Michigan State Hospital Finance Authority Revenue

Healthcare· MI· Unclaimed profile

Outstanding · as of 11/6/2026—(EMMA est.)

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

Latest filing10/26/2026Other financial / operating data

Bonds issued for Healthcare facilities

Credit ratings

agency-stated

Moody's

Aa3

111 rated securities · 5 insured

S&P

AA-

84 rated securities · 5 insured

Fitch

AA+

60 rated securities

Outstanding par by rating agency and grade
Agency	Rating	Par	Share	CUSIPs
Moody's	Aa3	$1.6B	37.2%	56
	A2	$1.5B	33.1%	27
	Aa2	$1.1B	23.9%	19
	A1	$256.6M	5.8%	9
S&P	AA+	$1.3B	47.4%	27
	AA	$737.6M	27.8%	27
	AA-	$530.3M	20.0%	28
	AAA	$127.0M	4.8%	2
Fitch	A+	$1.3B	54.3%	20
	AA+	$804.8M	33.2%	20
	AA-	$169.3M	7.0%	14
	AA	$115.2M	4.8%	5
	WD	$18.9M	0.8%	1

Maturity profile

par maturing by year · as of 11/6/2026

Recent activity

rating actions & filings

Other Financial / Operating Data filed

10/26/2026 · Investor Call Presentation for October 26, 2026

Quarterly / Monthly Financial Information filed

10/13/2026 · Monthly Liquidity Information

Other Financial / Operating Data filed

10/9/2026 · Investor Call Invitation for October 26, 2026

Audited Financial Statements or ACFR filed

10/2/2026 · 2026 Audited Financial Statements - Trinity Health

Annual Financial Information and Operating Data filed

10/2/2026 · 2026 Summary of Results

Other Financial / Operating Data filed

9/16/2026 · Working Capital Credit Agreement

In context

Among the largest MI issuers by debt outstanding · #3 of 1452

Debt overview

EMMA-derived

Outstanding par (EMMA est.)—

Securities371

Callable14%

Outstanding securities

391

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Outstanding securities for Michigan State Hospital Finance Authority Revenue
CUSIP	Series / description	Coupon	Maturity	Outstanding	Ratings	First call
59465HAR7	REF-SPARROW OBLIGATED GROUP	5.0%	11/15/2026	$19,115,000	—	—
59465HST4	UNREFUNDED BALANCE-REF-HOSP-	4.5%	11/15/2026	$3,260,000	—	—
59465HHN9	VAR-ASCENSION HLTH SR CR-B-4	0.0%	11/15/2026	$66,000,000	—	—
59465HHJ8	VAR-ASCENSION HLTH SR CR-B-3	0.0%	11/15/2026	$70,000,000	—	—
59465HHK5	VAR-ASCENSION HLTH SR CR-B-5	0.0%	11/15/2026	$70,000,000	—	—
59465HSJ6	PREREFUNDED-REF-HOSP-SPARROW	4.5%	11/15/2026	$7,740,000	—	—
59465EE25	ASCENSION HLTH-SER A-NATL IBC	6.125%	11/15/2026	—	—	—
59465ED67	ASCENSION HLTH CREDIT-SER A	6.125%	11/15/2026	$139,370,000	—	—
59465HHP4	VAR-ASCENSION HLTH SR CR-B-6	0.0%	11/15/2026	$66,000,000	—	—
59465HFH4	REF-HOSP-SPARROW OBLIGATED	4.5%	11/15/2026	$11,000,000	Moody’s A2	4/19/2017
59465EHD8	HOSP-SPARROW OBLIGATED GROUP	5.9%	11/15/2026	$11,305,000	—	—
59465E4N0	REF-ASCENSION HEALTH GRP-B-2	0.0%	11/15/2026	$66,000,000	S&P AA+	—
59465HHL3	VAR-ASCENSION HLTH SR CR-B-7	0.0%	11/15/2026	$70,000,000	—	—
59465E4U4	REF-ASCENSION HEALTH GRP-B-8	0.0%	11/15/2026	$48,550,000	—	—
59465E4M2	REF-ASCENSION HEALTH GRP-B-1	0.0%	11/15/2026	$68,850,000	S&P AA+	—
59465E4P5	REF-ASCENSION HEALTH GRP-B-3	0.0%	11/15/2026	$70,000,000	—	—
59465E4Q3	REF-ASCENSION HEALTH GRP-B-4	0.0%	11/15/2026	$66,000,000	—	—
59465E2N2	ASCENSION HEALTH-SER B	5.25%	11/15/2026	$38,965,000	—	—
59465E4T7	REF-ASCENSION HEALTH GRP-B-7	0.0%	11/15/2026	$70,000,000	—	—
59465HHQ2	VAR-ASCENSION HLTH SR CR-B-8	0.0%	11/15/2026	$48,550,000	—	—
59465E4R1	REF-ASCENSION HEALTH GRP-B-5	0.0%	11/15/2026	$70,000,000	—	—
59465E4S9	REF-ASCENSION HEALTH GRP-B-6	0.0%	11/15/2026	$66,000,000	—	—
59465HUU8	MICHIGAN ST HOSP FIN AUTH REV VAR BDS ASCENSION HEALT…	4.0%	11/15/2026	$3,725,000	Moody’s Aa2S&P AA+Fitch AA+	—
59465HDH6	REF-HENRY FORD HEALTH SYS-A	5.0%	11/15/2026	$6,590,000	—	—
59465HHH2	VAR-ASCENSION HLTH SR CR-B-1	0.0%	11/15/2026	$68,850,000	—	—
59465HHM1	VAR-ASCENSION HLTH SR CR-B-2	0.0%	11/15/2026	$66,000,000	—	—
59465HQG4	MICHIGAN ST HOSP FIN AUTH REV REV REF BDS TRINITY HEA…	5.0%	12/1/2026	$9,535,000	Moody’s Aa3S&P AA-	—
59465HPA8	PREREFUNDED-TRINITY HEALTH CR	5.0%	12/1/2026	$7,010,000	—	—
59465HEC6	TRINITY HEALTH CR GROUP-SER A	5.0%	12/1/2026	$38,455,000	—	—
59465HUM6	MICHIGAN ST HOSP FIN AUTH REV REF BDS TRINITY HLTH CR…	5.0%	12/1/2026	$16,000,000	Moody’s Aa3S&P AA-Fitch AA-	—
59465HPD2	UNREFUNDED BALANCE-TRINITY	5.0%	12/1/2026	$31,445,000	—	—
59465EZ89	REF-HOSP-CRITTENTON-SER A	5.625%	3/1/2027	$15,820,000	—	—
59465EZ97	VAR-HOSP-CRITTENTON-SER B	0.0%	3/1/2027	$37,000,000	—	—
