Pressure on Healthcare Mounts as Nonprofit Hospital Cash Flows Shrink

Moody's Investors Service | April 25, 2018

Moody’s Investors Service recently surveyed 160 US nonprofit and public hospitals (about five percent of the total for the category). In a recently issued report, the firm says that median net operating cash flow margins for the responding hospitals dropped to 8.1 percent in 2017, twenty percent lower than the 2016 margin of 9.5 percent. The 8.1 percent margin for 2017 is the lowest median cash flow margin in a decade.
Operating cash flow margin “measures how efficiently a company converts sales into cash,” according to Investopedia. It differs from operating margin, which is defined as “how much profit a company makes on a dollar of sales, after paying for variable costs of production such as wages and raw materials, but before paying interest or tax.” The difference can be illustrated using Moody’s figures for 2016 when median cash flow margin was 9.5 percent and the median operating margin was 2.7 percent. Moody’s estimate of median operating margin data for 2017 has not yet been reported.


Liberty in North Korea is an organization with video at its heart. Formed to help bring an end to the North Korea crisis, the organization helps to rescue and provide resettlement options for North Korean refugees. LiNK has used documentary videos and private screenings to spread awareness of the situation in North Korea far and wide. This one minute trailer to one of their documentaries nicely demonstrates how the organization uses individual story telling to personalize an issue that remains remote for many people.

Other News

FlowPlay Launches In-Game Fundraiser to Raise Funds for American Cancer Society Patient Navigation Programs

American Cancer Society | October 04, 2022

FlowPlay, creator of one of the most powerful connected gaming platforms, announced the launch of a new in-game fundraising campaign on behalf of the American Cancer Society (ACS). Today, FlowPlay kicks off a fundraiser to support patient navigation programs, evidence-based interventions that connect cancer patients with volunteer health system navigators who can provide personalized assistance to patients, families, and caregivers, from diagnosis through survivorship. Throughout the month of October, players within FlowPlay's flagship social casino, Vegas World, can contribute directly to ACS's Patient Navigation efforts. Patient navigation programs are of benefit to anyone receiving a cancer diagnosis but are particularly important for patients who experience hurdles to receiving equitable healthcare due to social, cultural, or economic barriers. Navigators include nurses, health advisors, social workers and others in the healthcare field who can help patients overcome financial, language and transportation barriers to care, improving quality of care and progressing health equity. Data shows that care provided through patient navigation programs decreases hospitalization and ICU admissions, and improves timely diagnostic follow up and adherence to screening and treatment schedules. Navigation programs provide each patient with the opportunity for customized care, ultimately helping to ensure that all patients have a fair opportunity to prevent, find, treat, and survive cancer. "Cancer patients have faced unique clinical, social, and financial challenges in the wake of the global pandemic, We are so proud to partner with organizations such as Flowplay and their Vegas World players, allowing us to take on initiatives that can help patients overcome barriers and receive the best care for their diagnosis. -Ryan Okita, Senior Director, Cancer Support Program Management with American Cancer Society. All Vegas World players will have the opportunity to donate directly to the American Cancer Society from October 3 through October 31 by purchasing a virtual in-game branded charm. A long-standing supporter of ACS, FlowPlay has raised more than $400,000 through previous campaigns, and is on track to reach half a million dollars by the end of 2022. FlowPlay also participated in the 2022 ACS Fit2Be Cancer Free Challenge, raising over $28,000 and ranking 4th in the nation and 1st in the Pacific Northwest for funds raised. "Navigating a cancer diagnosis from insurance, medications, and getting to and from treatment can be incredibly daunting for a patient and their loved ones; having reliable and knowledgeable support to guide you through the process is invaluable, I am incredibly proud of the FlowPlay community for the unwavering support they demonstrate for the American Cancer Society through various initiatives." -Derrick Morton, President and Co-Founder, FlowPlay. ACS is committed to enhancing patient navigation programs and has awarded $4.2 million in multi-year grants to 14 health systems to enhance oncology patient navigation and address and overcome barriers to personalized, timely, and equitable access to care for cancer patients and their families. Each health system selected will receive $300,000 to fund patient navigation programs. About FlowPlay: FlowPlay is the company behind the most powerful connected gaming platform for casual and sports wagering games, virtual worlds and social casinos. A developer, operator and publisher, FlowPlay serves both consumers and businesses with engaging online and mobile free-to-play experiences. Partners turn to FlowPlay for its extensive multiplayer infrastructure, industry-leading monetization rates and proven track record helping businesses launch custom-branded online games. FlowPlay's consumer products include ourWorld, one of the most popular teen virtual worlds, Vegas World, the industry's most engaging multiplayer social casino, and Casino World, the company's most grandiose, interactive and community-driven free-to-play social casino with tycoon gameplay. Together, they have been played by a loyal community of more than 75 million users around the world. FlowPlay dominates a cross-section of industries including online and mobile games, fantasy sports and casinos – consistently creating opportunities in high-growth and emerging markets. Based in Seattle, FlowPlay was founded in 2006 and is primarily funded by Intel Capital and the creators of Skype.

