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Healthcare Finance News

Healthcare Finance: From Crisis to Recovery

Modern Healthcare Coverage

Almost renewal time

By Melanie Evans | March 15, 2010 | Print Magazine Subscription
Early rumblings of the 2008 credit crisis pushed healthcare borrowers into a torrent of debt refinancing that year. Now, hospitals and health systems are bracing for another crush of deals, as a raft of bank guarantees on bonds sold during the crisis expire next year. FULL STORY »

AHA wants permanent lending incentives

By Melanie Evans | March 09, 2010 | Basic Web Registration
The American Hospital Association and state health finance authorities urged House and Senate finance committee leaders to make permanent two temporary stimulus-law incentives that encourage banks to give tax-exempt loans. FULL STORY »

HCA, LifePoint ready bonds

By Vince Galloro | March 08, 2010 | Print Magazine Subscription
HCA and LifePoint Hospitals are getting while the getting is good for investor-owned hospital chains, and in credit markets generally, according to one investment banker. FULL STORY »

Risks remain

By Melanie Evans | March 08, 2010 | Print Magazine Subscription
Credit and equity market gains in recent months may have restored healthcare borrower finances, but the sector's outlook remains shaky. FULL STORY »

Moody’s adopting new measures regarding not-for-profits’ liquidity

By Melanie Evans | March 03, 2010 | Basic Web Registration
Moody’s Investors Service will adopt new measures of not-for-profit borrowers’ readily accessible cash. FULL STORY »

HCA, LifePoint lengthening debt maturities

By Vince Galloro | March 02, 2010 | Basic Web Registration
Two investor-owned hospital chains announced steps to lengthen their debt maturities. FULL STORY »

Mayo sees best operating margin in five years

By Melanie Evans | February 25, 2010 | Basic Web Registration
The Mayo Clinic finished 2009 with its strongest operating margin in five years after breaking even the prior year. Nearly flat expenses helped the Rochester, Minn.-based system swing its operating income to $333.2 million for the year that ended in December from nothing in 2008. FULL STORY »

Ardent appears set for shareholder payout

By Vince Galloro | February 24, 2010 | Basic Web Registration
Ardent Health Services, Nashville, appears poised to become the fourth privately held investor-owned hospital company to make a distribution to its stockholders this year, according to Standard & Poor’s. FULL STORY »

Bond measure skips private not-for-profits

By Melanie Evans | February 24, 2010 | Basic Web Registration
The Senate approved jobs legislation that extends Build America Bonds past a scheduled end in December for a limited number of education and economic development bonds, though it did not expand the financing option to private not-for-profits. President Barack Obama had proposed such an expansion in... FULL STORY »

Volume growth buoys HMA's fourth quarter

By Vince Galloro | February 23, 2010 | Basic Web Registration
Health Management Associates, Naples, Fla., said volume growth, especially in outpatient settings, enabled the company to overcome higher uncompensated-care costs in the fourth quarter. FULL STORY »

Building on Build America

By Melanie Evans | February 15, 2010 | Print Magazine Subscription
A proposal by President Barack Obama to subsidize lending costs for not-for-profit hospitals may help larger hospitals but not smaller ones, say healthcare finance insiders. FULL STORY »

Weak economy weighs on Aetna's profits

Ronald Williams By Vince Galloro | February 05, 2010 | Basic Web Registration
Aetna, Hartford, Conn., said its fourth-quarter profits were 15% lower than in 2008, as the weak economy continued to hammer its results. Aetna said net income was $165.9 million in the quarter, down 14.8% from the year-ago quarter. Revenue increased 9% to $8.7 billion. For the full year, Aetna... FULL STORY »

Judge OKs St. Mary's reorganization plan

By Joe Carlson | February 03, 2010 | Basic Web Registration
A federal bankruptcy judge has approved a reorganization plan that will allow 289-bed St. Mary's Hospital in Passaic, N.J., to reorganize its debts and continue to operate without selling all its assets to another party. FULL STORY »

Struggling with shortages

By Joe Carlson | February 01, 2010 | Print Magazine Subscription
If the shortage of nurses and physicians is projected to grow by several hundred thousand vacant jobs 15 years from now, should it really be called a “shortage” at all? FULL STORY »

Vanguard will retire some debt with cash from sale of notes

By Vince Galloro | January 29, 2010 | Basic Web Registration
Vanguard Health Systems, Nashville, said it has completed its sale of $950 million in eight-year senior notes with an interest rate of 8%. FULL STORY »

NextRx sale boosts WellPoint profits

By Rebecca Vesely | January 27, 2010 | Basic Web Registration
WellPoint boosted profits in the fourth quarter of 2009 but continued to see enrollment losses with lower revenue partially offset by premium rate increases. FULL STORY »

Deal reached on Integrated Healthcare loans

By Vince Galloro | January 21, 2010 | Basic Web Registration
Integrated Healthcare Holdings, Santa Ana, Calif., said an affiliate of its largest shareholder has reached an agreement with a court-appointed receiver to purchase loans made to Integrated by Medical Capital Corp., Tustin, Calif. FULL STORY »

