Medicaid Spending Reductions: What to Know

Medicaid potential spending cuts have been in the news, elevated by the passage of the recent Republican Continuing (spending) Resolution. As Donald Trump ran and got elected on a platform of spending reduction/debt reduction (austerity) including the activation of DOGE (Dept. of Government Efficiency) to identify spending reduction opportunities, program behemoths like Medicare and Medicaid … Read more

Fitch Non-Profit CCRC Ratings Update

Fitch Ratings has completed updates to its ratings criteria for not-for-profit continuing care retirement/life plan communities (CCRCs), enhancing the reflection of the risk profile for these rated entities. These changes come after a period of commentary on a draft released earlier this spring. The criteria modifications aim to more accurately represent the distinct risks associated … Read more

Monday = Budget Day

As much as politics consumes the news, little on policy is included. Most days, the political stuff such as trials, Congressional hearings, back and forth tabloid (almost) stuff is front and center, missing is the “meat”. Reminds me of the 80’s Wendy’s commercial titled, “Where’s the beef?” https://www.youtube.com/watch?v=riH5EsGcmTw While I know that the national election, … Read more

Sign of the Times: Petersen Health Care Files for Bankruptcy

Mid last week, Petersen Health Care, a Peoria, IL based nursing home operator filed for bankruptcy in Delaware. SC Healthcare Holdings LLC, which operates as Petersen Health Care, in federal court filings last Wednesday said it is seeking Chapter 11 bankruptcy protection because of ongoing financial problems partly due to an October ransomware attack and … Read more

Wednesday Feature: Econ Rollercoaster

Happy Hump Day! This will drop before the Federal Reserve Open Market Committee announces its decision on interest rates today. Prediction: Rates will remain unchanged. The Fed will be a bit hawkish however, about rate policy reminding everyone that they are poised, if necessary, to hike rates to fight inflation. Thus, the title for today … Read more

Wednesday Feature: Lending Trends Still Reflecting a Tight Capital Environment

Happy Hump Day! The National Investment Center released its third quarter 2023 lending trends report and while the data is a bit old, it is reflective of current market conditions. The report is available here: NIC_Lending__Trends_Report_3Q2023 Suffice to say since I last provided an update on this subject area, things have not improved.  Capital access … Read more

How Much is Enough? Deficits, Debt, and a Look Into the Future

Lately, I’ve gotten quite a bit of 70s (1970s) deja vu. Yes, I’m old enough to vividly remember the 70s as I crossed the decade as a teenager, graduating high school and almost, college. If one has my memories, the 70s were pretty turbulent times, analogous to now. In 1973, Israel and the Arab (Egypt … Read more

Wednesday Feature: Insanity

Happy Hump Day! Every once in a while, I feel the need to rant, if just a bit. Personally, it’s like an exorcism of pent-up frustration. Since this blog is mine and I am the author, editor, chief cook, and bottlewasher, I get a certain license to write stuff that I feel is important. I … Read more

Senior Housing/Senior Living Debt Review

Senior housing in the form of CCRCs, Independent Living and Assisted Living (including memory care) is a large user of debt financing. While equity has become more prevalent via increasing private equity interests in senior living, operators, especially non-profits, continue to rely heavily on bank and bond financing. Private equity and venture capital investment trends … Read more