59465HXQ4	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	5/15/2027	$4,100,000	—	—
59465HYD2	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	5/15/2027	$6,710,000	—	—
59465ERP0	REF-MIDMICHIGAN OBLIG GRP-A	5.375%	6/1/2027	$10,490,000	—	—
59465EA45	REF-MIDMICHIGAN-A-NATL IBC	5.375%	6/1/2027	—	—	—
59465HRG3	MICHIGAN ST HOSP FIN AUTH REV REF BDS MCLAREN HLTH CA…	5.0%	6/1/2027	$6,385,000	Moody’s A1Fitch AA-	—
59465EYH0	REF-HOSP-DETROIT-A-NATL IBC	5.25%	8/15/2027	—	—	—
59465EQR7	MERCY HLTH SVCS-SER W	5.25%	8/15/2027	$13,555,000	S&P AA	—
59465EPU1	REF-HOSP-DETROIT MEDICAL GRP-A	0.0%	8/15/2027	—	—	—
59465EJQ7	MERCY HLTH SVCS-SER R	5.5%	8/15/2027	—	—	—
59465EPT4	REF-HOSP-DETROIT MEDICAL GRP-A	5.25%	8/15/2027	$86,610,000	—	—
59465EJP9	MERCY HLTH SVCS-SER Q	5.5%	8/15/2027	—	—	—
59465E2V4	—	—	9/1/2027	$9,875,000	—	—
59465ETM5	REF-HOSP-GENESIS-A-ACA-CBI	5.5%	10/1/2027	—	—	—
59465EAN3	REF-HOSP-GENESYS HLTH SYS-A	7.5%	10/1/2027	$87,590,000	—	—
59465EGM9	HOSP-CENTRAL MICH CMNTY HOSP	6.25%	10/1/2027	$11,095,000	—	—
59465ETK9	REF-HOSP-GENESYS REGL MED-A	5.5%	10/1/2027	$130,795,000	—	—
59465E7L1	ASCENSION HLTH SUB CREDIT-A-1	5.0%	10/1/2027	$18,650,000	—	—
59465HWG7	UNREFUNDED BALANCE- ASCENSION	4.0%	11/1/2027	$330,000	—	—
59465HTW6	MICHIGAN ST HOSP FIN AUTH REV REV BDS ASCENSION HEALT…	1.5%	11/1/2027	$14,915,000	Fitch AA+	—
59465HWD4	PREREFUNDED-ASCENSION HEALTH	4.0%	11/1/2027	$2,040,000	—	—
59465HQP4	MICHIGAN ST HOSP FIN AUTH REV SUB REV BDS ASCENSION H…	1.87%	11/1/2027	$47,650,000	S&P AA	—
59465HWE2	UNREFUNDED BALANCE-ASCENSION	4.0%	11/1/2027	$335,000	—	—
59465HPG5	MICHIGAN ST HOSP FIN AUTH REV SUB REV BDS ASCENSION H…	4.0%	11/1/2027	$15,260,000	—	—
59465HVJ2	MICHIGAN ST HOSP FIN AUTH REV BDS ASCENSION HEALTH SU…	4.0%	11/1/2027	$2,375,000	Moody’s Aa3S&P AAFitch AA+	—
59465HVT0	MICHIGAN ST HOSP FIN AUTH REV BDS ASCENSION HEALTH SU…	5.0%	11/1/2027	$3,525,000	Moody’s Aa3S&P AAFitch AA+	—
59465HWF9	—	4.0%	11/1/2027	$5,000	—	—
59465HRQ1	MICHIGAN ST HOSP FIN AUTH REV SUB HOSP REV BDS ASCENS…	1.625%	11/1/2027	$49,810,000	Moody’s Aa3Fitch AA+	—
59465E7N7	ASCENSION HLTH SUB CREDIT-A-3	5.0%	11/1/2027	$55,900,000	—	—
59465E7P2	ASCENSION HLTH SUB CREDIT-A-4	5.0%	11/1/2027	$55,825,000	Moody’s Aa3	—
59465E7M9	ASCENSION HLTH SUB CREDIT-A-2	5.0%	11/1/2027	$18,600,000	S&P AA	—
59465HYQ3	MICHIGAN ST HOSP FIN AUTH REV REF BDS HENRY FORD HLTH…	5.0%	11/15/2027	$21,400,000	Moody’s A2Fitch A+	11/15/2027
59465HDJ2	REF-HENRY FORD HEALTH SYS-A	4.8%	11/15/2027	$6,915,000	—	—
59465HUV6	MICHIGAN ST HOSP FIN AUTH REV VAR BDS ASCENSION HEALT…	4.0%	11/15/2027	$15,600,000	Moody’s Aa2S&P AA+Fitch AA+	—
59465HRX6	MICHIGAN ST HOSP FIN AUTH REV VAR RATE REV BDS ASCENS…	5.0%	11/15/2027	$15,700,000	Moody’s Aa2S&P AA+Fitch AA+	—
59465HUN4	MICHIGAN ST HOSP FIN AUTH REV REF BDS TRINITY HLTH CR…	5.0%	12/1/2027	$16,590,000	Moody’s Aa3S&P AA-Fitch AA-	—
59465HNE2	PREREFUNDED-A-AMBAC TCRS-BNY	6.0%	12/1/2027	—	—	—
59465ES61	REF-TRINITY HLTH-A-AMBAC TCRS	6.0%	12/1/2027	—	—	—
59465EM91	REF-TRINITY HEALTH-SER A	6.0%	12/1/2027	$50,785,000	—	—
59465ES95	REF-TRINITY-A-AMBAC TCRS-BNY	6.0%	12/1/2027	—	—	—
59465HNG7	PREREFUNDED-TRINITY HLTH-A	6.0%	12/1/2027	—	—	—
59465HMF0	PREREFUNDED-REF-TRINITY-A	6.0%	12/1/2027	$755,000	—	—
59465HMG8	UNREFUNDED BAL-REF-TRINITY-A	6.0%	12/1/2027	$50,030,000	—	—
59465HQH2	MICHIGAN ST HOSP FIN AUTH REV REV REF BDS TRINITY HEA…	5.0%	12/1/2027	$15,385,000	Moody’s Aa3S&P AA-	—
59465EKB8	HOSP-HOLLAND CMNTY HOSP	5.625%	1/1/2028	$7,925,000	—	—
59465E6Z1	HOSP-HOLLAND CMNTY HOSP-SER A	5.125%	1/1/2028	$3,280,000	—	—
59465ESX2	VAR-REF-TAXABLE-ST JOHN HLTH-C	0.0%	5/15/2028	$44,800,000	—	—
59465EVF7	REF-ST JOHN HLTH SYS-A-MBIAIBC	5.0%	5/15/2028	—	—	—
59465ESJ3	REF-ST JOHN HLTH SYS-SER A	5.0%	5/15/2028	$57,650,000	—	—
59465HJH0	REF-MCLAREN HEALTH CARE-SER A	5.625%	5/15/2028	$68,890,000	—	—
59465HXR2	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	5/15/2028	$4,305,000	—	—
59465HYE0	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	5/15/2028	$7,055,000	—	—
59465EXD0	REF-MCLAREN HLTH-A-NATL IBC	5.0%	6/1/2028	—	—	—
59465EXC2	REF-MCLAREN HLTH CARE CORP-A	5.0%	6/1/2028	$39,810,000	—	—
59465HRH1	MICHIGAN ST HOSP FIN AUTH REV REF BDS MCLAREN HLTH CA…	5.0%	6/1/2028	$5,215,000	Moody’s A1Fitch AA-	—
59465E2S1	DETROIT MED CTR-OB-A-ACA-CBI	5.25%	8/15/2028	—	—	—
59465EXK4	DETROIT MED CTR OBLIGATED-A	5.25%	8/15/2028	$66,855,000	—	—
59465E3Q4	VAR-REF-BON SECOURS HEALTH-B	0.0%	11/1/2028	$67,600,000	Moody’s A2	—
