financing construction costs by selling the development rights above a new facility for a private condominium project.

Financial Management↗

Public Health Service--health maintenance organization loans and loan guarantees for acquisition and construction of ambulatory health care facilities. Interim regulations.

This notice sets forth the requirements for qualified health maintenance organizations (HMOs) to obtain loans or loan guarantees for the acquisition or construction of ambulatory health care facilities and the acquisition of equipment for those facilities. It also sets forth project requirements and procedures to be followed for repayment of the loan and in the event of a default. These rules implement Section 1305A of the Public Health Service Act, as amended.

Ambulatory Care Facilities↗

Stealing the show.

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Financing, Construction↗

Room to move.

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Efficiency, Organizational↗