Not-for-profit healthcare

Moody's Investors Service cut the outlook for the system, already rated at junk Ba1.

Moody's Investors Service said Palmetto Health's integration with Greenville Health may result in a rating upgrade for Palmetto and a downgrade for Greenville.

Proposition 4 would authorize $1.5 billion in state GO bonds for 13 childrens' hospitals around the state, eight of them private nonprofits.

Added debt drove one-notch downgrade but long-term benefits seen.

Northwestern Memorial Healthcare's long-stalled acquisition of Centegra was finalized last month.

The Toledo, Ohio-based healthcare operator will sell $1.5 billion of bonds next week, of which $1.2 billion will be taxable.

Illinois-based OSF Healthcare System will refund $470 of debt this week and next.

The state Supreme Court upheld a law that safeguards local property tax exemptions for the hospitals.

S&P Global Raings dropped Verity Health System to CC.

Verity Health System reported about $459 million of long-term bond debt and $254 million in pension obligations on its most recent CAFR.