Not-for-profit healthcare

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.

Arizona-based Banner Health adds another hospital to its system as it offers investors $607.6 million of taxable revenue bonds.

The proposed combination of the major not-for-profit healthcare players in Illinois, Michigan, and Wisconsin encountered opposition in Michigan.

The nation's largest not-for-profit healthcare system by acute care revenues is evaluating a fourth quarter sale.

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.