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.
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.
Creating a Responsive Balance Sheet
In this webinar hosted by Russell Investments, Thomas Jefferson University’s SVP and Chief Investment Officer Alfred Salvato describes the benefits of implementing a strategic resource allocation framework across the organization’s balance sheet assets.
Thoughts About a Governance Downgrade
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.
The Quest for Soft Landings
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.
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.
Resource Positioning and the 2023 Debt Ceiling Agreement
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...
The Balance Sheet Bridge
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...
The Near-Far Problem
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...
The Not-for-Profit Healthcare Resource Chasm
Current Funding Environment Healthcare debt issuance remains incredibly light. How long can a capital-intensive industry tolerate limited capital generation? Is pressure building to...
Challenging Indicators for the Federal Reserve
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...