Credit concerns in the health care industry: real and perceived

The challenge for State Bond Authorities in 1986 and beyond is to provide health care facilities with access to the capital markets, at the lowest cost and most favorable terms, while preserving the maximum flexibility for future growth. This will most certainly include taxable debt, blended rates (interest rates between tax-exempt and taxable rates), cross guarantees, system financings, and perhaps public offerings and venture capital for certain projects. Credit concerns, real and perceived, will play an integral part in meeting the challenge.