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.
Revisiting Counterparty Risk
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.
Thriving Post-Reset: Payer-Provider Partnerships After the Pandemic
In the pre-pandemic era, payer-provider partnerships were often focused on creating value by managing costs of care and delivering high-quality care. In today’s more challenging macro-economic environment, these conversations are becoming more direct and practical, with both payers and providers asking hard questions.
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...
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.
Reevaluating Service Line Strategies in Light of Operational Realities
The many operational and financial headwinds that are buffeting health systems should prompt leadership teams to revisit the strategic direction, goals, and performance of their service...
Partnerships Go Bold as Organizations Face New Challenges
At a transformational moment for not-for-profit healthcare, recent trends in partnerships, mergers, and acquisitions indicate that hospitals and health systems are exploring increasingly bold strategies to meet new challenges.
Strategic Alternatives for Health System Outreach Laboratories
Various industry pressures have accelerated an evolution of laboratory businesses in recent years, with particular impacts on labs owned by health systems. As a result, many systems are...
How the Balance Sheet Can Contribute to Performance Improvement
There has always been a connection between performance improvement initiatives and the balance sheet. By reducing operating costs, boosting productivity, and enhancing revenues, a...
Improving Performance Across the Real Estate Portfolio
As health systems continue to face intense operational and financial pressures, performance improvement initiatives must reach all aspects of the organization. Often overlooked in...