The Intersection of Health Systems' Earnings and Geopolitical Challenges

Ben H.

Hatched by Ben H.

Jul 09, 2023

3 min read


The Intersection of Health Systems' Earnings and Geopolitical Challenges


In the first quarter of 2022, health systems faced various challenges that impacted their earnings. However, there were some common themes and strategies that emerged among these organizations. At the same time, a new geopolitical challenge arose, as China and Cuba reportedly reached a secret agreement for China to establish an electronic eavesdropping facility on the island, posing a potential threat to the United States. In this article, we will explore the key takeaways from health systems' first-quarter earnings results and discuss the implications of the China-Cuba agreement.

Earnings Boosted by Improved Market Conditions and Investments:

One notable trend in health systems' earnings was the reversal of investment-related losses. Organizations like Cleveland Clinic and Mass General Brigham reported significant increases in investment returns, leading to improved net income. These gains were attributed to improved market conditions, which provided a much-needed boost to operating margins. However, it is important to note that relying solely on investment gains can be risky, as seen in the case of Cleveland Clinic and Mass General Brigham, whose earnings would have been flat or in the red without these gains.

Investment in Ambulatory Care and Talent Pipelines:

Health systems are increasingly focusing on ambulatory care as a means of expanding their services and improving financial performance. Dallas-based Tenet Healthcare, for instance, raised its financial outlook for adjusted earnings and continues to invest heavily in ambulatory care. This shift is indicative of the industry's recognition that outpatient services offer growth opportunities and can help meet the changing needs of patients.

Moreover, health systems are actively building stronger talent pipelines. Partnerships with nursing schools have become a common strategy to address staffing shortages and attract permanent employees. Kaiser Permanente, for example, reported a 15% increase in clinical hiring in the first quarter through such partnerships. This emphasis on talent acquisition highlights the importance of human resources in delivering quality care and driving financial success.

Increased Patient Volume and Capacity Challenges:

While health systems are investing in new services and talent, they are also grappling with increased patient volume. Universal Health Services and UPMC reported growth in both acute care and behavioral health admissions. However, many hospitals are struggling to keep up with the demand due to a lack of staff. This capacity challenge inhibits the growth potential of inpatient volumes and underscores the urgent need for additional healthcare professionals.

The China-Cuba Agreement: A Geopolitical Challenge:

In a surprising development, China and Cuba have reportedly reached a secret agreement for China to establish an electronic eavesdropping facility on the island. This move poses a new geopolitical challenge for the United States, as it allows China to gather intelligence and potentially threaten U.S. national security. The agreement highlights the need for increased vigilance and awareness of the real threats posed by global actors.


The first-quarter earnings results of health systems shed light on their strategies for financial improvement, including capitalizing on investment gains, investing in ambulatory care, and strengthening talent pipelines. However, challenges such as capacity constraints persist, hindering further growth. Moreover, the China-Cuba agreement serves as a reminder of the geopolitical challenges faced by the United States. To navigate these complexities, health systems can consider the following actionable advice:

  • 1. Diversify revenue streams: Health systems should explore opportunities beyond traditional inpatient care to drive financial stability and growth. Ambulatory care services, telehealth, and partnerships with other healthcare entities can provide additional revenue sources.
  • 2. Invest in workforce development: Addressing staffing shortages is crucial for meeting patient demand and expanding services. Health systems should continue to invest in partnerships with educational institutions, offer competitive incentives, and explore innovative staffing models to attract and retain qualified healthcare professionals.
  • 3. Enhance cybersecurity measures: As geopolitical challenges arise, healthcare organizations must prioritize cybersecurity to safeguard patient data and protect national security. Regular assessments, employee training, and robust security protocols can help mitigate risks.

By proactively addressing financial, operational, and security challenges, health systems can position themselves for long-term success in an evolving healthcare landscape.

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