ABSTRACT
Hospitals continue to experience negative margins, with hospital expenses decreasing slightly since the start of the pandemic, but not enough to address impacted volumes and revenues. As a result, issues regarding hospital and health system debt and financial sustainability weigh heavily on health care admini - strators. Hospital finances, and specifically, the management of bonds and debt, are of vital concern, particularly in light of the elimination of CARES Act funding and the forthcoming expiration of the federal Public Health Emergency COVID-19 plan. In this article and accompanying podcast episode, Nursing Economics Editorial Board Member Dr. Therese Fitzpatrick talks with leading health care expert Lisa Goldstein, MPA, about the rising pressures to maintain financial sustainability as hospital margins react to post-pandemic admissions and related adjustments.