Michigan State Hospital Finance Authority Revenue

Healthcare· MI· Unclaimed profile

Outstanding (EMMA est.)—

RatingsAa3 Moody's · AA+ S&P · AA+ Fitch

Last filingAug 2026

Compiled from MSRB EMMA & public records · read-only public record · debt as of Sep 13, 2026 · latest trade Sep 11, 2026 · latest filing Aug 28, 2026

Bonds issued for Healthcare facilities

Credit ratings

agency-stated

Moody's

Aa3

90 rated securities · insured

S&P

AA+

66 rated securities · insured

Fitch

AA+

57 rated securities · insured

Outstanding par by rating agency and grade
Agency	Rating	Par	Share	CUSIPs
Moody's	A2	$1.5B	40.0%	27
	Aa2	$1.3B	35.8%	24
	Aa3	$811.2M	22.2%	33
	A1	$72.5M	2.0%	6
S&P	AA+	$1.4B	66.7%	30
	AA-	$530.3M	25.6%	28
	AA	$159.4M	7.7%	8
Fitch	A+	$1.3B	57.0%	20
	AA+	$825.3M	35.7%	23
	AA-	$169.3M	7.3%	14

Par-weighted mix of agency grades across the outstanding securities EMMA lists for this issuer; shares are of each agency’s rated par. A split usually reflects distinct liens or credits under one issuer, not disagreement about a single credit.

