When health system leaders are thinking about building a medical office building or ambulatory surgery center as part of their ambulatory and physician affiliation strategy, the first question they should ask is, “Do we need to incentivize physicians in this market with real estate and create owners instead of renters?”
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Our outlook for last year was right in one important respect: “There are few signs,” we wrote, “that volatility will continue to abate as 2020 begins.” On the horizon were renewed...
Hospitals and health systems have accumulated substantial real estate holdings, making them some of the largest property owners and most sought-after tenants in their communities.
As cash is invested, an institution incurs more risk that cash will not be available when it is needed. Read our recommendations on balancing these risks.
A critical response factor is the capacity to adapt—to manage the organization to a different place. Adaptation is not possible, however, unless a foundation is in place. Read more.
In Focus: COVID-19 Adds Master Trust Indenture Risk to Future Borrowing Potential and Other Types of Transactions
Many organizations may still have a window of opportunity to rely on their most recent, pre-pandemic audited financial statements if they have plans for future borrowing. Read more.
COVID-19 has produced tremendous dislocation across every component of the not-for-profit healthcare business model. Read more on strategic resource allocation.
The next possible result of COVID-19’s financial hit is violation of debt covenants. Avoiding this destabilizing possibility is a top priority for America’s hospitals. Read more.
SIFMA Market Stress Creates Significant Pressure for All Parties Liquidity pressures in all short-term markets have made their way into the U.S. Municipal short-term money market. The...
Capital markets continue to struggle, creating new pressure points for healthcare clients. The central theme of the moment is fear. Read more about what this pandemic means for global capital markets.
Care delivery is shifting from inpatient to outpatient services. Read more about what this means for your health system's credit management and debt capacity.
The outbreak and spread of the new coronavirus has quickly reintroduced volatility to the capital markets. Learn more on how hospitals should be responding.