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 a’s Hospitals T oday F inanc ing Ame r ic a’s Hospitals T oday Se c tion 242 Mor tgage Insur anc e for Hospitals Ove r vie w R oge r Mille r , Dir e c tor Offic e of Insur e d He alth Car e F ac ilitie s www.fha fha. .gov gov/hospitals /hospitals www.
PR PR PR Mission Mission OGR OGR OGR AM OVE AM OVE AM OVE • T o suppor t affor dable financ ing of ne e de d hospital pr oje c ts by r e duc ing the c ost of c apital thr ough c r e dit e nhanc e me nt � Suppor R ts HUD’s c ommunity de ve lopme nt mission R R VIE VIE VIE W � Impr W W ove s ac c e ss to quality and c ost-e ffe c tive he althc ar e � F ills unique r ole not se r ve d by pr ivate mar ke t www.fha fha. .gov gov/hospitals /hospitals www.
PR PR PR Or ganization Char t Or ganization Char t OGR OGR OGR HHS AM OVE He alth R e sour c e s and Se r vic e s Administr ation AM OVE HUD He adquar te r s AM OVE He althc ar e Syste ms Bur e au Housing Offic e of Insur e d He alth Car e F a c ilitie s Division of F a c ilitie s Division of and L oans E ngine e ring Se rvic e s Dir e c tor 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 Ro g e r Mille r Counc il of Polic y, Planning, Dir e c tor Dir e c tor R R R E xpe r ts E valuation Willia m T a n E milio Puc illo VIE VIE VIE 3 Co nsulta nts Jo hn White he a d (pa rt-time ) F unc tio ns inc lude Dire c tive s, I nfo rma tio n F inanc ial Analysts Ar c hite c ts F unc tio ns inc lude W Syste m, Co ntrac ting , W Strate g ic Advic e , Ac c ount E xe c utive s E ngine e r s W Co mmunic a tio ns I ndustry Analysis, Administr ative Administr ative I nte rve ntio n with Cle r ic al Cle r ic al T ro ub le d Ho spitals 14 F T E 12.25 F T E 4 Va c a nc ie s F unc tio ns inc lude Asse t Manage me nt Appro val Cha rle s Davis F unc tio ns inc lude Of Plans, Unde rwriting and Spe c ific atio ns, a nd L o an Manag e me nt Co ntra c ts a nd F inanc ial Analysts Administr ative & Co nstruc tio n Ac c ount E xe c utive s Cle r ic al – 2 F T E Mo nito ring 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 Po rtfo lio Manag e me nt, Unde rwriting , Clie nt Assistanc e , De fault Pre ve ntio n 12-07-06 www.fha fha. .gov gov/hospitals /hospitals www.
PR PR PR L imite d F ie ld Offic e R ole L imite d F ie ld Offic e R ole OGR OGR OGR AM OVE AM OVE AM OVE • R e c e ive s all fe e s and assigns F HA pr oje c t numbe r R R R • Pr ovide s pr ior par tic ipation and VIE VIE VIE e nvir onme ntal c le ar anc e s W W W • Pe r for ms initial and final c losings • R e vie ws le gal doc ume nts www.fha fha. .gov gov/hospitals /hospitals www.
PR PR PR Pr ogr am Pe r for manc e Pr ogr am Pe r for manc e OGR OGR OGR AM OVE AM OVE AM OVE • 350 L oan 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 R R VIE r e financ e out of the por tfolio VIE VIE W W W • L ow c laims r ate -- pr ogr 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 www.fha fha. .gov gov/hospitals /hospitals www.
PR PR PR F HA- - Insur Insur e d Hospitals Ar e Among Ame r ic a’s Be st F HA e d Hospitals Ar e Among Ame r ic a’s Be st OGR OGR OGR 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 AM OVE AM OVE AM OVE • 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 R R VIE VIE VIE � R anke d #2 and #3 in the nation for or thope dic s W W W 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 olina � R e c ognize d for its tr e atme nt of patie nts with dige stive disor de r s www.fha fha. .gov gov/hospitals /hospitals www.
PR PR PR OGR Gove r nme nt Ac c ountability Offic e R e por ts OGR Gove r nme nt Ac c ountability Offic e R e por ts OGR AM OVE AM OVE AM OVE • 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 ogr am…” � “Congr e ss may wish to e xplor e options for R R R VIE VIE VIE r e duc ing the pr ogr am’s r isk by limiting e xposur e in a par tic ular state and c apping mor tgage W W W 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…” www.fha fha. .gov gov/hospitals /hospitals www.
