Midwest

Balance sheet damage from labor costs, the pandemic and a cybersecurity breach triggered covenant violations for Capital Region Medical Center.

A final state regulatory hurdle remains for the casino proposal and the rail transit extension relies on federal funds not yet in hand.

The county that incorporates Chicago chose its chief administrative officer, Tanya Anthony, to take over the top fiscal post after a national search.

Last week's deal, upsized to $533 million, attracted $4.5 billion of orders after positive rating news including the end of Moody's speculative grade status.

States and localities would split a combined $10.7 billion from the two national pharmacy chains.

Chicago's second tax-increment financing district for transit would provide up to $959 million of funding to leverage federal infrastructure grants.

University of Michigan Health will acquire Sparrow Health System in a move that provides a fiscal infusion for Sparrow's operational and capital ailments.

Illinois' unfunded pension tab improved slightly in 2022 because 2021 returns still play a role in the actuarial assessment through smoothed investment returns.

Minnesota raised its surplus projections by $6 billion Tuesday and Wisconsin last month added $2.7 billion to its surplus.

The RTA and its service boards are eyeing funding sources to avoid damaging service cuts and fare hikes as they exhaust federal COVID-19 pandemic relief.