The following hospital and health system rating and outlook changes and affirmations took place in the last week, starting with the most recent.
1. Moody's affirms Holy Redeemer Health System's 'Baa3' rating
Moody's Investors Service affirmed Meadowbrook, Pa.-based Holy Redeemer Health System's "Baa3" rating, affecting approximately $46 million of debt.
2. Moody's affirms Fairview Health Services' 'A2' rating
Moody's Investors Service affirmed the "A2" rating on Minneapolis-based Fairview Health Services' $863 million of fixed rate and variable rate bonds.
3. Moody's assigns 'Baa3' rating to Doctors Community Hospital's bonds
Moody's Investors Service assigned a "Baa3" rating to Lanham, Md.-based Doctors Community Hospital's proposed $65 million of series 2016B revenue bonds.
4. S&P assigns 'BBB' rating to Redlands Community Hospital's bonds
S&P Global Ratings assigned a "BBB" long-term rating to Redlands (Calif.) Community Hospital's $91.3 million of series 2016 bonds.
5. S&P lowers Swedish Covenant Hospital's rating to 'BBB'
S&P Global Ratings lowered the long-term rating to "BBB" from "BBB+" on Chicago-based Swedish Covenant Hospital's series 2010A bonds.
6. Fitch assigns 'A-' rating to Redlands Community Hospital's bonds
Fitch Ratings assigned an "A-" rating to Redlands (Calif.) Community Hospital's $89.8 million of series 2016 bonds.
7. Moody's revises Tulare Local Healthcare District's outlook to stable
Moody's Investors Service revised Tulare (Calif.) Local Health Care District's outlook to stable from negative and affirmed the "Baa3" rating on the district's general obligation bonds.
8. Moody's downgrades Terrebonne General Medical Center's rating to 'A3'
Moody's Investors Service downgraded the rating on Houma, La.-based Terrebonne General Medical Center's bonds to "A3" from "A2," affecting approximately $49 million of debt.
9. S&P assigns 'A+' rating to Saint Francis Medical Center's bonds
S&P Global Ratings assigned an "A+" long-term rating to Girardeau, Mo.-based Saint Francis Medical Center's series 2016 revenue bonds.
10. S&P raises Gillette Children's Specialty Healthcare's rating to 'A'
S&P Global Ratings raised the long-term rating to "A" from "A-" on St. Paul, Minn.-based Gillette Children's Specialty Healthcare's $36 million of series 2009 bonds.
11. S&P revises Rochester General Hospital's outlook to stable
S&P Global Ratings revised Rochester (N.Y.) General Hospital's outlook to stable from negative and affirmed its "A-" rating.
12. Moody's rates CHI-Dignity Health affiliation proposal as credit positive
Moody's Investors Service rated the proposed affiliation between Englewood, Colo.-based Catholic Health Initiatives and San Francisco-based Dignity Health as positive.
13. Moody's affirms Stanford Health Care's 'Aa3,' 'P-1,' 'VMIG 1' ratings
Moody's Investors Service affirmed the "Aa3" long-term rating and the "P-1" and "VMIG 1" short-term ratings on Stanford (Calif.) Health Care's debt, affecting approximately $1.2 billion.
14. Fitch assigns 'AA-' rating to Johns Hopkins Health System's bonds
Fitch Ratings assigned an "AA-" rating to Baltimore-based Johns Hopkins Health System's $500 million of series 2016 bonds.
15. Fitch assigns 'A' rating to Benefis Health System's bonds
Fitch Ratings assigned an "A" rating to Great Falls, Mont.-based Benefis Health System's $140.3 million of series 2016 bonds.
16. S&P assigns 'AA-' rating to Johns Hopkins Health System's bonds
S&P Global Ratings assigned an "AA-" long-term rating to Baltimore-based Johns Hopkins Health System's $500 million of series 2016 bonds.
17. Fitch affirms 'A-' rating on Anne Arundel Health System's bonds
Fitch Ratings affirmed the "A-" rating on Annapolis, Md.-based Anne Arundel Health System's bonds.
18. Fitch assigns 'AA' rating on Nationwide Children's Hospital's bonds
Fitch Ratings assigned an "AA" rating on Columbus, Ohio-based Nationwide Children's Hospital's $122 million of series 2016C bonds.
19. Moody's assigns 'Aa2/VMIG 1' rating to Baystate Medical Center's LOC-backed bonds
Moody's Investors Service assigned an "Aa2/VMIG 1" rating to Springfield, Mass.-based Baystate Medical Center's series K-1 (2009) letter of credit-backed bonds.
20. Fitch assigns 'AA-' rating to Saint Francis Healthcare System's bonds
Fitch Ratings has assigned an "AA-" rating to Girardeau, Mo.-based Saint Francis Healthcare System's $35 million of series 2016 bonds.
21. S&P assigns 'A+' rating to El Camino Hospital's bonds
S&P Global Ratings assigned an "A+" rating to Mountain View, Calif.-based El Camino Hospital's series 2016A bonds.
22. S&P affirms 'BBB-' rating to Hospital for Special Care's bonds
S&P Global Ratings has affirmed the "BBB-" rating on New Britain, Conn.-based Hospital for Special Care's series 2007C fixed rate revenue bonds.
23. S&P assigns 'A' rating to Edward-Elmhurst Healthcare's bonds
S&P Global Ratings assigned an "A" rating to Naperville, Ill.-based Edward-Elmhurst Healthcare's series 2016A bonds.
24. S&P assigns 'A' rating to Covenant Health's bonds
S&P Global Ratings assigned an "A" rating to Knoxville, Tenn.-based Covenant Health's series 2016A bonds.
25. Moody's assigns 'Aa2' rating to Nationwide Children's Hospital's bonds
Moody's Investors Service assigned an "Aa2" rating to Columbus, Ohio-based Nationwide Children's Hospital's proposed $122 million of series 2016C bonds.
26. Fitch affirms 'BB' rating on HCA's IDR
Fitch Ratings affirmed Nashville, Tenn.-based HCA Holdings' ratings, including the "BB" issuer default rating, affecting a total of $31.5 billion of debt.
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