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PR OGR AM OVE R VIE W PR OGR AM OVE R VIE W PR OGR AM - - PDF document

PR OGR AM OVE R VIE W PR OGR AM OVE R VIE W PR OGR AM OVE R VIE W gov/hospitals /hospitals .gov fha. www.fha www. 2006 L e nde r T r aining: 2006 L e nde r T r aining: F inanc ing Ame r ic as Hospitals T oday


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SLIDE 1

PR OGR AM OVE R VIE W PR OGR AM OVE R VIE W PR OGR AM OVE R VIE W

www. www.fha fha. .gov gov/hospitals /hospitals

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SLIDE 2

www. www.fha fha. .gov gov/hospitals /hospitals

2006 L e nde r T r aining: 2006 L e nde r T r aining:

F inanc ing Ame r ic a’s Hospitals T

  • day

F inanc ing Ame r ic a’s Hospitals T

  • day

Se c tion 242 Mor tgage Insur anc e for Hospitals Ove r vie w

R

  • ge r

Mille r , Dir e c tor Offic e of Insur e d He alth Car e F ac ilitie s

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SLIDE 3

PR OGR AM OVE R VIE W PR OGR AM OVE R VIE W PR OGR AM OVE R VIE W

www. www.fha fha. .gov gov/hospitals /hospitals

Mission Mission

  • T
  • suppor

t affor dable financ ing of ne e de d hospital pr

  • je c ts by r

e duc ing the c ost of c apital thr

  • ugh c r

e dit e nhanc e me nt Suppor

ts HUD’s c ommunity de ve lopme nt mission

Impr

  • ve s ac c e ss to quality and c ost-e ffe c tive

he althc ar e

F

ills unique r

  • le not se r

ve d by pr ivate mar ke t

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SLIDE 4

PR OGR AM OVE R VIE W PR OGR AM OVE R VIE W PR OGR AM OVE R VIE W

www. www.fha fha. .gov gov/hospitals /hospitals

Or ganization Char t Or ganization Char t

HHS

He alth R e sour c e s and Se r vic e s Administr ation He althc ar e Syste ms Bur e au

HUD He adquar te r s

Housing

Offic e of Insur e d He alth Car e F a c ilitie s Division of F a c ilitie s and L

  • ans

Division of E ngine e ring Se rvic e s

Counc il of E xpe r ts

3 Co nsulta nts (pa rt-time )

Dir e c tor

Ro g e r Mille r

Asse t Manage me nt

Cha rle s Davis

Polic y, Planning, E valuation

Jo hn White he a d

Administr ative & Cle r ic al – 2 F T E F inanc ial Analysts Ac c ount E xe c utive s 7 F T E

2 Va c a nc ie s

Inte r n

1 Va c a nc y

F unc tio ns inc lude Dire c tive s, I nfo rma tio n Syste m, Co ntrac ting , Co mmunic a tio ns F unc tio ns inc lude Strate g ic Advic e , I ndustry Analysis, I nte rve ntio n with T ro ub le d Ho spitals F unc tio ns inc lude Po rtfo lio Manag e me nt, Unde rwriting , Clie nt Assistanc e , De fault Pre ve ntio n

Dir e c tor

Willia m T a n

Dir e c tor

E milio Puc illo

L imite d autho ritie s de le g ate d to HHS unde r inte rag e nc y ag re e me nt F inanc ial Analysts Ac c ount E xe c utive s Administr ative Cle r ic al 14 F T E

4 Va c a nc ie s

Ar c hite c ts E ngine e r s Administr ative Cle r ic al 12.25 F T E F unc tio ns inc lude Unde rwriting and L

  • an Manag e me nt

F unc tio ns inc lude Appro val Of Plans, Spe c ific atio ns, a nd Co ntra c ts a nd Co nstruc tio n Mo nito ring

