All Featured Insights

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.

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.

Fitch Ratings recently downgraded the United States’ long-term rating. Healthcare confronts a different manifestation of the same pressures confronting the U.S., and the lesson for leaders is that governance and planning systems matter.

For the Federal Reserve, a soft landing means we arrive at the 2% inflation target without a recession. For healthcare, a soft landing is operating and investment entity recovery that stabilizes credit positioning and facilitates capital formation.

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.

Current Funding Environment IU Health (Aa2/AA/AA), AdventHealth (Aa2/NR/AA), Banner Health (NR/AA-/AA-), and Arkansas Children’s Hospital (A1/AA-/NR) came to market this week with...

Current Funding Environment The healthcare financings that came in the past couple of weeks generally did well. Maturities seemed to do better than put bonds, and it remains important...

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...

Current Funding Environment Healthcare debt issuance remains incredibly light, across both public and private channels. There is significant volatility across all fixed income markets...

Current Funding Environment Healthcare 2023 issuance is down 60% versus the same time frame in 2022. What few offerings have come have been generally well received, but the depth of the...

Current Funding Environment Healthcare debt issuance remains incredibly light. How long can a capital-intensive industry tolerate limited capital generation? Is pressure building to...

Current Rate Environment Healthcare transactions continue to enter the markets, but still at a relatively slow pace. The experience continues to be generally strong investor support and...