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 affirms 'BBB+' rating on Silver Cross Health System
Fitch Ratings affirmed its "BBB+" rating on New Lenox, Ill.-based Silver Cross Health System's outstanding bonds, affecting approximately $361 million of debt.
2. Fitch upgrades Marshall Medical Center's bonds to 'BBB-'
Fitch Ratings upgraded Placerville, Calif.-based Marshall Medical Center's series 2004B bonds to "BBB-" from "BB+."
3. Fitch upgrades Mount Nittany Medical Center to 'AA-'
Fitch Ratings upgraded its rating on State College, Pa.-based Mount Nittany Medical Center's outstanding revenue bonds to "AA-" from "A," affecting approximately $196.9 million of debt.
4. Moody's affirms 'Aa3' rating on Cedars-Sinai Medical Center
Moody's Investors Service affirmed its "Aa3" rating on Los Angeles-based Cedars Sinai Medical Center's revenue bonds, affecting $1.2 billion of debt.
5. Moody's affirms 'A1' rating on Valley Children's Healthcare
Moody's Investors Service affirmed its "A1" rating on Madera, Calif.-based Valley Children's Healthcare's bonds, affecting approximately $118 million of debt.
6. Fitch affirms 'AA-' rating on Virginia Hospital Center
Fitch Ratings affirmed its "AA-" issuer default rating on Arlington-based Virginia Hospital Center.
7. S&P revises Children's Hospital of Alabama's outlook to positive
S&P Global Ratings affirmed its "A+" long-term rating on Birmingham-based Children's Hospital of Alabama's series 2015 revenue refunding bonds.
8. S&P downgrades Holy Redeemer Health System to 'BBB'
S&P Global Ratings downgraded Meadowbrook, Pa.-based Holy Redeemer Health System's long term rating to "BBB" from "BBB+."
9. S&P downgrades Ryder Memorial Hospital to 'CCC+'
S&P Global Ratings downgraded Humacao, Puerto Rico-based Ryder Memorial Hospital to "CCC+" from "B+."
10. Fitch upgrades Bayhealth Medical Center to 'AA'
Fitch Ratings upgraded Dover, Del.-based Bayhealth Medical Center's series 2017A to "AA" from "AA-," affecting $112.1 million of debt.