HOSPITALS & HEALTH SYSTEMS TRANSACTIONS

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Holland Community Hospital
October 2022
Holland, Michigan

Private Placement
Forward Refinancing

$36,090,000
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Holland Community Hospital
April 2022
Holland, Michigan

Private Placement Refinancing

$9,240,000
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Southwest General Health Center
December 2021
Ohio

Private Placement
Refinancing

$36,211,312
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Adventist HealthCare
October 2021
Maryland

Fixed Rate Project Financing
Fixed Rate Taxable Refinancing & Project Financing

$208,495,000
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Southwest General
May 2021
Ohio

Forward Refinancing

$53,190,000
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Henry Mayo Newhall Hospital
March 2021
California

Project Financing

$5,490,000
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Henry Mayo Newhall Hospital
March 2021
California

Insured Taxable Refinancing

$73,890,000
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Southwest General
August 2020
Ohio

Project Financing & Refinancing

$44,095,000
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Southwest General
August 2020
Ohio

Taxable Refinancing

$26,040,000
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Holland Hospital
July 2020
Michigan

Refinancing
Bank Direct Purchase

$10,444,444
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Beloit Health System, Inc.
January 2020
Wisconsin

Forward Refinancing

$21,325,000
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Bronson Healthcare Group
September 2019
Michigan

Forward Refinancing

$68,720,000
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Bronson Healthcare Group
September 2019
Michigan

Project Financing

$59,715,000
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Bronson Healthcare Group
September 2019
Michigan

Project Financing

$63,670,000
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Bronson Healthcare Group
September 2019
Michigan

Refinancing

$74,380,000
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Rogers Memorial Hospital, Inc.
August 2019
Wisconsin

Project Financing

$34,450,000
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Rogers Memorial Hospital, Inc.
August 2019
Wisconsin

Refinancing

$5,730,000
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Rogers Memorial Hospital, Inc.
August 2019
Wisconsin

Taxable Refinancing

$24,005,000
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In a partnership with
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May 2019
Wisconsin
Sell-Side Advisor
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Baptist Health System
April 2019
Florida

Refinancing

$255,520,000
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In the acquisition of
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September 2018
California
Buy Side Advisor
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Evangelical Community Hospital
June 2018
Pennsylvania

Private Placement
Restructuring

$17,371,471
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Evangelical Community Hospital
June 2018
Pennsylvania

Project Financing

$50,095,000
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Evangelical Community Hospital
June 2018
Pennsylvania

Taxable Refinancing

$19,365,000
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Bronson Healthcare Group
February 2018
Michigan

Forward Private Placement
Refinancing

$47,975,000
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Carson Tahoe Regional Healthcare
December 2017
Nevada

Project Financing
Refinancing

$105,000,000
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Adventist HealthCare
December 2017
Maryland

Private Placement
Project Financing

$40,000,000
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Adventist Health System/West
December 2017
California

Taxable Private Placement
Project Financing

$150,000,000
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Hampton Regional Medical Center
December 2017
South Carolina

Project Financing
Refinancing

$33,570,000
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Baptist Health System
August 2017
Florida

Refinancing

$55,525,000
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Bowling Green Medical Center
April 2017
Kentucky

Private Placement
Project Refinancing

$28,545,000
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Trinitas Regional Medical Center
April 2017
New Jersey

Refinancing

$82,970,000
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Henry Mayo Newhall Hospital
February 2017
California

Project Financing
Refinancing

$109,625,000
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Doctors Community Hospital
February 2017
Maryland

Refinancing

$64,165,000
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Adventist HealthCare
December 2016
Maryland

Private Placement Refinancing

$126,395,000
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Adventist HealthCare
December 2016
Maryland

Project Financing

$269,750,000
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Conway Medical Center
December 2016
South Carolina

Project Financing

$48,405,000
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Community Foundation of Northwest Indiana
December 2016
Indiana

Refinancing/Project Financing

$95,190,000
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Deborah Heart and Lung Center
November 2016
New Jersey

Private Placement Refinancing

$10,253,000
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Hallmark Health System
November 2016
Massachusetts

Private Placement
Real Estate Financing

$15,700,000
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Regional West Medical Center
November 2016
Nebraska

Refinancing/Project Financing

$68,470,000
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Bronson Healthcare Group
October 2016
Michigan

Refinancing

$115,010,000
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Holland Hospital
October 2016
Michigan

Refinancing/Project Financing

$41,320,000
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Adventist Health System/West
September 2016
California