59465E7Y3	VAR-REF-MCLAREN HLTH CARE-A-3	0.0%	11/2/2028	$24,965,000	Moody’s A1	—
59465HYR1	MICHIGAN ST HOSP FIN AUTH REV REF BDS HENRY FORD HLTH…	5.0%	11/15/2028	$22,470,000	Moody’s A2Fitch A+	11/15/2028
59465HQJ8	MICHIGAN ST HOSP FIN AUTH REV REV REF BDS TRINITY HEA…	5.0%	12/1/2028	$18,500,000	Moody’s Aa3S&P AA-	—
59465HUP9	MICHIGAN ST HOSP FIN AUTH REV REF BDS TRINITY HLTH CR…	5.0%	12/1/2028	$17,280,000	Moody’s Aa3S&P AA-Fitch AA-	12/1/2027
59465HKJ4	REF-TRINITY HLTH CREDIT-A-1	6.25%	12/1/2028	$22,825,000	S&P AA-	—
59465EJ53	REF-MERCY MT CLEMENS-SER A	5.75%	5/15/2029	$26,675,000	—	—
59465HYF7	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	5/15/2029	$7,415,000	—	—
59465HXS0	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	5/15/2029	$4,530,000	—	—
59465HLC8	MICHIGAN ST HOSP FIN AUTH REV REV BDS MIDMICHIGAN HEA…	6.0%	6/1/2029	$9,985,000	S&P AA+	—
59465HBK1	MCLAREN HEALTH CARE-SER C	4.75%	8/1/2029	$12,185,000	—	—
59465EYG2	HOSP-CHARITY OBLIG-A-NATL IBC	5.125%	11/1/2029	—	—	—
59465EYF4	HOSP-CHARITY OBLIG GRP-SER A	5.125%	11/1/2029	$25,385,000	—	—
59465HYA8	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	11/15/2029	$90,000,000	Moody’s A1	8/15/2029
59465HYS9	MICHIGAN ST HOSP FIN AUTH REV REF BDS HENRY FORD HLTH…	5.0%	11/15/2029	$23,595,000	Moody’s A2Fitch A+	11/15/2029
59465HLZ7	MICHIGAN ST HOSP FIN AUTH REV REV REF BDS HENRY FORD …	5.625%	11/15/2029	$56,125,000	—	—
59465EJ87	VAR-COVENANT RETIREMENT-SER A	0.0%	12/1/2029	$9,430,000	—	—
59465HTK2	UNREFUNDED	5.0%	12/1/2029	$24,795,000	Moody’s Aa3S&P AA-	—
59465HUQ7	MICHIGAN ST HOSP FIN AUTH REV REF BDS TRINITY HLTH CR…	5.0%	12/1/2029	$11,465,000	Moody’s Aa3S&P AA-Fitch AA-	12/1/2027
59465HPE0	UNREFUNDED BALANCE-TRINITY	4.65%	12/1/2029	$29,740,000	—	—
59465HQK5	MICHIGAN ST HOSP FIN AUTH REV REV REF BDS TRINITY HEA…	5.0%	12/1/2029	$26,000,000	Moody’s Aa3S&P AA-	—
59465HPB6	PREREFUNDED-TRINITY HEALTH CR	4.65%	12/1/2029	$6,625,000	—	—
59465HED4	TRINITY HEALTH CR GROUP-SER A	4.65%	12/1/2029	$36,365,000	—	—
59465HTE6	PREREFUNDED-REF-TRINITY HEALTH	5.0%	12/1/2029	$1,205,000	—	—
59465E7D9	HOSP-HOLLAND CMNTY HOSP-SER A	5.25%	1/1/2030	$3,275,000	—	—
59465E4Z3	VAR-REF-CRITTENTON HOSP-SER A	0.0%	3/1/2030	$52,400,000	—	—
59465E2Q5	VAR-HLTHCARE EQUIP LN PG-SER B	0.0%	5/1/2030	$5,000,000	—	—
59465ES46	VAR-HOSP EQUIP LN PROG-SER B-3	0.0%	5/1/2030	$10,000,000	—	—
59465EK69	ADJ-HLTHCARE EQUIP LN PROG-B	0.0%	5/1/2030	$10,000,000	—	—
59465E2J1	VAR-HLTHCARE EQUIP LN PG-SER B	0.0%	5/1/2030	$10,000,000	—	—
59465ET29	VAR-HLTH EQUIP LN PROG-SER B	0.0%	5/1/2030	$20,000,000	—	—
59465E4W0	HEALTHCARE EQUIP LN PG-SER B	0.0%	5/1/2030	$595,000	—	—
59465HJT4	VAR-HLTHCARE-B-RMKT 9/29/08	0.0%	5/1/2030	—	—	—
59465EX73	VAR-HLTHCARE EQUIP LN PG-B	0.0%	5/1/2030	$6,000,000	—	—
59465HBQ8	CHELSEA CMNTY HOSP OBLIGATED	5.0%	5/15/2030	$5,880,000	—	—
59465HXT8	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	5/15/2030	$1,805,000	—	—
59465HYG5	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	5/15/2030	$7,795,000	—	—
59465HNM4	ROLS-RR-II-R-11869	0.0%	8/1/2030	—	—	—
59465HNL6	ROCS-RR-II-R-11869	0.0%	8/1/2030	—	—	—
59465ES87	VAR-SER A	0.0%	10/1/2030	$7,890,000	—	—
59465HJK3	VAR-REF-MCLAREN HEALTH CARE-B	0.0%	10/15/2030	$50,000,000	—	—
59465HJL1	VAR-REF-MCLAREN HEALTH CARE-B	0.0%	10/15/2030	$45,315,000	—	—
59465HYT7	MICHIGAN ST HOSP FIN AUTH REV REF BDS HENRY FORD HLTH…	5.0%	11/15/2030	$24,905,000	Moody’s A2Fitch A+	11/15/2030
59465HTF3	PREREFUNDED-REF-TRINITY HEALTH	0.0%	12/1/2030	—	—	—
59465HJP2	VAR-TRINITY-E-RMKT-09/25/08	0.0%	12/1/2030	—	—	—
59465HNS1	RESIDUALS-SER 3244-3	0.0%	12/1/2030	—	—	—
59465HNR3	RESIDUALS-SER 3244-2	0.0%	12/1/2030	—	—	—
59465E2X0	REF-TRINITY HEALTH CREDIT-C	5.375%	12/1/2030	$137,855,000	—	—
59465HQL3	MICHIGAN ST HOSP FIN AUTH REV REV REF BDS TRINITY HEA…	5.0%	12/1/2030	$6,000,000	Moody’s Aa3S&P AA-	—
59465HNQ5	RESIDUALS-SER 3244	0.0%	12/1/2030	—	—	—
59465HTL0	UNREFUNDED	5.0%	12/1/2030	—	—	—
59465HNY8	PREREFUNDED-REF-TRINITY HEALTH	5.375%	12/1/2030	$11,660,000	—	—
59465ES79	VAR-REF-TRINITY HEALTH-SER E	0.0%	12/1/2030	$162,315,000	—	—
59465HNP7	FLOATERS-SER 3244	0.0%	12/1/2030	—	—	—
59465HNZ5	UNREFUNDED BALANCE-REF-	5.375%	12/1/2030	$126,195,000	—	—
59465HUR5	MICHIGAN ST HOSP FIN AUTH REV REF BDS TRINITY HLTH CR…	5.0%	12/1/2030	$11,690,000	Moody’s Aa3S&P AA-Fitch AA-	12/1/2027
59465HEA0	MIDMICHIGAN OBLIG GROUP-SER A	4.75%	4/15/2031	$26,360,000	—	—
