The following hospital and health system rating and outlook changes and affirmations have taken place in the last week, beginning with the most recent.
1. Moody's affirms 'A1' rating on Children's Hospital of Alabama's bonds
Moody's Investors Service affirmed the "A1" rating on Birmingham-based Children's Hospital of Alabama's revenue bonds, affecting $153 million of rated debt.
2. Fitch upgrades rating on Olmsted Medical Center's bonds to 'A'
Fitch Ratings upgraded the rating on Rochester, Minn.-based Olmsted Medical Center's $20.4 million of series 2010 healthcare facilities revenue bonds and $16.8 million of series 2013 healthcare facilities revenue bonds.
3. Fitch affirms 'BBB' rating on Parrish Medical Center's bonds
Fitch Ratings affirmed the "BBB" rating on Titusville, Fla.-based Parrish Medical Center's $29.6 million of series 2008 revenue refunding bonds and removed the medical center from rating watch evolving.
4. Moody's assigns 'Aa2' rating to Geisinger Health System's bonds
Moody's Investors Service assigned an "Aa2" rating to Danville, Pa.-based Geisinger Health System's series 2017A fixed-rate bonds and series 2017B index floating-rate bonds.
5. S&P assigns 'A+' rating to SSM Health's bonds
S&P Global Ratings assigned an "A+" long-term rating to St. Louis-based SSM Health's $500 million of series 2017A taxable fixed-rate revenue bonds.
6. Fitch assigns 'AA-' rating to SSM Health's bonds
Fitch Ratings assigned an "AA-" rating to St. Louis-based SSM Health's $500 million of series 2017A taxable revenue bonds.
7. Fitch affirms 'AA' rating on Scripps Health's outstanding debt
Fitch Ratings affirmed the "AA" long-term rating on San Diego-based Scripps Health's outstanding debt.