Unlocking Tribal Infrastructure Through Tax-Exempt Financing

Webinar | June.11.2026 | 2pm - 3pm (US Eastern Standard Time)

Virtual

Access to healthcare in tribal communities is increasingly shaped by workforce housing and patient treatment constraints – but innovative financing models are helping close the gap.

Join Orrick’s Les Krusen, Townsend Hyatt and Matt Neuringer for a timely discussion on how Indian tribal governments and affiliated organizations are tapping capital markets to fund critical healthcare and housing infrastructure.

Recent transactions –including a $132M medical staff housing project and a $185M patient housing project in Kotzebue, Alaska – highlight a growing model that pairs tax-exempt bond financing with Section 105(l) federal lease reimbursements under the Indian Self-Determination and Education Assistance Act.

These structures are creating reliable, scalable pathways to expand healthcare access and address workforce shortages across tribal and nonprofit systems.

Anmelden

Related Lawyers

Leslie Conard Krusen Partner, Public Finance

Seattle

See my bio

D:+1 206 839 4334
E: [email protected]

Practice:

Finance Sector
Public Finance

vCard

See full bio

Leslie Conard Krusen Partner

Seattle

Les is a Partner in the Public Finance practice group in Orrick’s Seattle office. He has served as bond counsel, disclosure counsel and underwriters’ counsel on public and privately placed tax-exempt and taxable debt issued by airports and ports, mass transit agencies, electric and water utilities, industrial development agencies and bond banks, higher education institutions and health care facilities. He has experience in advising clients in such financings in several states and U.S. territories, including Alaska, California, Guam, Nevada, New York, Oregon and Washington.

During the course of his practice, Les has worked on various types of financing structures, including standard general obligation and revenue bond financings, bond and grant anticipation financings, master trust indenture financings, conduit financings, pooled financings, variable rate bonds and current and advance refundings.

Prior to joining Orrick, Les was an associate in the Capital Markets practice group at Cadwalader, Wickersham & Taft in New York, where he represented major foreign and domestic banks and boutique financial institutions as issuers, depositors, loan sellers, underwriters, initial purchasers and placement agents in connection with approximately $20 billion of public and private offerings of commercial mortgage-backed securities and collateralized loan obligations.

Townsend Hyatt Partner, Finanzen Indianerstämme

Portland

See my bio

D:+1 503 943 4820
E: [email protected]

Practice:

Finance Sector
Finanzen Indianerstämme

vCard

See full bio

Townsend Hyatt Partner

Portland

He has worked with Indian tribes in more than a dozen states on a variety of projects, such as financings for land acquisitions; health clinics; schools; government administration buildings; cultural centers; sewer, water and other infrastructure development; parks and recreation facilities; motor vehicle and aircraft purchases; manufacturing plants; and gaming and entertainment facilities.

Matthew Neuringer Partner, Energy & Infrastructure, Infrastructure

New York

See my bio

D:+1 212 506 5290
E: [email protected]

Practice:

Energy & Infrastructure Sector
Energy & Infrastructure
Infrastructure
Finanzierungen im Transportwesen
Energy

vCard

See full bio

Matthew Neuringer Partner

New York

Drawing on experience at the intersection of infrastructure, energy and public finance, he advises developers, investors, lenders, public agencies and institutional stakeholders on the structuring, procurement, financing, development and long-term operation of transformative infrastructure assets and concession arrangements.

Matthew is recognized nationally and globally by Chambers USA, where clients describe him as “smart, organized and responsive and offers really good insight on key issues” and “he is an encyclopedia of P3 and he does an excellent job of leading tricky conversations and getting to a point where all parties agree.”

Matthew has advised clients across a full spectrum of energy and infrastructure assets, including telecoms, rail, highways, airports, intermodal transit, combined heat and power, social infrastructure and waste-to-energy projects.

He is also a leading advisor in the rapidly evolving EaaS market, counseling hospital systems, universities, stadium owners, developers, utilities, infrastructure investors and public-sector entities on innovative EaaS platforms and concession structures for mission-critical facilities involving distributed energy resources, resiliency infrastructure and long-term performance-based service agreements.

In Matthew’s capacity as outside counsel to the Association for the Improvement of American Infrastructure (AIAI), he has also provided input to federal, state and local governments regarding the sufficiency of their legal frameworks to advance and deliver P3 projects in their jurisdictions.

Related Areas

Finance