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Critical Access Hospital Access To and Use of Capital
This project will identify the capital needs of CAHs, their experiences in accessing local capital resources that add to facility flexibility in dealing with daily financial needs, and the role of inter-organizational relationships in accessing capital and improving fiscal flexibility. State and municipal efforts to meet capital needs and the role of key state stakeholders will also be identified. Additionally, this project will assess facility-specific trends related to the management of existing debt and acquisition of new debt as indicators of post-conversion performance. Data on state-level capital activities will be collected through a quarterly e-mail survey of State Flex Coordinators, the TASC list serve, and telephone contacts with Flex Coordinators in key states. Medicare Cost Report data will be analyzed to examine changes in hospital financial condition and related capital behavior. Through the survey of CAH administrators, project staff will identify CAH capital needs and catalogue CAH community experiences in obtaining or maintaining non-revenue support that leads to greater financial flexibility in managing day-to-day operational costs.
Publications
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Availability and Use of Capital by Critical Access Hospitals
Author(s): Walter Gregg
Report Number: Flex Monitoring Team Briefing Paper No. 4
Date: 03 / 2005
Examines the experiences of Critical Access Hospitals (CAHs) in meeting their capital needs. It focuses specifically on their efforts to obtain capital, the capital sources tapped through these efforts, how CAHs have used the capital they have been able to obtain over the past few years, and assesses their current capital needs. Report produced by the Flex Monitoring Project, funded by the Office of Rural Health Policy.
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