Genesis Healthcare, Inc., which operates nursing homes nationwide, launched a three-part strategic restructuring plan to strengthen its liquidity position and capital structure. The initial steps reduce debt by approximately $256 million and include an immediate $50 million capital investment. The need for restructuring was attributed to financial pressures exacerbated by the coronavirus disease 2019 (COVID-19) public health emergency. Genesis’s Chief Executive Officer Robert Fish said, “The severity of the pandemic dramatically impacted patient admissions, revenues and costs, compounding the pressures of our long-term, lease-related debt obligations.”

In the first step, Genesis agreed to terminate its . . .

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Strategy & Strategic Planning

Strategic planning is an essential business process for health and human service provider organizations. A strategic plan provides clarity and transparency from the board on performance expectations and priorities and serves as the overall foundation for organizational infrastructure development and operating plans. However, strategy is only one factor of the overall strategic planning process. Rather, strategy and strategic planning require a scenario-based, tactical, and detailed implementation and execution plan with the right management team and performance metrics to ensure the organization is progressing toward its strategic initiatives. Amid changing reimbursement models, consumerism, and other market disruptors, a strategic plan that is both market-focused and nimble is key for sustainability in an uncertain future.


Adults with a usual source of primary care were more likely to receive preventive screenings and less likely to experience acute care utilization, according to an analysis published by the Milbank Memorial Fund. Data from the 2016–2022 Medical Expenditure Panel Survey (MEPS) showed that adults with a primary care physician (PCP) had substantially higher rates of preventive services. For cardiovascular risk factors, 95.5% of adults with a PCP had their blood pressure checked, compared to… Read