Search Sort by Newest to OldestOldest to NewestRelevanceA-ZZ-A Pagination Current page 1 Page 2 Page 3 … Next page › Last page Last Structured Real Estate Financing Alternatives: What to Know Hospitals seeking funds for capital needs are facing several challenges, which is driving interest in non-traditional financing structures, often involving real estate. Synthetic leases are one alternative, but they require a careful assessment of both their benefits and considerations that may make them a less attractive option. Article The Implications of Losing Access to Tax-Exempt Financing Of the long list of possible federal budget cuts released on January 17, the suggestion to eliminate the tax-exempt status for interest payments on municipal bonds is an item of particular concern. While it is too early to wager on any of the items on the list, the implications of this move for not-for-profit hospitals would be severe. Blog 2025 Healthcare Credit and Capital Markets Outlook Despite overall industry improvements for not-for-profit health systems, the divide between stronger and weaker performers continues to increase. Other challenges to the sector include the still-challenged labor market, the continued difficult payer environment and potential policy changes from the new Trump administration. Article Energy-as-a-Service Opportunities for Health Systems Health systems with substantial energy infrastructure may derive significant value from an energy-as-a-service (EaaS) partnership. Knowing what your health system wants from the partnership will help you identify the right structure for a successful partnership that aligns with your objectives. Article 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 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 Beyond the Outlooks: Our Second Annual Conversation with the Rating Agencies Webinar Watch higher education sector leaders from Fitch Ratings, Moody’s Investors Service, and S&P Global Ratings for an in-depth conversation on trends affecting rating actions in higher education today. Webinar 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 Investors Anticipate Increased Debt Issuance, Encourage Greater Transparency At the 2023 Kaufman Hall Healthcare Leadership Conference, a panel of investors shared their insights on current market conditions, disclosure considerations, the impact of credit ratings on investment decisions, and ESG and the political environment. Article 2023 Healthcare Performance Improvement Insights Webinar Watch Kaufman Hall’s Performance Improvement practice discuss insights from our 2023 State of Healthcare Performance Improvement report. The webinar features expert commentary on issues affecting the workforce, the revenue cycle, care transitions, supplies and purchased services, the physician enterprise, and the balance sheet. Webinar 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 Pagination Current page 1 Page 2 Page 3 … Next page › Last page Last
Structured Real Estate Financing Alternatives: What to Know Hospitals seeking funds for capital needs are facing several challenges, which is driving interest in non-traditional financing structures, often involving real estate. Synthetic leases are one alternative, but they require a careful assessment of both their benefits and considerations that may make them a less attractive option. Article
The Implications of Losing Access to Tax-Exempt Financing Of the long list of possible federal budget cuts released on January 17, the suggestion to eliminate the tax-exempt status for interest payments on municipal bonds is an item of particular concern. While it is too early to wager on any of the items on the list, the implications of this move for not-for-profit hospitals would be severe. Blog
2025 Healthcare Credit and Capital Markets Outlook Despite overall industry improvements for not-for-profit health systems, the divide between stronger and weaker performers continues to increase. Other challenges to the sector include the still-challenged labor market, the continued difficult payer environment and potential policy changes from the new Trump administration. Article
Energy-as-a-Service Opportunities for Health Systems Health systems with substantial energy infrastructure may derive significant value from an energy-as-a-service (EaaS) partnership. Knowing what your health system wants from the partnership will help you identify the right structure for a successful partnership that aligns with your objectives. Article
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
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
Beyond the Outlooks: Our Second Annual Conversation with the Rating Agencies Webinar Watch higher education sector leaders from Fitch Ratings, Moody’s Investors Service, and S&P Global Ratings for an in-depth conversation on trends affecting rating actions in higher education today. Webinar
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
Investors Anticipate Increased Debt Issuance, Encourage Greater Transparency At the 2023 Kaufman Hall Healthcare Leadership Conference, a panel of investors shared their insights on current market conditions, disclosure considerations, the impact of credit ratings on investment decisions, and ESG and the political environment. Article
2023 Healthcare Performance Improvement Insights Webinar Watch Kaufman Hall’s Performance Improvement practice discuss insights from our 2023 State of Healthcare Performance Improvement report. The webinar features expert commentary on issues affecting the workforce, the revenue cycle, care transitions, supplies and purchased services, the physician enterprise, and the balance sheet. Webinar
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