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The turnkey approach: a new way to finance capital improvements.

Financing capital improvements in the nonprofit sector is becoming increasingly difficult. Explored here is an innovative approach that makes private sector capital available to tax-exempt institutions. Cooper Hospital in Camden, New Jersey, and Newcomb Medical Center in Vineland, New Jersey, provide case histories for this approach.

Capital Financing↗

Discovering alternatives for financing senior housing.

Obtaining the necessary capital to develop a senior housing facility can be one of the project's biggest problems, especially with the passage of the Tax Reform Act. However, new financing alternatives for senior housing are being developed, including mortgage financing, equity, tax-exempt bonds, and taxable bonds. It is important for project sponsors to understand the financing alternatives available as well as the effect of tax reform. This is the second in a three-part series on long-term care. The last article will cover the legal considerations of senior housing.

Aged↗

Medical facility construction and modernization; requirements for provision of services to persons unable to pay--PHS. Final rule.

The final rule below amends the existing regulations governing how certain public and private nonprofit health care facilities assisted under Titles VI and XVI of the Public Health Service (PHS) Act may fulfill the assurance, given in their application for assistance, that they would provide a reasonable volume of services to persons unable to pay. This final rule enhances the interest of the intended beneficiaries of the assurance by: (1) Increasing facility incentives for compliance by reducing administrative burdens; and (2) permitting facilities to receive credit for substantial compliance, thus enabling the Department to focus its enforcement resources on facilities which are not in substantial compliance.

Facility Design and Construction↗

Senior housing developments raise legal issues for CFOs.

Because of the various types of senior housing available, many legal issues must be considered when developing a facility. But with a thorough understanding of the issues and options available, a potential sponsor will improve the likelihood of successfully developing and operating a senior housing facility. This article is the last in a three-part series on long-term care. The previous two articles addressed some of the reasons for entering the long-term care market as well as presenting the financing options available.

Aged↗