Pensions Have Tripled Their Investment in High-Risk Assets. Is It Paying Off?

https://www.governing.com/topics/finance/gov-public-pension-investment-returns-alternative.html?utm_term=Pensions%20Have%20Tripled%20Their%20Investment%20in%20High-Risk%20Assets.%20Is%20It%20Paying%20Off&utm_campaign=How%20Can%20a%20City%20Issue%20Pay%20Raises%20and%20Layoff%20Notices%20in%20the%20Same%20Week&utm_content=email&utm_source=Act-On+Software&utm_medium=email

Sign for Wall Street in New York City

A growing body of evidence shows that “alternative investments” may be lowering returns and costing state and local governments more.

Public pensions are more invested than ever before in high-risk and expensive assets like real estate and hedge funds. Yet research continues to show that this tactic is unlikely to improve their earnings.

According to Fitch Ratings, in the span of a decade, pensions tripled their average investment in these so-called alternative investments. In 2007, they averaged 9 percent of state and local public pension investment portfolios. By 2017, that number had risen to 27 percent.

During that period, median average returns on overall investments were 6.2 percent, according to Fitch. But during the longer period between 2001 and 2017, reflecting a time of less reliance on alternative investments, they were actually slightly better: 6.4 percent.

“If you look at trends and allocation to riskier assets and the returns we see alongside them, you clearly see that you can’t necessarily say you’re getting the bang for the buck over the last 17 years,” says Fitch analyst Olu Sonola, who authored the report.

The report adds to the growing body of evidence that alternative investments are not worth the extra cost and risk. In fact, they may be lowering pensions’ earnings and costing state and local governments more money.

Pensions’ average investment returns — overall, not just on alternatives — failed to meet expectations between 2001 and 2017, even though those expectations lowered from 8 percent to 7.5 percent. Plans that don’t meet expectations require state or local governments to put more money in pension systems. Even high-performing pension systems like Colorado, Oklahoma, Utah and Wisconsin have had to increase their payments or give up being fully funded for this reason.

Only South Dakota’s retirement system, which is fully funded and relies the least among all 50 states on alternatives and equities, met its own expectations over that time period. Seven states — Arizona, Connecticut, Hawaii, Maryland, New Hampshire, New Jersey and Rhode Island — missed theirs by 2 percent or higher, according to Fitch.

The reason alternative investments aren’t a safe bet, concludes Fitch, is because they tend to be volatile. But others dispute that idea. Andy Palmer, the chief investment officer for Maryland’s pension system, says their strategy of investing more in alternatives is to reduce risk and volatility.

Before the 2008 financial crisis, nearly 70 percent of the Maryland system’s portfolio was invested in stocks — now it’s less than 50 percent. Since then, Maryland has invested more in private equity, real estate and hedge funds.

“Reducing our risk in U.S. equities in particular and getting return from other sources, we believe, will protect us from those really sharp downturns,” says Palmer.

The system has also slightly lowered its expected rate of return over the years from 8 percent to 7.45 percent.

Palmer points to the average 9.5 percent investment return the system has earned over the last 10 years as of this March. While that exceeded state expectations, it’s not as good as some of Maryland’s peers. Palmer says that’s the result of unfortunate timing: The system shifted away from stocks at a time when the market went gangbusters.

But Jeff Hooke, a visiting fellow for the right-leaning Maryland Public Policy Institute who has been critical of pension systems that invest heavily in alternatives, argues the real winners in this larger trend are the Wall Street bankers who make money from the high fees associated with these investments.

“You can basically replicate all these alternative investment strategies through the public market and save yourself all the fees,” Hooke says.

Fitch’s report backs up Hooke’s claim. Passively managed portfolios (which are low-fee and leave Wall Street out of the equation almost entirely), have performed better than the average pension plan over the last 17 years.

 

 

Fate of Bay Area hospitals in doubt as hedge fund deal to save them sours

Fate of Bay Area hospitals in doubt as hedge fund deal to save them sours

Image result for verity health system

Image result for verity health system st. louise hospital

 

Santa Clara County interested in buying O’Connor and St. Louise

Santa Clara County is hoping to buy a pair of struggling hospitals that have long served as a safety net for the poor, less than three years after they were sold to a New York hedge fund in a state-approved deal to ensure they remained open.

County Executive Jeff Smith said the county sees a renewed opportunity to acquire O’Connor Hospital in San Jose and St. Louise Regional Hospital in Gilroy as public hospitals to extend its reach and help relieve overcrowding at the county-run Santa Clara Valley Medical Center in San Jose.

