The following hospital and health system credit rating and outlook changes or affirmations occurred in the last two weeks, beginning with the most recent:
1. Moody's affirms 'A3' rating for Cumberland County Hospital System
Moody's Investors Service affirmed its "A3" rating for Cumberland County (N.C.) Hospital System, known as Cape Fear Valley Health, affecting $78 million of outstanding rated debt.
2. Moody's affirms 'Ba1' rating for Palomar Health
Moody's Investors Service affirmed its "Ba1" rating for Escondido, Calif.-based Palomar Health, affecting $609 million of rated debt.
3. Moody's downgrades South Central Regional Medical Center's note rating to 'MIG 3'
Moody's Investors Service has downgraded Laurel, Miss.-based South Central Regional Medical Center's short-term rating from "MIG 1" to "MIG 3," affecting $58 million of hospital revenue notes.
4. Fitch assigns 'B'/'RR4' to Tenet's $1.5B senior secured second-lien notes
Fitch Ratings assigned a "B"/"RR4" rating to Dallas-based Tenet Healthcare's $1.5 billion senior secured second-lien notes, applying to $15 billion of debt outstanding as of Sept. 30, 2018.
5. Moody's downgrades Houston Healthcare's rating to 'Baa3'
Moody's Investors Service has downgraded Robins, Ga.-based Houston Healthcare from "Baa1" to "Baa3," affecting $72 million of rated debt.
6. Moody's affirms 'Aa3' rating for Midland County Hospital District
Moody's Investors Service affirmed the "Aa3" rating for Midland County (Texas) Hospital District.
7. Moody's downgrades Premier Health Partners and Miami Valley Hospital to 'Baa1'
Moody's Investors Service has downgraded the ratings of Premier Health Partners and Miami Valley Hospital, both based in Dayton, Ohio, from "A3" to "Baa1," affecting $623 million of rated debt.
8. Moody's affirms 'Baa1' rating for Southcoast Health
Moody's Investors Service has affirmed its "Baa1" rating to New Bedford, Mass.-based Southcoast Health, affecting $144 million of rated debt.
9. Moody's assigns 'A2' rating to Orlando Health
Moody's Investors Service has assigned an "A2" rating to Orlando (Fla.) Health, affecting $337 million of proposed revenue bonds.
10. Moody's affirms 'A1' rating for Genesis Health System
Moody's Investors Service affirmed its "A1" rating for Davenport, Iowa-based Genesis Health System, affecting $142.7 million of outstanding revenue bonds.