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 affirms Winthrop-University Hospital's 'BBB+' rating
Fitch Ratings has affirmed the "BBB+" rating on Mineola, N.Y.-based Winthrop-University Hospital's $130.2 million of series 2012 bonds.
2. Moody's upgrades Southeast Georgia Health System's rating to 'Aa2'
Moody's Investors Service has upgraded Brunswick-based Southeast Georgia Health System's long-term ratings to "Aa2" from "Aa3."
3. Moody's assigns 'Aa2' rating to Texas Health Resources' bonds
Moody's Investors Service assigned an "Aa2" rating to Arlington-based Texas Health Resources' proposed $625 million of series 2016A bonds.
4. S&P assigns 'A-1+' rating to Northwestern Memorial HealthCare's notes
S&P Global Ratings assigned an "A-1+" rating to Chicago-based Northwestern Memorial HealthCare's series A commercial paper notes.
5. Fitch affirms Frederick Memorial Hospital's 'BBB+' rating
Fitch Ratings affirmed the "BBB+" rating on Frederick (Md.) Memorial Hospital's $98.1 million of series 2012A revenue bonds.
6. Moody's assigns 'Ba1' rating to Palomar Health's revenue bonds
Moody's Investors Service assigned a "Ba1" rating to Escondido, Calif.-based Palomar Health's proposed series 2016 refunding revenue bonds, which will have a par value of approximately $252 million.
7. Moody's assigns 'A2' rating to Palomar Health's GO refunding bonds
Moody's Investors Service assigned an "A2" rating to Escondido, Calif.-based Palomar Health's series 2016A and 2016B general obligation refunding bonds expected to be issued for $50 million and $160 million, respectively.
8. Moody's assigns 'P-1' rating to Northwestern Memorial HealthCare's notes
Moody's Investors Service assigned a "P-1" rating to Chicago-based Northwestern Memorial HealthCare's proposed $100 million of series A commercial paper notes.
9. Moody's changes CHS' outlook from stable to developing
Moody's Investors Service changed Franklin, Tenn.-based Community Health Systems' outlook from stable to developing.
10. S&P revises Phoebe Putney Memorial Hospital's outlook to stable
S&P Global Ratings revised the outlook to stable from negative and affirmed the "A+" rating on Albany, Ga.-based Phoebe Putney Memorial Hospital's debt.
11. Moody's affirms Northwestern Memorial HealthCare's 'VMIG 1' ratings
Moody's Investors Service affirmed the "VMIG 1" short-term ratings on Chicago-based Northwestern Memorial HealthCare's series 2007 A-1, A-2, A-3, A-4 and series 2008 A-1 and A-2 bonds.
12. Fitch places Community Health Systems' ratings on evolving watch
Fitch Ratings placed Franklin, Tenn.-based Community Health Systems' ratings on rating watch evolving.
13. Fitch assigns 'AA' rating to Harris County Hospital District's bonds
Fitch Ratings assigned an "AA" rating to Houston-based Harris County Hospital District's $157.8 million of series 2016 bonds.
14. Moody's affirms Texas Medical Center's 'A1' rating
Moody's Investors Service affirmed Houston-based Texas Medical Center's underlying "A1" rating, affecting approximately $105 million of rated debt.
15. Moody's assigns 'Aa3' rating to UPMC's bonds
Moody's Investors Service assigned an "Aa3" rating to Pittsburgh-based UPMC's proposed $239.2 million of series 2016 revenue bonds.
16. Moody's affirms Boston Children's Hospital's 'Aa2' rating
Moody's Investors Service affirmed the "Aa2" rating on Boston Children's Hospital's $479 million of rated debt.
17. S&P raises Fort HealthCare's rating to 'BBB+'
S&P Global Ratings raised the long-term rating on Fort Atkinson, Wis.-based Fort HealthCare's series 2014 bonds to "BBB+" from "BBB."
18. Fitch assigns 'A' rating to Northwell Health's bonds
Fitch Ratings assigned an "A" rating to New Hyde Park, N.Y.-based Northwell Health's $500 million of series 2016A bonds.