The following hospital and health system rating and outlook changes and affirmations took place in the last week, beginning with the most recent.
1. Moody's affirms 'A3' rating on Calvert Health System
Moody's Investors Service affirmed the "A3" rating on Prince Frederick, Md.-based Calvert Health System, affecting $31 million in outstanding revenue bonds.
2. Fitch affirms 'BBB-' rating on Columbia Memorial Hospital
Fitch Ratings affirmed the "BBB-" rating on $18.8 million series 2016 revenue bonds and $27.7 million series 2012 hospital and refunding bonds issued by Hospital Facilities Authority of the City of Astoria on behalf of Columbia Memorial Hospital in Astoria, Ore.
3. Moody's assigns 'Baa2' rating to Eisenhower Medical Center's bonds
Moody's Investors Service assigned a "Baa2" rating to Rancho Mirage, Calif.-based Eisenhower Medical Center's proposed $100 million series 2017B revenue refunding bonds with final maturity in 2047.
4. Moody's affirms 'Ba2' rating on Community Memorial Health System
Moody's Investors Service affirmed the "Ba2" rating on Ventura, Calif.-based Community Memorial Health System, affecting $345 million in revenue bonds.
5. S&P raises MedStar Health's rating to 'A'
S&P Global Ratings raised Columbia, Md.-based MedStar Health's rating to "A" from "A-" on debt from various entities.
6. Fitch assigns 'BB+/RR1' rating to HCA's senior secured notes
Fitch Ratings assigned a "BB+/RR1" rating to Nashville, Tenn.-based HCA Healthcare's proposed senior secured notes issuance. The ratings apply to $31.7 billion of outstanding debt.
7. Moody's downgrades rating on Eastern Maine Health System to 'Ba1'
Moody's Investors Service downgraded Brewer-based Eastern Maine Healthcare Systems' credit rating to "Ba1" from "Baa3," affecting $393 million of outstanding debt.
8. S&P revises Main Line Health System's outlook to stable and affirms 'AA' rating
S&P Global Ratings affirmed the "AA" rating on Philadelphia-based Main Line Health System's fixed-rate revenue bonds, affecting $188 million of rated debt.
9.Moody's assigns 'A2' rating to Centra Health's bonds
Moody's Investors Service assigned an "A2" rating to Lynchburg, Va.-based Centra Health's proposed series 2017A fixed-rate hospital revenue bonds and series 2017B and series 2017C variable-rate revenue and refunding bonds.
10. Moody's affirms 'A1' rating on Akron Children's bonds
Moody's Investors Service affirmed the "A1" rating on Akron (Ohio) Children's Hospital's $186 million of outstanding rated revenue bonds.
11. Fitch withdraws 'AA+' rating on Ascension's bonds
Fitch Ratings withdrew the "AA+" rating on St. Louis-based Ascension Health's series 2017A taxable bonds.
12. Moody's revises Providence St. Joseph's Health's outlook to negative
Moody's Investors Service affirmed the "Aa3" and "Aa3/VMIG1" ratings on Renton, Wash.-based Providence St. Joseph's Health's revenue bonds, affecting $6 billion of rated debt.