Matt Robbins, CFA

The healthcare municipal market continues to navigate a mix of structural headwinds, evolving risk appetites and a shifting credit landscape. An investor conversation at the Kaufman Hall Healthcare Leadership Conference in October offers insights as to where investors are focused today and what borrowers can do to meet the market on favorable terms. Three themes…

Real estate and noncore assets can represent a significant — and often largely untapped — resource for health systems pursuing any number of financial or operational goals.

Hospital and health system leaders should devote the same level of strategic focus and analytical rigor to their organizations’ real estate as they apply elsewhere within the enterprise.

Decisions made with respect to a health system's ambulatory real estate portfolio and footprint can have significant impacts onthe organization's future growth, financial position and capital platform.

To achieve a truly effective merger integration, careful attention should be paid to treasury operations and invested assets, along with capital management and external financing.