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With extension of the 2017 tax cuts identified as a key priority for the incoming Trump administration, offsetting expense actions will be needed to avoid increasing the federal deficit. Hospital leaders should be prepared for potential cuts to both the Medicaid program and the enhanced ACA subsidies enacted in 2021.

Strategic planning and financial planning are highly interrelated and interdependent disciplines. Institutional financial literacy creates the perfect environment and means of communication in which an integrated strategic financial planning process can thrive.

Promoting financial literacy serves two important purposes. First, it makes everyone aware of the institution’s current financial health. Second, it makes everyone aware of what will be required to ensure the institution’s financial health over the long term.

Since the late 1980s, financial planning has been a core focus of Kaufman Hall’s work. A recent leadership change emphasized the importance of financial planning to the for-profit corporate world. It should be given similar priority in the not-for-profit hospital universe.

This past year in higher education has been fraught with challenges, both new and chronic. A focus on objective assessment, planning, and preparation will be vitally necessary to survive the ever-changing weather of higher education.

Higher education is facing a crisis of confidence in the value of a college degree, with risk implications for enrollments, tuition pricing, and capital spending. Avoiding these risks begins with finding and quantifying the appropriate “corridor of control” for your institution.

Financial reserves are essential to the sustainability of any college or university. Integrating reserve goals to strategic planning through development of a strategic financial plan helps ensure that sufficient reserves will be available to meet the institution’s needs.

Anyone unfamiliar with the financial structure of not-for-profit colleges and universities may question why these organizations often carry significant financial reserves on their...

Although lifting the Public Health Emergency (PHE) sends a hopeful message in the country’s battle against the coronavirus, phasing out this federal funding will bring new financial challenges to a battle-weary hospital industry.

Debt issuance has been modest, but there is significant building supply. The issuance context is continuing benchmark and credit spread disruption as markets react to competing...