Not-for-profit healthcare

The system took two rating hits over its rising debt levels and strained balance sheet metrics as it readies a $354 million borrowing.

With its ratings intact as it navigates the pandemic's impact, the large Illinois system is issuing new money and refunding bonds

As a director in public finance, Maura Davalos will focus on FHA-insured healthcare financings; she will be based in Jacksonville, Florida.

Hospitals margins could sink to unsustainable negative levels in the last half of the year, according to forecasts.

Fitch downgraded the Ohio-based system to BBB-minus, leaving its rating at the lowest investment grade, matching ProMedica's Moody's rating.

Northwest suburban Chicago-based Northwest Community Healthcare is joining the NorthShore University which operates five hospitals in the northern sububs and Chicago.

Federal relief and the resumption of elective surgeries helped bolster hospital margins in May, according to a Kaufman Hall report.

The new system would hold a commanding presence in Illinois, Michigan and Wisconsin with $17 billion of revenues and 100,000 employees.

The Wisconsin health system's ratings have weathered the early impact of COVID-19 on its balance sheet, although S&P revised its outlook to negative.

Some elder housing borrowers have also drawn on debt service reserves, violated covenants, or sought to restructure their bonds, said Moody's Investors Service.