Maturity profile

par maturing by year · as of Sep 2026

Recent activity

rating actions & filings

Quarterly / Monthly Financial Information filed

Aug 28, 2026 · Quarterly / Monthly Financial Information: 2026 Q2 Quarterly Re…

Quarterly / Monthly Financial Information filed

Aug 25, 2026 · Quarterly / Monthly Financial Information: 2026 2nd Quarter Rep…

Other Financial / Operating Data filed

Aug 19, 2026 · Other Financial / Operating Data: Incorporate OS by Reference

Quarterly / Monthly Financial Information filed

Aug 14, 2026 · Quarterly / Monthly Financial Information: Monthly Liquidity In…

Quarterly / Monthly Financial Information filed

Aug 13, 2026 · Quarterly / Monthly Financial Information: Bronson Healthcare G…

Official statement posted

Aug 10, 2026 · HOSPITAL REVENUE AND REVENUE REFUNDING BONDS (HENRY FORD HEALT…

In context

Among the largest MI issuers by debt outstanding · #3 of 1460

Debt overview

EMMA-derived

Outstanding par (EMMA est.)—

Securities379

Callable13%

Outstanding securities

379

Sort

Outstanding securities for Michigan State Hospital Finance Authority Revenue
CUSIP	Series / description	Coupon	Maturity	Outstanding	Ratings	First call
59465HNX0	MICHIGAN ST HOSP FIN AUTH REV SUB REV BDS ASCENSION H…	5.0%	Oct 1, 2026	$12,640,000	—	—
59465HUC8	MICHIGAN ST HOSP FIN AUTH REV REV BDS ASCENSION HEALT…	1.375%	Oct 1, 2026	$11,555,000	—	—
59465HVH6	MICHIGAN ST HOSP FIN AUTH REV BDS ASCENSION HEALTH SU…	4.0%	Nov 1, 2026	$4,455,000	Moody’s Aa3S&P AAFitch AA+	—
59465HXL5	UNREFUNDED BALANCE-2025	4.0%	Nov 1, 2026	$755,000	—	—
59465HVS2	MICHIGAN ST HOSP FIN AUTH REV BDS ASCENSION HEALTH SU…	5.0%	Nov 1, 2026	$4,450,000	Moody’s Aa3S&P AAFitch AA+	—
59465HXK7	PREREFUNDED-2025-ASCENSION	4.0%	Nov 1, 2026	$2,370,000	—	—
59465HWL6	UNREFUNDED BALANCE-ASCENSION	4.0%	Nov 1, 2026	$3,125,000	—	—
59465HWK8	PREREFUNDED-ASCENSION HEALTH	4.0%	Nov 1, 2026	$1,330,000	—	—
59465E4U4	REF-ASCENSION HEALTH GRP-B-8	0.0%	Nov 15, 2026	$48,550,000	—	—
59465ED67	ASCENSION HLTH CREDIT-SER A	6.125%	Nov 15, 2026	$139,370,000	—	—
59465HFH4	REF-HOSP-SPARROW OBLIGATED	4.5%	Nov 15, 2026	$11,000,000	Moody’s A2	May 20, 2026
59465HDH6	REF-HENRY FORD HEALTH SYS-A	5.0%	Nov 15, 2026	$6,590,000	—	—
59465HHH2	VAR-ASCENSION HLTH SR CR-B-1	0.0%	Nov 15, 2026	$68,850,000	—	—
59465HUU8	MICHIGAN ST HOSP FIN AUTH REV VAR BDS ASCENSION HEALT…	4.0%	Nov 15, 2026	$3,725,000	Moody’s Aa2S&P AA+Fitch AA+	—
59465E4R1	REF-ASCENSION HEALTH GRP-B-5	0.0%	Nov 15, 2026	$70,000,000	—	—
59465HHN9	VAR-ASCENSION HLTH SR CR-B-4	0.0%	Nov 15, 2026	$66,000,000	—	—
59465E4N0	REF-ASCENSION HEALTH GRP-B-2	0.0%	Nov 15, 2026	$66,000,000	S&P AA+	—
59465EE25	ASCENSION HLTH-SER A-NATL IBC	6.125%	Nov 15, 2026	—	—	—
59465HHJ8	VAR-ASCENSION HLTH SR CR-B-3	0.0%	Nov 15, 2026	$70,000,000	—	—
59465HHM1	VAR-ASCENSION HLTH SR CR-B-2	0.0%	Nov 15, 2026	$66,000,000	—	—
59465E4T7	REF-ASCENSION HEALTH GRP-B-7	0.0%	Nov 15, 2026	$70,000,000	—	—
59465HSJ6	PREREFUNDED-REF-HOSP-SPARROW	4.5%	Nov 15, 2026	$7,740,000	—	—
59465HHP4	VAR-ASCENSION HLTH SR CR-B-6	0.0%	Nov 15, 2026	$66,000,000	—	—
59465HHK5	VAR-ASCENSION HLTH SR CR-B-5	0.0%	Nov 15, 2026	$70,000,000	—	—
59465EHD8	HOSP-SPARROW OBLIGATED GROUP	5.9%	Nov 15, 2026	$11,305,000	—	—
59465HHL3	VAR-ASCENSION HLTH SR CR-B-7	0.0%	Nov 15, 2026	$70,000,000	—	—
59465HST4	UNREFUNDED BALANCE-REF-HOSP-	4.5%	Nov 15, 2026	$3,260,000	—	—
59465HHQ2	VAR-ASCENSION HLTH SR CR-B-8	0.0%	Nov 15, 2026	$48,550,000	—	—
59465E2N2	ASCENSION HEALTH-SER B	5.25%	Nov 15, 2026	$38,965,000	—	—
59465E4M2	REF-ASCENSION HEALTH GRP-B-1	0.0%	Nov 15, 2026	$68,850,000	S&P AA+	—
59465HAR7	REF-SPARROW OBLIGATED GROUP	5.0%	Nov 15, 2026	$19,115,000	—	—
59465E4Q3	REF-ASCENSION HEALTH GRP-B-4	0.0%	Nov 15, 2026	$66,000,000	—	—
59465E4P5	REF-ASCENSION HEALTH GRP-B-3	0.0%	Nov 15, 2026	$70,000,000	—	—
59465E4S9	REF-ASCENSION HEALTH GRP-B-6	0.0%	Nov 15, 2026	$66,000,000	—	—
59465HPA8	PREREFUNDED-TRINITY HEALTH CR	5.0%	Dec 1, 2026	$7,010,000	—	—
59465HUM6	MICHIGAN ST HOSP FIN AUTH REV REF BDS TRINITY HLTH CR…	5.0%	Dec 1, 2026	$16,000,000	Moody’s Aa3S&P AA-Fitch AA-	—
59465HPD2	UNREFUNDED BALANCE-TRINITY	5.0%	Dec 1, 2026	$31,445,000	—	—
59465HQG4	MICHIGAN ST HOSP FIN AUTH REV REV REF BDS TRINITY HEA…	5.0%	Dec 1, 2026	$9,535,000	Moody’s Aa3S&P AA-	—
59465HEC6	TRINITY HEALTH CR GROUP-SER A	5.0%	Dec 1, 2026	$38,455,000	—	—
59465EZ89	REF-HOSP-CRITTENTON-SER A	5.625%	Mar 1, 2027	$15,820,000	—	—
59465EZ97	VAR-HOSP-CRITTENTON-SER B	0.0%	Mar 1, 2027	$37,000,000	—	—
59465HYD2	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	May 15, 2027	$6,710,000	—	—
59465HXQ4	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	May 15, 2027	$4,100,000	—	—
59465HRG3	MICHIGAN ST HOSP FIN AUTH REV REF BDS MCLAREN HLTH CA…	5.0%	Jun 1, 2027	$6,385,000	Moody’s A1Fitch AA-	—
59465ERP0	REF-MIDMICHIGAN OBLIG GRP-A	5.375%	Jun 1, 2027	$10,490,000	—	—
59465EA45	REF-MIDMICHIGAN-A-NATL IBC	5.375%	Jun 1, 2027	—	—	—
59465EJQ7	MERCY HLTH SVCS-SER R	5.5%	Aug 15, 2027	—	—	—
59465EYH0	REF-HOSP-DETROIT-A-NATL IBC	5.25%	Aug 15, 2027	—	—	—
59465EPU1	REF-HOSP-DETROIT MEDICAL GRP-A	0.0%	Aug 15, 2027	—	—	—
59465EQR7	MERCY HLTH SVCS-SER W	5.25%	Aug 15, 2027	$13,555,000	S&P AA	—
59465EPT4	REF-HOSP-DETROIT MEDICAL GRP-A	5.25%	Aug 15, 2027	$86,610,000	—	—
59465EJP9	MERCY HLTH SVCS-SER Q	5.5%	Aug 15, 2027	—	—	—
59465E2V4	—	—	Sep 1, 2027	$9,875,000	—	—
59465ETM5	REF-HOSP-GENESIS-A-ACA-CBI	5.5%	Oct 1, 2027	—	—	—
59465EAN3	REF-HOSP-GENESYS HLTH SYS-A	7.5%	Oct 1, 2027	$87,590,000	—	—
59465ETK9	REF-HOSP-GENESYS REGL MED-A	5.5%	Oct 1, 2027	$130,795,000	—	—
59465EGM9	HOSP-CENTRAL MICH CMNTY HOSP	6.25%	Oct 1, 2027	$11,095,000	—	—
59465E7L1	ASCENSION HLTH SUB CREDIT-A-1	5.0%	Oct 1, 2027	$18,650,000	—	—
59465HWE2	UNREFUNDED BALANCE-ASCENSION	4.0%	Nov 1, 2027	$335,000	—	—
59465HPG5	MICHIGAN ST HOSP FIN AUTH REV SUB REV BDS ASCENSION H…	4.0%	Nov 1, 2027	$15,260,000	—	—