Vanguard to write down value of two hospitals

By Vince Galloro | January 19, 2010 | Basic Web Registration
Vanguard Health Systems, Nashville, said in a securities filing that it will write down the value of its two Chicago-area hospitals by $43.1 million in a noncash charge to earnings for the quarter ended Dec. 31, 2009, its fiscal 2010 second quarter. The charge was revealed in a filing detailing the... FULL STORY »

Gundersen’s for-profit play

By Melanie Evans | January 18, 2010 | Print Magazine Subscription
Gundersen Lutheran, based in La Crosse, Wis., owns a solo hospital, nearly two dozen clinics and a health plan. FULL STORY »

Pa. hospital seeks bankruptcy protection

By Melanie Evans | January 14, 2010 | Basic Web Registration
Lower Bucks Hospital, Bristol, Pa., filed for bankruptcy protection after failing to pay lenders in December. FULL STORY »

After loss in '08, Fla. system posts $131 million gain

By Joe Carlson | January 02, 2010 | Basic Web Registration
Baptist Health South Florida, a five-hospital not-for-profit system that recorded a $71 million net loss in fiscal 2008, posted a $131 million gain for the year ended Sept. 30. FULL STORY »

Moody's raises outlook for products, device industry

By Shawn Rhea | December 18, 2009 | Basic Web Registration
Moody's Investors Service has upgraded its industry-sector outlook for the U.S. medical products and device industry to stable from negative. According to analysts, key areas of the sector have stabilized and growth should be sustainable over the next year. FULL STORY »

Team Health completes initial offering

By Joe Carlson | December 16, 2009 | Basic Web Registration
In its initial public offering, hospital staffing outsourcer Team Health Holdings, Knoxville, Tenn., received a cool welcome to the market. FULL STORY »

Last-minute shopping

By Melanie Evans | December 14, 2009 | Basic Web Registration
Bond markets that nearly one year ago shut out not-for-profit hospitals and health systems are entering the final weeks of 2009 with a string of deals to take advantage of low borrowing costs or take on new debt. FULL STORY »

Financial system overhaul takes aim at rating agencies

By Melanie Evans | December 11, 2009 | Basic Web Registration
Municipal bond advisers and analysts would face new regulation under the far-reaching financial overhaul bill passed by the U.S. House of Representatives. FULL STORY »

Holding steady

By Joe Carlson | December 07, 2009 | Basic Web Registration
The spike in uncompensated care that was expected last year as a result of the recession failed to materialize, according to new data. FULL STORY »

Investments, cost control boost Partners' results

By Shawn Rhea | December 05, 2009 | Basic Web Registration
Partners HealthCare System, Boston, posted a $45 million gain for the fiscal year ended Sept. 30, 2009, after experiencing $18 million in overall losses during the first three quarters of the year. FULL STORY »

Team Health plans IPO

By Shawn Rhea | December 03, 2009 | Basic Web Registration
Team Health Holdings, a Knoxville, Tenn.-based provider of outsourced healthcare staffing services to hospitals, will make an initial public offering of 20 million shares of common stock at a price of $14 to $16 per share, according to documents filed with the Securities and Exchange Commission. FULL STORY »

Unemployment seen weighing on for-profits, drugmakers

By Melanie Evans | December 02, 2009 | Basic Web Registration
High unemployment rates are expected to strain U.S. for-profit hospitals and drugmakers in the coming year, according to analysts with Fitch Ratings. FULL STORY »

Investments thin as expenses rise for HFMA

By Melanie Evans | December 02, 2009 | Basic Web Registration
Investment losses and expenses that grew faster than revenue left the Healthcare Financial Management Association, Westchester, Ill., with a roughly $510,000 loss for the year that ended May 31, according to the professional association's annual tax filing. FULL STORY »
 
Other Coverage

Corporate debt coming due may squeeze credit

By New York Times | March 19, 2010 | Free Access
When the Mayans envisioned the world coming to an end in 2012 — at least in the Hollywood telling — they didn't count junk bonds among the perils that would lead to worldwide disaster. Maybe they should have. FULL STORY »

New Wishard costs fall by $356 milion

By Indianapolis Star | March 15, 2010 | Free Access
A down economy and some federal stimulus funds mean significant savings in the cost of building the $754 million new Wishard hospital complex, according to hospital officials. FULL STORY »

Defaults signal bursting muni junk bubble after surge

By BusinessWeek | March 11, 2010 | Free Access
Investors in search of better returns poured $7.8 billion into high-yield municipal bond funds last year, pushing assets to a two-year high. They may start experiencing losses as early as this year as default risks grow. FULL STORY »

Parkview Community Hospital misses repayment deadline

By Riverside (Calif.) Press-Enterprise | March 09, 2010 | Free Access
Prime Healthcare Services Inc. today is expected to move toward foreclosure against Parkview Community Hospital Medical Center which has been trying for months to secure a loan to pay off its debt. FULL STORY »

