Solutions

Credit.

Balance sheets, margins and payer exposure for hospital systems, nonprofit and for-profit, from the filings each one makes with CMS, the IRS and its state regulator. Tenant-level detail for healthcare REIT exposure.

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What the filings answer

Four questions a credit desk asks.

Nonprofit system margins and balance sheets

Latest Form 990 per organization: revenue, expenses, assets, liabilities, charity care and officer pay. Joined to the same system's cost reports on the facility number.

Operator exposure to Medicaid and uncompensated care

Medicaid days, charges and costs, bad debt and uncompensated care per hospital fiscal year, rolled up to the operator through the crosswalk.

Quarterly signals ahead of the annual report

California hospitals' quarterly revenue, expense, income and balance sheet, about four months after quarter end. Maryland monthly and four more quarterly states are next.

REIT tenant exposure

A leased hospital maps to both its REIT landlord and its operator in the crosswalk. Ownership changes, closures and quality penalties at each tenant facility arrive as dated events.

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