Services

Healthcare

Strategic Financial Advisory for Healthcare’s Most Complex Challenges.

Capital Planning & Funding Strategy

We guide healthcare organizations through multi-year capital planning and long-term funding strategies, helping blend local, state, federal, and private resources to support critical facilities and programs.

Debt Structuring & Issuance Advisory

Fieldman advises on a wide range of financing structures, including General Obligation Bonds, Certificates of Participation, Lease Revenue Bonds, Revenue Bonds, TRANs, equipment financing, land-secured financing tools, conduit financing, and USDA loans, always focused on flexibility and the lowest possible borrowing cost.

Financial Modeling & Credit Evaluation

We develop transparent, custom financial models to evaluate affordability, debt capacity, cash flow, and long-term financial impacts, giving decision-makers confidence in complex funding decisions.

Strategic & Transactional Advisory

Our team provides support on public-private partnerships, pension funding strategies, developer negotiations, fiscal impact studies, and other complex financial initiatives.

Ongoing Advisory Support

We offer continuous support, including debt affordability analysis, rating agency presentations, investor communications, financial updates, and continuing disclosure compliance.

Services

Experience in Action

Healthcare organizations face ongoing financial pressure from reimbursement volatility, delayed Medicare and Medi-Cal payments, and the high cost of facilities, equipment, and regulatory compliance.

Our goal is to make complex, high-stakes financial projects manageable, delivering efficient, transparent solutions that support high-quality facilities and the best possible care for patients.

As an employee-owned firm (ESOP), we bring long-term stability and accountability to every engagement. Our advisors operate under a fiduciary standard, applying experience, integrity, and service in every recommendation we make.

How We Help Healthcare Organizations

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    Plan for revenue variability through long-range forecasting and stress-tested financial models.
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    Maintain cash flow during reimbursement delays that can extend up to two years.
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    Secure low-cost financing for major medical equipment and infrastructure investments.
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    Fund long-term capital improvements, including seismic upgrades required under SB 1953.
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    Navigate complex funding and regulatory requirements while remaining focused on patient care.
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