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Bringing the capital market to rural hospitals

Doctors Memorial Hospital

Southwestern Memorial Hospital
Weatherford, OK

  • 25 bed Critical Access Hospital replacement
  • Cost: $17,000,000
  • Financing: $11,500,000 revenue bonds underwritten by a private bond fund

Kewanee Hospital
Kewanee, IL

  • 25 bed Critical Access Hospital replacement
  • Cost: $41,000,000
  • Financing: $33,000,000 revenue bonds underwritten by a national investment bank

Wilson County Hospital
Neodesha, KS

  • 16 bed Critical Access Hospital replacement
  • Cost: $15,500,000
  • Financing: $12,250,000 bank qualified debt revenue bonds underwritten by a regional investment bank


Upper San Juan Healthcare District
Pagosa Springs, CO

  • New Critical Access Hospital in a community that has not previously had a hospital
  • Cost: $14,200,000
  • Financing: $12,000,000 bank qualified limited general obligation bonds, insured and AAA rated, underwritten by a regional investment bank

Iron County Hospital
Pilot Knob, Missouri

  • New Critical Access Hospital in a community that did not previously have a hospital
  • A 33,000 square foot, 15 bed facility
  • Total project cost of $12 million, which $9,000,000 was provided by a USDA direct community loan, and the remaining funds by contributions and grants.

Barton County Hospital
Lamar, MO

  • Replacement of a 25 bed Critical Access Hospital
  • Cost: $18,500,000
  • Financing: $17,000,000 bank qualified revenue bonds underwritten by a regional investment bank

Doctors Memorial Hospital
Bonifay, FL

  • 25 bed Critical Access Hospital replacement
  • Cost: $18,000,000
  • Financing: $16,850,000 bonds underwritten by a regional underwriting investment bank

Sayre Memorial Hospital
Sayre, OK

  • 35 bed acute care Hospital replacement
  • Cost: $17,400,000
  • Financing: $14,000,000 revenue bonds underwritten by a regional investment bank

Cameron Regional Medical Center
Cameron, MO

  • Refunding existing bonds that were issued to build a replacement hospital
  • $10,000,000 refunding bonds issued by IDA City of Cameron, MO
  • $10,000,000 refunding bonds issued by IDA Clinton County, MO
  • Bonds purchased by regional bank as “bank qualified” bonds and marketed by regional investment bank

Atoka Memorial Hospital
Atoka, OK

  • Replacement of 25 bed Critical Access Hospital consisting of approximately 44,000 square feet
  • Total cost $17,050,000
  • Financing: $6,750,000 USDA direct loan and $10,000,000 revenue bonds underwritten by private bond fund and regional investment bank

Cass Medical Center
Harrisonville, MO

  • Replacement of 35 bed Critical Access Hospital consisting of approximately 130,000 square feet
  • Total cost of $60,370,000
  • Financing: $49,905,000 revenue bonds underwritten by national investment bank

I-70 Medical Center
Sweet Springs, Missouri

  • A new Critical Access Hospital in a community that did not previously have a hospital.
  • A 30,000 square foot, 15 bed hospital
  • Total project cost of $9,000,000, which was funded principally with a USDA 90% loan guarantee with a loan from a regional bank.
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.

Cass Medical Center

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