The following hospital and health system rating and outlook changes and affirmations took place in the last week, starting with the most recent.
1. Fitch revises Gundersen Health's outlook to positive
Fitch Ratings revised LaCrosse, Wis.-based Gundersen Health's outlook to positive from stable.
2. S&P assigns 'AA-' rating to Providence St. Joseph Health's bonds
S&P Global Ratings assigned an "AA-" rating to Renton, Wash.-based Providence St. Joseph Health's $500 million of series 2016A bonds and $350 million of series 2016B bonds.
3. Moody's downgrades East Texas Medical Center Regional Healthcare System's rating to 'Ba1'
Moody's Investors Service downgraded the debt rating on Tyler-based East Texas Medical Center Regional Healthcare System to "Ba1" from "Baa3," affecting approximately $286 million of outstanding rated revenue bonds.
4. Fitch assigns 'AA-' ratings to Providence St. Joseph Health's bonds
Fitch Ratings assigned "AA-" ratings to Renton, Wash.-based Providence St. Joseph Health's $498 million of series 2016A bonds and $305 million of series 2016B revenue bonds.
5. S&P revises Adventist Health's outlook to stable
S&P Global Ratings revised the outlook to stable from negative and affirmed the "A" rating on Roseville, Calif.-based Adventist Health's bonds.
6. Moody's assigns 'Aa3' rating to Providence St. Joseph Health's bonds
Moody's Investors Service assigned an "Aa3" rating to Renton, Wash.-based Providence St. Joseph Health's proposed series 2016A, series 2016B and series 2016J bonds.
7. Moody's downgrades Houston Healthcare's rating to 'A3'
Moody's Investors Service downgraded Warner Robins, Ga.-based Houston Healthcare's rating to "A3" from "A2," affecting approximately $70 million of outstanding revenue certificates.
8. Moody's assigns 'A2' rating to Premier Health Partners' bonds
Moody's Investors Service assigned an initial "A2" rating to Dayton, Ohio-based Premier Health Partners' proposed series 2016 bonds, affecting an aggregate amount of up to $580 million.
9. Fitch assigns 'A' rating to Adventist Health's bonds
Fitch Ratings assigned an "A" rating to Roseville, Calif.-based Adventist Health's $270.8 million of series 2016A refunding revenue bonds.
10. Moody's assigns 'Baa2' rating to Trinitas Regional Medical Center's bonds
Moody's Investors Service assigned a "Baa2" rating to Elizabeth, N.J.-based Trinitas Regional Medical Center's proposed $13 million of series 2016A bonds and proposed $90 million of series 2017A bonds.
11. Moody's upgrades Mother Frances Hospital Health Care Center's rating to 'A3'
Moody's Investors Service upgraded the rating to "A3" from "Baa1" on Tyler, Texas-based Mother Frances Hospital Regional Health Care Center's bonds, affecting approximately $140 million of rated debt.
12. Moody's affirms Legacy Health's 'A1' rating
Moody's Investors Service affirmed the "A1" rating on Portland, Ore.-based Legacy Health's $359 million of rated debt.
13. Moody's revises Kennedy Health System's outlook to stable
Moody's Investors Service revised Voorhees, N.J.-based Kennedy Health System's outlook to stable from positive.
14. Moody's affirms Berkshire Health System's 'A3' rating
Moody's Investors Service affirmed the "A3" rating on Pittsfield, Mass.-based Berkshire Health System's $99 million of debt.
15. S&P lowers Southcoast Health System's rating to 'BBB+'
S&P Global Ratings lowered the rating to "BBB+" from "A-" on New Bedford, Mass.-based Southcoast Health System's series 2013F and series 2009D bonds.
16. Fitch assigns 'A+' rating to Premier Health Partners' bonds
Fitch Ratings assigned an "A+" rating to Dayton, Ohio-based Premier Health Partners' $86 million of series 2016A bonds and $300 million of series 2016G bonds.