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Bond volume rises 19.3%.

J Nemes

    Modern Healthcare
    |July 15, 1991
    PubMed
    Summary

    Tax-exempt healthcare bond volume increased significantly in early 1991, driven by hospitals seeking financing before anticipated Internal Revenue Service rule changes impacting reimbursement bonds.

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    Area of Science:

    • Healthcare finance
    • Public finance
    • Economics

    Background:

    • Healthcare bond market trends in the early 1990s.
    • The role of tax-exempt bonds in hospital financing.
    • Anticipation of regulatory changes affecting healthcare financial instruments.

    Purpose of the Study:

    • To analyze the trend in tax-exempt healthcare bond volume for the first half of 1991.
    • To identify factors contributing to changes in bond issuance.
    • To assess the potential impact of upcoming regulatory changes on hospital financings.

    Main Methods:

    • Comparative analysis of bond issuance data from the first six months of 1990 and 1991.
    • Tracking the volume and value of tax-exempt healthcare bonds issued.
    • Monitoring regulatory developments, specifically Internal Revenue Service rule changes.

    Main Results:

    • Tax-exempt healthcare bond volume rose by 19.3% in the first six months of 1991 compared to 1990.
    • Hospitals issued 227 separate bond issues totaling $6.5 billion in early 1991, up from 195 issues worth $5.4 billion in 1990.
    • Anticipation of new Internal Revenue Service guidelines for reimbursement bonds accelerated this increase.

    Conclusions:

    • The first half of 1991 saw a substantial increase in tax-exempt healthcare bond issuance.
    • Hospitals were actively engaging in bond financing, likely to preempt anticipated regulatory restrictions.
    • Upcoming changes to reimbursement bond guidelines posed a potential challenge to future hospital financings.

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