Not-for-profit healthcare

An April COVID hospitalization surge, along with a continuing labor shortage and inflationary and supply chain costs, hurt hospitals' bottom line.

A nonprofit Texas-based retirement community operator filed for Chapter 11 bankruptcy on Monday to deal with its troubled debt and sell its assets.

The sector is a target-rich environment due to the large amount of sensitive data that healthcare entities maintain for patient care and operations.

ProMedica's senior living division has suffered deep pandemic-related fiscal wounds while its hospitals' recovery was set back by the Omicron variant.

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

BHSH brings almost $1.5 billion of bonds to refund Beaumont's debt and raise some new money. The new system keeps Spectrum's higher legacy ratings.

Fitch and S&P have now joined Moody’s in downgrading the Renton, Washington-based healthcare system’s $6 billion of bonds.

The 12 announced transactions in the first quarter marked the lowest since Kaufman Hall began tracking the activity in 2016.

Continued market demand means not-for-profit hospitals must think about their ESG strategy, according to a Kaufman Hall analyst.

The combined Utah-based Intermountain and Colorado-based SCL will operate 33 hospitals and 385 clinics in Utah, Idaho, Nevada, Colorado, Montana, Wyoming, and Kansas.

SSM returns to the market with $323 million, highlighting its stronger balance sheet, ESG efforts, and medical partnerships that reflect a sector trend.

Bondholders will vote on a Chapter 9 bankruptcy exit plan that would pay full principal and interest on Atoka County Medical Center bonds.

Mayo is publicly offering $516 million of tax-exempt bonds and privately placing $200 million of taxables.

As hospital margins recover from the latest surge, Moody's warns of challenges from the pandemic-driven acceleration of the trend away from in-hospital care.

The Illinois Finance Authority signed off on the financing cementing NorthShore University HealthSystem’s recently closed merger with Edward-Elmhurst Health.

A judge has set a March 23 hearing on the Atoka County Healthcare Authority’s disclosure statement for its plan to end a five-year-long bankruptcy.

Dennis Reilly will leave the conduit issuer after 26 years to focus on establishing a not-for-profit lending footprint for Fifth Third in Wisconsin.

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.

The rating agency is keeping the not-for-profit hospital sector's outlook stable as hospitals continue to benefit from the impact of federal coronavirus relief.

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