Lisa Goldstein
About the Author
Lisa Goldstein
Latest Work
The pace of hospital rating downgrades slowed in 2024: Five key takeaways
When combining the rating actions of the three rating agencies (Fitch Ratings, Moody’s Ratings and S&P Global Ratings), the number of downgrades (95) declined in 2024 while the number of upgrades (37) increased, compared with 116 and 33, respectively, in 2023. Rating agency downgrades versus upgrades, 2024 Many of the downgrades reflected ongoing expense pressure…
Downgrades topple upgrades: 5 key takeaways from rating activity in 2023
As expected, 2023 saw a material increase in downgrades over 2022 while the number of upgrades declined from the prior year. Volume showed favorable growth for many hospitals during 2023, although some indicators remained below prepandemic levels. Other hospitals reported a payer mix shift toward more Medicare as the U.S. population continued to age and…
Lisa Goldstein: Environmental, social and governance issues gain prominence
Environmental, social and governance issues have long been concerns of hospitals and health systems, but they may require a more formal strategy as these issues gain prominence among investors, accreditation groups and other stakeholders.
Covenant challenges signal need for healthcare providers to chart a path to sustainability
The possibility that an organization might breach debt covenants is a symptom of deeper problems that require an all-hands-on-deck approach within the organization to get back on a sustainable path.