The healthcare transaction environment is unique in many respects, compared to most other industries, making it challenging to understand for the casual observer and experienced professional alike. Depending on the buyer and seller, geographic location, and type of business, there are a myriad of...
In most industries, certain commonalities in business operations make it possible for an outsider to learn the fundamentals reasonably well in a relatively short period of time. There is, however, one industry that seems to be struggling right now where this is not the case—healthcare. For...
As healthcare facilities reorganize, re-engineer, or otherwise optimize their revenue cycle management, an unfortunate by-product is a checklist of potentially hazardous oversights encountered in the field. A rural community hospital, for example, experienced major cash flow shortages that turned...
Over the past decade, hospitals have been busy acquiring physician practices. This article provides an overview of this trend, considers the reasons behind it, describes some risk factors relating to this shift toward physician employment, and then suggests some safeguards for health systems and...
If insolvency and healthcare were elements on the periodic table, the isotope resulting from their combination would be highly unstable. Healthcare differs from other economic sectors because of the regulatory climate that pervades every aspect of the industry. Many industries are highly regulated...
Typically, a lender can rely on receivables as collateral to support revolving lines of credit and similar credit facilities. However, the remedies and protections for suppliers, labor, and subcontractors significantly impact a lender’s ability to rely on a contractor’s receivables. Because of...
During most of the 2000s the North American construction industry has been in recovery mode. The new millennium began with the cogeneration power bust post-Enron, followed by the residential construction boom and bust, which led to the Great Recession, and now the oil bust. However, most distressed...
Since the late 1970s, federal, state, and local government agencies have established programs to help socially and economically disadvantaged entrepreneurs gain access to the economic mainstream of American society. While there are differences among these programs, in most cases the contracting...
When a turnaround professional is engaged to assist a company that operates in an industry with the second-highest default rate in the United States contracting—he or she can be sure of a challenging assignment ahead. Clearly, completing an engagement to turn around a contractor is a particularly...
When I last served as guest editor for JCR, I worked with a team of talented authors who as recently as seven years ago could never have imagined that they would one day contribute turnaround-themed articles related to an industry that for years was considered recession-proof: casino gaming...