Search Sort by Newest to OldestOldest to NewestRelevanceA-ZZ-A Pagination Current page 1 Page 2 Next page › Last page Last 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 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 From Incremental to Multivariable Management The challenges facing health system leaders today are so diverse, interconnected, and relentless that an incremental management approach won’t work. The best response is grounded in simultaneous and tightly integrated efforts across multiple areas of focus. Blog Financial Reserves and Credit Management in Higher Education Issuance of tax-exempt debt is one of the most affordable ways for institutions to finance large capital projects. The affordability of debt is partly contingent on an institution’s credit rating, and unrestricted financial reserves are a significant component of that rating. 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 Financial Reserves Build Institutional Resilience for Colleges and Universities 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... Blog Recalibrating a Responsive Capital Formation Program Current Funding Environment Wednesday’s inflation print showed a March increase of 0.1% versus February and a year-over-year increase of 5.0%, both of which were better than expected... Blog 2023 Credit and Capital Markets Outlook for Higher Education Earlier this month, our colleagues in Kaufman Hall’s Treasury & Capital Markets practice published this Credit and Capital Markets Outlook for 2023 . Their analysis was focused on... Blog Living in Interesting Times Benchmark yield curves are flat to inverted but long rates remain historically attractive. Public market not-for-profit healthcare issuance is light, reflecting two previous years of... 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 Pagination Current page 1 Page 2 Next page › Last page Last
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 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
From Incremental to Multivariable Management The challenges facing health system leaders today are so diverse, interconnected, and relentless that an incremental management approach won’t work. The best response is grounded in simultaneous and tightly integrated efforts across multiple areas of focus. Blog
Financial Reserves and Credit Management in Higher Education Issuance of tax-exempt debt is one of the most affordable ways for institutions to finance large capital projects. The affordability of debt is partly contingent on an institution’s credit rating, and unrestricted financial reserves are a significant component of that rating. 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
Financial Reserves Build Institutional Resilience for Colleges and Universities 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... Blog
Recalibrating a Responsive Capital Formation Program Current Funding Environment Wednesday’s inflation print showed a March increase of 0.1% versus February and a year-over-year increase of 5.0%, both of which were better than expected... Blog
2023 Credit and Capital Markets Outlook for Higher Education Earlier this month, our colleagues in Kaufman Hall’s Treasury & Capital Markets practice published this Credit and Capital Markets Outlook for 2023 . Their analysis was focused on... Blog
Living in Interesting Times Benchmark yield curves are flat to inverted but long rates remain historically attractive. Public market not-for-profit healthcare issuance is light, reflecting two previous years of... 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