59465HWG7	UNREFUNDED BALANCE- ASCENSION	4.0%	Nov 1, 2027	$330,000	—	—
59465HWD4	PREREFUNDED-ASCENSION HEALTH	4.0%	Nov 1, 2027	$2,040,000	—	—
59465E7N7	ASCENSION HLTH SUB CREDIT-A-3	5.0%	Nov 1, 2027	$55,900,000	—	—
59465HWF9	—	4.0%	Nov 1, 2027	$5,000	—	—
59465HRQ1	MICHIGAN ST HOSP FIN AUTH REV SUB HOSP REV BDS ASCENS…	1.625%	Nov 1, 2027	$49,810,000	Moody’s Aa3Fitch AA+	—
59465HQP4	MICHIGAN ST HOSP FIN AUTH REV SUB REV BDS ASCENSION H…	1.87%	Nov 1, 2027	$47,650,000	S&P AA	—
59465HVT0	MICHIGAN ST HOSP FIN AUTH REV BDS ASCENSION HEALTH SU…	5.0%	Nov 1, 2027	$3,525,000	Moody’s Aa3S&P AAFitch AA+	—
59465HTW6	MICHIGAN ST HOSP FIN AUTH REV REV BDS ASCENSION HEALT…	1.5%	Nov 1, 2027	$14,915,000	Fitch AA+	—
59465E7P2	ASCENSION HLTH SUB CREDIT-A-4	5.0%	Nov 1, 2027	$55,825,000	Moody’s Aa3	—
59465HVJ2	MICHIGAN ST HOSP FIN AUTH REV BDS ASCENSION HEALTH SU…	4.0%	Nov 1, 2027	$2,375,000	Moody’s Aa3S&P AAFitch AA+	—
59465E7M9	ASCENSION HLTH SUB CREDIT-A-2	5.0%	Nov 1, 2027	$18,600,000	S&P AA	—
59465HRX6	MICHIGAN ST HOSP FIN AUTH REV VAR RATE REV BDS ASCENS…	5.0%	Nov 15, 2027	$15,700,000	Moody’s Aa2S&P AA+Fitch AA+	—
59465HUV6	MICHIGAN ST HOSP FIN AUTH REV VAR BDS ASCENSION HEALT…	4.0%	Nov 15, 2027	$15,600,000	Moody’s Aa2S&P AA+Fitch AA+	—
59465HYQ3	MICHIGAN ST HOSP FIN AUTH REV REF BDS HENRY FORD HLTH…	5.0%	Nov 15, 2027	$21,400,000	Moody’s A2Fitch A+	Nov. 15, 2027
59465HDJ2	REF-HENRY FORD HEALTH SYS-A	4.8%	Nov 15, 2027	$6,915,000	—	—
59465HNE2	PREREFUNDED-A-AMBAC TCRS-BNY	6.0%	Dec 1, 2027	—	—	—
59465HQH2	MICHIGAN ST HOSP FIN AUTH REV REV REF BDS TRINITY HEA…	5.0%	Dec 1, 2027	$15,385,000	Moody’s Aa3S&P AA-	—
59465ES95	REF-TRINITY-A-AMBAC TCRS-BNY	6.0%	Dec 1, 2027	—	—	—
59465HUN4	MICHIGAN ST HOSP FIN AUTH REV REF BDS TRINITY HLTH CR…	5.0%	Dec 1, 2027	$16,590,000	Moody’s Aa3S&P AA-Fitch AA-	—
59465HMF0	PREREFUNDED-REF-TRINITY-A	6.0%	Dec 1, 2027	$755,000	—	—
59465EM91	REF-TRINITY HEALTH-SER A	6.0%	Dec 1, 2027	$50,785,000	—	—
59465HMG8	UNREFUNDED BAL-REF-TRINITY-A	6.0%	Dec 1, 2027	$50,030,000	—	—
59465HNG7	PREREFUNDED-TRINITY HLTH-A	6.0%	Dec 1, 2027	—	—	—
59465ES61	REF-TRINITY HLTH-A-AMBAC TCRS	6.0%	Dec 1, 2027	—	—	—
59465E6Z1	HOSP-HOLLAND CMNTY HOSP-SER A	5.125%	Jan 1, 2028	$3,280,000	—	—
59465EKB8	HOSP-HOLLAND CMNTY HOSP	5.625%	Jan 1, 2028	$7,925,000	—	—
59465EVF7	REF-ST JOHN HLTH SYS-A-MBIAIBC	5.0%	May 15, 2028	—	—	—
59465ESX2	VAR-REF-TAXABLE-ST JOHN HLTH-C	0.0%	May 15, 2028	$44,800,000	—	—
59465HJH0	REF-MCLAREN HEALTH CARE-SER A	5.625%	May 15, 2028	$68,890,000	—	—
59465ESJ3	REF-ST JOHN HLTH SYS-SER A	5.0%	May 15, 2028	$57,650,000	—	—
59465HXR2	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	May 15, 2028	$4,305,000	—	—
59465HYE0	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	May 15, 2028	$7,055,000	—	—
59465EXD0	REF-MCLAREN HLTH-A-NATL IBC	5.0%	Jun 1, 2028	—	—	—
59465HRH1	MICHIGAN ST HOSP FIN AUTH REV REF BDS MCLAREN HLTH CA…	5.0%	Jun 1, 2028	$5,215,000	Moody’s A1Fitch AA-	—
59465EXC2	REF-MCLAREN HLTH CARE CORP-A	5.0%	Jun 1, 2028	$39,810,000	—	—
59465EXK4	DETROIT MED CTR OBLIGATED-A	5.25%	Aug 15, 2028	$66,855,000	—	—
59465E2S1	DETROIT MED CTR-OB-A-ACA-CBI	5.25%	Aug 15, 2028	—	—	—
59465E3Q4	VAR-REF-BON SECOURS HEALTH-B	0.0%	Nov 1, 2028	$67,600,000	Moody’s A2	—
59465E7Y3	VAR-REF-MCLAREN HLTH CARE-A-3	0.0%	Nov 2, 2028	$24,965,000	Moody’s A1	—
59465HYR1	MICHIGAN ST HOSP FIN AUTH REV REF BDS HENRY FORD HLTH…	5.0%	Nov 15, 2028	$22,470,000	Moody’s A2Fitch A+	Nov. 15, 2028
59465HQJ8	MICHIGAN ST HOSP FIN AUTH REV REV REF BDS TRINITY HEA…	5.0%	Dec 1, 2028	$18,500,000	Moody’s Aa3S&P AA-	—
59465HUP9	MICHIGAN ST HOSP FIN AUTH REV REF BDS TRINITY HLTH CR…	5.0%	Dec 1, 2028	$17,280,000	Moody’s Aa3S&P AA-Fitch AA-	Dec. 1, 2027
59465HKJ4	REF-TRINITY HLTH CREDIT-A-1	6.25%	Dec 1, 2028	$22,825,000	S&P AA-	—
59465EJ53	REF-MERCY MT CLEMENS-SER A	5.75%	May 15, 2029	$26,675,000	—	—
59465HXS0	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	May 15, 2029	$4,530,000	—	—
59465HYF7	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	May 15, 2029	$7,415,000	—	—
59465HLC8	MICHIGAN ST HOSP FIN AUTH REV REV BDS MIDMICHIGAN HEA…	6.0%	Jun 1, 2029	$9,985,000	S&P AA+	—
59465HBK1	MCLAREN HEALTH CARE-SER C	4.75%	Aug 1, 2029	$12,185,000	—	—
59465EYG2	HOSP-CHARITY OBLIG-A-NATL IBC	5.125%	Nov 1, 2029	—	—	—
59465EYF4	HOSP-CHARITY OBLIG GRP-SER A	5.125%	Nov 1, 2029	$25,385,000	—	—
59465HLZ7	MICHIGAN ST HOSP FIN AUTH REV REV REF BDS HENRY FORD …	5.625%	Nov 15, 2029	$56,125,000	—	—
59465HYS9	MICHIGAN ST HOSP FIN AUTH REV REF BDS HENRY FORD HLTH…	5.0%	Nov 15, 2029	$23,595,000	Moody’s A2Fitch A+	Nov. 15, 2029
59465HYA8	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	Nov 15, 2029	$90,000,000	—	Aug. 15, 2029
59465HQK5	MICHIGAN ST HOSP FIN AUTH REV REV REF BDS TRINITY HEA…	5.0%	Dec 1, 2029	$26,000,000	Moody’s Aa3S&P AA-	—
59465EJ87	VAR-COVENANT RETIREMENT-SER A	0.0%	Dec 1, 2029	$9,430,000	—	—
59465HED4	TRINITY HEALTH CR GROUP-SER A	4.65%	Dec 1, 2029	$36,365,000	—	—
59465HPE0	UNREFUNDED BALANCE-TRINITY	4.65%	Dec 1, 2029	$29,740,000	—	—
59465HPB6	PREREFUNDED-TRINITY HEALTH CR	4.65%	Dec 1, 2029	$6,625,000	—	—
59465HTK2	UNREFUNDED	5.0%	Dec 1, 2029	$24,795,000	Moody’s Aa3S&P AA-	—
59465HTE6	PREREFUNDED-REF-TRINITY HEALTH	5.0%	Dec 1, 2029	$1,205,000	—	—
59465HUQ7	MICHIGAN ST HOSP FIN AUTH REV REF BDS TRINITY HLTH CR…	5.0%	Dec 1, 2029	$11,465,000	Moody’s Aa3S&P AA-Fitch AA-	Dec. 1, 2027
59465E7D9	HOSP-HOLLAND CMNTY HOSP-SER A	5.25%	Jan 1, 2030	$3,275,000	—	—
59465E4Z3	VAR-REF-CRITTENTON HOSP-SER A	0.0%	Mar 1, 2030	$52,400,000	—	—
59465E4W0	HEALTHCARE EQUIP LN PG-SER B	0.0%	May 1, 2030	$595,000	—	—
59465EK69	ADJ-HLTHCARE EQUIP LN PROG-B	0.0%	May 1, 2030	$10,000,000	—	—
59465E2Q5	VAR-HLTHCARE EQUIP LN PG-SER B	0.0%	May 1, 2030	$5,000,000	—	—
59465E2J1	VAR-HLTHCARE EQUIP LN PG-SER B	0.0%	May 1, 2030	$10,000,000	—	—
