Not-for-profit healthcare

Kaufman Hall acquired HRE Capital last week

Several Midwest-based not-for-profit health systems are set to borrow for new or acquired facilities and to refund debt with green bonds and taxables in the mix.

A proposal from the Ohio Treasury would provide a new enhancement for state-purchased public university debt and offer a backstop for hospitals' VRDOs.

A merger of Beaumont Health and Spectrum Health would form the largest system in Michigan with 22 hospitals and $12 billion of revenue.

The proposed union that would give the two a healthy market position in Illinois comes as federal regulators are stepping up anti-competitive scrutiny of such transactions.

Altru's deal drew a downgrade from Fitch Ratings and a raised outlook from Moody's Investors Service.

The taxable deal from Georgia's largest not-for-profit health system offers investors three index-eligible bullet maturities in 10, 20 and 30 years.

As hospitalizations surge because of the new coronavirus variant, Fitch Ratings and Kaufman Hall warn of threats to not-for-profit healthcare's fiscal recovery.

Cyber criminals threaten the safety of patients and the financial health of hospitals. The life-and-death stakes underscore the importance of online security.

Kyle Hemminger joined Cain Brothers this month in Columbus, Ohio.