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 raises Chesire Medical Center's rating to 'A'
S&P Global Ratings raised its rating to "A" from "A-" on Keene, N.H.-based Cheshire Medical Center's series 2012 revenue bonds.
2. Fitch affirms King's Daughters Medical Center's 'A-' rating
Fitch Ratings affirmed the "A-" rating on Ashland, Ky.-based King's Daughters Medical Center's $228.6 million of bonds.
3. Fitch affirms MultiCare Health System's 'AA-' rating
Fitch Ratings affirmed the "AA-" rating on Tacoma, Wash.-based MultiCare Health System's $888.6 million of rated debt.
4. Moody's affirms Summit Health's 'A2' rating
Moody's Investors Service affirmed Chambersburg, Pa.-based Summit Health's "A2" rating, affecting approximately $119.3 million of outstanding debt.
5. Moody's revises Mercy Hospital's outlook to negative
Moody's Investors Service revised Iowa City, Iowa-based Mercy Hospital's outlook to negative from stable and affirmed its "Baa2" rating, affecting approximately $76 million of outstanding revenue bonds.
6. Moody's assigns 'A1' rating to Arkansas Children's Hospital's bonds
Moody's Investors Service assigned an "A1" rating to Little Rock-based Arkansas Children's Hospital's proposed $88 million of series 2016 fixed rate hospital revenue refunding bonds.
7. S&P assigns 'BB+' rating to Madison Memorial Hospital's bonds
S&P Global Ratings assigned a "BB+" long-term rating to Rexburg, Idaho-based Madison Memorial Hospital's $45 million of series 2016 revenue refunding bonds, as well as its series 2006 revenue certificates of participation.
8. 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.