The following hospital and health system rating and outlook changes and affirmations took place in the last week, starting with the most recent.
1. S&P rates University of Vermont Medical Center's bonds
S&P Global Ratings assigned its "A-" long-term rating to $89 million series 2016 B green bonds issued on behalf of University of Vermont Medical Center in Burlington by the Vermont Educational & Health Building Financing Agency.
2. Moody's assigns 'A2' rating to Renown Health's bonds
Moody's Investors Service assigned an "A2" rating to Reno, Nev.-based Renown Health's proposed $135 million series 2016A fixed rate hospital revenue refunding bonds, and affirmed the "A2" ratings on the system's parity debt, affecting approximately $510 million of debt outstanding.
3. S&P assigns 'A-' rating to Norton Healthcare's bonds
S&P Global Ratings assigned its "A-" long-term rating to $525.31 million series 2016A fixed-rate revenue bonds issued on behalf of Louisville, Ky.-based Norton Healthcare by the Louisville & Jefferson County Metropolitan Government.
4. S&P affirms Presence Health's bond rating
S&P Global Ratings affirmed its "BBB-" long-term rating and underlying rating on bonds issued on behalf of Chicago-based Presence Health Network by the Illinois Finance Authority.
5. Moody's downgrades Boone Hospital Center's bond rating
Moody's Investors Service downgraded the rating on 397-bed Boone Hospital Center's $91.9 million of fixed-rate revenue bonds to "Baa1" from "A3."
6. Moody's affirms Sarasota County Public Hospital District's 'A1' rating
Moody's Investors Service affirmed the "A1" rating on Sarasota County (Fla.) Public Hospital District's $180 million of outstanding fixed rate bonds.
7. Fitch affirms Yavapai Regional Medical Center's 'BBB+' rating
Fitch Ratings affirmed the "BBB+" rating assigned to $30.3 million of series 2013A fixed-rate bonds and $30 million of series 2008B fixed-rate bonds issued by the Industrial Department of Authority of the County of Yavapai (Ariz.) on behalf of Yavapai Regional Medical Center.