PR PR PR 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 OGR OGR OGR 242 Por tfolio (Nove mbe r 2006) 242 Por tfolio (Nove mbe r 2006) AM OVE AM OVE AM OVE • 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 UPB Percent R R R VIE VIE VIE New York State $3,143,243,968 54.84% Other States $2,588,787,582 45.16% W W W Total $5,732,031,550 100.00% Number of Loans Percent New York State 44 55.00% Other States 36 45.00% Total 80 100.00% December 2006 www.fha fha. .gov gov/hospitals /hospitals www.
PR PR PR Hospital Busine ss Hospital Busine ss North Valley Hospital Hospital For Whitefish, MT Special Surgery New York, NY New York, NY OGR OGR OGR Fargo, ND F Y05 to date Manistique, MI Montefiore Med Ctr Bronx, NY Kaleida Health System Libertyville, IL Buffalo, NY Burien, WA AM OVE AM OVE AM OVE Bucyrus Hospital St. Luke's Bucyrus, OH Roosevelt NY, NY NY Presby Hosp, NY, NY New York Hosp Queens, NY R R R VIE VIE VIE Western Maryland Health System, Ridgecrest Regional Cumberland, MD Ridgecrest, CA W W W Onslow Memorial Hospital Jacksonville, NC Methodist Hospital Arcadia, CA Johnston Memorial Smithfield, NC Morehead Memorial Hosp. Eden, NC Moab, UT Chatham Hospital Sierra Vista, AZ Fort Valley, Siler City, NC GA Melissa Memorial Holyoke, CO Chambers Summit Hospital Bamberg, SC Memorial Hosp Phenix City , AL Blue Mountain Hosp. Danville, AR Blanding, UT Platte Valley Hospital Delta Regional Med Ctr Dr. Pila Hospital Moore Medical Ctr Brighton, CO Greenville, MS Ponce, PR Moore, OK Baptist Hosps SE Texas Commitme nts/ Insure d L oans (18), CAH (5) Beaumont, TX Hillcrest Baptist Applic ations in Pr oc e ss (08), CAH (0) Med Center 12-07-06 Bay City , TX Waco, TX Pr e -Applic ations (9), CAH (2) www.fha fha. .gov gov/hospitals /hospitals www.
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. ove me nt iting e ve ntion wr • Continual Impr • Quality Unde r Obje c tive s Obje c tive s • Claim Pr
PR PR PR Continual Impr ove me nt Continual Impr ove me nt OGR OGR OGR AM OVE AM OVE AM OVE • Ge ogr aphic Dive r sific ation • Mar ke ting • We bsite R R R • Adding T ale nte d Staff VIE VIE VIE • Counc il of E xpe r ts W W W • Applic ant’s Guide • De sign/ Build Constr uc tion • Str e amlining Applic ation Pr oc e ss www.fha fha. .gov gov/hospitals /hospitals www.
PR PR PR Str e amlining Applic ation Pr oc e ss Str e amlining Applic ation Pr oc e ss OGR OGR OGR AM OVE AM OVE AM OVE • R e duc ing r e que ste d infor mation • Impr oving c ommunic ation with applic ation R R R c he c klist VIE VIE VIE W W W • 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 ong hospitals www.fha fha. .gov gov/hospitals /hospitals www.
PR PR PR F Y 2006 R e sults F Y 2006 R e sults OGR OGR OGR AM OVE AM OVE AM OVE • Nine de als totaling $943 million • F ive of nine done in le ss than 120 days R R R � Pr e vious r e c or d 122 days VIE VIE VIE W W W • One pr oc e sse d in 51 days • Se ve n c ommitme nts in se ve n days in se ve n state s www.fha fha. .gov gov/hospitals /hospitals www.
PR PR PR OGR OGR OGR AM OVE AM OVE AM OVE R R R VIE VIE VIE Mode r n Mode r n W W W He althc ar e Ad, He althc ar e Ad, De c e mbe r 2006 De c e mbe r 2006 www.fha fha. .gov gov/hospitals /hospitals www.
PR PR PR T opic s to be Cove r e d T opic s to be Cove r e d OGR OGR OGR AM OVE AM OVE • Polic y Ove r AM OVE vie w • Pr e liminar y R e vie w Pr oc e ss • Applic ation Pr oc e ss R R R • Study of Mar ke t Ne e d and F inanc ial VIE VIE VIE F e asibility W W W • 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 www.fha fha. .gov gov/hospitals /hospitals www.
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