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The deal San Francisco Mayor Ed Lee recently struck with San Francisco-based California Pacific Medical Center to build five new medical facilities is raising concerns of increased healthcare costs among city leaders, according to a San Francisco Chronicle report.

In the first quarter of 2012, Moody's Investors Service reported an equal number of upgrades and downgrades in the non-profit hospital sector, but Moody's analysts expect a negative outlook for non-profit healthcare providers for the remainder of 2012.

Last month, the Louisville/Jefferson County metro government issued $271.26 million in bonds to Denver-based Catholic Health Initiatives to advance refund and annul outstanding bonds on behalf of CHI's Jewish Hospital and St. Mary's Healthcare in Louisville, Ky., among other purposes.

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