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Wishard construction project enjoying cheap debt

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The Health & Hospital Corp. of Marion County got good news in its first round of borrowing to finance a new Wishard hospital: The cost is less than expected.

Hospital officials, working through Citigroup and the Indianapolis Local Public Improvement Bond Bank, sold $195 million in bonds on Feb. 2. The interest rate it committed to pay? Just under 3.84 percent.

“We are actually ecstatic about this,” said Dan Sellers, chief financial officer of the hospital corporation, an agency partially funded by local taxes. His best-case assumption had been an interest rate of 4.3 percent.

The difference means Health & Hospital Corp. will pay about $26 million less over the 30-year life of the bonds than if the bonds had sold at the anticipated 4.3-percent rate.

“It just means we’ll be able to do more, because we’ll have more ability,” Sellers said. “We’ll have more money for health care.”

The hospital corporation plans to sell another $466 million in bonds on Feb. 22 and 23.

Wishard is the county-owned hospital that acts as a safety net for poor and uninsured residents. With unemployment leaving more people without insurance this year, Wishard’s facilities have been crammed with patients.

Hospital officials moved forward with plans to build a $754 million Wishard facility after Marion County taxpayers agreed in a Nov. 3 referendum to back the hospital’s bonds. Its current campus at West 19th Street and Indiana Avenue consists of 17 buildings that on average are 60 years old.

Hospital corporation officials promised they have more than adequate cash to pay off the bonds without additional tax revenue. The hospital corporation has saved $150 million in advance, is trying to raise $50 million in private donations, and built up surplus cash flow by expanding a profitable network of nursing homes and aggressively cutting costs at Wishard.
 
The new hospital is scheduled to be finished in December 2013.

Sellers cautioned that the early success won’t necessarily be repeated. The second round will be lease-revenue bonds, which are not quite as popular with investors as the general-obligation bonds sold in the first round.

Bond sellers raise interest rates to entice investors to buy. But if investor demand is strong, they can offer a lower rate. Sellers expects the bonds backed by lease revenue will need to offer interest rates 0.25 to 0.4 percentage points higher than the rates on general-obligation bonds--whatever those rates happen to be on Feb. 22.

“We just don’t know what the market’s going to be,” he said. “Usually, when it’s a lease-revenue debt, the market sees a little more risk in that.”

Indeed, Fitch Ratings graded the second round of Wishard bonds a half-notch below its AA+ grade for the first round. Two other ratings services, however, gave both rounds of Wishard bonds equally high grades: AA+ from Standard & Poor’s and AA from Moody’s Investors Service.

Sellers credited the local taxpayer backing for those high ratings. Also, nearly 80 percent of the Wishard bonds were sold under the Build America program, which was part of President Obama’s stimulus package passed last year.

That program helped reduce the hospital corporation’s interest costs by nearly 35 percent, or $72.6 million, during the first-round bond sale. That means the hospital corporation will pay $147.2 million in interest over the 30-year life of the bonds.

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  1. "And the success of the Indiana GOP to not allow an expansion of Medicaid had nothing to do with Indiana hospitals' financial woes? Fixed that for you; editorial bias rebalanced. Seriously, there are so many things wrong with Obamacare that the only way one can view it as a success is to assume that it was designed to fail our way into a government single payor healthcare system. The system is complex, creates huge regulatory burdens and overhead and yet still does not have adequate means to control escalating health care costs. But then when you elect a 10th grade math drop out with no quantitative reasoning skills to be President of one of the world's most important economies in troubled times, you can't really be surprised by blatant stupidity.

  2. No NIMBYs here to chase off a decent development. We don't need tons of parking and we'd happily play the role of host to a downtown Whole Foods.

  3. Whatever you do, don't change a single thing about Broad Ripple. I want it to look just like it did in the late '70s, with 30% of the north side of Broad Ripple Avenue burned out and plenty of places to park. That's right Broad Ripple, NEVER CHANGE. Let the world pass you by, don't improve your empty, abandoned lots full of weeds. Someday someone will want to film a zombie movie here.

  4. Hollywood could step in and make a movie about the history about this forlorn series. It could be a full celebrity cast of characters. WOW. http://www.advanceindiana.blogspot.com/2013/02/indiana-taxpayers-forced-to-pay-for.html

  5. This shouldn't come as a shock to many. Austin is a great city, and Indy needs to take some notes. Austin invests in decent transit options, has a highly educated workforce, embraces a creative class, and --despite being the state capital-- is not micromanaged by rural and suburban legislators. Want Indy to grow? Invest in the city (i.e. spend money). Raise taxes a bit, and use the money to improve education. And keep the state legislature out of Indy the other 9 months of the year.

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