59465EK85	VAR-HOSP-CHELSEA CMNTY HOSP	0.0%	5/15/2031	$8,000,000	—	—
59465HXU5	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	5/15/2031	$5,000,000	—	—
59465HYH3	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	5/15/2031	$8,190,000	—	—
59465HBL9	MCLAREN HEALTH CARE-SER C	4.625%	8/1/2031	$3,480,000	—	—
59465EXN8	REF-OAKWOOD OBLIG-A-NATL IBC	5.0%	8/15/2031	$64,820,000	—	—
59465EUG6	REF-OAKWOOD OBLIG GRP-SER A	5.0%	8/15/2031	$64,820,000	S&P AA	—
59465E7Z0	VAR-REF-MCLAREN HLTH CARE-A-4	0.0%	10/15/2031	$24,965,000	Moody’s A1	—
59465HFJ0	REF-HOSP-SPARROW OBLIGATED	5.0%	11/15/2031	$33,245,000	Moody’s A2	4/19/2017
59465HSK3	PREREFUNDED-REF-HOSP-SPARROW	5.0%	11/15/2031	$23,605,000	—	—
59465HYU4	MICHIGAN ST HOSP FIN AUTH REV REF BDS HENRY FORD HLTH…	5.0%	11/15/2031	$26,235,000	Moody’s A2Fitch A+	11/15/2031
59465HUW4	MICHIGAN ST HOSP FIN AUTH REV VAR BDS ASCENSION HEALT…	4.0%	11/15/2031	$11,600,000	Moody’s Aa3S&P AAFitch AA	5/15/2028
59465EX57	REF-HOSP-SPARROW OBLIG GROUP	5.625%	11/15/2031	$17,560,000	—	—
59465HRY4	MICHIGAN ST HOSP FIN AUTH REV VAR RATE REV BDS ASCENS…	5.0%	11/15/2031	$11,700,000	Moody’s Aa2S&P AA+Fitch AA+	—
59465HSX5	PREREFUNDED-REF-HOSP-SPARROW-	5.0%	11/15/2031	—	Moody’s A2	—
59465HSU1	UNREFUNDED BALANCE-REF-HOSP-	5.0%	11/15/2031	$9,640,000	—	—
59465HGB6	REF-HOSP-SPARROW-NATL IBC	5.0%	11/15/2031	$8,500,000	Moody’s A2	—
59465HSY3	UNREFUNDED	5.0%	11/15/2031	—	Moody’s A2	—
59465HPC4	PREREFUNDED-TRINITY HEALTH CR	5.0%	12/1/2031	$8,195,000	—	—
59465HUS3	MICHIGAN ST HOSP FIN AUTH REV REF BDS TRINITY HLTH CR…	5.0%	12/1/2031	$25,570,000	Moody’s Aa3S&P AA-Fitch AA-	12/1/2027
59465HPF7	UNREFUNDED BALANCE-TRINITY	5.0%	12/1/2031	$36,805,000	—	—
59465HEE2	TRINITY HEALTH CR GROUP-SER A	5.0%	12/1/2031	$45,000,000	—	—
59465E3P6	HOSP-OAKWOOD OBLIG GROUP-SER A	5.75%	4/1/2032	$44,325,000	—	—
59465E3M3	HOSP-MIDMICHIGAN OBLIG GRP-A	5.0%	4/15/2032	$4,000,000	—	—
59465HYJ9	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	5/15/2032	$8,620,000	—	—
59465HXV3	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	5/15/2032	$5,255,000	—	—
59465HDW3	VAR-MUNISING MEM HOSP ASSN PJ	0.0%	9/1/2032	$14,200,000	—	—
59465HWJ1	MICHIGAN ST HOSP FIN AUTH REV VAR BDS ASCENSION HEALT…	4.0%	11/15/2032	$18,910,000	Moody’s Aa3S&P AAFitch WD	5/15/2028
59465HYV2	MICHIGAN ST HOSP FIN AUTH REV REF BDS HENRY FORD HLTH…	5.0%	11/15/2032	$213,720,000	Moody’s A2Fitch A+	8/15/2032
59465HXJ0	MICHIGAN ST HOSP FIN AUTH REV VAR BDS ASCENSION HEALT…	4.0%	11/15/2032	$6,685,000	S&P AAFitch AA	5/15/2028
59465HDK9	REF-HENRY FORD HEALTH SYS-A	5.25%	11/15/2032	$40,255,000	—	—
59465HXH4	—	4.0%	11/15/2032	$12,225,000	—	—
59465HWH5	—	4.0%	11/15/2032	$6,590,000	—	—
59465HUX2	MICHIGAN ST HOSP FIN AUTH REV VAR BDS ASCENSION HEALT…	4.0%	11/15/2032	$25,500,000	Moody’s Aa3S&P AAFitch AA+	5/15/2028
59465HRZ1	MICHIGAN ST HOSP FIN AUTH REV VAR RATE REV BDS ASCENS…	5.0%	11/15/2032	$25,500,000	Moody’s Aa2S&P AA+Fitch AA+	—
59465HUT1	MICHIGAN ST HOSP FIN AUTH REV REF BDS TRINITY HLTH CR…	5.0%	12/1/2032	$15,395,000	Moody’s Aa3S&P AA-Fitch AA-	12/1/2027
59465HHD1	—	—	12/1/2032	$7,500,000	—	—
59465E5B5	VAR-HEALTHCARE EQUIP LN-SER C	0.0%	12/1/2032	$20,000,000	—	—
59465HJR8	VAR-HLTHCARE-C-RMKT 10/3/08	0.0%	12/1/2032	—	—	—
59465HGG5	VAR-HEALTHCARE EQUIP LN PG-C	0.0%	12/1/2032	$7,500,000	—	—
59465HJZ0	VAR-HEALTHCARE-C-RMKT-10/14/08	0.0%	12/1/2032	—	—	—
59465E8A4	VAR-HEALTHCARE EQUIP LN PG-C	0.0%	12/1/2032	$7,500,000	—	—
59465E7F4	VAR-HEALTHCARE EQUIP LN PG-C	0.0%	12/1/2032	$10,000,000	—	—
59465HJW7	VAR-HEALTHCARE-C-RMKT-10/07/08	0.0%	12/1/2032	—	—	—
59465HCM6	VAR-HEALTHCARE EQUIP LN PG-C	0.0%	12/1/2032	$5,000,000	—	—
59465E7K3	VAR-HEALTHCARE EQUIP LN PG-C	0.0%	12/1/2032	$5,000,000	—	—
59465E5C3	VAR-TRINITY HEALTH GROUP-SER B	0.0%	12/1/2032	$13,125,000	—	—
59465E5V1	VAR-HLTHCARE EQUIP LN PROG-C	0.0%	12/1/2032	$13,400,000	—	—
59465HVZ6	PREREFUNDED-REF-TRINITY	5.0%	12/1/2032	$1,650,000	—	—
59465HEK8	—	—	12/1/2032	$7,500,000	—	—
59465HKA3	VAR-HEALTHCARE-C-RMKT-10/14/08	0.0%	12/1/2032	—	—	—
59465HGT7	VAR-HEALTHCARE EQUIP LN PROG-C	0.0%	12/1/2032	$5,000,000	—	—
59465HBS4	VAR-HEALTHCARE EQUIP LN PG-C	0.0%	12/1/2032	$10,000,000	—	—
59465E5A7	VAR-HEALTHCARE EQUIP LN PG-C	0.0%	12/1/2032	$10,000,000	—	—
59465HBB1	VAR-HEALTHCARE EQUIP LN PROG-C	0.0%	12/1/2032	$15,000,000	—	—
59465HCG9	VAR-HEALTHCARE EQUIP LN PROG-C	0.0%	12/1/2032	$15,000,000	—	—
