Search Sort by Newest to OldestOldest to NewestRelevanceA-ZZ-A 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 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 Sky Is Orange and the Bottom Line Is Red 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. Blog Covenant Challenges Signal Need to Chart a Path to Sustainability The possibility of breached covenants is a symptom of deeper problems that require an all-hands-on-deck approach to get back on a sustainable path. Blog Covenant Management in Uncertain Times The first quarter of 2022 will undoubtedly be one of the most financially challenging periods for not-for-profit hospitals. Blog The Growing Influence of Environmental, Social, and Governance Investing in Not-for-Profit Healthcare Interest in ESG investing has grown at a rapid pace, but disclosure standards are still developing. Health system leaders should carefully consider the pros and cons of ESG disclosure. Blog Reviving Revenue in the Post-Pandemic World As we emerge from the COVID-19 pandemic, we face a changed reality. Expenses—particularly labor expenses—have reset at a higher level. Inflation is rising at rates not seen since the... Blog
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
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 Sky Is Orange and the Bottom Line Is Red 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. Blog
Covenant Challenges Signal Need to Chart a Path to Sustainability The possibility of breached covenants is a symptom of deeper problems that require an all-hands-on-deck approach to get back on a sustainable path. Blog
Covenant Management in Uncertain Times The first quarter of 2022 will undoubtedly be one of the most financially challenging periods for not-for-profit hospitals. Blog
The Growing Influence of Environmental, Social, and Governance Investing in Not-for-Profit Healthcare Interest in ESG investing has grown at a rapid pace, but disclosure standards are still developing. Health system leaders should carefully consider the pros and cons of ESG disclosure. Blog
Reviving Revenue in the Post-Pandemic World As we emerge from the COVID-19 pandemic, we face a changed reality. Expenses—particularly labor expenses—have reset at a higher level. Inflation is rising at rates not seen since the... Blog