The Capital Issue

October-November 2014

What is the outlook for hospitals, senior living and housing in the upcoming year? The feature article in this edition of The Capital Issue offers you our perspective on the annual reports by the Big Three credit rating agencies and what their prognostications mean to these sectors.

Other articles in this issue spotlight: how newly formed hospital systems can maximize opportunities to improve their fiscal outlook by identifying debt synergies; how skilled nursing providers can adapt to the shared savings programs that are part of Accountable Care Organizations to ensure their Medicare payor base doesn’t disappear; how affordable housing providers will find the FHA Sec. 221(d)(4) program the ideal choice for permanent financing under the right circumstances; and how gifts of appreciated assets can be a win-win for both the individual donating and the organization receiving.

Be sure to reach out to the authors or your local bankers if you have any questions.

Tom Green, CEO



The Influential Big Three: Credit Rating Agency Forecasts
The Financial Aftermath of a Merger: Identifying Debt Synergies
10/15/2014

The Financial Aftermath of a Merger: Identifying Debt Synergies

Facing increasing financial pressures and a difficult operating environment, more and more rural and community hospitals are seeking to merge or affiliate to gain operating efficiencies. 

Accountable Care Organizations and Skilled Nursing: What Providers Should Know
10/14/2014

Accountable Care Organizations and Skilled Nursing: What Providers Should Know

Though the term was coined in 2006, Accountable Care Organizations (ACOs) started gaining prominence in 2010 when the initiative was introduced to Medicare through the Affordable Care Act (ACA). ACOs are a means to improve care to beneficiaries and transition from the traditional fee-for-service model to a population-based payment system. 

The Right Permanent Financing Option: When FHA is Better Than Banks
10/13/2014

The Right Permanent Financing Option: When FHA is Better Than Banks

An affordable housing developer stands at a crossroads. With low-income housing tax credits (LIHTCs) and plans for a construction project firmly in hand, a major decision awaits. 

A Win-Win Strategy: A Gift of Appreciated Assets
10/12/2014

A Win-Win Strategy: A Gift of Appreciated Assets

As the holiday season approaches, the nation’s attention steadily turns to the notion of gift giving. While this time of year sees an obvious increase in individuals giving gifts to friends and loved ones, it also marks the annual peak in contributions to charitable organizations. For one common type of charitable donation, gifts of appreciated assets, there are several things to remember in order to maximize the benefits for both the individual donating and the organization receiving. 

The Capital Issue: October - November 2014

Feature
Hospitals
Senior Living
Housing
The Fiduciary Focus

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