Publications

The Looming Deadline: Repayment of COVID-19 AAP Loans

Publications

July 29, 2020

CMS’ Accelerated and Advance Payment (AAP) Program has been a lifeline for healthcare providers during the COVID-19 pandemic which loaned hospitals and others $100B.  Repayment of these loans begins August...

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What Happens When CMS Loans Come Due?

Publications

July 22, 2020

CMS’ Accelerated and Advance Payment (AAP) Program has been a lifeline for healthcare providers during the COVID-19 pandemic. The program, which historically supported hospitals during localized natural disasters, was dramatically...

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Evaluating Opportunities for Government-Sponsored Hospitals

Publications

June 24, 2020

The COVID-19 pandemic is straining hospital and governmental resources. It is also serving as a catalyst for a major evolution of our nation’s healthcare delivery system, the likes of which...

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Dealmaking in the Sunlight: Navigating Public Hospital M&A

Publications

June 15, 2020

Public hospitals have a uniquely open relationship to the communities they serve, which invites a level of transparency as they consider potential mergers and acquisitions. So what kind of M&A...

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Assessing Hospital Preparedness for COVID-19 by Affiliation Status

Publications

May 28, 2020

Overview System hospitals tend to have more ICU beds, higher case mix indices and are more likely to be a part of physician integration networks compared to like-sized standalone hospitals....

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Provider Realignment Post-Pandemic

Publications

May 28, 2020

The COVID-19 crisis exposed the high cost of fragmentation within the healthcare industry and will serve as the seminal event that ushers in an era of greater provider integration and...

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COVID-19 Impact on Healthcare M&A

Publications

May 15, 2020

The COVID-19 pandemic has upended our nation and our healthcare delivery system. The extreme pressure being put on hospitals during this crisis will permanently change the way healthcare is sought...

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Are Hospitals Prepared for a Recession?

Publications

August 30, 2019

News coverage of a possible economic recession flared late this summer with a yield curve inversion, a bond market phenomenon that is historically associated with a financial downturn. The curve...

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The Intersection of Mission and Margin

Publications

June 3, 2019

As healthcare has transformed from a nascent local patchwork of services to one of our country’s leading industries, hospitals hold steadfast to their missions that have roots going back a...

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Government-Affiliated Hospital Business Combinations: The Governance Dynamic

Publications

April 26, 2019

Many governmental hospitals might benefit from ownership change; in certain instances it is acutely needed. They face the same pressures to improve quality and lower costs that challenge most hospitals...

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Santa Clara County Succeeds in Securing the Future of Endangered Local Hospitals

Publications

March 12, 2019

The County of Santa Clara (Calif.) assumed responsibility for the operation of O’Connor Hospital in San José, St. Louise Regional Hospital in Gilroy, and De Paul Health Center in Morgan...

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Analysis: Hospitals Buoyed by Tenuous Investment Income

Publications

February 27, 2019

Investment income resulting from a strong stock market has propped up many standalone hospitals’ balance sheets over the past two years, according to a recent evaluation by Juniper Advisory. In...

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