Read More



First Nations Finance Authority | September 06, 2022

The First Nations Finance Authority (FNFA) has signed a memorandum of understanding with BFL CANADA, one of the largest employee-owned and operated insurance brokerage firms in Canada, which takes the initial steps toward establishing the first-ever non-profit Indigenous-owned insurance model for Indigenous communities and businesses in Canada. "Access to insurability is a major barrier facing First Nations in their efforts to build healthy and prosperous communities, Providing Indigenous communities with access to broad insurance coverage at affordable rates would be a major step forward on the path to economic reconciliation, It is time that our communities and businesses operate and fully own a National Indigenous Insurance Model." -Ernie Daniels, President, and CEO of the FNFA. FNFA's Ernie Daniels and BFL CANADA CEO, Founder and President Barry F. Lorenzetti signed a Memo of Understanding to move forward to test the feasibility of the model. We are committed to being a part of this project which will establish a collaborative alternative risk transfer model that serves communities effectively, creates new jobs and careers, and develops new sources of revenue for Indigenous communities, said Mr. Lorenzetti. This is how we begin to take action toward economic reconciliation within the insurance industry. First Nations leaders from across turtle island have come forward in support of the initiative requested to participate in this study. First Nations communities and organizations have limited options in finding insurance for community-owned assets and economic development initiatives and are often forced to accept take-it-or-leave-it offers at higher cost. FNFA's proposed model is being developed in collaboration with Indigenous partners, government, and industry. Its aim is to empower Indigenous communities and organizations to own and manage a collective insurance and risk management program which would enhance the economic strength and well-being of their communities. As a non-profit, Indigenous-led lending institution, FNFA has provided over $1.7 billion in low-cost loans to First Nations to help bridge the huge $30 billion infrastructure gap that exists between Indigenous communities and the rest of Canada. The FNFA is determined to bring the same kind of innovative approach to developing an Indigenous insurance and risk management program. Every Rez spends tens of thousands of dollars annually on business and home insurance. It's time to all work together to create our own insurance company. Chief Clarence Louie Osoyoos Indian Band Every First Nation and Indigenous Business in Canada has a need for insurance coverage and millions of dollars are spent annually. We need to collectively own and manage this spend to benefit all communities. It's time to create our own insurance company!" Robert Louie Chairman, Lands Advisory Board About the First Nations Finance Authority (FNFA): The FNFA is a not-for-profit First Nation institution that plays a crucial role in the social and economic development of First Nations across Canada by providing qualifying First Nations with access to the capital markets at competitive rates. Established by the federal First Nations Fiscal Management Act in 2005, FNFA is by First Nations, for First Nations. The FNFA will continue to expand and diversify, looking to strengthen its credit rating and increase the financial benefits to its growing membership. About BFL CANADA: Founded in 1987 by Barry F. Lorenzetti, BFL CANADA is one of the largest employee-owned and operated Risk Management, Insurance Brokerage, and Employee Benefits Consulting services firms in North America. The firm has a team of over 1,100 professionals located in twenty-four cities across the country. BFL CANADA is a founding Partner of Lockton Global LLP, a partnership of independent insurance brokers who provide Risk Management, Insurance and Benefits Consulting services in over 140 countries around the world.

