Johnsson J
Hospitals. 1990 Jul 20;64(14):24-9.
Are hospitals facing a capital crisis? Wall Street is taking a long, hard look at hospitals' bottom lines--and many analysts don't like what they see. Hospitals' increasing reliance on long-term debt, lower debt-service coverage ratios, and weakening performance indicators all signal a potentially volatile situation for some sectors of the field. Which hospitals are at risk? Experts point to hospitals in Southern California and New York. But others say that hospitals in moderate-size cities with 250 beds and $40 million or more in long-term debt are vulnerable. However, 40 percent of the 600 CEOs who responded to our Hamilton/KSA survey agree that the continued erosion of reimbursement will require a government bailout similar to the savings and loan industry. "A great deal depends on public policy," says Darrel Brownell, executive vice-president and chief financial officer, Memorial Health Services, a two-hospital system based in Long Beach, CA. "The government has the ability to maintain the industry in a stable condition, or it has the ability to force it into a bailout situation."
医院正面临资金危机吗？华尔街正在仔细且深入地审视医院的财务状况——许多分析师对他们所看到的情况并不乐观。医院对长期债务的依赖日益增加、偿债覆盖率降低以及业绩指标疲软，所有这些都表明该领域的某些部门可能面临不稳定局面。哪些医院处于风险之中？专家指出南加州和纽约的医院。但也有人表示，拥有250张床位且长期债务达4000万美元或更多的中等规模城市的医院也很脆弱。然而，在回应我们汉密尔顿/沙特阿拉伯美国公司调查的600位首席执行官中，40%的人认为，报销费用的持续减少将需要政府进行类似于储蓄贷款行业那样的救助。“很大程度上取决于公共政策，”位于加利福尼亚州长滩的拥有两家医院的纪念医疗服务公司的执行副总裁兼首席财务官达雷尔·布朗内尔说，“政府有能力维持该行业的稳定，也有能力迫使它陷入救助局面。”
