Not-for-profit healthcare

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.

The Illinois-based health system, with a balance sheet helped by its insurance arm, will sell $600 million of AA-minus rated debt over the next month.

Ohio's Summa Health is selling $310 million of taxable corporate CUSIP debt Wednesday.

The COVID-19 pandemic is both reinforcing traditional strategies that drive consolidation and steering new trends

With some light at the end of the pandemic tunnel, the University of Arkansas for Medical Sciences fund growth with $139 million of revenue bonds.

The nonprofit hospital sector gets a fiscal shot in the arm from federal actions but margins are likely to remain depressed this year.

The proposed sale has dual benefits: Trinity gets to shed the facility outside of bankruptcy and the facility would remain open quieting local critics.

BJC Health System is selling $805 million of mostly refunding debt with its ratings and balance sheet intact as its manages COVID-19 pandemic wounds.

The facility and a majority of bondholders agreed to a restructuring that aims to ease repayment problems not solved by the previous bankruptcy in 2016.

S&P says Trinity's efforts to shed the fiscally struggling Mercy poses benefits and risks but the hospital is a small piece of the national not-for-profit's overall portfolio.

The Michigan-based nonprofit hospital chain expects a restructuring charge from the Mercy Hospital bankruptcy but no impact to its municipal bond debt.

HJ Sims has used Cinderella bonds, tender offers and forward deliveries to help senior living clients refinance without tax-exempt advance refundings.

CommonSpirt would shed some hospitals — mostly smaller critical access ones — under a letter of intent with the Minnesota-based system.

Federal CARES Act grants and loans, and bond market access, have helped mitigate the financial damage to hospitals caused by the pandemic.

Park Place at Elmhurst would restructure and redeem $141 million of bonds issued to exit its 2016 Chapter 11 under a plan pending before a bankruptcy court.

Pennsylvania nonprofit health system’s aggressive expansion has left it with a massive debt load, although default not an issue.

The COVID-19 pandemic pushed the Henry Ford Village continuing care retirement community over the fiscal cliff and into a Chapter 11 filing.

CommonSpirit's deal marks the next phase in managing the combined debt porfolio of CHI and Dignity.