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 assigns 'BB/RR4' rating to LifePoint Health's notes
Fitch Ratings assigned a "BB/RR4" rating to Brentwood, Tenn.-based LifePoint Health's $400 million of senior notes, which will mature in 2024.
2. Moody's affirms Winthrop-University Hospital Association's 'Baa2' rating
Moody's Investors Service affirmed the "Baa2" rating on Mineola, N.Y.-based Winthrop-University Hospital Association's $122 million of outstanding rated debt.
3. Moody's assigns 'A3' rating to Health Quest's bonds
Moody's Investors Service assigned an "A3" rating to LaGrangeville, N.Y.-based Health Quest's proposed series 2016A and series 2016B fixed rate bonds, affecting $381.4 million.
4. Moody's affirms Cook Children's Medical Center's 'Aa2' and 'Aa2/VMIG 1' ratings
Moody's Investors Service affirmed the "Aa2" and "Aa2/VMIG 1" ratings on Fort Worth, Texas-based Cook Children's Medical Center's $435 million of outstanding revenue bonds.
5. Moody's affirms Cape Fear Valley Health System's 'A3' rating
Moody's Investors Service affirmed the "A3" rating on Fayetteville, N.C.-based Cape Fear Valley Health System's outstanding rated debt, affecting approximately $250 million.
6. Moody's downgrades East Jefferson General Hospital's rating to 'Ba3'
Moody's Investors Service downgraded the rating on Metairie, La.-based East Jefferson General Hospital's outstanding debt of $154 million to "Ba3" from "Ba2."
7. S&P assigns 'A+' rating to Memorial Hermann Health System's bonds
S&P Global Ratings assigned an "A+" rating to Houston-based Memorial Hermann Health System's $132.45 million of series 2016A fixed rate revenue bonds.
8. Fitch assigns 'AA-' rating to UnityPoint Health's bonds
Fitch Ratings assigned an "AA-" rating to West Des Moines, Iowa-based UnityPoint Health's series 2016D and series 2016E bonds.
9. Moody's downgrades CHI's rating to 'A3'
Moody's Investors Service downgraded the ratings on Englewood, Colo.-based Catholic Health Initiatives' long-term debt to "A3" from "A2."
10. Moody's assigns 'A1' rating to Memorial Hermann Health System's bonds
Moody's Investors Service assigned an "A1" rating to Houston-based Memorial Hermann Health System's proposed $129 million of fixed rate bonds.
11. Moody's revises UnityPoint Health's outlook to negative
Moody's Investors Service revised West Des Moines, Iowa-based UnityPoint Health's outlook to negative from stable.
12. Moody's assigns 'A2' rating to PinnacleHealth System's bonds
Moody's Investors Service assigned an "A2" rating to Harrisburg, Pa.-based PinnacleHealth System's $100.5 million of proposed series 2016A fixed rate bonds.
13. Fitch assigns 'A' rating to Inspira Health's bonds
Fitch Ratings assigned an "A" rating to Woodbury, N.J.-based Inspira Health Network's $187.2 million of series 2016A bonds.
14. Moody's revises Baxter Regional Medical Center's outlook to negative
Moody's Investors Service revised the outlook on Mountain Home, Ark.-based Baxter Regional Medical Center to negative from stable.
15. Moody's assigns 'Aa3/VMIG 1' rating to Sisters of Charity of Leavenworth Health System's bonds
Moody's Investors Service assigned an "Aa3/VMIG 1" rating to Broomfield, Colo.-based Sisters of Charity of Leavenworth Health System's proposed series 2016A-D variable rate demand bonds, affecting $222 million.
16. S&P raises PinnacleHealth System's rating to 'A+'
S&P Global Ratings raised its long-term rating to "A+" from "A" on Harrisburg, Pa.-based PinnacleHealth System's existing revenue debt.
17. S&P assigns 'AA-/A-1+' rating to Sisters of Charity of Leavenworth's bonds
S&P Global Ratings assigned an "AA-/A-1+" rating to Broomfield, Colo.-based Sisters of Charity of Leavenworth Health System's $55.5 million of series 2016A bonds and $55.5 million of series 2016C bonds.
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