59465HJX5	VAR-HEALTHCARE-C-RMKT-10/07/08	0.0%	12/1/2032	—	—	—
59465HKS4	—	—	12/1/2032	$9,000,000	—	—
59465HJV9	VAR-HEALTHCARE-C-RMKT-10/08/08	0.0%	12/1/2032	—	—	—
59465E4V2	HEALTHCARE EQUIP LN PG-SER C	0.0%	12/1/2032	$7,500,000	—	—
59465HGU4	VAR-HEALTHCARE EQUIP LN PROG-C	0.0%	12/1/2032	$5,000,000	—	—
59465HJS6	VAR-HLTHCARE-C-RMKT 9/29/08	0.0%	12/1/2032	—	—	—
59465E6T5	VAR-HEALTHCARE EQUIP LN PROG-C	0.0%	12/1/2032	$12,000,000	—	—
59465HLG9	VAR-HLTHCARE EQUIP-C-RMKT-	0.0%	12/1/2032	—	—	—
59465HHV1	—	—	12/1/2032	$7,500,000	—	—
59465HPM2	MICHIGAN ST HOSP FIN AUTH REV REF REV BDS TRINITY HEA…	4.0%	12/1/2032	$29,735,000	S&P AA-	—
59465HJY3	VAR-HEALTHCARE-C-RMKT-10/07/08	0.0%	12/1/2032	—	—	—
59465E4X8	HEALTHCARE EQUIP LN PG-SER C	0.0%	12/1/2032	$7,500,000	—	—
59465HDY9	ADJ-HEALTHCARE EQUIP LN PG	0.0%	12/1/2032	$10,000,000	—	—
59465E3R2	VAR-HEALTHCARE EQUIP LN PROG-C	0.0%	12/1/2032	$7,500,000	—	—
59465HHT6	VAR-HEALTHCARE EQUIP LN PROG-C	0.0%	12/1/2032	$2,000,000	—	—
59465E4Y6	HEALTHCARE EQUIP LN PROG-SER C	0.0%	12/1/2032	$5,000,000	—	—
59465HEP7	—	—	12/1/2032	$10,000,000	—	—
59465HLH7	VAR-HLTHCARE EQUIP-C-RMKT-	0.0%	12/1/2032	—	—	—
59465HWA0	UNREFUNDED BALANCE-REF-	5.0%	12/1/2032	$13,745,000	Moody’s Aa3S&P AA-Fitch AA-	12/1/2027
59465HYB6	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	5/15/2033	$90,000,000	Moody’s A1	2/15/2033
59465HXW1	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	5/15/2033	$5,530,000	—	—
59465HYK6	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	5/15/2033	$9,055,000	—	—
59465HWR3	MICHIGAN ST HOSP FIN AUTH REV BDS COREWELL HEALTH 202…	5.0%	8/15/2033	$2,205,000	Moody’s Aa3S&P AA	8/15/2033
59465HME3	MICHIGAN ST HOSP FIN AUTH REV VAR REV BDS ASCENSION H…	0.0%	11/15/2033	$85,000,000	—	—
59465ED34	ASCENSION HLTH CREDIT-SER B	5.05%	11/15/2033	—	—	—
59465HUY0	MICHIGAN ST HOSP FIN AUTH REV VAR BDS ASCENSION HEALT…	4.0%	11/15/2033	$16,395,000	Moody’s Aa2S&P AA+Fitch AA+	—
59465HKU9	ASCENSION HLTH CREDIT-SER B-4-	3.75%	11/15/2033	$85,000,000	S&P AA+	—
59465HTT3	MICHIGAN ST HOSP FIN AUTH REV REV BDS ASCENSION HEALT…	0.95%	11/15/2033	$81,135,000	Moody’s Aa2	—
59465HSA5	MICHIGAN ST HOSP FIN AUTH REV VAR RATE REV BDS ASCENS…	5.0%	11/15/2033	$16,910,000	Moody’s Aa2S&P AA+Fitch AA+	—
59465HTV8	UNREFUNDED BALANCE-ASCENSION	0.95%	11/15/2033	$78,495,000	Moody’s Aa2	—
59465ED91	ASCENSION HLTH CREDIT-SER B	5.375%	11/15/2033	$85,000,000	—	—
59465E7G2	VAR-ASCENSION-B-1-RMK 11/15/04	0.0%	11/15/2033	$85,000,000	—	—
59465HRU2	MICHIGAN ST HOSP FIN AUTH REV REV BDS ASCENSION HEALT…	0.3%	11/15/2033	$81,135,000	Moody’s Aa2S&P AA+	—
59465HTU0	PREREFUNDED-ASCENSION HEALTH	0.95%	11/15/2033	$2,640,000	—	—
59465HKT2	ASCENSION HLTH CREDIT-SER B-2-	0.7%	11/15/2033	$85,000,000	—	—
59465HKV7	VAR-ASCENSION-B1-RMKT-02/25/09	0.7%	11/15/2033	$81,175,000	Moody’s Aa2	—
59465HKW5	VAR-ASCENSION-B3-RMKT-02/25/09	2.75%	11/15/2033	$85,000,000	—	—
59465HMD5	MICHIGAN ST HOSP FIN AUTH REV ASCENSION HEALTH-B1-RMK…	0.28%	11/15/2033	$81,175,000	—	—
59465ED75	ASCENSION HLTH CREDIT-SER B	5.2%	11/15/2033	$85,000,000	—	—
59465HPK6	MICHIGAN ST HOSP FIN AUTH REV REV BDS ASCENSION HEALT…	0.0%	11/15/2033	$82,550,000	—	—
59465HWB8	PREREFUNDED-VAR-ASCENSION	5.0%	11/15/2033	$7,915,000	—	—
59465ED83	ASCENSION HLTH CREDIT-SER B	5.3%	11/15/2033	—	—	—
59465HNN2	MICHIGAN ST HOSP FIN AUTH REV REV BDS ASCENSION HEALT…	2.0%	11/15/2033	$81,595,000	Moody’s Aa2S&P AA+	—
59465HEF9	VAR-ASCENSION-B3-RMK--11/16/06	0.0%	11/15/2033	$85,000,000	—	—
59465HWC6	UNREFUNDED BALANCE-VAR	5.0%	11/15/2033	$8,995,000	—	—
59465HRV0	PREREFUNDED-REF-TRINITY HLTH	6.5%	12/1/2033	$77,180,000	—	—
59465HTN6	PREREFUNDED-2016-REF-TRINITY	6.5%	12/1/2033	$17,200,000	—	—
59465HKK1	REF-TRINITY HLTH CREDIT-A-1	6.5%	12/1/2033	$97,625,000	Moody’s Aa3	—
59465HRW8	UNREFUNDED	6.5%	12/1/2033	$20,445,000	Moody’s Aa3	—
59465HTQ9	UNREFUNDED BALANCE-2016-REF	6.5%	12/1/2033	$3,245,000	—	—
59465E7A5	HOSP-HOLLAND CMNTY HOSP-SER A	5.375%	1/1/2034	$7,415,000	—	—
59465HJQ0	VAR-HOLLAND CMNTY HOSP-B-RMKT	0.0%	1/1/2034	—	—	—
59465E7E7	VAR-HOLLAND CMNTY HOSP-SER B	0.54%	1/1/2034	$22,000,000	—	—
59465HYL4	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	5/15/2034	$9,515,000	—	—
59465HBA3	MARQUETTE GEN HOSP OBLIG GRP-A	5.0%	5/15/2034	$10,245,000	—	—
59465HXX9	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	5/15/2034	$5,815,000	—	—
59465HLD6	MICHIGAN ST HOSP FIN AUTH REV REV BDS MIDMICHIGAN HEA…	6.125%	6/1/2034	$13,395,000	S&P AA+	—