59465EX73	VAR-HLTHCARE EQUIP LN PG-B	0.0%	May 1, 2030	$6,000,000	—	—
59465HJT4	VAR-HLTHCARE-B-RMKT 9/29/08	0.0%	May 1, 2030	—	—	—
59465ES46	VAR-HOSP EQUIP LN PROG-SER B-3	0.0%	May 1, 2030	$10,000,000	—	—
59465ET29	VAR-HLTH EQUIP LN PROG-SER B	0.0%	May 1, 2030	$20,000,000	—	—
59465HXT8	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	May 15, 2030	$1,805,000	—	—
59465HBQ8	CHELSEA CMNTY HOSP OBLIGATED	5.0%	May 15, 2030	$5,880,000	—	—
59465HYG5	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	May 15, 2030	$7,795,000	—	—
59465HNL6	ROCS-RR-II-R-11869	0.0%	Aug 1, 2030	—	—	—
59465HNM4	ROLS-RR-II-R-11869	0.0%	Aug 1, 2030	—	—	—
59465ES87	VAR-SER A	0.0%	Oct 1, 2030	$7,890,000	—	—
59465HJK3	VAR-REF-MCLAREN HEALTH CARE-B	0.0%	Oct 15, 2030	$50,000,000	—	—
59465HJL1	VAR-REF-MCLAREN HEALTH CARE-B	0.0%	Oct 15, 2030	$45,315,000	—	—
59465HYT7	MICHIGAN ST HOSP FIN AUTH REV REF BDS HENRY FORD HLTH…	5.0%	Nov 15, 2030	$24,905,000	Moody’s A2Fitch A+	Nov. 15, 2030
59465HNS1	RESIDUALS-SER 3244-3	0.0%	Dec 1, 2030	—	—	—
59465HNQ5	RESIDUALS-SER 3244	0.0%	Dec 1, 2030	—	—	—
59465HTL0	UNREFUNDED	5.0%	Dec 1, 2030	—	—	—
59465HTF3	PREREFUNDED-REF-TRINITY HEALTH	0.0%	Dec 1, 2030	—	—	—
59465HNY8	PREREFUNDED-REF-TRINITY HEALTH	5.375%	Dec 1, 2030	$11,660,000	—	—
59465HJP2	VAR-TRINITY-E-RMKT-09/25/08	0.0%	Dec 1, 2030	—	—	—
59465HNR3	RESIDUALS-SER 3244-2	0.0%	Dec 1, 2030	—	—	—
59465E2X0	REF-TRINITY HEALTH CREDIT-C	5.375%	Dec 1, 2030	$137,855,000	—	—
59465HUR5	MICHIGAN ST HOSP FIN AUTH REV REF BDS TRINITY HLTH CR…	5.0%	Dec 1, 2030	$11,690,000	Moody’s Aa3S&P AA-Fitch AA-	Dec. 1, 2027
59465ES79	VAR-REF-TRINITY HEALTH-SER E	0.0%	Dec 1, 2030	$162,315,000	—	—
59465HQL3	MICHIGAN ST HOSP FIN AUTH REV REV REF BDS TRINITY HEA…	5.0%	Dec 1, 2030	$6,000,000	Moody’s Aa3S&P AA-	—
59465HNZ5	UNREFUNDED BALANCE-REF-	5.375%	Dec 1, 2030	$126,195,000	—	—
59465HNP7	FLOATERS-SER 3244	0.0%	Dec 1, 2030	—	—	—
59465HEA0	MIDMICHIGAN OBLIG GROUP-SER A	4.75%	Apr 15, 2031	$26,360,000	—	—
59465HXU5	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	May 15, 2031	$5,000,000	—	—
59465EK85	VAR-HOSP-CHELSEA CMNTY HOSP	0.0%	May 15, 2031	$8,000,000	—	—
59465HYH3	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	May 15, 2031	$8,190,000	—	—
59465HBL9	MCLAREN HEALTH CARE-SER C	4.625%	Aug 1, 2031	$3,480,000	—	—
59465EXN8	REF-OAKWOOD OBLIG-A-NATL IBC	5.0%	Aug 15, 2031	$64,820,000	—	—
59465EUG6	REF-OAKWOOD OBLIG GRP-SER A	5.0%	Aug 15, 2031	$64,820,000	S&P AA	—
59465E7Z0	VAR-REF-MCLAREN HLTH CARE-A-4	0.0%	Oct 15, 2031	$24,965,000	Moody’s A1	—
59465HRY4	MICHIGAN ST HOSP FIN AUTH REV VAR RATE REV BDS ASCENS…	5.0%	Nov 15, 2031	$11,700,000	Moody’s Aa2S&P AA+Fitch AA+	—
59465HGB6	REF-HOSP-SPARROW-NATL IBC	5.0%	Nov 15, 2031	$8,500,000	Moody’s A2	—
59465HUW4	MICHIGAN ST HOSP FIN AUTH REV VAR BDS ASCENSION HEALT…	4.0%	Nov 15, 2031	$11,600,000	Moody’s Aa2S&P AA+Fitch AA+	May 15, 2028
59465HSK3	PREREFUNDED-REF-HOSP-SPARROW	5.0%	Nov 15, 2031	$23,605,000	—	—
59465HSU1	UNREFUNDED BALANCE-REF-HOSP-	5.0%	Nov 15, 2031	$9,640,000	—	—
59465EX57	REF-HOSP-SPARROW OBLIG GROUP	5.625%	Nov 15, 2031	$17,560,000	—	—
59465HFJ0	REF-HOSP-SPARROW OBLIGATED	5.0%	Nov 15, 2031	$33,245,000	Moody’s A2	May 20, 2026
59465HSX5	PREREFUNDED-REF-HOSP-SPARROW-	5.0%	Nov 15, 2031	—	Moody’s A2	—
59465HSY3	UNREFUNDED	5.0%	Nov 15, 2031	—	Moody’s A2	—
59465HYU4	MICHIGAN ST HOSP FIN AUTH REV REF BDS HENRY FORD HLTH…	5.0%	Nov 15, 2031	$26,235,000	Moody’s A2Fitch A+	Nov. 15, 2031
59465HPF7	UNREFUNDED BALANCE-TRINITY	5.0%	Dec 1, 2031	$36,805,000	—	—
59465HPC4	PREREFUNDED-TRINITY HEALTH CR	5.0%	Dec 1, 2031	$8,195,000	—	—
59465HEE2	TRINITY HEALTH CR GROUP-SER A	5.0%	Dec 1, 2031	$45,000,000	—	—
59465HUS3	MICHIGAN ST HOSP FIN AUTH REV REF BDS TRINITY HLTH CR…	5.0%	Dec 1, 2031	$25,570,000	Moody’s Aa3S&P AA-Fitch AA-	Dec. 1, 2027
59465E3P6	HOSP-OAKWOOD OBLIG GROUP-SER A	5.75%	Apr 1, 2032	$44,325,000	—	—
59465E3M3	HOSP-MIDMICHIGAN OBLIG GRP-A	5.0%	Apr 15, 2032	$4,000,000	—	—
59465HXV3	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	May 15, 2032	$5,255,000	—	—
59465HYJ9	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	May 15, 2032	$8,620,000	—	—
59465HDW3	VAR-MUNISING MEM HOSP ASSN PJ	0.0%	Sep 1, 2032	$14,200,000	—	—
59465HRZ1	MICHIGAN ST HOSP FIN AUTH REV VAR RATE REV BDS ASCENS…	5.0%	Nov 15, 2032	$25,500,000	Moody’s Aa2S&P AA+Fitch AA+	—
59465HXJ0	MICHIGAN ST HOSP FIN AUTH REV VAR BDS ASCENSION HEALT…	4.0%	Nov 15, 2032	$6,685,000	—	May 15, 2028
59465HWJ1	MICHIGAN ST HOSP FIN AUTH REV VAR BDS ASCENSION HEALT…	4.0%	Nov 15, 2032	$18,910,000	—	May 15, 2028
59465HYV2	MICHIGAN ST HOSP FIN AUTH REV REF BDS HENRY FORD HLTH…	5.0%	Nov 15, 2032	$213,720,000	Moody’s A2Fitch A+	Aug. 15, 2032
59465HXH4	—	4.0%	Nov 15, 2032	$12,225,000	—	—
59465HUX2	MICHIGAN ST HOSP FIN AUTH REV VAR BDS ASCENSION HEALT…	4.0%	Nov 15, 2032	$25,500,000	Moody’s Aa2S&P AA+Fitch AA+	May 15, 2028
59465HWH5	—	4.0%	Nov 15, 2032	$6,590,000	—	—
59465HDK9	REF-HENRY FORD HEALTH SYS-A	5.25%	Nov 15, 2032	$40,255,000	—	—
59465HJX5	VAR-HEALTHCARE-C-RMKT-10/07/08	0.0%	Dec 1, 2032	—	—	—
59465HBS4	VAR-HEALTHCARE EQUIP LN PG-C	0.0%	Dec 1, 2032	$10,000,000	—	—
59465HBB1	VAR-HEALTHCARE EQUIP LN PROG-C	0.0%	Dec 1, 2032	$15,000,000	—	—
59465HCG9	VAR-HEALTHCARE EQUIP LN PROG-C	0.0%	Dec 1, 2032	$15,000,000	—	—
59465HGT7	VAR-HEALTHCARE EQUIP LN PROG-C	0.0%	Dec 1, 2032	$5,000,000	—	—
59465HKA3	VAR-HEALTHCARE-C-RMKT-10/14/08	0.0%	Dec 1, 2032	—	—	—
59465HEK8	—	—	Dec 1, 2032	$7,500,000	—	—
59465HVZ6	PREREFUNDED-REF-TRINITY	5.0%	Dec 1, 2032	$1,650,000	—	—
59465E5A7	VAR-HEALTHCARE EQUIP LN PG-C	0.0%	Dec 1, 2032	$10,000,000	—	—
59465HKS4	—	—	Dec 1, 2032	$9,000,000	—	—
59465E5V1	VAR-HLTHCARE EQUIP LN PROG-C	0.0%	Dec 1, 2032	$13,400,000	—	—
59465E5C3	VAR-TRINITY HEALTH GROUP-SER B	0.0%	Dec 1, 2032	$13,125,000	—	—
59465E7K3	VAR-HEALTHCARE EQUIP LN PG-C	0.0%	Dec 1, 2032	$5,000,000	—	—
