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5 Finance Stories From 2022 You Won’t Want to Miss

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5 Finance Stories From 2022 You Won’t Want to Miss

CFOs and CEOs shared sage recommendation with HealthLeaders on the best way to climate the present monetary storm hospitals and well being techniques are coping with.

Ask any hospital or well being system CFO what retains them awake at night time and you may hear three issues: labor prices, rising bills, and shrinking margins. And whereas 2022 got here with important monetary challenges for these leaders, it additionally introduced appreciable alternatives for them to suppose exterior the field and implement modern methods that helped preserve their organizations afloat.

Over the course of the 12 months, HealthLeaders linked with CFOs and CEOs at totally different hospitals and well being techniques throughout the nation to find out about how they’re main their organizations amongst these challenges. Listed here are 5 tales with healthcare leaders that you just will not wish to miss.

  1. One-On-One With LCMC Well being’s CFO JoAnn Kunkel

”Everyone seems to be speaking about provide chain disruptions, provide chain inflation, and the bottlenecks, these issues in healthcare have been a problem for the previous two years. It is not a straightforward turnaround, so changing into extra environment friendly within the income cycle goes to take automation expertise. Synthetic Intelligence is huge in that house, and if are you able to optimize your income cycle and automate it that may assist with labor. Expertise is the muse of just about every little thing that we do right now.” —JoAnn Kunkel, CFO at LCMC Well being

  1.  New CFO for Pardee UNC Well being Care Discusses Monetary Technique

”The most important investments hospitals ought to make are of their workforce. Actually, expertise and new tools are necessary, however with out the docs, nurses, and assist employees to deal with the affected person, we won’t present the standard care that our communities count on of us. Like everybody else in right now’s job market, however particularly in healthcare, guaranteeing we now have a certified workforce is a high precedence. Right this moment’s competitors for the workforce is forcing techniques to take a position extra on this space.”  —Michael Sunday Jr., CFO at Pardee UNC Well being Care
 

  1. UC Davis Well being CFO Cheryl Sardo Discusses Monetary Effectively-Being in Healthcare

”We have to focus some sources on educating … about our value construction. Any individual stated to me lately, ‘Folks have been so excited in regards to the healthcare system throughout COVID and what we did for them and now they’ve type of forgotten about it as a result of now we’re again to conversations about how costly we’re.’ There is no doubt that healthcare is dear. However by the identical token, most individuals offering healthcare are attempting to do a superb job at maintaining prices down. So, I feel educating the general public about that, so it would not get out of hand is efficacious.”

”We may additionally look into growing partnerships and affiliations and issues of that nature that may assist add to that conventional income stream and permit us to be somewhat bit extra self-sufficient. So, possibly working with enterprise capitalists is a chance in some funding strains. That may shore us up and add income, the place we would see REITs taking income away from us.”—Cheryl Sardo, CFO at UC Davis Well being

  1. Why Steward Well being Care System CEO Says We’ll See Extra VBC in 2023

”[Value-based care (VBC)] works. The numbers present it. Medicare saved $1.6 billion in 2021 alone. Take into consideration what is going to occur when all Medicare recipients are in a program. Payers get it. Massive companies get it (or are not less than investing in it). Walgreens, CVS, and Amazon—all of the executives that have been assigned as ”speaking heads” after their huge acquisitions acknowledged that the brand new companies have been a part of their transfer to value-based care.”

”All of us thought we might be additional alongside in direction of value-based already, so I will be extra measured in my opinion than I provided years again. We will definitely advance VBC in 2023. Extra industrial payers are getting extra constructive on the mannequin and suppliers are extra conscious of not solely the affected person profit however the monetary alternative. And naturally, Medicare has put out 2030 because the goal for all beneficiaries to be handled by a value-based care supplier. We’re nonetheless to not the purpose of leaps, however we’ll see positive aspects in value-based contracts.” —Ralph de la Torre, MD, CEO at Steward Well being Care System

  1.  3 Questions With HSS CFO Stacey Malakoff

”’We plan on having a constructive margin this 12 months—we’ll miss our funds—however we’ll be worthwhile—someplace between a 1% and a 1.5% margin earlier than something out there. That is simply operations. So, we’re making ready HSS with sturdy management and powerful financials transferring ahead in difficult occasions. We’re taking a proactive strategy to evolving our care supply system to be extra versatile and cost-effective, whereas by no means, ever-changing our outcomes or high quality, or our affected person expertise.”

