The affirmation of the 'A-' ratings reflects HRHS' maintenance of adequate cash flow and a strong overall leverage profile characterized by total adjusted debt that remains below both unrestricted cash and investments and the healthcare system's annual revenue base. The Negative Outlook reflects uncertainty around capital spending and the potential issuance of new debt to address infrastructure issues at the system's main campus and expand inpatient/outpatient capacity.
In a social media landscape shaped by hashtags, algorithms, and viral posts, nurse leaders must decide: Will they let the narrative spiral, or can they adapt and join the conversation?
...
