Markets remain very unsettled and not-for-profit healthcare issuance remains relatively light. Curve shape continues to transition as the long end of the markets anticipate and respond...

The possibility of breached covenants is a symptom of deeper problems that require an all-hands-on-deck approach to get back on a sustainable path.

The staggering losses reported by many not-for-profit hospitals in the first quarter of 2022 showed deficits that the industry has rarely seen.

There was no not-for-profit healthcare public issuance over the last two weeks, which says a lot. It is not yet clear whether this is just a pause following a relatively robust 2020...

Health system leaders must determine how effectively their real estate portfolio supports the system’s strategic objectives, operational needs, and financial commitments, and how that portfolio might be realigned to better support the system.

Technically, healthcare issuance is up year-over-year, but recent activity remains modest, and markets remain challenging. Volatility is the word and inter-day swings can be...

The pandemic and its complex social and economic effects have dislocated the modern workforce. The problem is especially profound in healthcare, where nearly 1 in 5 workers quit their jobs during the pandemic and one-third of nurses plan to leave their current roles by the end of 2022.

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...

Watch to hear perspectives on the evolving role of Environmental, Social and Governance (ESG) in not-for-profit healthcare.

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.