59465HCM6	VAR-HEALTHCARE EQUIP LN PG-C	0.0%	Dec 1, 2032	$5,000,000	—	—
59465HJV9	VAR-HEALTHCARE-C-RMKT-10/08/08	0.0%	Dec 1, 2032	—	—	—
59465E4V2	HEALTHCARE EQUIP LN PG-SER C	0.0%	Dec 1, 2032	$7,500,000	—	—
59465HJW7	VAR-HEALTHCARE-C-RMKT-10/07/08	0.0%	Dec 1, 2032	—	—	—
59465HGU4	VAR-HEALTHCARE EQUIP LN PROG-C	0.0%	Dec 1, 2032	$5,000,000	—	—
59465HJS6	VAR-HLTHCARE-C-RMKT 9/29/08	0.0%	Dec 1, 2032	—	—	—
59465HUT1	MICHIGAN ST HOSP FIN AUTH REV REF BDS TRINITY HLTH CR…	5.0%	Dec 1, 2032	$15,395,000	Moody’s Aa3S&P AA-Fitch AA-	Dec. 1, 2027
59465E6T5	VAR-HEALTHCARE EQUIP LN PROG-C	0.0%	Dec 1, 2032	$12,000,000	—	—
59465E7F4	VAR-HEALTHCARE EQUIP LN PG-C	0.0%	Dec 1, 2032	$10,000,000	—	—
59465HLG9	VAR-HLTHCARE EQUIP-C-RMKT-	0.0%	Dec 1, 2032	—	—	—
59465HHV1	—	—	Dec 1, 2032	$7,500,000	—	—
59465HPM2	MICHIGAN ST HOSP FIN AUTH REV REF REV BDS TRINITY HEA…	4.0%	Dec 1, 2032	$29,735,000	S&P AA-	—
59465E8A4	VAR-HEALTHCARE EQUIP LN PG-C	0.0%	Dec 1, 2032	$7,500,000	—	—
59465HJZ0	VAR-HEALTHCARE-C-RMKT-10/14/08	0.0%	Dec 1, 2032	—	—	—
59465HJY3	VAR-HEALTHCARE-C-RMKT-10/07/08	0.0%	Dec 1, 2032	—	—	—
59465E4X8	HEALTHCARE EQUIP LN PG-SER C	0.0%	Dec 1, 2032	$7,500,000	—	—
59465HDY9	ADJ-HEALTHCARE EQUIP LN PG	0.0%	Dec 1, 2032	$10,000,000	—	—
59465E3R2	VAR-HEALTHCARE EQUIP LN PROG-C	0.0%	Dec 1, 2032	$7,500,000	—	—
59465HHT6	VAR-HEALTHCARE EQUIP LN PROG-C	0.0%	Dec 1, 2032	$2,000,000	—	—
59465E4Y6	HEALTHCARE EQUIP LN PROG-SER C	0.0%	Dec 1, 2032	$5,000,000	—	—
59465HEP7	—	—	Dec 1, 2032	$10,000,000	—	—
59465HGG5	VAR-HEALTHCARE EQUIP LN PG-C	0.0%	Dec 1, 2032	$7,500,000	—	—
59465HLH7	VAR-HLTHCARE EQUIP-C-RMKT-	0.0%	Dec 1, 2032	—	—	—
59465HJR8	VAR-HLTHCARE-C-RMKT 10/3/08	0.0%	Dec 1, 2032	—	—	—
59465E5B5	VAR-HEALTHCARE EQUIP LN-SER C	0.0%	Dec 1, 2032	$20,000,000	—	—
59465HHD1	—	—	Dec 1, 2032	$7,500,000	—	—
59465HWA0	UNREFUNDED BALANCE-REF-	5.0%	Dec 1, 2032	$13,745,000	Moody’s Aa3S&P AA-Fitch AA-	Dec. 1, 2027
59465HYB6	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	May 15, 2033	$90,000,000	—	Feb. 15, 2033
59465HYK6	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	May 15, 2033	$9,055,000	—	—
59465HXW1	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	May 15, 2033	$5,530,000	—	—
59465HWR3	MICHIGAN ST HOSP FIN AUTH REV BDS COREWELL HEALTH 202…	5.0%	Aug 15, 2033	$2,205,000	—	—
59465ED34	ASCENSION HLTH CREDIT-SER B	5.05%	Nov 15, 2033	—	—	—
59465HKU9	ASCENSION HLTH CREDIT-SER B-4-	3.75%	Nov 15, 2033	$85,000,000	S&P AA+	—
59465ED83	ASCENSION HLTH CREDIT-SER B	5.3%	Nov 15, 2033	—	—	—
59465HKV7	VAR-ASCENSION-B1-RMKT-02/25/09	0.7%	Nov 15, 2033	$81,175,000	Moody’s Aa2	—
59465HSA5	MICHIGAN ST HOSP FIN AUTH REV VAR RATE REV BDS ASCENS…	5.0%	Nov 15, 2033	$16,910,000	Moody’s Aa2S&P AA+Fitch AA+	—
59465HNN2	MICHIGAN ST HOSP FIN AUTH REV REV BDS ASCENSION HEALT…	2.0%	Nov 15, 2033	$81,595,000	Moody’s Aa2S&P AA+	—
59465HTT3	MICHIGAN ST HOSP FIN AUTH REV REV BDS ASCENSION HEALT…	0.95%	Nov 15, 2033	$81,135,000	Moody’s Aa2	—
59465E7G2	VAR-ASCENSION-B-1-RMK 11/15/04	0.0%	Nov 15, 2033	$85,000,000	—	—
59465ED91	ASCENSION HLTH CREDIT-SER B	5.375%	Nov 15, 2033	$85,000,000	—	—
59465HTU0	PREREFUNDED-ASCENSION HEALTH	0.95%	Nov 15, 2033	$2,640,000	—	—
59465HME3	MICHIGAN ST HOSP FIN AUTH REV VAR REV BDS ASCENSION H…	0.0%	Nov 15, 2033	$85,000,000	—	—
59465HEF9	VAR-ASCENSION-B3-RMK--11/16/06	0.0%	Nov 15, 2033	$85,000,000	—	—
59465HKT2	ASCENSION HLTH CREDIT-SER B-2-	0.7%	Nov 15, 2033	$85,000,000	—	—
59465ED75	ASCENSION HLTH CREDIT-SER B	5.2%	Nov 15, 2033	$85,000,000	—	—
59465HTV8	UNREFUNDED BALANCE-ASCENSION	0.95%	Nov 15, 2033	$78,495,000	Moody’s Aa2	—
59465HUY0	MICHIGAN ST HOSP FIN AUTH REV VAR BDS ASCENSION HEALT…	4.0%	Nov 15, 2033	$16,395,000	Moody’s Aa2S&P AA+Fitch AA+	—
59465HWB8	PREREFUNDED-VAR-ASCENSION	5.0%	Nov 15, 2033	$7,915,000	—	—
59465HMD5	MICHIGAN ST HOSP FIN AUTH REV ASCENSION HEALTH-B1-RMK…	0.28%	Nov 15, 2033	$81,175,000	—	—
59465HRU2	MICHIGAN ST HOSP FIN AUTH REV REV BDS ASCENSION HEALT…	0.3%	Nov 15, 2033	$81,135,000	Moody’s Aa2S&P AA+	—
59465HPK6	MICHIGAN ST HOSP FIN AUTH REV REV BDS ASCENSION HEALT…	0.0%	Nov 15, 2033	$82,550,000	—	—
59465HWC6	UNREFUNDED BALANCE-VAR	5.0%	Nov 15, 2033	$8,995,000	—	—
59465HKW5	VAR-ASCENSION-B3-RMKT-02/25/09	2.75%	Nov 15, 2033	$85,000,000	—	—
59465HKK1	REF-TRINITY HLTH CREDIT-A-1	6.5%	Dec 1, 2033	$97,625,000	Moody’s Aa3	—
59465HRW8	UNREFUNDED	6.5%	Dec 1, 2033	$20,445,000	Moody’s Aa3	—
59465HTQ9	UNREFUNDED BALANCE-2016-REF	6.5%	Dec 1, 2033	$3,245,000	—	—
59465HRV0	PREREFUNDED-REF-TRINITY HLTH	6.5%	Dec 1, 2033	$77,180,000	—	—
59465HTN6	PREREFUNDED-2016-REF-TRINITY	6.5%	Dec 1, 2033	$17,200,000	—	—
59465HJQ0	VAR-HOLLAND CMNTY HOSP-B-RMKT	0.0%	Jan 1, 2034	—	—	—
59465E7E7	VAR-HOLLAND CMNTY HOSP-SER B	0.54%	Jan 1, 2034	$22,000,000	—	—
59465E7A5	HOSP-HOLLAND CMNTY HOSP-SER A	5.375%	Jan 1, 2034	$7,415,000	—	—
59465HYL4	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	May 15, 2034	$9,515,000	—	—
59465HXX9	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	May 15, 2034	$5,815,000	—	—
59465HBA3	MARQUETTE GEN HOSP OBLIG GRP-A	5.0%	May 15, 2034	$10,245,000	—	—
59465HLD6	MICHIGAN ST HOSP FIN AUTH REV REV BDS MIDMICHIGAN HEA…	6.125%	Jun 1, 2034	$13,395,000	S&P AA+	—
59465HTG1	UNREFUNDED	4.625%	Aug 15, 2034	$4,795,000	—	—
59465HWS1	MICHIGAN ST HOSP FIN AUTH REV BDS COREWELL HEALTH 202…	5.0%	Aug 15, 2034	$25,910,000	—	—
59465E8C0	PREREFUNDED-MERCY HEALTH-X	6.0%	Aug 15, 2034	$15,595,000	—	—
59465HBV7	REF-TRINITY HEALTH CREDIT-D	5.0%	Aug 15, 2034	$6,000,000	—	—
59465E8E6	UNREFUNDED BAL-MERCY HLTH-X	6.0%	Aug 15, 2034	$31,555,000	—	—
59465EG72	REF-MERCY HEALTH SERVICES-X	6.0%	Aug 15, 2034	$47,150,000	—	—
59465HCF1	REF-TRINITY HEALTH CR-D-AMBAC	4.625%	Aug 15, 2034	$7,475,000	—	—
59465HTB2	PREREFUNDED-REF-TRINITY	4.625%	Aug 15, 2034	$12,230,000	—	—
59465HBW5	REF-TRINITY HEALTH CREDIT-D	4.625%	Aug 15, 2034	$17,025,000	—	—
