9 recent hospital outlook and rating actions

The following hospital and health system rating and outlook changes and affirmations took place during the past week, starting with the most recent.

1. Moody's affirms Scripps Health's bond rating
Moody's Investors Service affirmed San Diego-based Scripps Health's "Aa3" underlying and long-term ratings and the "Aa3/VMIG1" rating on the system's series 2012 variable rate demand bonds.

2. S&P revises Kaiser Permanente's outlook to positive, affirms bond ratings
S&P revised its rating outlook for Oakland, Calif.-based Kaiser Permanente to positive from stable.

3. Texas Health Resources to raise $360M of new debt for capital projects
S&P assigned an "AA" long-term rating to $300 million of taxable series 2015 bonds and $60 million of series 2015A tax-exempt revenue bonds, both issued on behalf of Arlington-based Texas Health Resources.

4. Fitch rates McLaren Health Care's bonds
Fitch Ratings assigned an "AA-" rating to approximately $154.6 million of series 2015D revenue bonds, which are expected to be issued on behalf of Flint, Mich.-based McLaren Health Care.

5. Moody's assigns ratings to Nationwide Children's Hospital's bonds
Moody's Investors Serviceassigned an "Aa2" rating to Columbus, Ohio-based Nationwide Children's Hospital's proposed $75 million of series 2015A fixed rate bonds and an "Aa2/VMIG 1" rating to the hospital's proposed $25 million of series 2015B variable rate bonds.

6. Fitch upgrades Peterson Regional Medical Center's bond rating
Fitch Ratings upgraded the rating on $67 million of series 2005 bonds issued on behalf of Kerrville, Texas-based Peterson Regional Medical Center to "BBB" from "BBB-."

7. Moody's downgrades Clarendon Hospital District's bond rating
Moody's Investors Servicedowngraded the rating on Manning, S.C.-based Clarendon Hospital District's $4.8 million of outstanding rated debt to "Baa2" from "A2."

8. Fitch upgrades Mary Washington Healthcare's outlook to stable
Fitch Ratings affirmed the "BBB+" rating on Fredericksburg, Va.-based Mary Washington Healthcare's bonds and upgraded the system's outlook to stable from negative.

9. Moody's affirms Saint Luke's Health System's rating
Moody's Investors Service affirmed Kansas City, Mo.-based Saint Luke's Health System's "A1" rating, affecting approximately $361 million of rated bonds outstanding.

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