Investing Capital in Uncertain Times: The Board’s Role
Investing Capital in Uncertain Times: The Board's Role Hospitals have just come off the greatest construction spending spree since the 1950s, when both the post-war economy and the population were booming. Just a year ago, the annual survey by Health Facilities...
Obamacare: Myth versus Reality
Obamacare: Myth versus Reality With the results of the 2008 Presidential and Congressional elections now in the history books, the winners must look ahead to implementing the changes they promised during their campaigns. Much has been written about the various...
Financing Options for Small or Rural Hospitals (Part 1)
Financing Options for Small or Rural Hospitals This article is Part I of a two‐part series. The purpose of the series is to highlight the capital financing options available to small or rural hospitals, including the risks associated with the most common approaches....
Financing Options for Small and Rural Hospitals (Part 2)
Financing Options for Small or Rural Hospitals This article is Part 2 of a two‐part series highlighting the capital financing options available to small or rural hospitals, including the risks associated with the most common approaches. Part 1 (August 2008) focused on...
From Good to Great: Connect Finance & Quality with Long‐Term Vision
From Good to Great: Connect Finance & Quality with Long‐Term Vision Most governing boards of hospitals and healthcare systems do a good job. These boards understand their role, focus on representing the community and stewarding the precious community resources...
Too Many Projects, Not Enough Capital (Part 2)
Too Many Projects, Not Enough Capital Part 2 Once the Board has determined the magnitude of capital available from all sources to support future projects as outlined in Exhibit 1 (for more detail, refer to Part 1 of this article in the January 2007 e‐Briefings), it...
Too Many Projects, Not Enough Capital (Part 1)
Too Many Projects, Not Enough CapitalPart 1 The days when financially strong hospitals or health care systems could afford to fund every “good” project that came along are now officially over. Historically, stronger, credit‐worthy, non‐profit health care organizations...
Importance of Cash for Long‐Term Financial Strength
Importance of Cash for Long‐Term Financial Strength The June BoardRoom Press article on why bond ratings matter identified five tangible benefits to hospitals and systems that achieve and maintain higher bond ratings. These benefits include enjoying lower financing...
Why Does Your Bond Rating Matter?
Why Does Your Bond Rating Matter? Ensuring ongoing access to capital is one of the biggest challenges facing not‐for‐profit health care organizations today. Most larger hospitals and health systems access capital in large part through tax‐exempt debt vehicles, relying...
Allocating Capital – Critical Choices
Allocating Capital – Critical Choices Since the advent of Medicare in the mid‐1960s, most hospitals and health systems across the country – other than small and rural hospitals or hospitals operating in certain highly-regulated northeastern States – have been able to...