Who We Help:

Healthcare Districts

TBWB helps hospital and healthcare districts as well as counties plan and pass public finance measures to meet their healthcare and emergency preparedness funding needs.

Our consultants have experience passing measures to build, replace or upgrade hospitals, clinics, medical office buildings and related facilities. We’ve also passed measures that provide flexible funding to meet operational needs, such as stabilizing budgets, keeping facilities open and preserving staffing levels and services.

The consultants at TBWB have passed over 200 public finance ballot measures in all parts of the state that have raised billions in stable revenue for public programs, services and facilities. We’re experienced with all types of voter-approved funding mechanisms, including assessments, fees, bonds, parcel taxes, sales taxes, Transient Occupancy Taxes (TOTs) and Utility User Taxes (UUTs).

We’ve passed general taxes that require majority approval and provide flexible funding. We’ve also passed bonds and special taxes that provide earmarked funding for individual services or facilities and require 66.67% approval from voters.

Our work typically begins with a process to identify the priority needs and most viable funding sources. Once a strategic direction is determined, our public outreach and campaign strategies build support to secure victory. With this approach, TBWB has consistently maintained a passage rate of over 90% for our bond and tax measures that go to the ballot.