Refinancing

$280,010,000
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Deborah Heart and Lung Center
September 2016
New Jersey

Taxable Private Placement
Project Financing

$14,350,000
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Adventist Health System/Sunbelt Obligated Group
August 2016
Florida

Project Financing/Refinancing

$173,250,000
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Beacon Health System
August 2016
Indiana

Private Placement
Project Financing

$50,000,000
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Adventist Health System/West
July 2016
California

Private Placement
Project Financing

$200,000,000
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Adventist Health System/Sunbelt Obligated Group
July 2016
Florida

Project Financing/Refinancing

$202,750,000
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Anderson Hospital
July 2016
Illinois

Private Placement Refinancing

$21,198,198
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Doctors Community Hospital
June 2016
Maryland

Private Placement Refinancing

$73,445,000
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Anderson Hospital
May 2016
Illinois

Private Placement Refunding

$18,258,035.71
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Mercy Health Corporation
May 2016
Illinois
Project Financing/Refinancing
$475,020,000
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Adventist Health System/West
July 2015
California
Taxable Private Placement Project Financing
$150,000,000
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Rogers Memorial Hospital Incorporated
July 2015
Wisconsin
Taxable Private Placement Project Financing
$25,000,000
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Valley Health System
July 2015
Virginia
Refinancing
$120,165,000
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Adventist Health System/West
June 2015
California
Refinancing/Project Financing
$187,500,000
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Baptist Health System
June 2015
Florida
Financial Advisor
$250,000,000
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Hallmark Health Systems
June 2015
Massachusetts
Private Placement
$30,000,000
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Community Foundation of Northwest Indiana
April 2015
Indiana
Refinancing
$58,560,000
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The Medical Center
April 2015
Kentucky
Private Placement Refinancing
$23,434,000
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Adventist HealthCare, Inc.
December 2014
Maryland
Private Placement Financing/Project Financing - February 2014
$25,000,000
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Hunterdon Healthcare
December 2014
New Jersey
Refinancing/Project Financing
$42,735,000
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Adventist HealthCare
November 2014
Maryland
Taxable Private Placement/Refinancing-November
$25,330,000
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Bronson Healthcare Group
November 2014
Michigan
Taxable Private Placement Refinancing/Project Financing
$94,365,000
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Conway Hospital Inc.
October 2014
South Carolina
FHA Section 242/223(f) Refinancing
$20,000,000
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St. Luke's Hospital of Duluth
September 2014
Minnesota
Taxable Private Placement Refinancing/Project Financing
$9,975,000
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Rogers Memorial Hospital Incorporated
August 2014
Wisconsin
Refinancing/Project Financing
$51,785,000
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Deborah Heart and Lung Center
May 2014
New Jersey
Private Placement Refinancing
$16,148,000
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Mile Bluff Medical Center, Inc.
May 2014
Wisconsin
Refinancing/Project Financing
$28,135,000
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Adventist HealthCare
February 2014
Maryland
Taxable Private Placement/Refinancing - December
$25,000,000
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Henry Mayo Newhall Memorial Hospital
February 2014
California
Refinancing/Project Financing
$70,000,000
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Elmhurst Memorial Healthcare
December 2013
Illinois
Swap Termination
$63,000,000
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Elmhurst Memorial Healthcare
December 2013
Illinois
Swap Termination
$48,000,000
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Henry Mayo Newhall Memorial Hospital
December 2013
California
Private Placement Refinancing/Project Financing
$89,555,000
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Adventist HealthCare, Inc.
December 2013
Maryland
Private Placement New Money
$25,000,000
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Sacred Heart Healthcare System
December 2013
Pennsylvania
Bridge Loan
$4,800,000
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Community Foundation of Northwest Indiana
October 2013
Indiana
Private Placement Refinancing
$25,412,259
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Evangelical Community Hospital
October 2013
Pennsylvania
Private Placement Refinancing
$19,694,697
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Adventist Health System
August 2013
Florida
Private Placement New Money
$485,000,000
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Conway Hospital Inc.
August 2013
South Carolina
Swap Termination
$33,845,000
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Illinois College of Optometry
August 2013
Illinois
Swap Termination
$12,500,000
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Illinois College of Optometry
August 2013
Illinois
Refinancing/Project Financing
$61,005,000
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RWJ Hamilton
August 2013
New Jersey
Private Placement Refinancing
$27,038,035
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Adventist HealthCare, Inc.
June 2013
Maryland
Private Placement Refinancing
$15,623,500
