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Fitch Ratings lowered Southeast Missouri Hospital Association’s ratings two levels to BBB-minus over its operating losses.

The trustee for $6 million of unrated bonds issued for Iowa Wesleyan College will ask a judge to allow it to enter a forbearance agreement with the school ahead of an expected technical default on debt service coverage ratios.

Moody's Investors Service has revised Minnesota-based Fairview Health Services' outlook on its A3 rating to positive from stable in recognition of steady operating improvements.

Standard & Poor's on Friday revised its outlook on University of Iowa Hospitals and Clinics' AA rating to negative from stable over the potential strains of its big capital plans.

Chicago is readying a $300 million sale for Tuesday to finance ongoing projects in a 10-year program supported by big rate hikes.

Standard & Poor's has put the ratings of two double-A level not-for-profit health systems in Illinois, Advocate and NorthShore, on Credit Watch with positive credit implications following their announcement to join forces.

The Minneapolis-St. Paul Metropolitan Airports Commission heads into the market Wednesday with a $275 million subordinate general airport revenue refunding with no near-term new-money borrowing in sight.

The underfunding of public pensions by Chicago and Illinois puts much bigger burdens on their balance sheets than what national counterparts face, Moody's Investors Service says.

IIlinois' pension funds failed in three of the previous 10 years to earn sufficient returns to make the arbitrage play on work in the state's favor on its $10 billion general obligation pension bond issue from 2003.

Wisconsin's revenue collections fell about 2% or $281 million short of previous estimates, state officials reported late last month.

Standard & Poor's lowered by two levels its rating on LaSalle, Illinois’ general obligation rating to reflect it revised rating criteria and its negative fund balance.

A Missouri state audit found the Grandview School District in Missouri misused some proceeds from some of its $22 million worth of borrowing in recent years.

McGuire Woods LLP has hired Kay McNab, a municipal finance and bank lending legal specialist, to bolster its Midwestern public finance and banking businesses.

Chicago is readying about $700 million of water and wastewater revenue bonds for sale, pressing with investors the credits' mostly double-A level ratings that's distinct from its battered general obligation standing.

Bruce Cole, the head of Mamtek US, the firm that triggered a $39 million municipal bond default on debt sold for a Missouri sucralose plant, will go to prison as part of a plea deal.

Missouri Gov. Jay Nixon wants an economic injury disaster declaration for Ferguson to secure low-interest loans from the U.S. Small Business Administration to aid businesses hurt by the large protests that followed a fatal police shooting of an unarmed teen.

The trustee on $8.5 million of revenue bonds issued to finance a wastewater treatment facility to support a now bankrupt meat processing company in a Chicago suburb has struck a deal to sell the bond-financed assets at a steep discount to the company that's taken over the bankrupt firm.

The Michigan Finance Authority said it received orders from 30 firms on its $108 million state aid revenue note sale on behalf of Detroit Public Schools that saw a sharp drop from last year in interest rate penalties imposed on the struggling district.

The judge overseeing Detroit's bankruptcy chastised bond insurer Syncora Guarantee Inc. for attacking federal mediators as biased and ordered the insurer to defend why it shouldn't face sanctions.

Moody's Investors Service slapped Burbank, Illinois with a downgrade and assigned a negative outlook to its A1 rating due to ongoing operating deficits and mounting pension woes.