59465HYW0	MICHIGAN ST HOSP FIN AUTH REV REF BDS HENRY FORD HLTH…	5.0%	Nov 15, 2034	$29,955,000	Moody’s A2Fitch A+	Nov. 15, 2034
59465HKR6	VAR-REF-TRINITY HEALTH-SER C	0.0%	Dec 1, 2034	—	Moody’s Aa3S&P AA-	—
59465HSW7	UNREFUNDED	5.75%	Dec 1, 2034	$3,415,000	Moody’s Aa3	—
59465HTH9	UNREFUNDED	5.0%	Dec 1, 2034	$57,795,000	Moody’s Aa3S&P AA-	—
59465HTJ5	UNREFUNDED BALANCE-2015	5.75%	Dec 1, 2034	—	—	—
59465HTD8	PREREFUNDED-2015-REF-TRINITY	5.75%	Dec 1, 2034	—	—	—
59465HKM7	REF-TRINITY HLTH CREDIT-A-2	5.5%	Dec 1, 2034	$10,000,000	Moody’s Aa3S&P AA-	—
59465HTC0	PREREFUNDED-REF-TRINITY HEALTH	5.0%	Dec 1, 2034	$4,625,000	—	—
59465HPL4	MICHIGAN ST HOSP FIN AUTH REV REF REV BDS TRINITY HEA…	5.0%	Dec 1, 2034	$62,420,000	Moody’s Aa3S&P AA-	—
59465HKN5	REF-TRINITY HLTH CREDIT-A-2	6.0%	Dec 1, 2034	$75,500,000	Moody’s Aa3	—
59465HSV9	PREREFUNDED-REF-TRINITY HLTH	5.75%	Dec 1, 2034	$31,585,000	—	—
59465HKL9	REF-TRINITY HLTH CREDIT-A-2	5.75%	Dec 1, 2034	$35,000,000	Moody’s Aa3	—
59465HYM2	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	May 15, 2035	$10,005,000	—	—
59465HXY7	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	May 15, 2035	$6,105,000	—	—
59465HRJ7	MICHIGAN ST HOSP FIN AUTH REV REF BDS MCLAREN HLTH CA…	4.0%	Jun 1, 2035	$660,000	Moody’s A1Fitch AA-	—
59465HRP3	MICHIGAN ST HOSP FIN AUTH REV REF BDS MCLAREN HLTH CA…	5.0%	Jun 1, 2035	$10,285,000	Moody’s A1Fitch AA-	—
59465E6S7	VAR-HOSP-SOUTHWESTERN REHAB	0.16%	Jun 1, 2035	$9,500,000	—	—
59465HBM7	MCLAREN HEALTH CARE-SER C	5.0%	Aug 1, 2035	$52,980,000	—	—
59465HWT9	MICHIGAN ST HOSP FIN AUTH REV BDS COREWELL HEALTH 202…	5.0%	Aug 15, 2035	$31,970,000	—	June 1, 2035
59465E8U0	REF-PRESBYTERIAN VLG	5.5%	Nov 15, 2035	$17,335,000	—	—
59465HGW0	MIDMICHIGAN-A-AMBAC TCRS-BNY	5.0%	Apr 15, 2036	$12,850,000	—	—
59465HEB8	MIDMICHIGAN OBLIG GROUP-SER A	5.0%	Apr 15, 2036	$41,205,000	—	—
59465HCL8	VAR-NORTH OTTAWA CARE CTR INC	0.0%	May 1, 2036	$6,385,000	—	—
59465HYN0	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	May 15, 2036	$10,510,000	—	—
59465HXZ4	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	May 15, 2036	$6,425,000	—	—
59465HWU6	MICHIGAN ST HOSP FIN AUTH REV BDS COREWELL HEALTH 202…	5.0%	Aug 15, 2036	$2,110,000	—	June 1, 2035
59465HYX8	MICHIGAN ST HOSP FIN AUTH REV REF BDS HENRY FORD HLTH…	5.0%	Nov 15, 2036	$184,750,000	Moody’s A2Fitch A+	Aug. 15, 2036
59465HFK7	REF-HOSP-SPARROW OBLIGATED	5.0%	Nov 15, 2036	$42,435,000	—	—
59465HAT3	REF-SPARROW OBLIGATED GROUP	4.5%	Nov 15, 2036	$7,500,000	—	—
59465HGC4	REF-HOSP-SPARROW-NATL IBC	5.0%	Nov 15, 2036	$24,500,000	Moody’s A2	—
59465HAS5	REF-SPARROW OBLIGATED GROUP	5.0%	Nov 15, 2036	$39,660,000	—	—
59465EHE6	HOSP-SPARROW OBLIGATED GROUP	6.0%	Nov 15, 2036	$20,145,000	—	—
59465EX65	REF-HOSP-SPARROW OBLIG GROUP	5.625%	Nov 15, 2036	$13,120,000	—	—
59465HBR6	CHELSEA CMNTY HOSP OBLIGATED	5.0%	May 15, 2037	$11,135,000	—	—
59465HGA8	REF-HOSP-OAKWOOD OBLIG GRP-A	5.0%	Jul 15, 2037	$26,680,000	—	—
59465HWV4	MICHIGAN ST HOSP FIN AUTH REV BDS COREWELL HEALTH 202…	5.0%	Aug 15, 2037	$2,360,000	—	June 1, 2035
59465HKX3	VAR-REF-HOSP-OAKLAWN HOSP-	0.0%	Nov 1, 2037	—	—	—
59465HCK0	VAR-REF-HOSP-OAKLAWN HOSP	0.0%	Nov 1, 2037	$37,800,000	—	—
59465HYY6	MICHIGAN ST HOSP FIN AUTH REV REF BDS HENRY FORD HLTH…	5.0%	Nov 15, 2037	$43,040,000	Moody’s A2Fitch A+	Nov. 15, 2036
59465HJJ6	REF-MCLAREN HEALTH CARE-SER A	5.75%	May 15, 2038	$116,195,000	—	—
59465HJM9	VAR-REF-MCLAREN HEALTH CARE-B	0.0%	Oct 15, 2038	$75,000,000	—	—
59465HBN5	MCLAREN HEALTH CARE-SER B	2.74%	Nov 1, 2038	$75,000,000	—	—
59465HCD6	HILLS & DALES GEN HOSP GROUP-A	6.75%	Nov 15, 2038	$11,775,000	—	—
59465HYZ3	MICHIGAN ST HOSP FIN AUTH REV REF BDS HENRY FORD HLTH…	5.0%	Nov 15, 2038	$45,195,000	Moody’s A2Fitch A+	Nov. 15, 2036
59465HHF6	ROLS-RR-II-R-11330	0.0%	Nov 15, 2038	—	—	—
59465HHE9	ROCS-RR-II-R-11330	0.0%	Nov 15, 2038	—	—	—
59465HDL7	REF-HENRY FORD HEALTH SYS-A	5.0%	Nov 15, 2038	$63,715,000	—	—
59465E7H0	VAR-TRINITY HEALTH CREDIT-E	0.0%	Dec 1, 2038	$45,250,000	—	—
59465HRS7	VAR-CHE TRINITY HEALTH CR	0.0%	Dec 1, 2038	—	—	—
59465E7J6	VAR-TRINITY HEALTH CREDIT-F	0.0%	Dec 1, 2038	$41,475,000	—	—
59465HLE4	MICHIGAN ST HOSP FIN AUTH REV REV BDS MIDMICHIGAN HEA…	5.875%	Jun 1, 2039	$5,000,000	S&P AA+	—
59465HLF1	MICHIGAN ST HOSP FIN AUTH REV REV BDS MIDMICHIGAN HEA…	6.125%	Jun 1, 2039	$44,005,000	S&P AA+	—
59465HWW2	MICHIGAN ST HOSP FIN AUTH REV BDS COREWELL HEALTH 202…	5.0%	Aug 15, 2039	$16,325,000	—	June 1, 2035
59465HZA7	MICHIGAN ST HOSP FIN AUTH REV REF BDS HENRY FORD HLTH…	5.0%	Nov 15, 2039	$47,450,000	Moody’s A2Fitch A+	Nov. 15, 2036
59465HMA1	MICHIGAN ST HOSP FIN AUTH REV REV REF BDS HENRY FORD …	5.75%	Nov 15, 2039	$169,715,000	—	—
59465HWX0	MICHIGAN ST HOSP FIN AUTH REV BDS COREWELL HEALTH 202…	5.0%	Aug 15, 2040	$14,040,000	—	June 1, 2035
59465HBZ8	VAR-TRINITY HEALTH CREDIT-G	0.0%	Nov 1, 2040	$22,000,000	—	—
59465HJU1	VAR-TRINITY HLTH CREDIT-H-RMKT	0.0%	Nov 1, 2040	—	—	—
59465HCA2	VAR-TRINITY HEALTH CREDIT-H	0.0%	Nov 1, 2040	$52,965,000	—	—
59465HDN3	REF-HOSP-HENRY FORD HEALTH-B	0.0%	Nov 15, 2040	$98,945,000	—	—
59465HDP8	REF-HOSP-HENRY FORD HEALTH-C	0.0%	Nov 15, 2040	$99,250,000	—	—
59465HZB5	MICHIGAN ST HOSP FIN AUTH REV REF BDS HENRY FORD HLTH…	5.0%	Nov 15, 2040	$49,825,000	Moody’s A2Fitch A+	Nov. 15, 2036
59465HYP5	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	May 15, 2041	$4,145,000	—	May 15, 2036
59465HWY8	MICHIGAN ST HOSP FIN AUTH REV BDS COREWELL HEALTH 202…	5.0%	Aug 15, 2041	$14,760,000	—	June 1, 2035
59465HZC3	MICHIGAN ST HOSP FIN AUTH REV REF BDS HENRY FORD HLTH…	5.0%	Nov 15, 2041	$52,310,000	Moody’s A2Fitch A+	Nov. 15, 2036
59465HWZ5	MICHIGAN ST HOSP FIN AUTH REV BDS COREWELL HEALTH 202…	5.0%	Aug 15, 2042	$15,450,000	—	June 1, 2035
59465HGS9	VAR-HOSP-HENRY FORD HEALTH SYS	0.06%	Nov 15, 2042	$165,735,000	—	—
59465HZD1	MICHIGAN ST HOSP FIN AUTH REV REF BDS HENRY FORD HLTH…	5.0%	Nov 15, 2042	$9,565,000	Moody’s A2Fitch A+	Nov. 15, 2036
