Not-for-profit healthcare

The bond trustee for the city of Nevada, Missouri-owned Nevada Regional Medical Center declared its bonds to be in default.

Fitch Ratings recently downgraded Marshfield Clinic Health System, a nonprofit group of 11 hospitals in central Wisconsin, to BBB from BBB-plus.

Providing care for thousands of migrants is contributing to the system's escalating uncompensated care costs.

Altadena, California-based Episcopal Communities & Services for Seniors was able to sell bonds through a treasurer's conduit thanks to the new state law.

Bonds issued through the Westchester County Local Development Corp. will create a centralized base for the nonprofit's blood distribution and lab operations.

Bonds used to buy eight senior living properties in Michigan and Ohio are likely to default within six months, S&P Global Ratings said.

Medford, Oregon-based Asante Health enters 2024 with negative outlooks from Fitch and S&P as it works to complete expansion projects amid industry headwinds.

The deal includes $300 million of new money to embark on a $1.4 billion five-year capital plan.

The rating agency expects that an uptick in revenues will outpace expenses as the not-for-profit hospital industry gets a handle on labor costs.

Record-breaking hot temperatures in the Southwest this summer likely had economic consequences and could focus the municipal bond market on heat-related credit risks and infrastructure needs.