12-07-06

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SLIDE 5

PR OGR AM OVE R VIE W PR OGR AM OVE R VIE W PR OGR AM OVE R VIE W

www. www.fha fha. .gov gov/hospitals /hospitals

L imite d F ie ld Offic e R

  • le

L imite d F ie ld Offic e R

  • le
  • R

e c e ive s all fe e s and assigns F HA pr

  • je c t

numbe r

  • Pr
  • vide s pr

ior par tic ipation and e nvir

  • nme ntal c le ar

anc e s

  • Pe r

for ms initial and final c losings

  • R

e vie ws le gal doc ume nts

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SLIDE 6

PR OGR AM OVE R VIE W PR OGR AM OVE R VIE W PR OGR AM OVE R VIE W

www. www.fha fha. .gov gov/hospitals /hospitals

Pr

  • gr

am Pe r for manc e Pr

  • gr

am Pe r for manc e

  • 350 L
  • an Commitme nts sinc e 1968 totalling

$12.8 billion in 42 state s and Pue r to R ic o

  • Most hospitals gaine d financ ial str

e ngth to r e financ e out of the por tfolio

  • L
  • w c laims r

ate -- pr

  • gr

am is se lf-sustaining One c laim in the last 12 ye ar

s

  • 80 loans insur

e d today for $5.7 billion pr inc ipal balanc e outstanding

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SLIDE 7

PR OGR AM OVE R VIE W PR OGR AM OVE R VIE W PR OGR AM OVE R VIE W

www. www.fha fha. .gov gov/hospitals /hospitals

F HA F HA-

  • Insur

e d Hospitals Ar e Among Ame r ic a’s Be st Insur e d Hospitals Ar e Among Ame r ic a’s Be st Ac c or ding to U.S. Ne ws and Wor ld R e por t Ac c or ding to U.S. Ne ws and Wor ld R e por t

  • T

he Ne w Yor k Pr e sbyte r ian Hospital R

anke d #6 ove r all, r e c e ive d top r atings in 11 out of 16 spe c ialtie s

  • T

he Hospital for Spe c ial Sur ge r y R

anke d #2 and #3 in the nation for

  • r

thope dic s and r he umatology, r e spe c tive ly.

  • Monte fior

e Me dic al Ce nte r R

e c e ive d high mar ks in r e habilitation se r vic e s

  • Me dic al Unive r

sity of South Car

  • lina

R

e c ognize d for its tr e atme nt of patie nts with dige stive disor de r s

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SLIDE 8

PR OGR AM OVE R VIE W PR OGR AM OVE R VIE W PR OGR AM OVE R VIE W

www. www.fha fha. .gov gov/hospitals /hospitals

Gove r nme nt Ac c ountability Offic e R e por ts Gove r nme nt Ac c ountability Offic e R e por ts

  • 1996 R

e por t “T

he lar ge loan amounts in Ne w Yor k pose r isks to futur e stability of the pr

  • gr

am…”

“Congr

e ss may wish to e xplor e options for r e duc ing the pr

  • gr

am’s r isk by limiting e xposur e in a par tic ular state and c apping mor tgage insur anc e amounts…”

  • 2006 R

e por t “F

HA has goals to dive r sify the hospital insur anc e por tfolio and has made e ffor ts to do so…”

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SLIDE 9

PR OGR AM OVE R VIE W PR OGR AM OVE R VIE W PR OGR AM OVE R VIE W

www. www.fha fha. .gov gov/hospitals /hospitals

Ne w Yor k State Vs. Othe r State s F HA Se c tion Ne w Yor k State Vs. Othe r State s F HA Se c tion 242 Por tfolio (Nove mbe r 2006) 242 Por tfolio (Nove mbe r 2006)

  • In 2000, Ne w Yor

k State Hospital mor tgage balanc e s r e pr e se nte d 89 pe r c e nt of total F HA Por tfolio

Number of Loans Percent New York State 44 55.00% Other States 36 45.00% Total 80 100.00% UPB Percent New York State $3,143,243,968 54.84% Other States $2,588,787,582 45.16% Total $5,732,031,550 100.00%

December 2006

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PR OGR AM OVE R VIE W PR OGR AM OVE R VIE W PR OGR AM OVE R VIE W

www. www.fha fha. .gov gov/hospitals /hospitals

Ridgecrest Regional Ridgecrest, CA North Valley Hospital Whitefish, MT

Commitme nts/ Insure d L

  • ans (18), CAH (5)

Moore Medical Ctr Moore, OK Bucyrus Hospital Bucyrus, OH

Applic ations in Pr

  • c e ss (08), CAH (0)

Summit Hospital Phenix City , AL Morehead Memorial Hosp. Eden, NC Platte Valley Hospital Brighton, CO Montefiore Med Ctr Bronx, NY Hospital For Special Surgery New York, NY

