The following hospital and health system rating and outlook changes and affirmations took place in the last week, starting with the most recent.
1. Moody's revises Catholic Health System's outlook to stable
Moody's Investors Service revised the outlook to stable from positive and affirmed the "Baa1" rating on Buffalo, N.Y.-based Catholic Health System, affecting $120 million of debt.
2. Moody's assigns 'Aa3' rating to Mission Health System's bonds
Moody's Investors Service assigned an "Aa3" rating to Asheville, N.C.-based Mission Health System's proposed $54 million of series 2016 bonds and $105 million of series 2017 bonds.
3. Moody's assigns 'A2' rating to St. Charles Health System's bonds
Moody's Investors Service assigned an "A2" rating to Bend, Ore.-based St. Charles Health System's proposed series 2016A and 2016B fixed rate revenue bonds, which are expected to have a par value of up to $115 million.
4. Fitch assigns 'AA-' rating to Mission Health's bonds
Fitch Ratings assigned an "AA-" rating to Asheville, N.C.-based Mission Health System's $56.98 million of series 2016 bonds and $103.25 million of series 2017 bonds.
5. Fitch revises Lawrence + Memorial Hospital's outlook to negative from stable
Fitch Ratings revised the outlook on New London, Conn.-based Lawrence + Memorial Hospital to negative from stable.
6. S&P assigns 'A+' rating to St. Charles Health System's bonds
S&P Global Ratings assigned an "A+" rating to Bend, Ore.-based St. Charles Health System's $104.12 million of series 2016A bonds and $7 million of series 2016B bonds.
7. Fitch downgrades Community Health Systems' rating to 'B'
Fitch Ratings downgraded Franklin, Tenn.-based Community Health Systems' issuer default rating to "B," affecting $15.6 billion of debt outstanding as of June 30, 2016.
8. Fitch revises Wentworth-Douglass Hospital's outlook to positive
Fitch Ratings revised the outlook to positive from stable on Dover, N.H.-based Wentworth-Douglass Hospital.
9. Fitch affirms New York Methodist Hospital's 'A-' rating
Fitch Ratings affirmed the "A-" rating on New York City-based New York Methodist Hospital's $32 million of series 2014 bonds.
10. Moody's affirms Sharp HealthCare's 'Aa3' rating
Moody's Investors Service affirmed the "Aa3" rating on San Diego-based Sharp HealthCare's long-term and underlying revenue bond ratings, affecting $545 million of rated debt.
11. Fitch affirms Major Hospital's 'BBB+' rating
Fitch Ratings affirmed the "BBB+" rating on Shelbyville, Ind.-based Major Hospital's $53.5 million of series 2014A revenue bonds, issued by Indiana Hospital Authority.
12. S&P assigns 'AA-' rating to Mission Health's bonds
S&P Global Ratings assigned an "AA-" rating to Asheville, N.C.-based Mission Health's series 2016 and 2017 bonds.
13. Fitch assigns 'BB+/RR1' rating to HCA's senior secured notes
Fitch Ratings assigned a "BB+/RR1" rating to Nashville, Tenn.-based HCA's senior secured notes, affecting approximately $31.5 billion of debt outstanding as of June 30, 2016.