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THE HOSPITAL INDUSTRY AND CAPITAL
HISTORICAL TRENDS IN THE SOURCES AND USES
WHAT IS THE NEED FOR CAPITAL
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acquisition addition American Hospital Association annual arbitrage average bad debt bank bond market bond rating borrowing capital costs capital expenditure capital financing capital investment capital market capital projects capital requirements capital subsidies cash flow closure commercial paper community hospitals cost-based payors cost-based reimbursement credit rating agencies debt capital debt financing depreciation Dollars effect equipment equity capital facilities factors financing options funds gross revenues growth hospital beds hospital capital formation hospital construction hospital industry hospital investment hospital management companies hospital’s Humana impact incentives income increase inflation institutions interest expense interest rates internal reserves investor-owned hospitals investor-owned sector investors issue lenders long-term debt Medicare and Medicaid ment million multi-hospital systems National Medical Enterprises non-profit hospitals not-for-profit percent physicians plant production possibility frontier rate-setting programs reduce reimbursement system return on equity short-term sources of capital tax-exempt bonds tax-exempt financing tax-exempt revenue bonds tion