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Risks and rewards of variable-rate debt.

Hospital and health system finance leaders should position their organizations to participate in the variable-rate market. To this end, one important step is to establish the right baseline variable-rate exposure target for the organization based on its credit and risk profile. Leaders also should be thoroughly familiar with the available products and understand the circumstances (pricing, terms, and embedded risk) under which the organization would be willing to deploy them within the overall capital structure.