All Featured Insights

Explore Kaufman Hall’s Capital Playbook for health systems, a guide to prioritizing investments, optimizing funding strategies, and strengthening financial resilience in a shifting healthcare environment.

Hospitals seeking funds for capital needs are facing several challenges, which is driving interest in non-traditional financing structures, often involving real estate. Synthetic leases are one alternative, but they require a careful assessment of both their benefits and considerations that may make them a less attractive option.

Despite overall industry improvements for not-for-profit health systems, the divide between stronger and weaker performers continues to increase. Other challenges to the sector include the still-challenged labor market, the continued difficult payer environment and potential policy changes from the new Trump administration.

Health systems with substantial energy infrastructure may derive significant value from an energy-as-a-service (EaaS) partnership. Knowing what your health system wants from the partnership will help you identify the right structure for a successful partnership that aligns with your objectives.

There was a general improvement in operating margins over the course of 2023, and it is possible that we have reached a point of stability. But with margins still well below pre-pandemic levels, will that level of stability provide sustainability?

At the 2023 Kaufman Hall Healthcare Leadership Conference, a panel of investors shared their insights on current market conditions, disclosure considerations, the impact of credit ratings on investment decisions, and ESG and the political environment.

A changing interest rate environment has reopened the opportunity to consider terminating an organization’s swap position. Organizations should take a measured approach in determining whether this is an opportunity they wish to pursue.

Kaufman Hall hosted its 2023 Summer Rating Agency Update on July 12, featuring Eva Bogaty, Associate Managing Director at Moody’s Investors Service, Suzie Desai, Senior Director at S&P...

In the event of a covenant breach, management typically must hire an independent consultant to identify areas for financial and operational improvement. Find out what a consultant call-in does and does not entail, as well as considerations for timing and implementation.

There has always been a connection between performance improvement initiatives and the balance sheet. By reducing operating costs, boosting productivity, and enhancing revenues, a...

Rating downgrades exceeded upgrades for all three rating agencies in 2022. Below are five key takeaways: Downgrades covered a wide swath of hospitals including single site hospitals and...

In an August post on our Trending in Treasury & Capital Markets blog, we commented on how one of the movie highlights of the past year— Everything Everywhere All at Once—served as a...