According to Municipal Market Analytics, nearly 4 percent of all hospital municipal bond debt is outstanding. The debt crisis is at its worst level in the past 15 years, including during the 2008 financial crash.
The COVID-19-era reliance on travel labor exacerbated the issue. Visalia, Calif.-based Kaweah Health paid nurses $200 per hour at the pandemic’s peak, according to the Journal.
The health system’s lenders now demand $18 million in reserves as a guarantee for bondholders.
Hospitals that fail to meet lenders’ requirements can face higher interest rates and credit downgrades.
