Not-for-profit healthcare

More project finance deals are part of FHN Financial's plans to grow its municipal finance business.

After Minnesota's second-largest healthcare employer was downgraded by rating agencies, the Minnesota Nurses Association took aim at Allina Health's board.

Fitch revised upward its outlook for Marin General Hospital and affirmed its revenue bonds at BBB, and general obligation bonds at AA-minus.

California hospitals will be forced to close if they don't complete earthquake safety upgrades by 2030. Gov. Gavin Newsom vetoed a bill to extend the deadline.

While the nonprofit hospital sector shows signs of stabilizing, Houston-based Texas Children's Hospital faces fiscal problems that led to two rating downgrades.

The purpose of restructuring is to help the Pennsylvania hospital operator "avoid a bankruptcy scenario," said Dora Lee of Belle Haven Investments.

The 0.34% sales tax rate increase would raise an estimated $70 million annually for Colorado's only safety net healthcare provider.

Existing California law requires hospitals to be fully operational after a large earthquake by 2030. The Senate has passed a bill to extend the deadline.

The system, trustee and bondholders of about $992 million in debt are supporting an exchange of "substantially all" existing bonds, a disclosure statement said.

Falling occupancy figures, staffing shortages, and rising labor costs have elevated the sector's risk, with Greenwich Investment Management's bankruptcy yet another example of how the sector requires thorough credit analysis.