59465HVX1	UNREFUNDED BALANCE-TRINITY	4.0%	Dec 1, 2042	$9,490,000	S&P AA-Fitch AA-	—
59465HPQ3	MICHIGAN ST HOSP FIN AUTH REV REV BDS TRINITY HEALTH …	4.0%	Dec 1, 2042	$18,290,000	Moody’s Aa3S&P AA-	—
59465HVV5	PREREFUNDED-TRINITY HEALTH	4.0%	Dec 1, 2042	$8,800,000	—	—
59465HVY9	UNREFUNDED BALANCE-TRINITY	4.0%	Dec 1, 2042	$9,490,000	S&P AA-Fitch AA-	—
59465HVW3	PREREFUNDED-TRINITY HEALTH	4.0%	Dec 1, 2042	$8,800,000	—	—
59465HPN0	MICHIGAN ST HOSP FIN AUTH REV REV BDS TRINITY HEALTH …	4.0%	Dec 1, 2042	$18,290,000	Moody’s Aa3S&P AA-	—
59465HXA9	MICHIGAN ST HOSP FIN AUTH REV BDS COREWELL HEALTH 202…	5.0%	Aug 15, 2043	$15,490,000	—	June 1, 2035
59465HZE9	MICHIGAN ST HOSP FIN AUTH REV REF BDS HENRY FORD HLTH…	5.0%	Nov 15, 2043	$10,040,000	Moody’s A2Fitch A+	Nov. 15, 2036
59465HXB7	MICHIGAN ST HOSP FIN AUTH REV BDS COREWELL HEALTH 202…	5.0%	Aug 15, 2044	$16,245,000	—	June 1, 2035
59465HZF6	MICHIGAN ST HOSP FIN AUTH REV REF BDS HENRY FORD HLTH…	5.0%	Nov 15, 2044	$10,545,000	Moody’s A2Fitch A+	Nov. 15, 2036
59465HXC5	MICHIGAN ST HOSP FIN AUTH REV BDS COREWELL HEALTH 202…	5.0%	Aug 15, 2045	$17,065,000	—	June 1, 2035
59465HZG4	MICHIGAN ST HOSP FIN AUTH REV REF BDS HENRY FORD HLTH…	5.0%	Nov 15, 2045	$11,070,000	Moody’s A2Fitch A+	Nov. 15, 2036
59465HXD3	MICHIGAN ST HOSP FIN AUTH REV BDS COREWELL HEALTH 202…	5.0%	Aug 15, 2046	$17,865,000	—	June 1, 2035
59465HWN2	PREREFUNDED-ASCENSION HEALTH	5.0%	Nov 15, 2046	$30,000,000	—	—
59465HDM5	REF-HENRY FORD HEALTH SYS-A	5.25%	Nov 15, 2046	$194,395,000	—	—
59465HWQ5	UNREFUNDED BALANCE-ASCENSION	5.0%	Nov 15, 2046	$28,810,000	—	Nov. 15, 2026
59465HZH2	MICHIGAN ST HOSP FIN AUTH REV REF BDS HENRY FORD HLTH…	5.0%	Nov 15, 2046	$11,625,000	Moody’s A2Fitch A+	Nov. 15, 2036
59465HTZ9	MICHIGAN ST HOSP FIN AUTH REV REV BDS ASCENSION HEALT…	5.0%	Nov 15, 2046	$58,810,000	Moody’s Aa2S&P AA+Fitch AA+	Nov. 15, 2026
59465HWP7	MICHIGAN ST HOSP FIN AUTH REV REV BDS ASCENSION HEALT…	4.0%	Nov 15, 2047	$8,230,000	—	Nov. 15, 2047
59465HRT5	MICHIGAN ST HOSP FIN AUTH REV REF BDS ASCENSION HEALT…	1.4%	Nov 15, 2047	$82,970,000	—	—
59465HXM3	PREREFUNDED-REF &	5.0%	Nov 15, 2047	$24,180,000	—	—
59465HMN3	MICHIGAN ST HOSP FIN AUTH REV REV BDS MAND TENDER WIN…	—	Nov 15, 2047	—	—	—
59465HXN1	UNREFUNDED BALANCE-REF &	5.0%	Nov 15, 2047	$59,925,000	—	May 15, 2030
59465HNK8	MICHIGAN ST HOSP FIN AUTH REV REV BDS ASCENSION HEALT…	2.625%	Nov 15, 2047	$82,970,000	—	—
59465HRR9	MICHIGAN ST HOSP FIN AUTH REV REF REV BDS ASCENSION H…	1.95%	Nov 15, 2047	$95,550,000	Moody’s Aa2	—
59465HMH6	MICHIGAN ST HOSP FIN AUTH REV REV BDS ASCENSION HEALT…	0.0%	Nov 15, 2047	—	—	—
59465HQS8	MICHIGAN ST HOSP FIN AUTH REV REF AND PROJ REV BDS AS…	2.0%	Nov 15, 2047	$82,970,000	Moody’s Aa2	—
59465HNU6	MICHIGAN ST HOSP FIN AUTH REV REV BDS ASCENSION HEALT…	0.45%	Nov 15, 2047	$82,975,000	—	—
59465HMP8	MICHIGAN ST HOSP FIN AUTH REV REV BDS MAND TENDER WIN…	0.0%	Nov 15, 2047	$72,915,000	Moody’s Aa2	—
59465HNT9	MICHIGAN ST HOSP FIN AUTH REV REV BDS ASCENSION HEALT…	0.45%	Nov 15, 2047	$95,545,000	—	—
59465HMQ6	MICHIGAN ST HOSP FIN AUTH REV REV BDS MAND TENDER WIN…	—	Nov 15, 2047	—	—	—
59465HUA2	MICHIGAN ST HOSP FIN AUTH REV REV REF BDS ASCENSION H…	2.4%	Nov 15, 2047	$82,975,000	Moody’s Aa2S&P AA+Fitch AA+	—
59465HML7	MICHIGAN ST HOSP FIN AUTH REV REV BDS ASCENSION HEALT…	0.0%	Nov 15, 2047	—	—	—
59465HVL7	MICHIGAN ST HOSP FIN AUTH REV REF PROJ BDS ASCENSION …	4.0%	Nov 15, 2047	$76,435,000	Moody’s Aa2S&P AA+Fitch AA+	—
59465HNV4	MICHIGAN ST HOSP FIN AUTH REV VAR REV BDS ASCENSION H…	0.0%	Nov 15, 2047	$95,550,000	—	—
59465HVK9	MICHIGAN ST HOSP FIN AUTH REV REF PROJ BDS ASCENSION …	4.0%	Nov 15, 2047	$77,110,000	Moody’s Aa2S&P AA+Fitch AA+	—
59465HTY2	MICHIGAN ST HOSP FIN AUTH REV REV BDS ASCENSION HEALT…	5.0%	Nov 15, 2047	$61,160,000	Moody’s Aa2S&P AA+Fitch AA+	—
59465HMM5	MICHIGAN ST HOSP FIN AUTH REV REV BDS ASCENSION HEALT…	0.0%	Nov 15, 2047	—	S&P AA+	—
59465HPJ9	MICHIGAN ST HOSP FIN AUTH REV REV REF BDS ASCENSION H…	1.5%	Nov 15, 2047	$82,975,000	S&P AA+	—
59465HWM4	PREREFUNDED-ASCENSION HEALTH	4.0%	Nov 15, 2047	$58,785,000	—	—
59465HPH3	MICHIGAN ST HOSP FIN AUTH REV REV REF BDS ASCENSION H…	1.5%	Nov 15, 2047	$95,545,000	S&P AA+	—
59465HUB0	MICHIGAN ST HOSP FIN AUTH REV REV REF BDS ASCENSION H…	1.9%	Nov 15, 2047	$95,545,000	S&P AA+Fitch AA+	—
59465HMK9	MICHIGAN ST HOSP FIN AUTH REV REV BDS ASCENSION HEALT…	0.0%	Nov 15, 2047	—	—	—
59465HNJ1	MICHIGAN ST HOSP FIN AUTH REV REV BDS ASCENSION HEALT…	1.5%	Nov 15, 2047	$82,970,000	—	—
59465HMJ2	MICHIGAN ST HOSP FIN AUTH REV REV BDS ASCENSION HEALT…	0.0%	Nov 15, 2047	—	S&P AA+	—
59465HTX4	MICHIGAN ST HOSP FIN AUTH REV REV BDS ASCENSION HEALT…	4.0%	Nov 15, 2047	$67,015,000	Moody’s Aa2S&P AA+Fitch AA+	Nov. 15, 2026
59465HVU7	MICHIGAN ST HOSP FIN AUTH REV REF PROJ BDS ASCENSION …	5.0%	Nov 15, 2047	$84,105,000	Moody’s Aa2S&P AA+Fitch AA+	May 15, 2030
59465HMC7	VAR-TRINITY HEALTH CR GRP-C	0.0%	Dec 1, 2048	—	S&P AA-	—
59465HMB9	VAR-TRINITY HEALTH-SER B	0.0%	Dec 1, 2048	—	S&P AA-	—
59465HPP5	MICHIGAN ST HOSP FIN AUTH REV REV BDS TRINITY HEALTH …	5.0%	Dec 1, 2048	$32,025,000	Moody’s Aa3S&P AA-	—
59465HPR1	MICHIGAN ST HOSP FIN AUTH REV REV BDS TRINITY HEALTH …	5.0%	Dec 1, 2048	$32,005,000	Moody’s Aa3S&P AA-	—
59465HZJ8	MICHIGAN ST HOSP FIN AUTH REV REF BDS HENRY FORD HLTH…	5.25%	Nov 15, 2053	$168,575,000	Moody’s A2Fitch A+	Nov. 15, 2036
59465HXG6	MICHIGAN ST HOSP FIN AUTH REV REF BDS COREWELL HEALTH…	0.0%	Jan 15, 2055	$98,170,000	—	May 10, 2026
59465HXE1	MICHIGAN ST HOSP FIN AUTH REV REF BDS COREWELL HEALTH…	5.0%	Aug 15, 2055	$94,030,000	—	June 1, 2032
59465HXF8	MICHIGAN ST HOSP FIN AUTH REV REF BDS COREWELL HEALTH…	5.0%	Aug 15, 2055	$94,505,000	—	June 1, 2035
59465HZK5	MICHIGAN ST HOSP FIN AUTH REV REF BDS HENRY FORD HLTH…	5.5%	Nov 15, 2056	$310,350,000	Moody’s A2Fitch A+	Nov. 15, 2036