“We’re watching carefully,” Smith said. “We’ve told them that we’re interested and asked them to let us know what their process is going to be.”

The county’s interest comes after Verity Health System, the Redwood City-based secular nonprofit that now runs the hospitals, announced the “potential sale of some or all” of the hospitals among options “to alleviate financial and operational pressures.”

It was less than three years ago that the Catholic Daughters of Charity, which provided medical care for California’s poor since the Gold Rush, announced the largest nonprofit hospital transaction in state history with the $260 million sale of six hospitals to a hedge fund.

The deal, blessed by a state attorney general under conditions that included facility improvements and no cuts to charity care, jobs or pay, was welcomed with guarded optimism: As hospitals struggle nationwide, a half dozen in the Bay Area and Los Angeles would stay open.

But already, the deal has soured. Verity saw operating losses of $55.8 million in the nine months that ended March 31.

The hospitals in San Jose, Gilroy, Daly City, Half Moon Bay and Los Angeles provide 1,650 inpatient beds, emergency rooms, a trauma center and a host of medical specialties, and employ 7,000.

But insurers are pushing to cut hospital stays to keep a lid on costs and premiums, shrinking hospital business. At the same time, demand for housing and commercial space has soared with California’s surging economy, raising the possibility that some of the hospitals could be turned into homes or offices.

Who would buy the hospitals, and what other alternatives are under consideration, is unclear. No hospital chains have announced interest.

“I don’t know of a system in California that would pick them up,” said Wanda J. Jones, a veteran health system planner and writer in San Francisco who has followed the deal.

San Mateo County officials could not say what might happen to Seton Medical Center in Daly City and Seton Coastside in Moss Beach, near Half Moon Bay.

“The potential closure of the hospitals and the impact on the residents they serve is very important to the county,” said Michelle Durand, spokeswoman for the San Mateo County county manager’s office. “However, we currently have made no decisions and also cannot speculate as to the potential interest of private hospital operators.”

But Santa Clara County officials have been vocal about their interest.

Daughters of Charity Health System had declined to sell the two hospitals to Santa Clara County because it wanted to sell all the hospitals as a package. After for-profit Prime Healthcare Services walked away from a potential $843 million deal to buy the six hospitals in 2015, calling then-Attorney General Kamala Harris’ conditions too burdensome, Daughters sold them to hedge fund BlueMountain Capital Management under similar terms.

A year ago, a Culver City company owned by billionaire doctor and entrepreneur Patrick Soon-Shiong, who also owns the Los Angeles Times and San Diego Union-Tribune, bought the hedge fund’s Integrity Healthcare division that owns Verity.

Smith said that in the current landscape for hospitals, O’Connor and St. Louise would always be money-losers for a private owner, but could pencil out as public hospitals. That’s because public hospitals get reimbursed by Medi-Cal, the state’s coverage for the poor, at higher rates than private hospitals, which rely on a mix of insured patients to cover charity care costs. O’Connor and St. Louise, he said, are in areas where they won’t attract enough insured patients.

For the county, acquiring O’Connor and St. Louise would make sense, Smith said. The county’s Santa Clara Valley Medical Center in San Jose is “filled to the brim with patients, and we have great need for services,” said René G. Santiago, deputy county executive and director of the Santa Clara Valley Health and Hospital System.

Some of the money to buy the hospitals could come from funds set aside for VMC renovation, Smith said.

But the six hospitals share debt and employee retirement obligations, which is what made Daughters of Charity unwilling to sell them piecemeal, Smith said.

There’s also the possibility that potential buyers may see greater use for some of the hospital properties for housing or offices. Smith said that while that wouldn’t satisfy the attorney general’s approval conditions, a seller could argue those terms were unworkable and seek a new deal.

Jones said the attorney general’s conditions made it impossible for the hospitals to survive in today’s environment, calling terms like no job cuts “insane.”

“Kamala Harris was so overboard in her requirement for what she wanted to happen,” Jones said. “You don’t put a condition like that on a buyer.”

The office of the attorney general, now under Democrat Xavier Becerra, had no comment.

Sean Wherley, a spokesman for SEIU-United Healthcare Workers West, which represents the hospitals workers, said when the possible sale was announced earlier this month that they were “disappointed.”

He said the union expects “Verity and any new buyer to be held accountable to keep hospitals open, maintain vital services, fund pension obligations, protect jobs and honor our collective bargaining agreements.”