Ascension set to sell $670 million

By Bond Buyer | March 08, 2010 | Free Access
St. Louis-based Ascension Health on Wednesday launches the first piece of its $1.34 billion new-money and restructuring deal that will raise funds for projects across its network, while also allowing the system to further reduce risk exposure and lower its maximum annual debt service. FULL STORY »

Voters Approve Hospital Bonds in Western Kansas

By KWCH-TV | March 05, 2010 | Free Access
Improvements will be coming to two western Kansas hospitals, after two special elections Tuesday. FULL STORY »

Catholic Health East Issuing $400 Million in Tax-Exempt Bonds

By BusinessWeek | March 04, 2010 | Free Access
Catholic Health East, the largest U.S. provider of home health-care services by visits, plans to sell $400 million of bonds in the biggest tax-exempt offering this week. FULL STORY »

Lee Memorial Health System eyes stimulus

By (Fort Myers, Fla.) News Press | February 23, 2010 | Free Access
Worried about the future of SunTrust Bank, Lee Memorial Health System is hoping federal stimulus money will help it get rid of $41 million in debt now backed by the bank. FULL STORY »

Calif. county to consider tax to help hospital

By Lodi (Calif.) News | February 18, 2010 | Free Access
Voters may be asked if they are willing to tax themselves to help finance operations at San Joaquin General Hospital. The Board of Supervisors directed county administrators to offer options for placing a bond measure on the ballot. The amount of the tax proposal has not been determined. FULL STORY »

Pittsburgh’s UPMC Leads Hospital Refinancing in Muni Market

By BusinessWeek | February 17, 2010 | Free Access
The University of Pittsburgh Medical Center, Pennsylvania’s largest health-care system, is selling about $720 million of fixed-rate, tax-exempt bonds, leading nonprofit hospital borrowers this week. FULL STORY »

Agencies renew N.C. Baptist's bond ratings

By Business Journal of the Triad area | February 16, 2010 | Free Access
The nation’s two main investment-rating agencies have both reaffirmed their ratings of N.C. Baptist Hospital. FULL STORY »

Miss. county leaders quarrel over hospital bond

By (Columbus, Miss.) Dispatch | February 11, 2010 | Free Access
After some heated discussion Thursday, the Oktibbeha County (Miss.) Board of Supervisors took a step toward increasing the county’s bonding capacity. The county is allowed to borrow up to 15 percent of its total assessed value. With an assessed value of $307 million, the county can borrow... FULL STORY »

Doom prediction for Hoboken University Medical Center in state report to Christie

By NJ.com | February 05, 2010 | Free Access
A New Jersey state report released yesterday predicts that the financially ailing Hoboken University Medical Center "will close in the next few months," but hospital officials are confident HUMC will survive. FULL STORY »

Indianapolis Building a Better Safety Net

By Bond Buyer | February 04, 2010 | Free Access
The Indianapolis Local Public Improvement Bond Bank will enter the market today with about $200 million of bonds, in the first of two borrowings that will finance construction of a new, $754 million safety-net hospital for ­Marion County. FULL STORY »

Hospital mergers loom as U.S. overhaul fails

By Bloomberg via BusinessWeek | February 03, 2010 | Free Access
Failure to pass the health-care overhaul may accelerate a push by Community Health Systems Inc., Health Management Associates Inc. and LifePoint Hospitals Inc. to acquire facilities weakened by the recession. FULL STORY »

Scripps nears finish of round of bond sales

By San Diego Union-Tribune | February 02, 2010 | Free Access
Scripps Health, which operates five hospitals in the county, is wrapping up a round of borrowing that will help fund the first part of a previously announced $1.5 billion building program. FULL STORY »

Indy hospital construction taking break after expensive binge

By Indianapolis Business Journal | February 01, 2010 | Free Access
Economic factors have forced Indianapolis-area hospitals to stop battling one another with big guns—the inpatient hospital expansions that thudded into place around the city the past decade. Local observers expect no additional inpatient facilities for at least five years—maybe longer. FULL STORY »

Hospital project taking shape

By McCook (Neb.) Daily Gazette | January 29, 2010 | Free Access
Community Hospital's construction project is coming in on time and nearly 10% under budget at a cost that is now slightly under $30 million. FULL STORY »

Collateral claims muddy hospital bankruptcy plan

By (Honolulu) Star Bulletin | January 28, 2010 | Free Access
Although Hawaii Medical Center's bankruptcy case may now be one step closer to reorganization, there's much contention and confusion over collateral for its former owner. FULL STORY »

Cuts in aid drag down hospital's debt rating

January 27, 2010 | Free Access
A leading credit-rating agency lowered the debt rating on Boston Medical Center as the financially troubled hospital posted an operating loss of $24.5 million for the 12 months ended Sept. 30, 2009, its first in five years. FULL STORY »
 
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