59465HWS1	MICHIGAN ST HOSP FIN AUTH REV BDS COREWELL HEALTH 202…	5.0%	8/15/2034	$25,910,000	Moody’s Aa3S&P AA	8/15/2034
59465HBW5	REF-TRINITY HEALTH CREDIT-D	4.625%	8/15/2034	$17,025,000	—	—
59465HTB2	PREREFUNDED-REF-TRINITY	4.625%	8/15/2034	$12,230,000	—	—
59465HBV7	REF-TRINITY HEALTH CREDIT-D	5.0%	8/15/2034	$6,000,000	—	—
59465E8E6	UNREFUNDED BAL-MERCY HLTH-X	6.0%	8/15/2034	$31,555,000	—	—
59465EG72	REF-MERCY HEALTH SERVICES-X	6.0%	8/15/2034	$47,150,000	—	—
59465E8C0	PREREFUNDED-MERCY HEALTH-X	6.0%	8/15/2034	$15,595,000	—	—
59465HTG1	UNREFUNDED	4.625%	8/15/2034	$4,795,000	—	—
59465HCF1	REF-TRINITY HEALTH CR-D-AMBAC	4.625%	8/15/2034	$7,475,000	—	—
59465HYW0	MICHIGAN ST HOSP FIN AUTH REV REF BDS HENRY FORD HLTH…	5.0%	11/15/2034	$29,955,000	Moody’s A2Fitch A+	11/15/2034
59465HKR6	VAR-REF-TRINITY HEALTH-SER C	0.0%	12/1/2034	—	Moody’s Aa3S&P AA-	—
59465HTJ5	UNREFUNDED BALANCE-2015	5.75%	12/1/2034	—	—	—
59465HTH9	UNREFUNDED	5.0%	12/1/2034	$57,795,000	Moody’s Aa3S&P AA-	—
59465HKN5	REF-TRINITY HLTH CREDIT-A-2	6.0%	12/1/2034	$75,500,000	Moody’s Aa3	—
59465HKM7	REF-TRINITY HLTH CREDIT-A-2	5.5%	12/1/2034	$10,000,000	Moody’s Aa3S&P AA-	—
59465HPL4	MICHIGAN ST HOSP FIN AUTH REV REF REV BDS TRINITY HEA…	5.0%	12/1/2034	$62,420,000	Moody’s Aa3S&P AA-	—
59465HTD8	PREREFUNDED-2015-REF-TRINITY	5.75%	12/1/2034	—	—	—
59465HKL9	REF-TRINITY HLTH CREDIT-A-2	5.75%	12/1/2034	$35,000,000	Moody’s Aa3	—
59465HTC0	PREREFUNDED-REF-TRINITY HEALTH	5.0%	12/1/2034	$4,625,000	—	—
59465HSV9	PREREFUNDED-REF-TRINITY HLTH	5.75%	12/1/2034	$31,585,000	—	—
59465HSW7	UNREFUNDED	5.75%	12/1/2034	$3,415,000	Moody’s Aa3	—
59465HYM2	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	5/15/2035	$10,005,000	—	—
59465HXY7	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	5/15/2035	$6,105,000	—	—
59465HRJ7	MICHIGAN ST HOSP FIN AUTH REV REF BDS MCLAREN HLTH CA…	4.0%	6/1/2035	$660,000	Moody’s A1Fitch AA-	—
59465E6S7	VAR-HOSP-SOUTHWESTERN REHAB	0.16%	6/1/2035	$9,500,000	—	—
59465HRP3	MICHIGAN ST HOSP FIN AUTH REV REF BDS MCLAREN HLTH CA…	5.0%	6/1/2035	$10,285,000	Moody’s A1Fitch AA-	—
59465HBM7	MCLAREN HEALTH CARE-SER C	5.0%	8/1/2035	$52,980,000	—	—
59465HWT9	MICHIGAN ST HOSP FIN AUTH REV BDS COREWELL HEALTH 202…	5.0%	8/15/2035	$31,970,000	Moody’s Aa3S&P AA	6/1/2035
59465E8U0	REF-PRESBYTERIAN VLG	5.5%	11/15/2035	$17,335,000	—	—
59465HEB8	MIDMICHIGAN OBLIG GROUP-SER A	5.0%	4/15/2036	$41,205,000	—	—
59465HGW0	MIDMICHIGAN-A-AMBAC TCRS-BNY	5.0%	4/15/2036	$12,850,000	—	—
59465HCL8	VAR-NORTH OTTAWA CARE CTR INC	0.0%	5/1/2036	$6,385,000	—	—
59465HXZ4	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	5/15/2036	$6,425,000	—	—
59465HYN0	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	5/15/2036	$10,510,000	—	—
59465HWU6	MICHIGAN ST HOSP FIN AUTH REV BDS COREWELL HEALTH 202…	5.0%	8/15/2036	$2,110,000	Moody’s Aa3S&P AA	6/1/2035
59465HYX8	MICHIGAN ST HOSP FIN AUTH REV REF BDS HENRY FORD HLTH…	5.0%	11/15/2036	$184,750,000	Moody’s A2Fitch A+	8/15/2036
59465EX65	REF-HOSP-SPARROW OBLIG GROUP	5.625%	11/15/2036	$13,120,000	—	—
59465HAS5	REF-SPARROW OBLIGATED GROUP	5.0%	11/15/2036	$39,660,000	—	—
59465HGC4	REF-HOSP-SPARROW-NATL IBC	5.0%	11/15/2036	$24,500,000	Moody’s A2	—
59465HFK7	REF-HOSP-SPARROW OBLIGATED	5.0%	11/15/2036	$42,435,000	—	—
59465HAT3	REF-SPARROW OBLIGATED GROUP	4.5%	11/15/2036	$7,500,000	—	—
59465EHE6	HOSP-SPARROW OBLIGATED GROUP	6.0%	11/15/2036	$20,145,000	—	—
59465HBR6	CHELSEA CMNTY HOSP OBLIGATED	5.0%	5/15/2037	$11,135,000	—	—
59465HGA8	REF-HOSP-OAKWOOD OBLIG GRP-A	5.0%	7/15/2037	$26,680,000	—	—
59465HWV4	MICHIGAN ST HOSP FIN AUTH REV BDS COREWELL HEALTH 202…	5.0%	8/15/2037	$2,360,000	Moody’s Aa3S&P AA	6/1/2035
59465HCK0	VAR-REF-HOSP-OAKLAWN HOSP	0.0%	11/1/2037	$37,800,000	—	—
59465HKX3	VAR-REF-HOSP-OAKLAWN HOSP-	0.0%	11/1/2037	—	—	—
59465HYY6	MICHIGAN ST HOSP FIN AUTH REV REF BDS HENRY FORD HLTH…	5.0%	11/15/2037	$43,040,000	Moody’s A2Fitch A+	11/15/2036
59465HJJ6	REF-MCLAREN HEALTH CARE-SER A	5.75%	5/15/2038	$116,195,000	—	—
59465HJM9	VAR-REF-MCLAREN HEALTH CARE-B	0.0%	10/15/2038	$75,000,000	—	—
59465HBN5	MCLAREN HEALTH CARE-SER B	2.74%	11/1/2038	$75,000,000	—	—
59465HYZ3	MICHIGAN ST HOSP FIN AUTH REV REF BDS HENRY FORD HLTH…	5.0%	11/15/2038	$45,195,000	Moody’s A2Fitch A+	11/15/2036
59465HHF6	ROLS-RR-II-R-11330	0.0%	11/15/2038	—	—	—
59465HHE9	ROCS-RR-II-R-11330	0.0%	11/15/2038	—	—	—
59465HCD6	HILLS & DALES GEN HOSP GROUP-A	6.75%	11/15/2038	$11,775,000	—	—
