M&A trend: More acquisitions of small or ‘distressed’ hospitals
Hospital M&A deals in 2019 have included increasing shares of financially distressed and smaller hospitals.
2 USDA loan programs offer advantages for rural healthcare organizations
Capital Finance: Two rapidly increasing USDA rural loan programs offer many rural hospitals low-interest capital finance options that have fewer requirements than commercial debt.
6 strategies to lower current debt costs
Capital Finance: Six strategies to capture savings deserve consideration by finance teams and in-depth analyses based on the organization’s unique capital structure goals and objectives.
Proposed accounting changes could bring costs, complications
A proposed accounting-rule change could increase costs and complicate debt initiatives for hospitals using a debt arrangement that was popular when interest rates were high.
Strategic Financial Planning Fall 2019 Issue
The Strategic Financial Planning newsletter Fall 2019 issue features articles on price transparency, bond underwriters, direct contracting, M&As and business ethics.
Financing in the 2020s: Look for higher interest rates
A review of hospital financing practices prior to the Great Recession of 2008 provides insight into how current practices might best respond to a new period of rising interest rates.
Historical perspective on hospital financing practices, 1998-2018
The marriage of variable-rate debt and derivatives was certainly the biggest new development in hospital financing practice of the 1998-2008 decade and the one most likely to be carried forward over the next 10 years.
Ask these 14 questions to help select the best underwriter for the job
Hospitals and providers who want to sell bonds in the public market should determine if their offering presents any challenges and develop a list of questions to ask of firms to find the best-suited underwriter for the job.
Successful Rural Hospital Surpasses Perceptions
A rural hospital CFO shares his organization’s capital finance strategies and plans to manage future change.
An Integrated Approach Can Direct Risk and Resource Allocation
Market volatility requires hospitals to identify contributors to cash flow variability, quantify potential related risks, and identify how the risks might manifest themselves.