The following hospital and health system credit rating and outlook changes and affirmations took place in the last week, beginning with the most recent.
1. Fitch assigns 'A+' rating to Regional Health's bonds
Fitch Ratings assigned an "A+" rating to Rapid City, S.D.-based Regional Health's proposed $214.4 million series 2017 revenue bonds to be issued by the South Dakota Health & Educational Facilities Authority.
2. Moody's downgrades Midland County Hospital District's debt rating to 'Aa3'
Moody's Investors Service downgraded Midland (Texas) County Hospital District's general obligation debt rating to "Aa3" from "Aa2," affecting $101.1 million of general obligation debt.
3. Moody's assigns 'Baa3' rating to SoutheastHealth's bonds
Moody's Investors Service assigned its "Baa3" rating to Cape Girardeau, Mo.-based SoutheastHealth's proposed $86.9 million series 2017A and $6.29 million series 2017B revenue bonds, to be issued through the Industrial Development Authority of the County of Cape Girardeau and the Industrial Development Authority of Stoddard County. The bonds will mature in 2042.
4. Moody's affirms 'A1' rating on Sarasota County Public Hospital District's bonds
Moody's Investors Service affirmed its "A1" rating on Sarasota (Fla.) County Public Hospital District's outstanding bonds, affecting $192 million of debt.
5. S&P revises NorthShore University HealthSystem's outlook to stable
S&P Global Ratings affirmed the "AA" rating on Evanston, Ill.-based NorthShore University HealthSystem's series 2010 revenue refunding bonds, issued by the Illinois Finance Authority.
6. S&P upgrades HealthEast Care System's bond rating to 'A+'
S&P Global Ratings upgraded the rating to "A+" from "BBB+" on St. Paul, Minn.-based HealthEast Care System's series 2017A bonds, issued by the Redevelopment Authority of the City of Saint Paul.
7. Moody's assigns 'A2' rating to Fairview Health Services' bonds
Moody's Investors Service assigned its "A2" rating to Minneapolis-based Fairview Health Services proposed $197 million series 2017A revenue bonds to be issued through the Housing and Redevelopment Authority of the City of St. Paul, Minn. The bonds will be fixed rate and will mature in 2047.
8. Moody's assigns 'A3' rating to North Valley Hospital's bonds
Moody's Investors Service assigned its "A3" to Tonasket, Wash.-based North Valley Hospital's proposed $8.5 million unlimited tax general obligation refunding bonds. The expected sale date is Aug. 16.
9. Moody's downgrades Lucile Packard Children's Hospital's credit rating
Moody's Investors Service downgraded Palo Alto, Calif.-based Lucile Packard Children's Hospital's credit rating to "A1" from "Aa3."