59465HDL7	REF-HENRY FORD HEALTH SYS-A	5.0%	11/15/2038	$63,715,000	—	—
59465E7J6	VAR-TRINITY HEALTH CREDIT-F	0.0%	12/1/2038	$41,475,000	—	—
59465E7H0	VAR-TRINITY HEALTH CREDIT-E	0.0%	12/1/2038	$45,250,000	—	—
59465HRS7	VAR-CHE TRINITY HEALTH CR	0.0%	12/1/2038	—	—	—
59465HLF1	MICHIGAN ST HOSP FIN AUTH REV REV BDS MIDMICHIGAN HEA…	6.125%	6/1/2039	$44,005,000	S&P AA+	—
59465HLE4	MICHIGAN ST HOSP FIN AUTH REV REV BDS MIDMICHIGAN HEA…	5.875%	6/1/2039	$5,000,000	S&P AA+	—
59465HWW2	MICHIGAN ST HOSP FIN AUTH REV BDS COREWELL HEALTH 202…	5.0%	8/15/2039	$16,325,000	Moody’s Aa3S&P AA	6/1/2035
59465HMA1	MICHIGAN ST HOSP FIN AUTH REV REV REF BDS HENRY FORD …	5.75%	11/15/2039	$169,715,000	—	—
59465HZA7	MICHIGAN ST HOSP FIN AUTH REV REF BDS HENRY FORD HLTH…	5.0%	11/15/2039	$47,450,000	Moody’s A2Fitch A+	11/15/2036
59465HWX0	MICHIGAN ST HOSP FIN AUTH REV BDS COREWELL HEALTH 202…	5.0%	8/15/2040	$14,040,000	Moody’s Aa3S&P AA	6/1/2035
59465HCA2	VAR-TRINITY HEALTH CREDIT-H	0.0%	11/1/2040	$52,965,000	—	—
59465HJU1	VAR-TRINITY HLTH CREDIT-H-RMKT	0.0%	11/1/2040	—	—	—
59465HBZ8	VAR-TRINITY HEALTH CREDIT-G	0.0%	11/1/2040	$22,000,000	—	—
59465HDP8	REF-HOSP-HENRY FORD HEALTH-C	0.0%	11/15/2040	$99,250,000	—	—
59465HZB5	MICHIGAN ST HOSP FIN AUTH REV REF BDS HENRY FORD HLTH…	5.0%	11/15/2040	$49,825,000	Moody’s A2Fitch A+	11/15/2036
59465HDN3	REF-HOSP-HENRY FORD HEALTH-B	0.0%	11/15/2040	$98,945,000	—	—
59465HYP5	MICHIGAN ST HOSP FIN AUTH REV REF BDS BRONSON HEALTHC…	5.0%	5/15/2041	$4,145,000	Moody’s A1	5/15/2036
59465HWY8	MICHIGAN ST HOSP FIN AUTH REV BDS COREWELL HEALTH 202…	5.0%	8/15/2041	$14,760,000	Moody’s Aa3S&P AA	6/1/2035
59465HZC3	MICHIGAN ST HOSP FIN AUTH REV REF BDS HENRY FORD HLTH…	5.0%	11/15/2041	$52,310,000	Moody’s A2Fitch A+	11/15/2036
59465HWZ5	MICHIGAN ST HOSP FIN AUTH REV BDS COREWELL HEALTH 202…	5.0%	8/15/2042	$15,450,000	Moody’s Aa3S&P AA	6/1/2035
59465HGS9	VAR-HOSP-HENRY FORD HEALTH SYS	0.06%	11/15/2042	$165,735,000	—	—
59465HZD1	MICHIGAN ST HOSP FIN AUTH REV REF BDS HENRY FORD HLTH…	5.0%	11/15/2042	$9,565,000	Moody’s A2Fitch A+	11/15/2036
59465HPN0	MICHIGAN ST HOSP FIN AUTH REV REV BDS TRINITY HEALTH …	4.0%	12/1/2042	$18,290,000	Moody’s Aa3S&P AA-	—
59465HVW3	PREREFUNDED-TRINITY HEALTH	4.0%	12/1/2042	$8,800,000	—	—
59465HPQ3	MICHIGAN ST HOSP FIN AUTH REV REV BDS TRINITY HEALTH …	4.0%	12/1/2042	$18,290,000	Moody’s Aa3S&P AA-	—
59465HVV5	PREREFUNDED-TRINITY HEALTH	4.0%	12/1/2042	$8,800,000	—	—
59465HVY9	UNREFUNDED BALANCE-TRINITY	4.0%	12/1/2042	$9,490,000	S&P AA-Fitch AA-	—
59465HVX1	UNREFUNDED BALANCE-TRINITY	4.0%	12/1/2042	$9,490,000	S&P AA-Fitch AA-	—
59465HXA9	MICHIGAN ST HOSP FIN AUTH REV BDS COREWELL HEALTH 202…	5.0%	8/15/2043	$15,490,000	Moody’s Aa3S&P AA	6/1/2035
59465HZE9	MICHIGAN ST HOSP FIN AUTH REV REF BDS HENRY FORD HLTH…	5.0%	11/15/2043	$10,040,000	Moody’s A2Fitch A+	11/15/2036
59465HXB7	MICHIGAN ST HOSP FIN AUTH REV BDS COREWELL HEALTH 202…	5.0%	8/15/2044	$16,245,000	Moody’s Aa3S&P AA	6/1/2035
59465HZF6	MICHIGAN ST HOSP FIN AUTH REV REF BDS HENRY FORD HLTH…	5.0%	11/15/2044	$10,545,000	Moody’s A2Fitch A+	11/15/2036
59465HXC5	MICHIGAN ST HOSP FIN AUTH REV BDS COREWELL HEALTH 202…	5.0%	8/15/2045	$17,065,000	Moody’s Aa3S&P AA	6/1/2035
59465HZG4	MICHIGAN ST HOSP FIN AUTH REV REF BDS HENRY FORD HLTH…	5.0%	11/15/2045	$11,070,000	Moody’s A2Fitch A+	11/15/2036
59465HXD3	MICHIGAN ST HOSP FIN AUTH REV BDS COREWELL HEALTH 202…	5.0%	8/15/2046	$17,865,000	Moody’s Aa3S&P AA	6/1/2035
59465HZH2	MICHIGAN ST HOSP FIN AUTH REV REF BDS HENRY FORD HLTH…	5.0%	11/15/2046	$11,625,000	Moody’s A2Fitch A+	11/15/2036
59465HTZ9	MICHIGAN ST HOSP FIN AUTH REV REV BDS ASCENSION HEALT…	5.0%	11/15/2046	$58,810,000	Moody’s Aa3S&P AA+Fitch AA+	11/15/2026
59465HDM5	REF-HENRY FORD HEALTH SYS-A	5.25%	11/15/2046	$194,395,000	—	—
59465HWN2	PREREFUNDED-ASCENSION HEALTH	5.0%	11/15/2046	$30,000,000	—	—
59465HWQ5	UNREFUNDED BALANCE-ASCENSION	5.0%	11/15/2046	$28,810,000	Moody’s Aa3S&P AAA/A-1+Fitch AA	11/15/2026
59465HMP8	MICHIGAN ST HOSP FIN AUTH REV REV BDS MAND TENDER WIN…	0.0%	11/15/2047	$72,915,000	Moody’s Aa2	—
59465HVU7	MICHIGAN ST HOSP FIN AUTH REV REF PROJ BDS ASCENSION …	5.0%	11/15/2047	$84,105,000	Moody’s Aa3S&P AAFitch AA+	5/15/2030
59465HVK9	MICHIGAN ST HOSP FIN AUTH REV REF PROJ BDS ASCENSION …	4.0%	11/15/2047	$77,110,000	Moody’s Aa2S&P AA+Fitch AA+	—
59465HMN3	MICHIGAN ST HOSP FIN AUTH REV REV BDS MAND TENDER WIN…	—	11/15/2047	—	—	—