”We have been coping with provide chain disruptions. Materials shortages, and transportation points throughout COVID. So, this 12 months we opened a warehouse and we’re now maintaining supplies in storage. We will not wait six to eight weeks for essential provides, so now once we do have a scarcity, we’re capable of pull objects for our warehouse. We additionally work intently with our physicians and senior leaders when there is a scarcity to rapidly develop various vendor and product choices.”

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”We wish to proceed to do the perfect we will to maintain our A-plus ranking. However we additionally wish to ensure to get again to our sturdy monetary basis, which we had previous to COVID. We’re endeavor plans to enhance our income progress. We wish to allow our present MD practices to develop and add extra individuals and see extra sufferers successfully.”

”We additionally want to take a look at our effectivity and managing the shift to outpatient from inpatient capability. All the things that we’re taking a look at will be sure that we’re reshaping for the long run.” —Stacey Malakoff, CFO at Hospital for Particular Surgical procedure

 

Amanda Schiavo is the Finance Editor for HealthLeaders.

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Q&A: how can finance leaders steer companies through uncertainty?

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Q&A: how can finance leaders steer companies through uncertainty?

A combination of global elections, geo-political tensions and economic uncertainty has created a challenging landscape for finance leaders, who are often looked upon to navigate through tumultuous times. 

James Simcox, chief product officer and managing director international at Equals Money, discusses overcoming challenges to international expansion and the importance of hedging risk.

Q

What impact are elections across the globe having on businesses and their international growth plans?

A

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The number one challenge for any business in this environment is uncertainty. I think the election in the UK will bring an element of much-needed stability, which will really benefit the UK economy and businesses. If Labour is elected, they have shown themselves to be pro-business and it will be really important for business leaders to have that reassurance that the current status quo will be maintained. 

However, we are facing much more uncertainty on an international level, particularly with how things will play out in the US as well as France. Donald Trump has already signalled that he will seek to devalue the dollar should he come into power, which would certainly be an interesting development as currency has already proved something of a rollercoaster over the last couple of years. 

As a result, we’re seeing an increasing number of finance leaders take steps to mitigate risk where they can, particularly around currency movements. When transactions involve different currencies, businesses are exposed to the risk of exchange rates moving against their favour, which can impact the value of international dealings. To deal with this, businesses need to hedge their currency risk by securing exchange rates for future transactions

One of the best tools available to help finance leaders balance their risk is booking forward contracts

Q

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With potential changes to policy, how can leaders act with authority and make confident decisions for the future?

A

In business, you will always need to take a bet in some shape or form as that’s the nature of growing a business and making money. I don’t believe businesses should put off making investment decisions, but instead think about ways to manage risk around those decisions and return profits in a fixed way. 

One of the best tools available to help finance leaders balance their risk is booking forward contracts. From a budgeting perspective, having a set price for a number of contracts provides a level of stability for the company and reduces currency risk. Similarly, locking in tax rebates at a fixed price can be hugely important in helping businesses plan for the future. 

Leaders can also take steps to manage costs such as spending in local currency. We see many businesses use their corporate credit card in local offices when they’re expanding but this is not an effective way of managing costs. It’s much better to manage operations in the local currency at a better rate using a currency card.

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Q

What are the barriers that businesses seeking to expand internationally face and how can they overcome those?

A

Businesses need to think carefully about the nuances and rules of the jurisdictions they are looking to expand into, including employment laws, the local tax structure and even ways of working. A mistake that businesses often make is believing that they can run an overseas business from the UK but it simply does not work like that. One of the most important things that businesses can do is employ people on the ground who have an understanding of the region. 

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Finance leaders should also not underestimate the importance of product market fit. As you expand, you need to be aware that a product that works in one market may need to be tailored to suit the needs and wants of customers in another region and this is where market research can prove invaluable. 

Not surprisingly, currency can be a huge challenge when expanding internationally. A lot of international businesses still prefer to transact in US dollars rather than their local currency so finance leaders need to think about how they can collect payment in various different currencies. 

This is where a multi-currency product, such as the one we offer at Equals Money, can be of fantastic use, providing customers with a single account to receive payments in up to 38 different currencies. Customers also benefit from support and the ability to speak to someone on the phone, which can be much harder to access through traditional banking overseas.