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Beaver Dam Community Hospitals, Inc.
June 2013
Wisconsin
Refinancing/Project Financing
$42,995,000
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Lowell General Hospital
May 2013
Massachusetts
Refinancing/Project Financing
$61,005,000
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Sacred Heart Healthcare System
April 2013
Pennsylvania
Private Placement Refinancing
$19,069,036
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Hallmark Health
March 2013
Massachusetts
Private Placement New Money
$20,000,000
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Hallmark Health
March 2013
Massachusetts
Private Placement Refunding
$49,606,423
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Holland Hospital
February 2013
Michigan
Refinancing/Project Financing
$37,010,000
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Adirondack Medical Center
November 2012
New York
Private Placement Refinancing/Project Financing
$12,817,439
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Adventist Health System
November 2012
Ohio
Refinancing
$232,125,000
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Community Foundation of Northwest Indiana
November 2012
Indiana
Refinancing/Project Financing
$175,020,000
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Conway Hospital Inc.
November 2012
South Carolina
Fixed Rate Conversion
$44,790,000
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Lowell General Hospital
November 2012
Massachusetts
Private Placement Refunding
$37,500,000
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Martin Memorial Medical Center
November 2012
Florida
Refinancing
$29,780,000
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Southwest General Health Center
November 2012
Ohio
Project Refinancing
$54,355,000
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St. Luke's Hospital of Duluth
October 2012
Minnesota
Refinancing/Project Financing
$81,595,000
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Adventist Health System
August 2012
Florida
Refinancing
$276,965,000
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Adventist Health System
August 2012
Florida
Private Placement Refinancing
$473,320,000
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Carson Tahoe
August 2012
Nevada
Refinancing
$52,930,000
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Watertown Regional Medical Center, Inc.
August 2012
Wisconsin
Refinancing/Project Financing
$16,680,000
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Marshfield Clinic
June 2012
Wisconsin
Project Financing
$104,090,000
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Beaver Dam Community Hospitals, Inc.
May 2012
Wisconsin
Private Placement Refinancing
$16,900,000
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Beaver Dam Community Hospitals, Inc.
May 2012
Wisconsin
Private Placement Refinancing
$8,845,000
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Mercy Alliance, Inc.
May 2012
Wisconsin
Refinancing/Project Financing
$169,475,000
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Regional West Medical Center
April 2012
Nebraska
Private Placement Refunding
$32,544,734
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Martin Memorial Medical Center
February 2012
Florida
Project Financing
$126,905,000
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Regional West Medical Center
February 2012
Nebraska
Private Placement Refunding
$23,161,032
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Anderson Hospital
December 2011
Illinois
Private Placement Refunding
$18,438,920
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Hallmark Health Systems
December 2011
Massachusetts
Private Placement Conversion & New Money
$30,755,000
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Hallmark Health Systems
December 2011
Massachusetts
Private Placement Refunding
$50,963,080
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Lowell General Hospital
December 2011
Massachusetts
Private Placement Conversion
$47,025,000
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Southwest General Health Center
December 2011
Ohio
Refinancing/Project Financing
$63,045,000
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Bronson Healthcare Group
November 2011
Michigan
Project Financing
$22,900,000
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Bronson Healthcare Group
November 2011
Michigan
Taxable Project Financing
$79,000,000
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Community Foundation of Northwest Indiana
October 2011
Indiana
Private Placement Refunding
$41,895,000
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Community Foundation of Northwest Indiana
October 2011
Indiana
Private Placement Refunding
$19,015,000
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Conway Hospital Inc.
October 2011
South Carolina
Private Placement Conversion
$45,855,000
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Adventist HealthCare
September 2011
Maryland
Private Placement Refunding
$59,980,000
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Adventist HealthCare
September 2011
Maryland
Refinancing
$57,205,000
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Conway Hospital Inc.
September 2011
South Carolina
Private Placement Refunding
$19,510,000
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St. Bernard Hospital & Healthcare System
August 2011
Illinois
Project Financing
$6,000,000
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Daviess County Hospital Association
May 2011
Indiana
Refinancing/Project Financing
$20,135,000
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Effingham Hospital
December 2010
Georgia
Taxable Recovery Zone Economic Development & Revenue Bonds
$30,940,000
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Bronson Healthcare Group
September 2010
Michigan
Tax Exempt Revenue & Revenue Refunding Bonds
$189,260,000
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Mercy Alliance, Inc.
June 2010
Wisconsin
Refinancing/Project Financing
$48,445,000