59465HWM4	PREREFUNDED-ASCENSION HEALTH	4.0%	11/15/2047	$58,785,000	—	—
59465HXN1	UNREFUNDED BALANCE-REF &	5.0%	11/15/2047	$59,925,000	Moody’s Aa3S&P AAFitch AA	5/15/2030
59465HPJ9	MICHIGAN ST HOSP FIN AUTH REV REV REF BDS ASCENSION H…	1.5%	11/15/2047	$82,975,000	S&P AA+	—
59465HRR9	MICHIGAN ST HOSP FIN AUTH REV REF REV BDS ASCENSION H…	1.95%	11/15/2047	$95,550,000	Moody’s Aa2	—
59465HNV4	MICHIGAN ST HOSP FIN AUTH REV VAR REV BDS ASCENSION H…	0.0%	11/15/2047	$95,550,000	—	—
59465HRT5	MICHIGAN ST HOSP FIN AUTH REV REF BDS ASCENSION HEALT…	1.4%	11/15/2047	$82,970,000	—	—
59465HMM5	MICHIGAN ST HOSP FIN AUTH REV REV BDS ASCENSION HEALT…	0.0%	11/15/2047	—	S&P AA+	—
59465HNJ1	MICHIGAN ST HOSP FIN AUTH REV REV BDS ASCENSION HEALT…	1.5%	11/15/2047	$82,970,000	—	—
59465HNU6	MICHIGAN ST HOSP FIN AUTH REV REV BDS ASCENSION HEALT…	0.45%	11/15/2047	$82,975,000	—	—
59465HMQ6	MICHIGAN ST HOSP FIN AUTH REV REV BDS MAND TENDER WIN…	—	11/15/2047	—	—	—
59465HQS8	MICHIGAN ST HOSP FIN AUTH REV REF AND PROJ REV BDS AS…	2.0%	11/15/2047	$82,970,000	Moody’s Aa2	—
59465HUB0	MICHIGAN ST HOSP FIN AUTH REV REV REF BDS ASCENSION H…	1.9%	11/15/2047	$95,545,000	S&P AA+Fitch AA+	—
59465HVL7	MICHIGAN ST HOSP FIN AUTH REV REF PROJ BDS ASCENSION …	4.0%	11/15/2047	$76,435,000	Moody’s Aa2S&P AA+Fitch AA+	—
59465HTX4	MICHIGAN ST HOSP FIN AUTH REV REV BDS ASCENSION HEALT…	4.0%	11/15/2047	$67,015,000	Moody’s Aa3S&P AA+Fitch AA+	11/15/2026
59465HUA2	MICHIGAN ST HOSP FIN AUTH REV REV REF BDS ASCENSION H…	2.4%	11/15/2047	$82,975,000	Moody’s Aa2S&P AA+Fitch AA+	—
59465HMH6	MICHIGAN ST HOSP FIN AUTH REV REV BDS ASCENSION HEALT…	0.0%	11/15/2047	—	—	—
59465HWP7	MICHIGAN ST HOSP FIN AUTH REV REV BDS ASCENSION HEALT…	4.0%	11/15/2047	$8,230,000	Moody’s Aa3Fitch AA	11/15/2047
59465HTY2	MICHIGAN ST HOSP FIN AUTH REV REV BDS ASCENSION HEALT…	5.0%	11/15/2047	$61,160,000	Moody’s Aa2S&P AA+Fitch AA+	—
59465HXM3	PREREFUNDED-REF &	5.0%	11/15/2047	$24,180,000	—	—
59465HPH3	MICHIGAN ST HOSP FIN AUTH REV REV REF BDS ASCENSION H…	1.5%	11/15/2047	$95,545,000	S&P AA+	—
59465HML7	MICHIGAN ST HOSP FIN AUTH REV REV BDS ASCENSION HEALT…	0.0%	11/15/2047	—	—	—
59465HNT9	MICHIGAN ST HOSP FIN AUTH REV REV BDS ASCENSION HEALT…	0.45%	11/15/2047	$95,545,000	—	—
59465HNK8	MICHIGAN ST HOSP FIN AUTH REV REV BDS ASCENSION HEALT…	2.625%	11/15/2047	$82,970,000	—	—
59465HMK9	MICHIGAN ST HOSP FIN AUTH REV REV BDS ASCENSION HEALT…	0.0%	11/15/2047	—	—	—
59465HMJ2	MICHIGAN ST HOSP FIN AUTH REV REV BDS ASCENSION HEALT…	0.0%	11/15/2047	—	S&P AA+	—
59465HMC7	VAR-TRINITY HEALTH CR GRP-C	0.0%	12/1/2048	—	S&P AA-	—
59465HPR1	MICHIGAN ST HOSP FIN AUTH REV REV BDS TRINITY HEALTH …	5.0%	12/1/2048	$32,005,000	Moody’s Aa3S&P AA-	—
59465HMB9	VAR-TRINITY HEALTH-SER B	0.0%	12/1/2048	—	S&P AA-	—
59465HPP5	MICHIGAN ST HOSP FIN AUTH REV REV BDS TRINITY HEALTH …	5.0%	12/1/2048	$32,025,000	Moody’s Aa3S&P AA-	—
59465HZJ8	MICHIGAN ST HOSP FIN AUTH REV REF BDS HENRY FORD HLTH…	5.25%	11/15/2053	$168,575,000	Moody’s A2Fitch A+	11/15/2036
59465HXG6	MICHIGAN ST HOSP FIN AUTH REV REF BDS COREWELL HEALTH…	0.0%	1/15/2055	$98,170,000	Moody’s Aa3S&P AAA/A-1+	5/7/2035
59465HXE1	MICHIGAN ST HOSP FIN AUTH REV REF BDS COREWELL HEALTH…	5.0%	8/15/2055	$94,030,000	Moody’s Aa3S&P AA	6/1/2032
59465HXF8	MICHIGAN ST HOSP FIN AUTH REV REF BDS COREWELL HEALTH…	5.0%	8/15/2055	$94,505,000	Moody’s Aa3S&P AA	6/1/2035
59465HZK5	MICHIGAN ST HOSP FIN AUTH REV REF BDS HENRY FORD HLTH…	5.5%	11/15/2056	$310,350,000	Moody’s A2Fitch A+	11/15/2036

Show all 391 →

Market activity

EMMA · secondary trades · latest compiled 11/3/2026

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

Trade dateSecurityPriceYieldSizeSide

11/3 59465HUM6 100.15 3.00% 550,000 Customer Bought

11/3 59465HUM6 100.14 3.01% 550,000 Customer Sold

11/2 59465HXQ4 100.67 3.72% 20,000 Inter-Dealer Trade

11/2 59465HXQ4 100.77 3.53% 20,000 Customer Bought

11/2 59465HXQ4 100.39 4.25% 20,000 Customer Sold

10/30 59465HUM6 99.93 5.75% 5,000 Customer Sold

10/21 59465HUU8 99.92 5.17% 75,000 Customer Sold

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

20 callable securities in this sample 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'.

12/31/2021

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.

4/1/2021

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.

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