Moody's shows little enthusiasm for non-profit hospital finances
It's tough to find there, buried within the careful language, but I think the net of the recent "special comment" from Moody's Investors Services might be that the agency is cautiously pessimistic about the financial future of U.S. non-profit hospitals. In the special comment, which addressed its preliminary fiscal 2007 median ratios for not-for-profit hospitals, the agency said that, in essence, while the hospitals are still making it, analysts aren't wild about the future. They note that key volume and revenue growth measures aren't doing much to excite them, which suggests to analysts that full-year fiscal '07 medians may not hold up. Add that to the fact that hospitals are losing ground when it comes to liquidity, and you've got some real concerns for both for-profit and not-for-profit facilities in 2009 and 2010, as the agency noted in January.
What can the hospitals do to avoid a scary future? Well, for one thing, Moody's has let it be known that if they institute quality incentives, non-profit hospitals might get better credit ratings from them. Well, folks, there you have it. Problem solved!
To learn more about Moody's take on not-for-profit hospitals:
- read this HFMA News item
Related Articles:
Financial challenges in future for U.S. hospitals. Report
Incentives could boost credit ratings for non-profits. Report
Ratings firms slam nonprofit hospital finances. Report
Health IT plans affect financial ratings. Report
Comments
As a non-employee who treats patients in a hospital ( as opposed to bean counters in three piece suits speculating on the net worth of community hospitals) I can tell you that the current hospital model is not sustainable. Most hospitals are in worse shape than Elliot Spitzer and Wall Street put together. The biggest costs are salaries for medical employees and bloated welfare benefits that hospital employees are used to. In our own hospital the doctors re being paid obscene sums of money for what they do. How does 0.5 million/annum for a radiologist sound? Hospital administrators from old school still think they can get money buy issuing bonds whenever they waste millions with bad decisions like buying doctor's practices. No one cares for Moody's rating anymore. If we don't stop wasting money we will all be bought over by the Chinese and Indians very soon!
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