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COVID-19 Will Test the Ability of Healthcare CFOs to Manage Financial Risk

Blog | 
COVID-19 | 
Outcomes | 
System Dynamics | 

Chief financial officers around the world are scrambling to figure out how to manage the short-term economic impact and the long-term economic effects of the COVID-19 outbreak on their companies and organizations. Nowhere is the need to find answers more urgent than in the offices of CFOs at the hospitals, health systems and medical practices on the frontlines in the fight against the deadly virus.

PricewaterhouseCoopers earlier this month asked CFOs at 50 different companies across all industry sectors, including healthcare, in the U.S. and in Mexico about their reaction to the novel coronavirus pandemic and how they think it will affect their operations. Their answers may help CFOs at provider organizations in the U.S. respond to what many experts consider the biggest threat to their financial sustainability ever.

Asked to rank their Top 10 concerns, as measured by the percentage of respondents who cited the concern as one of their top three regarding the COVID-19 pandemic, the CFOs said: 

  • Potential global recession (80 percent)
  • Decrease in consumer confidence, reducing consumption (48 percent)
  • Financial impact, including effects on results of operations, future periods, and liquidity and capital resources (48 percent)
  • Effects on our workforce/reduction in productivity (42 percent)
  • Supply chain issues (34 percent)
  • Not having enough information to make good decisions (14 percent)
  • Lack of a comprehensive/tested company emergency preparedness plan (6 percent)
  • Difficulties with funding (4 percent)
  • Impacts on tax, trade or immigration (2 percent)
  • Financial disclosures, including effects of results of operations, future periods and liquidity and capital resources (0 percent)

Fifty-eight percent of the CFOs said they expect their company’s revenue and/or profits to decrease this year as a result. Forty-percent said it was too soon to know. Only 2 percent said they didn’t expect the outbreak to have any financial impact. And no one said they expect revenue or profits to rise.

For hospitals, health systems and medical practices, those expectations will be exaggerated as COVID-19 treatment costs push expenses substantially higher and revenues from other clinical service lines, including elective surgeries, drop precipitously. 

In response, the CFOs said they expected to take the following actions:

  • 62 percent said they would be implementing cost containment measures
  • 44 percent said they would be adjusting their financial guidance
  • 32 percent said they would be deferring or canceling planned investments
  • 28 percent said they would be changing their company’s financing plans
  • 10 percent said they would be changing their merger and acquisition strategy
  • Only 14 percent said they are not considering changing anything at this point

Again, those actions likely will be exaggerated at provider organizations that are dealing with the crisis on the ground.

You can download the results of the PwC CFO survey here. PwC said it will regularly repeat the survey to track how CFOs in all industries are responding to the COVID-19 outbreak.

The Healthcare Financial Management Association also has created a page on its website to track COVID-19 industry news and developments that are affecting how healthcare CFOs do their jobs. You can visit the page here.   

Stay home. Stay safe. Stay alive.

Thanks for reading.

About the 4sight Health Author
David Burda News Editor & Columnist

Dave is 4sight Health’s biggest news junkie, resident journalist and healthcare historian. He began covering healthcare in 1983 and hasn’t stopped since. Dave writes his own column, “Burda on Health,” for us, contributes weekly blog posts, and manages our weekly e-newsletter and weekly podcast, 4sight Friday and 4sight Roundup. Dave believes that healthcare is a business like any other business, and customers—patients—are king. If you do what’s right for patients, good business results will follow. Follow Burda on Twitter @DavidRBurda and on LinkedIn.