Las Vegas — Emerging slowly from the financial crisis, hard-hit nonprofit health care borrowers are gaining ground in market access and on credit spreads. However, they face tougher disclosure demands and must rethink strategies to lure investors going forward, especially given the looming uncertainties associated with national health care reform.

“I think disclosure is the big [issue]” and not just for new issues in the primary market, but ongoing for investors interested in purchasing a borrower’s bonds in the secondary market, said Bedford Boyce, senior vice president in the investment banking division of Loop Capital Markets LLC. “I think it is a shift that is permanent.”

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