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After years of monetary tingle, a more restrictive stance from the Federal Reserve is creating a chill. A sustained higher interest rate environment may require finance teams to rethink external capital formation strategies.

Fitch Ratings recently downgraded the United States’ long-term rating. Healthcare confronts a different manifestation of the same pressures confronting the U.S., and the lesson for leaders is that governance and planning systems matter.

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.

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.

The challenges facing health system leaders today are so diverse, interconnected, and relentless that an incremental management approach won’t work. The best response is grounded in simultaneous and tightly integrated efforts across multiple areas of focus.

The maintenance of financial reserves is critical in rating committee during difficult times. Management teams that have outlined a credible plan to create financial durability and have built liquidity are best positioned for today’s harsh environment.

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...

Current Funding Environment The healthcare financings that came in the past couple of weeks generally did well. Maturities seemed to do better than put bonds, and it remains important...

Nurse leaders must understand their fiduciary role as executives with respect to their organization’s capital needs. In this article and accompanying podcast, healthcare expert Lisa Goldstein explains the issues related to hospital debt, and specifically, to hospital bonds.

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

Understanding what your resources are, the role your decisions place them in, and then positioning them in a role-responsive way is the most important management initiative for every balance-sheet-centric organization.