Not-for-profit healthcare

Fresh off the heels of its rebrand from Lifespan, Brown University Health is prepared to add to the size of its planned borrowing if rates are favorable.

Hospital and health insurance operator UPMC's $735 million deal looks routine. But the volatile healthcare and insurance environments may disrupt that standard.

A federal court has given an outside debtor-in-possession loan "superpriority" over the bondholders' lien.

The ratings agency cited weaker than expected financial performance in fiscal 2024 and a slow anticipated recovery in coming years.

Plans to sell a bankrupt municipal bond-financed care facility to a private equity firm threaten to upend care for its frail senior residents.

The zero-interest loan fund was announced following a Thursday meeting of CHFFA, the conduit chaired by Ma that will administer the program.

Fieldman, Rolapp & Co. has acquired Orem, Utah-based municipal advisor G.L. Hicks, a healthcare finance specialist.

The bonds — $824.8 million tax-exempt and $400 million taxable — follow Orlando Health's major acquisitions of hospitals in Alabama and Florida.

The Trump administration may cut the Affordable Care Act and Medicaid, which threatens to land on a hospital sector still recovering from the COVID-19 pandemic.

Bondholders are prepared to loan up to $22 million to the hospital.

"It became apparent that building this new critical care, advanced care bed tower was a strategic imperative," said John Morgan, interim CFO at WMCHealth.

The Philadelphia-based university straddles the higher education and healthcare sectors, but market demand suggests it's greater than the sum of its parts.

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.