Massac Memorial Hospital
Metropolis, IL

• Major renovation and addition to existing Critical Access Hospital
• Cost: $14,500,000
• Financing: $13,000,000 alternate revenue source general obligation bonds, insured, underwritten by a regional investment bank

Herman Area Hospital District
Herman, MO

• Major renovation and addition to existing Critical Access Hospital
• Cost: $15,000,000
• Financing: $13,500,000 bank qualified revenue bonds underwritten by a regional investment bank

Okeene Municipal Hospital
Okeene, OK

• Major renovation and addition to existing Critical Access Hospital
• Cost: $8,200,000
• Financing: $7,500,000 revenue bonds underwritten by an international investment bank
  

Putnam County Hospital
Unionville, MO

• Major renovation and addition to existing Critical Access Hospital
• Cost: $8,000,000
• Financing: $7,700,000 revenue bonds purchased by a private bond fund
  

Ellett Memorial Hospital
Appleton City, MO

• Major renovation and addition to existing Critical Access Hospital
• Cost: $8,700,000
• Financing: $8,350,000 revenue bonds underwritten by a regional investment bank & purchased by a private bond fund

Total project costs include all costs, including land, construction, issuance costs, debt reserve fund, net interest during construction, design fees, etc. All of these financings were tax exempt.