All Featured Insights

Hospital rating downgrades declined in 2025 while the number of upgrades increased, resulting in a lower ratio of downgrades to upgrades and tempering higher downgrade activity in recent years.

The balance sheet serves three main purposes: as a shock absorber, financing mechanism, and profit center. By examining and engaging the full range of opportunities that balance sheet resources can contribute, organizations can enhance their long-term sustainability.

Numerous headwinds in recent years have threatened liquidity, exposed organizations to counterparty risk, and heightened uncertainty about long-term financial sustainability. This report discusses six trends and related action steps to help position your organization for tomorrow’s Treasury Operations needs.

The Change Healthcare cyberattack has affected claims processing and cash flow for many provider organizations. Learn more about the impacts and how to respond.

Counterparty risk management must be continually reinforced by implementing and following best practices. This process can help form a stronger and more diverse network of banking partners that will serve an organization well throughout its business cycle.

For the Federal Reserve, a soft landing means we arrive at the 2% inflation target without a recession. For healthcare, a soft landing is operating and investment entity recovery that stabilizes credit positioning and facilitates capital formation.

Recently, Erik Swanson and Robert Turner joined the Reorg podcast with reporter Hoa Nguyen to explore hospital financial performance and healthcare financing trends through the rest of 2023.

The latest Kaufman Hall Report includes an inside look at the strategic alternatives for health system outreach laboratories—and key challenges and opportunities for health systems.

Current Funding Environment IU Health (Aa2/AA/AA), AdventHealth (Aa2/NR/AA), Banner Health (NR/AA-/AA-), and Arkansas Children’s Hospital (A1/AA-/NR) came to market this week with...

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

Current Funding Environment Healthcare debt issuance remains incredibly light, across both public and private channels. There is significant volatility across all fixed income markets...

Our March Rating Agency Webinar cover several important topics, including each agency’s not-for-profit healthcare sector outlook, key drivers and what that means for rating activity in 2023, covenant violations (or near misses) and how they are incorporated into rating decisions, trends in capital spending and an update on ESG.