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Thoughts from Lisa Goldstein

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ESG Scores: What We Know and Don’t Know

July 28, 2022
ESG scores from rating agencies reflect the risk that ESG issues will affect a hospital’s ability to earn cash flow and repay its debt, but are not “gold stars” for a sophisticated or well-considered ESG strategy.
Blog
Stethoscope and spreadsheet
Stethoscope and spreadsheet

Covenant Challenges Signal Need to Chart a Path to Sustainability

June 15, 2022
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
Downward arrow
Downward arrow

Affirmation Is the New Upgrade

June 8, 2022
The staggering losses reported by many not-for-profit hospitals in the first quarter of 2022 showed deficits that the industry has rarely seen.
Blog
Stethoscope and expense chart
Stethoscope and expense chart

Covenant Management in Uncertain Times

May 4, 2022
The first quarter of 2022 will undoubtedly be one of the most financially challenging periods for not-for-profit hospitals.
Blog
Hand on calculator
Hand on calculator

Hope Doesn’t Pay Debt Service…or Does It?

April 20, 2022
“Hope doesn’t pay debt service” is a message I heard repeatedly from many hospital executives during my years as a ratings analyst. Any astute finance executive or finance committee...
Blog
ESG nature
ESG nature

The Growing Influence of Environmental, Social, and Governance Investing in Not-for-Profit Healthcare

April 13, 2022
Interest in ESG investing has grown at a rapid pace, but disclosure standards are still developing. Health system leaders should carefully consider the pros and cons of ESG disclosure.
Blog
Piggy bank and stethoscope
Piggy bank and stethoscope

Reviving Revenue in the Post-Pandemic World

March 23, 2022
As we emerge from the COVID-19 pandemic, we face a changed reality. Expenses—particularly labor expenses—have reset at a higher level. Inflation is rising at rates not seen since the...
Blog
Breast cancer awareness
Breast cancer awareness

My Breast Cancer Journey

March 9, 2022
SVP, Lisa Goldstein, shares what she learned about hospitals, healthcare, and the not-for-profit mission from her breast cancer journey.
Blog
Business people
Business people

Ratings Matter, Revisited

March 2, 2022
Kaufman Hall co-founder and Chair Ken Kaufman and Senior Vice President Lisa Goldstein—formerly a longtime not-for-profit hospital ratings analyst for Moody’s—recently explored the evolving perspectives of healthcare leaders on how to best balance credit ratings with other key strategic imperatives, including the rising importance of health equity
Thoughts from Ken Kaufman
Governing board table and chairs
Governing board table and chairs

Can Governance Be Measured?

February 23, 2022
Almost everything that not-for-profit hospital ratings analysts evaluate can be measured, quantified, and databased. Except for one: governance.
Blog
Healthcare strategy session
Healthcare strategy session

Ratings Matter, But Long-Term Viability Matters More

February 9, 2022
“Will I be downgraded if my organization’s margins decline because I am investing for its future?” This is one of the most common questions that provider organizations ask ratings...
Blog
Typewriter
Typewriter

Why Stories Matter

January 26, 2022
Over the years, I have had many things that I have wanted to tell the executives at not-for-profit hospitals. As a ratings analyst, however, I couldn’t. Now I can. This is the first of...
Blog
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