“In the beginner’s mind there are many possibilities, but in the expert’s, there are few.” This famous observation by Shunryu Suzuki, which posits the importance of intellectual...

As the operating, financing, and investing activities of every health system face significant headwinds, it will be important to continuously reassess what type of external capital you should access and how you should access it.

The first quarter of 2022 will undoubtedly be one of the most financially challenging periods for not-for-profit hospitals.

The market environment remains challenging given sharply higher benchmark rates and continued uncertainty around credit spreads. Transactions are moving through the process but each one...

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.

The market environment remains challenging given both rising benchmark rates and volatile spreads along the credit spectrum. It all starts with Treasuries but radiates out to MMD and...

In February, U.S. inflation as measured by the Consumer Price Index grew 7.9% year-over-year, the highest increase in four decades. The factors influencing the current inflationary...

March is National Colorectal Cancer Awareness Month. I didn’t need a calendar reminder to start me thinking about this disease. At this moment, I am recovering from ostomy surgery, the...

Healthcare issuance kicked back in this week with borrowers confronting varied pricing performance, especially in the tax-exempt sector. We are in a period where risk appetites and risk...

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...

A googol is a 1 followed by 100 zeros. There are bigger numbers, and words for those bigger numbers, but a googol is as large a number as I am likely to need. In fact, the number of...

Debt issuance has been modest, but there is significant building supply. The issuance context is continuing benchmark and credit spread disruption as markets react to competing...