Market activity

EMMA · secondary trades · latest Sep 11, 2026

Each dot is a reported secondary trade — yield by trade date, sized by par, colored by trade side. Hover for detail.

Trade dateSecurityPriceYieldSizeSide

Sep 11 59465HXQ4 100.78 3.80% 10,000 Inter-Dealer Trade

Sep 11 59465HXQ4 100.76 3.83% 10,000 Customer Sold

Sep 4 59465HXK7 99.91 4.56% 15,000 Customer Sold

Sep 4 59465HXK7 99.97 4.15% 15,000 Customer Bought

Sep 3 59465HXQ4 101.29 3.11% 15,000 Customer Bought

Sep 1 59465HXK7 100.19 2.82% 35,000 Customer Bought

Sep 1 59465HXK7 100.19 2.82% 35,000 Inter-Dealer Trade

Trade prints reported to the MSRB — a live market signal a manual issuer page cannot show.

20 callable securities carry a stated call price — refunding candidates as rates move.

Recent rating actions

Moody's · S&P · Fitch · KBRA

Fitch The complete span of best- and worst-case scenario credit ratings for all rating categories ranges from 'AAA' to 'D'.

Dec 31, 2021

Downgrade AAA → D Outlook Stable

View the filing on EMMA ↗

Moody's Rating Action: Moody's assigns P-1 to McLaren Health Care Corporation (MI) Taxable Commercial Paper Notes Ser.

Apr 1, 2021

Initial P-1 Outlook Stable

View the filing on EMMA ↗

Rating actions as disclosed by the issuer to the MSRB’s EMMA system under SEC Rule 15c2-12; the ratings are the opinions of the respective rating agencies (Moody's, S&P Global Ratings, Fitch Ratings, KBRA). Dates are the rating-action dates stated in each notice.

Michigan State Hospital Finance Authority Revenue

Credit ratings

Maturity profile

Recent activity

Debt overview

Debt service

Outstanding securities

Market activity

Recent rating actions

Document library

Disclosure record

Standing

Credentials on record

Dated obligations

Record quality

Frequently asked questions