Search Sort by Newest to OldestOldest to NewestRelevanceA-ZZ-A Pagination Current page 1 Page 2 Page 3 … Next page › Last page Last 2024 Rating Agency Spring Webinar Watch an engaging discussion with Moody’s, Fitch and S&P on their latest industry outlooks, rating activity through early 2024 and what this means for the sector. Webinar Rating Agency Upgrade an Downgrade Decisions Upgrades and downgrades reflect the realities of what ratings are intended to do, which is to reflect the rating agency’s best assessment of an organization’s performance for investors. Upgrades must be earned and downgrades may happen quickly, but affirmations are most typical. Blog Credit and Capital Markets Outlook for 2024 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? Article Rating Agency Update: Covenants, Capital Spending, Consolidation, and Labor Representatives from Fitch, Moody’s, and S&P Global joined us at the 2023 Healthcare Leadership Conference to discuss the impact of issues ranging from labor to consolidation to financial performance on not-for-profit hospital and health system credit ratings. Article Is Now the Time to Terminate Legacy Interest Rate Hedges? 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. Article Uncertainty Regarding Covenant Compliance Continues Responses to Kaufman Hall’s 2023 “State of Healthcare Performance Improvement” report indicate ongoing concern regarding covenant challenges in 2024. Organizations need to understand the causes of covenant misses and near misses and build a durable financial plan for the future. Blog The Balance Sheet Buffer Balance sheet strength has buffered consumers and businesses from some of the restrictive shock of higher rates. With a relatively brittle revenue model in healthcare, the focus becomes whether, when, and how to restructure operations as balance sheets are spent down. Blog External Capital Formation in a Higher Rate Environment 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. Blog Thoughts About a Governance Downgrade 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. Blog The Quest for Soft Landings 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. Blog Rating Agency Update: Covenants, Consolidation, and Capital Spending 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... Article What to Expect When a Consultant Call-in Report Is Required 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. Article Pagination Current page 1 Page 2 Page 3 … Next page › Last page Last
2024 Rating Agency Spring Webinar Watch an engaging discussion with Moody’s, Fitch and S&P on their latest industry outlooks, rating activity through early 2024 and what this means for the sector. Webinar
Rating Agency Upgrade an Downgrade Decisions Upgrades and downgrades reflect the realities of what ratings are intended to do, which is to reflect the rating agency’s best assessment of an organization’s performance for investors. Upgrades must be earned and downgrades may happen quickly, but affirmations are most typical. Blog
Credit and Capital Markets Outlook for 2024 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? Article
Rating Agency Update: Covenants, Capital Spending, Consolidation, and Labor Representatives from Fitch, Moody’s, and S&P Global joined us at the 2023 Healthcare Leadership Conference to discuss the impact of issues ranging from labor to consolidation to financial performance on not-for-profit hospital and health system credit ratings. Article
Is Now the Time to Terminate Legacy Interest Rate Hedges? 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. Article
Uncertainty Regarding Covenant Compliance Continues Responses to Kaufman Hall’s 2023 “State of Healthcare Performance Improvement” report indicate ongoing concern regarding covenant challenges in 2024. Organizations need to understand the causes of covenant misses and near misses and build a durable financial plan for the future. Blog
The Balance Sheet Buffer Balance sheet strength has buffered consumers and businesses from some of the restrictive shock of higher rates. With a relatively brittle revenue model in healthcare, the focus becomes whether, when, and how to restructure operations as balance sheets are spent down. Blog
External Capital Formation in a Higher Rate Environment 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. Blog
Thoughts About a Governance Downgrade 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. Blog
The Quest for Soft Landings 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. Blog
Rating Agency Update: Covenants, Consolidation, and Capital Spending 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... Article
What to Expect When a Consultant Call-in Report Is Required 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. Article