Q

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How important is it that finance leaders are seen as an anchor and inspire confidence in others?

A

It’s great that we are seeing finance evolve from a service function to a business partner and it’s key that finance leaders are involved in conversations about international expansion from the get-go. They need to take the lead on risk mitigation and that means understanding how to transact in different currencies, how to report back to the core business and how to plan across multiple markets and multiple currencies. 

There’s a lot of research that needs to be done and this should happen upfront, so finance leaders are well prepared to overcome the different challenges from FX rates to transfer pricing. All too often, we see finance teams involved far too late and this can create panic and uncertainty around certain decisions. 

Finance leaders should also pay attention to the political landscape in their local markets by keeping their ear to the ground and understanding what changes could potentially impact the business, such as interest rate movements or changes to local tax policy. There’s a huge value to employing advisers or specialist business consultants in local markets. Similarly, having someone from that region to work within the finance function who understands local accounting rules is key.

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Q

How can finance leaders ensure they are effectively using technology and payment platforms to drive better decision-making?

A

Data is key but it can be a challenge gathering the right information if you’re using multiple different providers across various different jurisdictions. Where you can, you should try and use a uniform technology payment stack across the entire business. 

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Of course, it’s not always possible to access that kind of service and in those instances, finance leaders need to think carefully about how they’ll integrate their accounting data into the business. Is there a standardised standard you can use to pull information from different systems and partners? Cross-border services can be really helpful, with lots of providers now offering the ability to transact from one place across lots of different markets. 

It is also worth considering how cards can be used as a payment method. As long as the card provider supports payment in the currency you want, cards can be used to carry out domestic payments where banking may not support those. Interestingly, we are all quite happy to adopt new payment methods in our personal lives, but there’s much more reticence among businesses. 

For businesses to thrive in international markets, I think we will need to see finance leaders embrace new ways of thinking and new methods of payment.

Find out more about how Equals Money can help simplify your finance processes and support international growth here

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The relationship between states and banks that shaped modern finance

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The relationship between states and banks that shaped modern finance

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Tourists wandering beside the canals of Venice or visiting the Tintorettos at the Scuola Grande di San Rocco probably do not often have the history of banking at the forefront of their minds.

But Paolo Zannoni, author of Money and Promises: Seven Deals that Changed the World and himself a banker by trade, adviser to Goldman Sachs and on the board of Prada Group, would like to put it higher on their agenda. For those interested in the niche history of how early banking promises between states, lenders and traders were made from 15th century Venice to the founding of the Bank of England in the 17th century and on to the Russian Revolution in 1917, this is the book for them.

Much of Money and Promises focuses on the historical development of different types of banks and governments, and how they evolved ways of exchanging physical coins with promises to pay, often driven by costly wars that made financial innovation a necessity.

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Zannoni states in the opening chapter that debt is not a bad thing; that states have, in fact, used the debts of banks to help their citizens survive and prosper. The case is made for this subtly, through multiple historical examples, rather than hammering home a central thesis.

We learn about the early microfinance schemes of the Franciscan monks in the 15th century, who took coins from wealthy donors and loaned them out to the poor in temporary need of assistance.

These schemes led to the establishment of the banking charities of Naples, and the development of the unusual “credit pledges” — once cashed in by none other than the painter Caravaggio to be spent on gambling and women. We learn about the group of “wily” European exchange bankers who pegged the ecu de marc currency to stable gold coins in the 16th century, a move that foreshadowed by hundreds of years the Bretton Woods agreement in 1944.

Interesting historical titbits about accounting and banking include a chapter devoted to the use of tally sticks as an accounting tool, which led to the emergence of successful London banking houses, such as Hoare & Co, in the 17th century. It was literally a method of passing broken sticks around in place of money or promises to pay, some of which survive in the Bank of England’s vaults today. Zannoni recounts how the Bank used tallies to improve the country’s public finances by the early 18th century.

While much of the historical content is second hand, as the lengthy bibliography for each chapter attests, the author also does extensive original research of his own, such as finding the ledger covering the earliest months of Venice’s Banco Giro in 1619. In a separate investigation, he reveals that 18th-century economist Ferdinando Galiani had a taste for the finest chocolate in Naples — which he paid for using bank debts.

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That Zannoni is excited by visits to old archives to examine ledgers is clear, describing at one point his discovery of how banking charities in Naples operated as “thrilling, fascinating, occasionally bewildering”.