  • St. Luke's

Roosevelt NY, NY

  • Dr. Pila Hospital

Ponce, PR Methodist Hospital Arcadia, CA Hillcrest Baptist Med Center Waco, TX Western Maryland Health System, Cumberland, MD Onslow Memorial Hospital Jacksonville, NC Kaleida Health System Buffalo, NY New York Hosp Queens, NY

Pr e -Applic ations (9), CAH (2)

Fort Valley, GA Chambers Memorial Hosp Danville, AR Bamberg, SC Melissa Memorial Holyoke, CO Delta Regional Med Ctr Greenville, MS Libertyville, IL Johnston Memorial Smithfield, NC Moab, UT New York, NY NY Presby Hosp, NY, NY

12-07-06

Chatham Hospital Siler City, NC Baptist Hosps SE Texas Beaumont, TX Fargo, ND Burien, WA Sierra Vista, AZ Manistique, MI Bay City , TX Blue Mountain Hosp. Blanding, UT

Hospital Busine ss Hospital Busine ss

F Y05 to date

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SLIDE 11

PR OGR AM OVE R VIE W PR OGR AM OVE R VIE W PR OGR AM OVE R VIE W

www. www.fha fha. .gov gov/hospitals /hospitals

Obje c tive s Obje c tive s

  • Quality Unde r

wr iting

  • Claim Pr

e ve ntion

  • Continual Impr
  • ve me nt
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SLIDE 12

PR OGR AM OVE R VIE W PR OGR AM OVE R VIE W PR OGR AM OVE R VIE W

www. www.fha fha. .gov gov/hospitals /hospitals

Continual Impr

  • ve me nt

Continual Impr

  • ve me nt
  • Ge ogr

aphic Dive r sific ation

  • Mar

ke ting

  • We bsite
  • Adding T

ale nte d Staff

  • Counc il of E

xpe r ts

  • Applic ant’s Guide
  • De sign/ Build Constr

uc tion

  • Str

e amlining Applic ation Pr

  • c e ss
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SLIDE 13

PR OGR AM OVE R VIE W PR OGR AM OVE R VIE W PR OGR AM OVE R VIE W

www. www.fha fha. .gov gov/hospitals /hospitals

Str e amlining Applic ation Pr

  • c e ss

Str e amlining Applic ation Pr

  • c e ss
  • R

e duc ing r e que ste d infor mation

  • Impr
  • ving c ommunic ation with applic ation

c he c klist

  • Conde nse d and mor

e foc use d c r e dit c ommitte e r e por t

  • F

ast tr ac k r e vie w for financ ially str

  • ng hospitals
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SLIDE 14

PR OGR AM OVE R VIE W PR OGR AM OVE R VIE W PR OGR AM OVE R VIE W

www. www.fha fha. .gov gov/hospitals /hospitals

F Y 2006 R e sults F Y 2006 R e sults

  • Nine de als totaling $943 million
  • F

ive of nine done in le ss than 120 days Pr

e vious r e c or d 122 days

  • One pr
  • c e sse d in 51 days
  • Se ve n c ommitme nts in se ve n days in

se ve n state s

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SLIDE 15

PR OGR AM OVE R VIE W PR OGR AM OVE R VIE W PR OGR AM OVE R VIE W

www. www.fha fha. .gov gov/hospitals /hospitals

Mode r n Mode r n He althc ar e Ad, He althc ar e Ad, De c e mbe r 2006 De c e mbe r 2006

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PR OGR AM OVE R VIE W PR OGR AM OVE R VIE W PR OGR AM OVE R VIE W

www. www.fha fha. .gov gov/hospitals /hospitals

T

  • pic s to be Cove r

e d T

  • pic s to be Cove r

e d

  • Polic y Ove r

vie w

  • Pr

e liminar y R e vie w Pr

  • c e ss
  • Applic ation Pr
  • c e ss
  • Study of Mar

ke t Ne e d and F inanc ial F e asibility

  • L

e gal Issue s

  • Constr

uc tion Guide line s

  • Asse t Manage me nt
  • Pr

ior Par tic ipation Cle ar anc e s

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SLIDE 17

www. www.fha fha. .gov gov/hospitals /hospitals

T hank You F

  • r

Coming! T hank You F

  • r

Coming!