Not-for-profit healthcare

Two rating agencies lowered their outlook for University Hospitals to stable from positive.

Not-for-profit hospitals and healthcare systems are positioned to weather headwinds facing the medical profession in the 2020s.

The hospital system will price up to $1.7 billion of bonds this week, of which up to $1.4 billion would be taxable.

RBC Capital Markets has brought in Tim Wons, who left his executive leadership role for AccentCare Inc., to join the RBC not-for-profit healthcare finance group.

Moody's Investors Service raised the outlook to positive from stable on Palomar Health's junk-rated revenue bonds and investment grade general obligation debt.

After management and physicians from both health systems worked to provide a merger recommendation, the UnityPoint Health board “failed to embrace the vision."

Ahead of the deal, Moody's revised its outlook on the hospital system's Aa3 rating to positive from stable.

ProMedica Health System was downgraded to Baa3 by Moody's Investors Service, which assigned a negative outlook.

Most of the proceeds will refinance direct placement debt with bonds sold in the public markets.

Spectrum Health System will consolidate its administrative offices into a central location.

St. Louis-based Ascension Health Alliance will price up to $856 million through the Wisconsin Health and Educational Facilities Authority.

Moody's Investors Service cut OSF Healthcare System to A3 from A2.

The rating agency upgraded the hospital system to Aa2 from Aa3.

Moody's Investors Service dropped Fairfield Medical Center to Ba2 from Baa3.

Budget pressure amid plans for capital investments drove a downgrade to a hospital affiliated with the Mount Sinai Health System.

CommonSpirit Health will sell $2.7 billion of taxable bonds and $3.1 billion of tax-exempt debt, with BBB-plus ratings, into a supply-starved market.

Goshen Health is structuring roughly $25 million of the bonds with a mandatory tender and $45 million more as fixed-rate bonds.

The massive deal planned for August will bring debt from the former Dignity Health and Catholic Health Initiatives into a single credit group.

The health system is coming to market Tuesday with a $637 million new money and refunding sale.

The United Methodist Retirement Communities' $18 million sale follows a one notch downgrade by Fitch Ratings to BBB.