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Headwinds are increasing for higher ed institutions as we move into 2023. Colleges and universities share a common need to identify the path that leadership feels will best position the institution for long-term resiliency and growth.

Rating downgrades exceeded upgrades for all three rating agencies in 2022. Below are five key takeaways: Downgrades covered a wide swath of hospitals including single site hospitals and...

As we move into 2023, hospital and health system leaders will need to bring the full range of available resources to bear against a continuing barrage of operating and financial headwinds.

Although hospitals have experienced difficult operating periods and volatile stock markets in the past, the simultaneous impact of these two forces in 2022 was a first in not-for-profit healthcare, creating a financial “twindemic” that drove many of the downgrades.

In this summary of our Healthcare Leadership Conference rating agency panel, the agencies’ not-for-profit healthcare leaders address issues related to financial performance, covenant management, and ESG.

In recent months, hospitals of all sizes and ratings are reporting tremendous financial turbulence, primarily due to externalities such as the nursing shortage and the need for expensive contract labor.

Not-for-profit healthcare investors provide their perspectives on issues including weak financial performance and the threat of breached covenants, best practices for disclosure and transparency, and the growing influence of ESG concerns on investment decisions.

With one out of every two hospitals expected to show an operating loss in 2022, presentations to the rating agencies in many cases need to focus more on the turnaround plan and less on...

The landing point of the COVID cycle seems to be a profoundly challenged operating model paired with escalating balance sheet vulnerability due to reduced organic cash flow generation and volatile investment markets.

It’s not all bad news when it comes to not-for-profit hospital financial performance. Some hospitals and health systems are navigating labor pressures and reporting improving results.

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.

The staggering losses reported by many not-for-profit hospitals in the first quarter of 2022 showed deficits that the industry has rarely seen.