But, this is not an explainer book or one hugely accessible to the lay reader, despite the inclusion of some simple diagrams in the first chapter to show how traders in Pisa in the Middle Ages promised to pay each other by writing it down in bank ledgers. Relatively high-level economic issues are discussed: the drawbacks to a system of exchanging public debt for bank debt is raised in various chapters through a historical lens.

Most of the book deals with different banking systems in European cities but, for the last two chapters, it looks at the emergence of money as debt in colonial America and Lenin’s early thoughts on Bolshevik banking at the time of the Russian Revolution. Here, Zannoni charts the development of the State Bank and makes the point that: “in different cultures, at different times, under different regimes, and yet in very similar ways, states and nations deal with banks to achieve their purposes and goals, paying for goods with banks’ promises to pay”.

Zannoni says this book is his apologia pro vita sua — a reference to English theologian John Henry Newman’s history of his religious opinions, a 19th-century series of texts whose success saw the Catholic convert’s reputation repaired. It is not clear that Zannoni would have reason to seek a similar rehabilitation — unless, perhaps, it is a wry reference to being a banker. But, in any case, this book is less personal and more a quirky history of early lending practices and how nascent states and financial institutions have developed together, to enable functioning economies and societies. 

Money and Promises: Seven Deals that Changed the World by Paolo Zannoni (Bloomsbury, £25)

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This article is part of FT Wealth, a section providing in-depth coverage of philanthropy, entrepreneurs, family offices, as well as alternative and impact investment

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Financial markets are pricing in more inflation under another Trump presidency—and bond yields are surging

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Financial markets are pricing in more inflation under another Trump presidency—and bond yields are surging

Financial giants from Goldman Sachs & Co. to Morgan Stanley and Barclays Plc. are taking a fresh look at how a Donald Trump victory in November could play out in the bond market.

After last week’s debate hurt President Joe Biden’s chances of winning reelection, Wall Street strategists are urging clients to position for sticky inflation and higher long-term bond yields. 

At Morgan Stanley, strategists including Matthew Hornbach and Guneet Dhingra in a weekend note argued that “now is the time” to wager on long-term interest rates rising relative to short-term ones. 

Trump’s rise in the polls since Thursday’s debate means investors have to contemplate economic policies that could lead to more rate cuts from the Federal Reserve, along with a Republican sweep that leads to fiscal expansion and pressures longer-term bond yields higher, Morgan Stanley said. 

Barclays, meanwhile, said that the best response to the rising prospect of a Trump victory is to hedge against inflation. Strategists Michael Pond and Jonathan Hill wrote Friday that the clearest expression is a wager that five-year Treasury inflation-protected securities, or TIPS, will outperform standard five-year notes. 

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Buy-side investors like Jack McIntyre, a portfolio manager at Brandywine Global Investment Management, are increasingly taking note. 

McIntyre said he “is worried that the bond vigilantes are coming out early in response to the debate fall out.” The odds of a Republican sweep in November will increase from a combination of “Biden’s performance, weaker data, higher oil prices.”

US Treasuries fell on Monday, pushing yields to the highest levels in more than a week, in what traders said was ongoing fallout from last week’s bump in the odds of a second Trump term.

Treasuries extended their losses after the Supreme Court ruled in a case that will limit the chances that Trump will face trial before the November election on charges for attempting to reverse the 2020 election results.

The uptick in Treasury yields was led by the longest maturities, with 30-year bonds up more than eight basis points to 4.65%, the highest level since May 31.

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Not all on Wall Street are convinced that higher long-term Treasury yields and steeper curves are inevitable.

“While a term premia-driven sell-off has been consensus for how US yields should react to a Republican victory, we see arguments for flattening risk,” Goldman Sachs strategists led by George Cole and William Marshall wrote after the debate. They see investor focus shifting away from fiscal spending and towards the risks of higher tariffs, which are likely to weigh on productivity and growth as the election comes into view.

With the makeup of Congress after November unclear, assumptions about how Trump policies will impact markets are on shaky ground, Kathy Jones, chief fixed-income strategist at Charles Schwab said. 

“A shift in the narrative about what policy will be after the election is probably the biggest risk to the Treasury market,” Jones told Bloomberg Television Monday. “I just think it’s too early. Presidential candidates can say a lot of things on the campaign trail, but they have to get those things through Congress.”

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