14 recent hospital outlook and credit rating actions

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 'A2' rating on Southeast Georgia Health System's bonds
Moody's Investors Service affirmed the "A2" rating on Brunswick-based Southeast Georgia Health System's revenue bonds, affecting approximately $142 million of debt. 

2. Moody's affirms 'Aa1' rating on Children's Hospital & Medical Center's LOC-backed bonds
Moody's Investors Service affirmed the "Aa1" long-term joint support letter of credit-backed rating of Omaha, Neb.-based Children's Hospital & Medical Center's series 2008A revenue refunding bonds.

3. Moody's affirms 'A1' rating on Mosaic Life Care's bonds
Moody's Investors Service affirmed St. Joseph, Mo.-based Mosaic Life Care's "A1" rating, affecting approximately $119 million of rated debt.

4. Fitch revises ratings watch on Tulare Regional Medical Center's 'BB-' rated bonds to negative
Fitch Ratings revised the rating watch on Tulare (Calif.) Regional Medical Center's "BB-" rated $13,650,000 of series 2007 fixed-rate bonds to negative from positive.

5. S&P lowers rating on Ryder Memorial Hospital's bonds to 'B+'
S&P Global Ratings lowered Humacao, Puerto Rico-based Ryder Memorial Hospital's rating on $7.8 million of series 1994A bonds to "B+" from "BB-." 

6. Moody's assigns 'Ba2' rating to Reliant Medical Group's bonds
Moody's Investors Service assigned a "Ba2" rating to Worcester, Mass.-based Reliant Medical Group's proposed $142 million of series 2017 bonds. 

7. Moody's assigns 'A3' rating to Fred Hutchinson Cancer Research Center's bonds
Moody's Investors Service assigned an "A3" rating to Seattle-based Fred Hutchinson Cancer Research Center's proposed bonds.

8. S&P assigns 'A' rating to Fred Hutchinson Cancer Research Center's bonds
S&P Global Ratings assigned and affirmed the "A" rating on Seattle-based Fred Hutchinson Cancer Research Center's bonds.

9. S&P places MetroHealth System's 'A-' bonds on CreditWatch
S&P Global Ratings placed the "A-" long-term rating on Cleveland-based MetroHealth System's series 2009B taxable hospital revenue bonds on CreditWatch with negative implications.

10. Fitch assigns 'AA-' rating to University Medical Center of El Paso's bonds
Fitch Ratings assigned an "AA-" rating to the University Medical Center of El Paso (Texas)'s $102.475 million of series 2017 general obligation refunding bonds. 

11. Moody's affirms 'Aa3' rating on Tarrant County Hospital District's bonds
Moody's Investors Service affirmed the "Aa3" rating on Fort Worth, Texas-based Tarrant County Hospital District's bonds, affecting $20 million of rated revenue bond debt.

12. Fitch affirms 'A-' rating on Mon Health System's bonds
Fitch Global Ratings affirmed the "A-" rating on Morgantown, W.Va.-based Mon Health System bonds.

13. Moody's affirms 'Baa3' rating to South County Hospital
Moody's Investors Service affirmed Wakefield, R.I.-based South County Hospital's "Baa3" issuer rating. 

14. Moody's assigns 'A2' rating to West Virginia University Medicine's bonds
Moody's Investors Service assigned an "A2" rating to Morgantown-based West Virginia University Medicine's proposed $180 million of series 2017A hospital revenue improvement bonds. 

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