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.

Cyberattacks pose rising operational costs and can hinder revenue generation for hospitals and health systems eventually leading to rating hits, Fitch warns.

The Great Lakes Senior Living Communities is working with holders of its $380 million of debt to raise funds for needed capital expenses

The prominent Chicago health system's refunding will simplify its debt structure, cut interest rates, and provide longer-term fixed financing.

Hospital consolidation continued though the coronavirus pandemic; how the Biden administration's pro-competition executive order will play out remains unknown.

Following the change, S&P now views all U.S. public finance sectors as stable with the exception of higher education.

The U.S. Supreme Court's upholding Obamacare removes one potential headache for a healthcare sector still recovering from the COVID-19 pandemic's wounds

Ivan Samstein will take the top fiscal post at University of Chicago Medical Center. The university will conduct a national search for his replacement.

Daniel Isacksen Jr. replaces the retiring interim chief financial officer, Cynthia Clemence, for the Livonia, Michigan-based hospital system.

The two systems began negotiations in January to transfer 14 CommonSpirit hospitals in Minnesota and North Dakota to Essentia.

Northwest Community became the second independent hospital to affiliate with the Evanston, Ill.-based NorthShore Health system over the past year.