We compare the effects of external financing shocks on patient mortality at nonprofit and for-profit hospitals. Using confidential patient-level data, we find that patient mortality increases to a lesser extent at nonprofit hospitals than at for-profit ones facing exogenous, negative shocks to debt capacity. Such an effect is not driven by patient characteristics or their choices of hospitals. It is concentrated among patients without private insurance and patients with higher-risk diagnoses. Potential economic mechanisms include nonprofit hospitals' having deeper cash reserves and greater ability to maintain spending on medical staff and equipment, even at the expense of lower profitability. Overall, our evidence suggests that nonprofit organizations can better serve social interests during financially challenging times.

The German economy has stagnated for over two years, with a slow recovery anticipated in the coming quarters. However, growth is unlikely to reach pre-COVID-19 levels anytime soon. Decarbonisation, digitisation, demographic changes, and heightened competition from China are dampening growth prospects. GDP is projected to decline by 0.1 % in 2024, with increases of 0.8 % and 1.3 % in the subsequent years. Rising private consumption and improving foreign trade are expected to contribute positively to the economic upturn in Germany. Economic policy should prioritise reducing productivity barriers, facilitating structural changes, and lowering political uncertainty to support recovery.

The recent moderate pace of the global economy will continue for the time being. In Europe, the economy is likely to pick up slightly from the winter half-year 2024/2025. In Germany, the sluggish export business in particular is providing a lack of economic impetus. However, private consumption will contribute to a slight economic recovery in the winter half-year. Gross domestic product is likely to stagnate in 2024 and grow by 1.0% in 2025.