The following hospital and health system rating and outlook changes and affirmations took place in the last week, starting with the most recent.
1. S&P revises Doylestown Hospital's outlook to negative
S&P Global Ratings revised the outlook on Doylestown (Pa.) Hospital's outlook to negative from stable.
2. Moody's downgrades Mercy Health's rating to 'A2'
Moody's Investors Service downgraded Cincinnati-based Mercy Health' ratings to "A2" from "A1" and to "A2/VMIG 1" from "A1/VMIG 1," affecting a total of $1.6 billion of debt.
3. Fitch revises Sky Lakes Medical Center's outlook to positive
Fitch Ratings revised Klamath Falls, Ore.-based Sky Lakes Medical Center's outlook to positive from stable.
4. Fitch affirms Central Washington Hospital's 'BBB+' rating
Fitch Ratings affirmed the "BBB+" rating on Wenatchee, Wash.-based Central Washington Hospital's $125 million of series 2015 and series 2009 revenue bonds.
5. Moody's revises FirstHealth of the Carolinas' outlook to negative
Moody's Investors Service revised Pinehurst, N.C.-based FirstHealth of the Carolinas' outlook to negative.
6. Moody's assigns 'Aa2' rating to University of Iowa Hospitals and Clinics' bonds
Moody's Investors Services assigned an "Aa2" rating to Iowa City-based University of Iowa Hospitals and Clinics' proposed $23.9 million of series S.U.I. 2016A bonds.
7. Moody's downgrades Presence Health, Provena Health and Resurrection Health Care's ratings to 'Baa3'
Moody's Investors Service downgraded Chicago-based Presence Health, Provena Health and Resurrection Health Care's ratings to "Baa3" from "Baa2."
8. Moody's revises IHC Health Services' outlook to negative
Moody's Investors Service revised Salt Lake City-based IHC Health Services' outlook to negative.
9. Moody's assigns 'Aa2' rating to Adventist Health's bonds
Moody's Investors Service assigned an "Aa2" rating to Altamonte Springs, Fla.-based Adventist Health System's proposed series 2016A, series 2016B and 2016C bonds, affecting a total of $395.5 million.
10. S&P assigns 'AA-' rating to Santa Rosa Community Health Centers' bonds
S&P Global Ratings assigned an "AA-" rating to the California Municipal Finance Authority's $12 million of series 2016 bond issued for Santa Rosa (Calif.) Community Health Centers.
11. S&P revises Pullman Regional Hospital's outlook to positive
S&P Global Ratings revised Pullman (Wash.) Regional Hospital's outlook to positive from stable.
12. Fitch downgrades Spartanburg Regional Health Services District's rating to 'A'
Fitch Ratings downgraded the rating on Spartanburg (S.C.) Regional Health Services District's outstanding debt to "A" from "A+."