
Can Independent Hospitals Remain Independent? Key Insights for Leaders
Independent hospitals are “one crisis away from financial instability,” a Boston Globe headline proclaimed this spring. It’s a scenario driven not just by the challenges of the COVID-19 pandemic, but also a healthcare operating environment that is increasingly difficult for all providers.

Does Your Strategic Capital Plan Need a Refresh? What Healthcare Leaders Should Consider
Strategic capital planning never becomes less critical, but it does need to change with the times. And never has this become more obvious than today, after almost two years of unprecedented challenges for healthcare providers.

What’s Your Digital Strategy for
Medicare Advantage?
With a growing older adult population and provider staffing constraints, there is a significant need for digital tools among Medicare and Medicare Advantage populations. This presents a critical opportunity for health systems and health plans alike to bolster digital engagement capabilities to attract and retain members while simultaneously helping improve members’ health outcomes.

5 Near-Term Themes Driving Healthcare
Hospitals and health systems are gradually transitioning from an intensive internal focus demanded by the operational strains of the COVID-19 pandemic toward a renewed external focus on strategic growth. As leaders determine where to concentrate attention and resources, it is clear that the changes taking place in 2022 could significantly impact the cost and means of delivering care and thus affect their strategy.

Is It Time to Explore Green Bond Issuance?
A higher education institution’s commitment to sustainability is increasingly viewed as a natural fit for its mission. Now, as “green finance” begins to pick up pace among higher education institutions, finance leaders are proactively determining their institution’s environmental, social, and governance (“ESG”) practices, including risk management and financing opportunities.

Sale - Leaseback: Unlock Equity Tied Up in Real Estate
Businesses looking to access capital for a variety of needs are find- ing a lucrative source through sale-leaseback (SLB) transactions. In most cases, businesses that are not focused on owning real estate for a profit can find higher returns on their equity outside of real estate.

Repurchasing Real Estate Assets: Key Considerations for Healthcare Leaders
Strong demand and limited supply created a window of opportunity for health systems to monetize their medical office buildings during the pandemic, with the largest buyer pool for single-tenant medical office buildings that the market has ever seen (1). However, another real estate trend is also emerging among health systems: the move toward buying back the facilities they currently lease.

Rightsizing Your Lease Agreements: Options for Healthcare Leaders
Even before the pandemic, many hospitals and health systems found themselves in unfavorable lease arrangements. These agreements, which often were structured several years ago, have exceeded market rental rates, prevented healthcare organizations from leaving undesirable space, and allowed competitors to move in nearby.

Outpatient Services Implications in a Post-COVID World
For more than a decade, non-hospital-based outpatient services, especially ambulatory surgeries and imaging, have grown tremendously. The COVID-19 pandemic has fueled speculation of an acceleration in use of these services driven by a combination of economics, technological advances, and consumer preference.
