Not-for-profit healthcare

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

The U.S. labor shortage is bearing down on hospitals' bottom line and shows no signs of letting up next year according to rating agencies' 2022 sector outlooks.

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.