Read More


Engaging Networks Launches Powerful Nonprofit Texting Tools

Engaging Networks | August 17, 2022

Engaging Networks, a globally-trusted online fundraising and campaigning platform, will launch new texting capabilities, specifically designed for nonprofits and charities. The tools leverage a Twilio integration to support bulk sending of SMS and MMS messages to opted-in supporters and keyword management. "Many nonprofits can't afford the high cost to start a texting program or have to sparse data together in siloed systems to reach their supporters, Our new tools make texting more accessible and integrated for organizations to engage their supporters in seconds." -Dan Szymczak, Senior Director of Product at Engaging Networks. The new texting tools launch later this fall, just ahead of the 2022 year-end giving season. The tools build on innovative technology already available on the platform to enable features such as one-click donations and conditional content. In 2021, Twilio texting technology helped nonprofits send 17 billion messages across 195 countries. The addition of this important feature to Engaging Networks further positions the platform as the leading all-in-one digital engagement tool for nonprofits and charities. The launch is part of a larger redesign of the platform's email suite to allow for multi-channel messaging, with an easy-to-use interface across technical levels. The integrated texting and email tools come in response to the evolving digital landscape and growing power of text as a key nonprofit engagement channel. Layering rich data with advanced features, Engaging Networks' new messaging tools are designed to help nonprofits raise more money, win more campaigns, and instantly connect with their most loyal supporters. About Engaging Networks: Engaging Networks is an innovative digital engagement technology platform with the ability to fully adapt to a nonprofit's fundraising and advocacy needs. Engaging Networks proudly works with a variety of important organizations such as The Humane Society of the United States, National Wildlife Federation, The Nature Conservancy, Human Rights Campaign, PETA and Amnesty International.

Read More


Orion180 Donates $150,000 in H1 2022 Through "Star Outreach Program," A Charitable Initiative to Support Nonprofit Organizations Across the Southeast

Orion180 | August 26, 2022

Orion180, a homeowners insurance provider leveraging advanced technology to serve independent insurance agents in the Southeastern U.S., today announced that it has donated $150,000 in the first six months of the year to various charitable organizations through the company's "Star Outreach Program," which provides support to local communities across the Southeast. Orion180 launched the Star Outreach Program in August 2021. For each new policy that the company writes, they allocate a fixed amount towards a charitable fund, which is distributed to local organizations and causes that are important to the company and its agency partners. The latest round of donations took place this August impacting eight charities nominated by Orion180 and its agency partners, including Bright Blessings, First Light Shelter, Habitat for Humanity MS Capital Area, Shannon Home of Hope, The Lighthouse Academy For Dyslexia, Mulherin Home, The Rise Center, Stone Magnet Middle School, Women's Center of Brevard, and Make a Wish (Alabama). Together, these organizations improve thousands of lives by providing support to local communities, children, and families. "We are constantly inspired by our agency partners with the time and support they give to various causes throughout their communities, Our Star Outreach Program has allowed us to further support these charities that make a real difference in the lives of those in need in our communities. We are grateful to have such wonderful agency partners whose commitment to community empowerment and betterment aligns with our mission at Orion180." -Ken Gregg, founder and CEO of Orion180. This round of donations was made in partnership with the Brightway Insurance (NC), PointeNorth Insurance Group LLC (AL), Pyron Group Inc. (MS), Riverside Insurance Agency, Inc. (MS), Southern Insurance Professionals LLC (MS), Thomas, Harrison and Associates Ins Agy, Inc. (AL), Reynolds Independent Insurance Agency (AL), and Alabama Independent Insurance Agents (AIIA). Each organization was presented with a check from its respective Orion180 agency partner. Make a Wish Alabama hosted an event in which its agency partner, Alabama Independent Insurance Agents (AIIA) and local beneficiaries attended the ceremony. Orion180 is committed to continuing its charitable giving throughout this year and expects to allocate an additional $350,000 by December 2022. Headquartered in Florida, Orion180 operates in North Carolina, South Carolina, Alabama, Mississippi, Tennessee, and Georgia with plans to continue expanding in 2022. About Orion180: Orion180 is a homeowners insurance provider leveraging advanced technology to serve independent insurance agents in the Southeastern United States. Providing a combination of human interaction and unsurpassed technology, Orion180 enables real time quoting, binding, and issue functions in a matter of minutes. The company simplifies the homeowners insurance process, providing products that are innovative, fast, and secure. Its product has an A- A.M. Best rating, which means consumers are protected even for the most severe losses.

Read More


Liberty in North Korea is an organization with video at its heart. Formed to help bring an end to the North Korea crisis, the organization helps to rescue and provide resettlement options for North Korean refugees. LiNK has used documentary videos and private screenings to spread awareness of the situation in North Korea far and wide. This one minute trailer to one of their documentaries nicely demonstrates how the organization uses individual story telling to personalize an issue that remains remote for many people.