What are the advantages and disadvantages to a taxpaying entity in issuing bonds as opposed to debt?

Please answer the following questions regarding debt and equity financing and cite all of your sources:

What are the advantages and disadvantages to a taxpaying entity in issuing bonds as opposed to debt?
What are the advantages and disadvantages to a taxable bond versus a tax-exempt bond?
Why would a healthcare company use a private placement bond issue instead of a public issue? Why would they use a public bond issue instead?
What can cause a healthcare provider’s credit rating to be downgraded?
How can a healthcare provider improve their credit rating?
What are the advantages and disadvantages of fixed and variable debt? Why would a healthcare provider prefer one over the other?
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