UPMC to issue $400M in bonds to fund ongoing projects

Pittsburgh-based UPMC plans to sell $350 million of series 2014A bonds and $50 million of series 2014B bonds to fund capital expenditures and refinance existing debt, according to an UPMC investor presentation on Sept. 15.

The series 2014A bonds will be issued by the Pennsylvania Economic Development Financing Authority and the 2014B bonds will be issued by the Monroeville Finance Authority.

Fitch Ratings assigned an "AA-" rating to the bonds, which was supported by UPMC's dominant market share in western Pennsylvania. UPMC is the largest health system in Pennsylvania, with more than 20 hospitals and nearly 5,000 beds in the state, and it has a market share of approximately 61 percent in Allegheny County.

Fitch also maintained UPMC's negative outlook based on the heightened competitive environment for managed care in western Pennsylvania due to the formation of Allegheny Health Network, which is managed by health insurer Highmark.

UPMC and Highmark have been embroiled in a longstanding turf war within the Pittsburgh metro area since 2011, when Highmark — the largest insurer in Pennsylvania — announced it would acquire West Penn Allegheny Health System, in an attempt to maintain the viability of a lower-cost competitor to UPMC.

After the insurer announced the acquisition, UPMC — which operates its own insurance arm — said it would not renew its contract with Highmark, saying the contract would benefit a direct rival.

After months of negotiations, Pennsylvania Governor Tom Corbett (R) announced UPMC and Highmark had entered into a five-year transition agreement that would allow Highmark enrollees to be covered by their out-of-network coverage rate, though UPMC services provided outside the greater Pittsburgh area will remain in-network for Highmark customers.

However, lawmakers felt there were many specialty care, emergency care and continuity of care issues that were far from resolved in the agreement, and Highmark's post-UPMC transition plan, which was released this month, provided no further guidance.

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