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 Martin County Hospital District's 'BBB' rating
Fitch Ratings affirmed the "BBB" rating on Stanton, Texas-based Martin County Hospital District's series 2011A and 2011B combination limited tax and revenue bonds, affecting approximately $20.6 million.
2. Moody's affirms Lexington County Health Services District's 'A1' rating
Moody's Investors Service affirmed the "A1" rating assigned to Lexington (S.C.) County Health Services District's bonds, affecting $237 million of outstanding debt.
3. Moody's revises The Washington Hospital's outlook to positive
Moody's Investors Service affirmed The Washington (Pa.) Hospital's "Baa2" bond rating, affecting $59.9 million of outstanding debt issued through the Washington County Hospital Authority.
4. Moody's affirms Johnston Memorial Hospital's 'A3' rating
Moody's Investors Service affirmed Abingdon, Va.-based Johnston Memorial Hospital's "A3" issuer rating.
5. Moody's affirms Shands Teaching Hospital and Clinics' 'A3' rating
Moody's Investors Service affirmed the "A3" rating on Gainesville, Fla.-based Shands Teaching Hospital and Clinics' $670 million of outstanding rated bonds.
6. Moody's downgrades Mercy Hospital's rating to 'Baa2'
Moody's Investors Service downgraded Iowa City, Iowa-based Mercy Hospital's rating to "Baa2" from "A3," affecting $76 million of outstanding debt.