This podcast discusses the financial distress in the healthcare industry and predicts an increase in healthcare bankruptcies. It explores the changing landscape of healthcare, including the labor shortage and increasing costs. The challenges and methods of debt restructuring for healthcare entities are examined. The rising demand for healthcare services and investment opportunities in the sector are explored. The disparity in asset valuation between buyers and sellers in the healthcare sector is highlighted.
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Quick takeaways
Labor shortages and higher wage inflation are contributing to the financial challenges in the healthcare industry.
Healthcare companies are employing various strategies such as lobbying and contract renegotiations to address the financial pressures.
Debt restructuring and private credit offer solutions for managing the financial distress in the healthcare sector while presenting investment opportunities in areas like telemedicine and home health.
Deep dives
Financial Distress in the Healthcare Sector
The healthcare industry in the US has been experiencing increasing financial distress, especially exacerbated by the pandemic. Factors such as structural changes in healthcare delivery and labor shortages, particularly for nurses, are contributing to the industry's financial challenges. Increased labor costs, driven by the need to hire traveling or visiting nurses, have put additional pressure on healthcare entities. Additionally, supply costs are rising, and healthcare providers are unable to pass on these increased costs due to contracts with government agencies and health plans. The reduction in COVID-related funding and declining investments are further impacting the financial health of healthcare companies.
Addressing Financial Challenges in the Healthcare Sector
Healthcare companies are grappling with these challenges by engaging in lobbying efforts at state and federal levels to achieve statutory caps on nurse expenses and increased compensation for Medicare and Medicaid services. They are also renegotiating contracts with health plans and seeking financial support from governments to offset losses incurred while treating government-paid patients. Some hospitals are closing or discontinuing services that are high risk, labor-intensive, and inadequately compensated. These efforts aim to manage costs and ensure the continuity of services in the face of financial pressure.
Debt Restructuring and Private Credit in Healthcare
Debt restructuring is becoming a common approach for healthcare companies in distress, with many entities facing covenant defaults and payment defaults. Restructuring agreements often involve debt forgiveness, payment modifications, retaining financial advisors, or selling assets. The growing financial pressures in the industry have affected private investment, with less money being invested in spaces like hospitals and skilled nursing facilities. However, opportunities still exist in telemedicine, electronic medical records, durable medical equipment, home health, and ambulatory surgical centers. Private credit can play a crucial role in supporting investment in these areas.
Opportunity Set for Investors
Investors face a disconnect between buyers and sellers in terms of valuing healthcare assets. While buyers focus on cash flow from operations and expect lower asset prices, sellers still possess COVID-related liquidity, which impacts their price expectations. As healthcare companies burn through their COVID funding and experience limited cash flow from operations, investors have the opportunity to acquire assets at favorable prices.
Conclusion
The healthcare sector in the US is facing increasing financial distress due to factors such as labor shortages, rising costs, and the impact of the pandemic. Companies are employing various strategies to address these challenges, including lobbying efforts, contract renegotiations, and service adjustments. Debt restructuring and private credit play a significant role in managing financial pressures, while investors can capitalize on opportunities presented by the industry's evolving dynamics.
Reorg’s Gaurav Sharma speaks with Sam Maizel, who leads Dentons’ healthcare industry restructuring practice as a partner in the firm’s Los Angeles office, about the issues facing companies operating in the healthcare industry, which is struggling with labor shortages and higher wage inflation.
#restructuring #healthcare #distresseddebt
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