Emergency Room sign
Emergency department

“Moody’s Investors Service has issued a scathing corporate credit rating downgrade to Envision Healthcare, assigning the physician staffing service and ambulatory surgery center operator its lowest possible junk rating and warning that a bankruptcy or major restructuring is likely on the horizon,” Dave Muoio writes over at FierceHealthcare. “The bond credit rating agency wrote in a Wednesday rating action that Envision will see weak liquidity over the next 12 to 18 months and is forecast to deplete its (as of June 2022) $1.4 billion cash reserve by the end of next year. Although Envision is one of the country’s largest physician staffing outsourcers, pandemic-related volume declines and more recent labor pressures paint a picture of declining profitability in the months to come, Moody’s wrote. Additionally, Envision ‘faces significant social risk’ due to ‘significant negative publicity relating to the patients its physicians treat receiving surprise medical bills’ and will remain financially challenged by the No Surprises Act implemented across the country in January, Moody’s wrote. … The company’s highly publicized contract dispute with UnitedHealth is also unlikely to resolve, the rating agency predicted, leaving Envision out of the nationwide payer’s networks. Sitting against this backdrop was a recent series of credit restructuring transactions across Envision and its ASX subsidiary, AmSurg, that Moody’s deemed ‘to be a distressed exchange as the loans were exchanged at a price below par, which is a default under Moody’s definition.’ … Envision was bought out by private equity firm KKR in 2018 for $10 billion and, according to Moody’s, saw $7 billion in 12-month revenues ending June 30, 2022. It operates more than 250 ambulatory surgery centers across 34 states in addition to its large network of outsourced physicians.” Davd Muoio, “Envision Healthcare at high risk of bankruptcy, Moody’s warns, Fierce Healthcare.

Jeanne Pinder

Jeanne Pinder  is the founder and CEO of ClearHealthCosts. She worked at The New York Times for almost 25 years as a reporter, editor and human resources executive, then volunteered for a buyout and founded...