The non-profit hospital sector is undergoing a significant transformation following the pandemic. Labor costs are up, inpatient utilization is down, and pandemic-era rules and subsidies are gone. This has led the rating agencies to ponder whether nonprofit hospitals can maintain a 3% margin—or the ā€˜standard’ needs to be reset to 1% or 2% (seeĀ Will There Be New Baselines For Nonprofit Hospitals’ Financial Metrics? Fitch Weighs InĀ andĀ Tough Labor Market Holds Fitch’s Nonprofit Hospital Outlook At ā€˜Deteriorating’).Ā If the lower figures persist beyond a short transitional period, analysts are concerned that could lead to a . . .

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Child & Family Services

The children and family services market encompasses a wide range of services and supports for children who are involved with the child welfare system and/or who have complex physical and behavioral health conditions. For organizations serving children, the market challenges are increasing – from increased incidence of serious child mental health issues and autism, to a lack of community-based placements for children with complex needs, to increases in family involvement in the child welfare system due to parental opioid use, to uncertainty in the special education sector about the implications of new federal policies.


Five additional states have joined the federal ā€œA Home For Every Childā€ pilot initiative, bringing total participation to nine states as of April 8, 2026. The most recent states to join the initiative are Alabama, Iowa, and Nebraska in April, following Kansas and Mississippi in March. They join the initial participating states of Louisiana, Missouri, Oklahoma, and Tennessee. The initiative, established by presidential executive order in November 2025, aims to increase the availability of foster… Read