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 assigns 'AA/A-1+' rating to Mayo Clinic's bonds
Standard & Poor's Ratings Services assigned an "AA/A-1+" rating to Rochester, Minn.-based Mayo Clinic's series 2016 revenue bonds, affecting $75 million.
2. Moody's assigns 'A1' rating to Children's Hospital Colorado's bonds
Moody's Investors Service assigned an "A1" rating to Aurora-based Children's Hospital Colorado's proposed $242 million of series 2016A, 2016B and 2016C bonds.
3. Moody's assigns 'Aa2/VMIG 1' to Sentara Healthcare's bonds
Moody's Investors Service assigned an "Aa2/VMIG 1" rating to Norfolk, Va.-based Sentara Healthcare's proposed series 2016A and 2016B tax-exempt variable rate demand bonds.
4. Moody's downgrades McCamey County Hospital District's rating to 'Ba2'
Moody's Investors Service downgraded McCamey (Texas) County Hospital District's general obligation limited tax bond rating to "Ba2" from "Baa2," affecting approximately $24.1 million.
5. Fitch affirms Palmetto Health's 'BBB+' rating
Fitch Ratings affirmed the "BBB+" rating on Columbia, S.C.-based Palmetto Health's outstanding debt.
6. S&P assigns 'AA/A-1+' rating to Sentara Healthcare's bonds
Standard & Poor's Ratings Services assigned an "AA/A-1+" rating to Norfolk, Va.-based Sentara Healthcare's $98.84 million of series 2016A bonds and $98.84 million of series 2016B bonds.
7. S&P assigns 'A+' rating to Children's Hospital of Colorado's bonds
Standard & Poor's Ratings Services assigned an "A+" long-term rating to Aurora-based Children's Hospital of Colorado's $69.2 million of series 2016A bonds and $101.6 million of series 2016C bonds.
8. S&P assigns 'BBB+' rating to Palmetto Health's bonds
Standard & Poor's Ratings Services assigned a "BBB+" rating to Columbia, S.C.-based Palmetto Health's series 2016 bonds.
9. Fitch assigns 'A-' rating to NYU Hospitals Center's bonds
Fitch Ratings assigned an "A-" rating to New York City-based New York University Hospitals Center's $153 million of series 2016A revenue refunding bonds.
10. Moody's revises Midland County Hospital District's outlook to negative
Moody's Investors Service confirmed the "Aa2" rating on Midland (Texas) County Hospital District's $106 million of general obligation debt and revised the outlook to negative.
11. Moody's assigns 'A2' rating to West Virginia United Health System's bonds
Moody's Investors Service assigned an "A2" rating to Morgantown-based West Virginia United Health System's proposed series 2016A bonds to be issued through the West Virginia Hospital Finance Authority.
12. Fitch affirms Wise Regional Health System's 'BB+' rating
Fitch Ratings affirmed the "BB+" rating on Decatur, Texas-based Wise Regional Health System's $94.1 million of series 2014A revenue bonds.
13. S&P revises Henry Ford Health System's outlook to positive
Standard & Poor's Ratings Services revised the outlook to positive from stable on Detroit-based Henry Ford Health System.
14. S&P assigns 'A+' rating to North Colorado Medical Center's bonds
Standard & Poor's Ratings Services assigned an "A+" rating to Greeley-based North Colorado Medical Center's $110 million of series 2016 revenue bonds.
15. S&P assigns 'A' rating to West Virginia United Health System's bonds
Standard & Poor's Ratings Services assigned an "A" rating to Morgantown-based West Virginia United Health System's series 2016A fixed rate bonds, affecting $258 million.
16. Moody's assigns 'Baa1' rating to Ochsner Clinic Foundation's bonds
Moody's Investors Service assigned a "Baa1" rating to Ochsner Clinic Foundation's $155 million of series 2016 bonds to be issued through the Louisiana Public Facilities Authority.