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RESEARCH

Nonprofit Healthcare Systems: Cyber Attack Impact Evident in Financial Results
Healthcare systems are struggling to catch up on billing and collecting after the disruptive February cyberattack against Change Healthcare
Jun 25, 2024


Colorado Charter School Finance Snapshot
A large number of Colorado charter school entities have accessed the municipal securities market. How are they doing financially?
Jun 18, 2024


Where the Charter School Revolution Began, Some Schools Still Struggle Financially
Minnesota is where the charter school revolution began. But despite the sector's maturity, financial performance varies widely.
Feb 13, 2024


Does Audited Mean Accurate?
The recently passed Financial Data Transparency Act (FDTA) mandates that securities regulators develop machine-readable data standards...
Jan 11, 2023


The Impact of Coronavirus on Hospitals, Credit Quality, and Capital Markets
Nutshell Associates’ President Liz Sweeney recently published a 3-part series on nonprofit U.S. hospitals and how their role in the front...
Nov 22, 2021

Arizona Charter Schools Boosted by Paycheck Protection Program
A surprisingly large percentage of Arizona charter schools used the Paycheck Protection Program, bolstering operating performance and...
Jun 1, 2021

How did Maryland's Hospital Rate Setting System Work During COVID?
Last year at this time, U.S. hospitals were grappling with the double whammy of higher expenses for equipment and staffing and lower...
May 28, 2021


Governance Oversight in Challenging Times: Sustaining Healthcare Board Education Remains Imperative
In recent years, the U.S. healthcare system has experienced unprecedented challenges, an increasing pace of change, and ever-growing...
Sep 18, 2020


Healthcare Boards Are Responsible for the "G" in ESG
According to S&P Global Ratings, environmental, social, and governance (ESG) factors now cause about a third of all rating changes for...
Aug 1, 2020


Will Maryland Hospitals Weather The COVID-19 Crisis Better Than Any Other State?
U.S. acute care hospitals are facing the perfect storm of fiscal pressure due to the coronavirus pandemic: sharply lower revenues due to...
Apr 2, 2020

For Charter School Borrowers, Effective Investor Communication Has Never Been More Critical
With the municipal debt market reacting violently to the COVID-19 pandemic, high-yield municipal issuers such as charter schools face...
Mar 27, 2020

The Importance of Investor Relations for Municipal Debt Issuers
You’re a finance director of a tax-exempt debt issuer. You worked for months, maybe years, to bring your bonds to market. It was a...
Sep 25, 2019
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