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.

Kaufman Hall’s 2025 Summer Rating Agency Update offered an early look at how the newly enacted One Big Beautiful Bill (OBBB) could reshape hospital credit profiles.

Medical office buildings are not just places where care happens: They are strategic assets whose value is shaped by management, market engagement and mindset. If MOBs have not become part of your capital strategy, now is the time to consider how to realize their full value.

A unique rural-academic partnership has enabled a critical access hospital to significantly expand access to services. At the same time, careful financial planning has supported debt issuance for a state-of-the-art facility for the community.

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.

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.

Supplemental funding programs, cybersecurity risks, and industry outlooks were the themes of this year’s Therese L. Wareham Rating Agency Panel at the 2024 Kaufman Hall Healthcare Leadership Conference.

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.

Favorable execution levels for basis swaps can emerge quickly, and last for a short period of time. Health systems that have laid the groundwork for execution of a basis swap are positioned to promptly take advantage of what may be a short-lived opportunity.

Because it has been so long since we have experienced a rate environment that provides for noticeable earnings, the art of generating excess earnings from cash assets may have gone dormant in the minds and busy days of treasurers. If so, it is time to bring that art back to life.

A year after Silicon Valley Bank’s collapse—and on the heels of the Change Healthcare cyberattack—the issue of counterparty risk has new urgency. While not all risks can be anticipated, there are focus areas specific to different sectors that can help provide a fuller view of risk.