 

These Hospital Bonds Are on Life Support

https://www.bloomberg.com/gadfly/articles/2017-10-27/a-49-billion-hospital-emergency-heads-toward-junk-bonds

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Junk-bond buyers appear to have a blind spot when it comes to for-profit health care companies.

They’ve snapped up bonds of Tenet Healthcare Corp. and Community Health Systems Inc. despite the drastically souring outlook for both hospital operators. Some of this may be idiosyncratic or the result of specific investors’ strategies (or unwillingness to sell). Franklin Resources Inc., for example, now owns nearly 20 percent of Community Health’s total debt and more than half of its $1.9 billion of bonds maturing in 2019, according to recent filings compiled by Bloomberg.

In general, however, as credit investors plow into broad indexes of riskier assets, it appears they’re simply turning a blind eye to the ugly balance sheets of hospital operators amid an increasingly difficult backdrop. Federal programs like Medicaid are clamping down on costs. And the Trump administration’s various efforts to weaken the individual insurance market will potentially put hospitals on the hook for more uncompensated care as fewer people sign up for health care coverage.

Meanwhile, Tenet and Community Health made some questionable decisions in recent years to borrow billions of dollars to make acquisitions that now look pricey. These companies don’t generate a ton of cash at the best of times, and much of what they do have now goes to debt service rather than much needed hospital improvements.

CIRCLING THE DRAIN

It’s hard for companies to confront mountainous piles of debt when they don’t generate consistent cash flow.

These hospital operators have a narrowing field of options right now. Tenet recently tried, and failed, to sell itself, which sent its shares plunging on Thursday. Both hospitals report earnings within the next few weeks. If HCA Healthcare is any guide — the company pre-announced worse-than-expected third-quarter earnings last week — they won’t be pretty.

But still, no one in the bond market seems to care. Tenet’s bonds have soared 7.8 percent so far this year, even though its stock has fallen 13.3 percent. Community Health debt has gained 16.5 percent, four times the 4.1 percent gain in its shares.

DIVERGING FATES

Bond investors seem to be turning a blind eye to difficulties recognized by stock investors

This seems sort of ludicrous. One hedge fund manager, Boaz Weinstein of Saba Capital Management, sees this as an opportunity to short some of these companies’ junior bonds. Weinstein pointed out at a conference this month that Community Health’s $14 billion pile of debt is 20 times the value of its equity.

Unless the company’s fortunes turn around, it will be forced to reckon with its debt in painful ways for its business as well as the returns of creditors. It’s hard to see how the business could get better with President Donald Trump’s continuing attempts to torpedo health care insurance subsidies, which is widely expected to hurt hospital profitability.

Credit investors at some point are going to have to come to grips with this. Community Health and Tenet, along with HCA, account for $49 billion of debt in a broad U.S. high-yield bond index. This pile is looking increasingly vulnerable to a day of reckoning.

Hedge fund-backed Bay Area health system sees C-suite shake up

http://www.bizjournals.com/sanfrancisco/news/2016/08/02/hedge-fund-healthcare-verity-health-system-c-suite.html

Less than eight months after becoming CEO of Verity Health System, the successor to the former Daughters of Charity Health System, Mitchell Creem, has been demoted to chief administrative officer. Verity also hired a new COO, B. Joseph Badalian, it disclosed today.

The Redwood City-based system’s board of directors replaced Creem as CEO late last week with Andrei Soran, who was initially hired in April as president and COO.

Verity disclosed the “restructuring of the system’s executive team” on July 28. Board chairman Jack Krouskup said the new CEO “will continue to lead the efforts to revitalize our Verity hospitals to ensure that they continue to serve our communities across California for generations to come.”

Badalian, most recently CEO at Fountain Valley Regional Hospital and Medical Center in Southern California, a for-profit Tenet Healthcare Corp. (NYSE: THC) hospital, is set to start in the new job Sept. 1.

Why revamp the leadership team less than eight months in? “A turnaround is all hands on deck,” Soran told the Business Times late last week. “It’s a major effort, a fairly major turnaround.”

Hedge fund’s healthcare retreat signals industry uncertainty

http://www.healthcaredive.com/news/hedge-funds-healthcare-retreat-signals-industry-uncertainty/419445/

NYC hedge fund Glenview Capital Management, headed by Larry Robbins, has pulled back sharply on its healthcare investments despite its usual emphasis on the industry, Modern Healthcare reported. The hedge fund overall reduced its shares in 11 of 16 healthcare companies during the first quarter, including Aetna, Anthem, Cigna and Humana, which await uncertain state and federal regulatory approval for mergers.