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Studies of Hospital Investment
The Changing Reimbursement Environment
The Shift to Debt Financing
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acquisition addition American Hospital Association annual arbitrage average bank beds bond market Bond Ratings borrowing capital costs capital expenditure capital investment capital market capital projects capital subsidies cash flow chapter commercial paper community hospitals cost-based payors cost-based reimbursement creditworthiness debt capital debt financing depreciation Dollars effect equipment equity capital facilities factors financing options Four Major Hospital gross revenues growth Hill-Burton hospital bonds hospital capital formation hospital construction hospital industry hospital investment Hospital Management Companies hospital's Humana income increase inflation institutions interest expense interest rates internal reserves investment decisions investor-owned hospitals investors issue lenders long-term debt Major Hospital Management Medicare and Medicaid ment million National Medical Enterprises non-profit hospitals operating patients percent physicians principal payments production possibility frontier refinancing reimbursement system return on equity short-term sources of capital tax-exempt bonds tax-exempt financing taxable bonds tion zero coupon bonds