A Reason Foundation study found K-12 debt steadily rising since 2014.

While the number of deals slipped, the amount of revenues involved in announced transaction hit a peak.

Karl K. Klessig provided a fraudulent loan document and forged a signature in an application last year to acquire control of Golden Pacific Bancorp, according to the Federal Reserve.

The acquisition of Cancer Treatment Centers of America in February was cited for the downgrade along with City of Hope's financial weakness over the past two years.

If the deal closes, the two systems say they will evaluate existing debt structures and combine credits where possible and beneficial.

Raymond James has agreed to acquire SumRidge Partners, a fixed income market maker dealing in investment-grade and high-yield municipal bonds.

The two Michigan-based systems completed their merger amid stepped-up federal anti-trust scrutiny but have not yet announced any changes to their existing debt portfolios.

Loop acquired an investment advisory firm from BMO.

The fiscally stressed Chicago suburb offered terms, including a 20-year maturity extension for a possible bond exchange, as it looks to restructure debt.

The number of hospital mergers and acquisitions dropped last year and the pandemic and federal government's actions may influence the 2022 picture