Fitch Ratings

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Hearst Tower
300 W 57th Street - Joseph Urban Theater
New York, NY 10019 USA [Map]
February 2, 2012
1:00pm - 5:00pm (Reception to follow)


1:00 - 1:30pm 		Registration
1:30 - 1:45pm 		Opening Remarks
Daniel Champeau, Managing Director/Head of U.S. Public Finance
and Global Infrastructure & Project Finance, Fitch Ratings
1:45 - 2:15pm 		Overview: Fitch's Current Economic Outlook and the Federal 
and State Funding Environment
			A discussion of Fitch’s current economic outlook as well as federal
and state fiscal policy trends will frame the environment for health care
and higher education institutions. How have states dealt with the loss of
revenue in the downturn and the reduced prospects for revenue growth?
What are the expected broader impacts of federal deficit reduction measures
on governments and not for profits? A review of proposed state budgets will
provide insight as to the potential impact on hospitals and universities.
			Richard J. Raphael, Managing Director/Head of U.S. Public Finance, Fitch Ratings
Laura Porter, Managing Director/Sector Head- State Ratings, U.S. Public Finance, Fitch Ratings
			Audience Questions and Comments
2:15 - 3:05pm 		Panel Discussion:  Prospects and Implications of Universal 
Coverage under the Patient Protection and Affordable Care Act
and Federal Medicare Funding Changes
			The discussion will focus on prospects for legislative changes to PPACA
and Medicare funding as we move into the 2012 election year and the
resulting implications for providers. From the experience in Massachusetts,
we will look at what parallels can be drawn for full implementation of PPACA in
2014 and beyond on the national level.  We will also take a close look at how
New York state providers are positioning themselves for a post reform environment.
			Moderator:	     - James LeBuhn, Senior Director/Sector Head- Not for Profit Health Care,
U.S. Public Finance, Fitch Ratings
			Panelists:	     - Nathan Bays, Of Counsel, Health Management Academy
- Donald Scanlon, Chief Financial Officer, Executive Vice President,
Mount Sinai Hospital
- Anthony Santangelo, Director, Government Revenue, Partners Healthcare
   			Audience Questions and Comments
3:05 - 3:20pm 		Break
3:20 - 4:10pm 		Panel Discussion:  Diverging Goals?  Managing Credit Quality and the Affordability 
Mandate During Times of Fiscal Austerity
			Reduced state support, increasingly pressured research funding, uncertainty
regarding national health care reform, and volatile investment markets represent
the primary challenges buffeting the higher education industry today. Public and
private issuers will discuss the role tuition and related financial aid policies play in
managing these challenges, and Fitch will address the potential credit impacts.
			Moderator:	     - Douglas J. Kilcommons, Managing Director/Sector Head- Higher Education
U.S. Public Finance, Fitch Ratings
 			Panelists:	     - Bruce A. Guiot, Chief Investment Officer, Miami University
- Katherine A. Newell, Director of Risk Management, New Jersey
Educational Facilities Authority
- Ingrid S. Stafford, Associate Vice President for Financial Operations and Treasurer,
Northwestern University
			Audience Questions and Comments
4:10 - 5:00pm 		Municipal Market Roundtable: What Do The Market Experts Think?
			Market experts will share their perspectives on 2012, opining on volume,
demand, credit fundamentals, industry trends, and the overall state of the market.
			Moderator:	     - Daniel Champeau, Managing Director/Head of U.S. Public Finance
and Global Infrastructure & Project Finance, Fitch Ratings
 			Panelists:	      - Sean Carney, Vice President & Municipal Strategist, BlackRock
- Thomas Doe, Founder & CEO, Municipal Market Advisors
- George Friedlander, Municipal Strategist, Citigroup
			Audience Questions and Comments
 5:00pm - 6:00pm 		Closing Remarks and Reception
Ann Flynn, Managing Director/Head of Business and Relationship Management,
U.S. Public Finance and Global Infrastructure & Project Finance, Fitch Ratings

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