Not-for-profit healthcare

COVID-19 worsened the fiscal picture for the senior care, insurance, and hospital operator, but it faced rating pressure before the pandemic.

Inflation and labor struggles are pounding hospital balance sheets and the pressures could damage ratings.

Hospitals can expect more than $2.6 billion of in additional payments under the Centers for Medicare and Medicaid Services program, but some say that is not enough.

The Democrats' reconciliation bill has been whittled down to a pair of health care provisions, including one that carries implications for nonprofit hospital credit quality.

Inflationary-driven challenges pose a drag on hospitals’ fiscal recovery from the pandemic with short-, mid-, and long-term action needed.

The hospital is banking on increased federal reimbursement funds next year when the new Rural Emergency Hospital designation for eligible Medicare providers takes effect.

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

This week's $61.8 million Wisconsin Health and Educational Facilities Authority deal folds two new subsidiaries into the obligated group.

The mammoth Sacramento-based health system experienced ratings downgrades in 2021 under the threat of multiple lawsuits, seismic costs and COVID-19 challenges.

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.