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 lowers rating on Memorial Hospital of Sweetwater County to 'BBB-'
S&P lowered its long-term rating to "BBB-" from "BBB" on Rock Springs, Wyo.-based Memorial Hospital of Sweetwater County's series 2013A fixed-rate revenue bonds, affecting $26.8 million.
2. S&P revises Miami Children's Hospital's rating to 'A+'
S&P raised its long-term rating to "A+" from "A" on Miami Children's Hospital's fixed-rate bonds, fixed-rate revenue bonds and direct placement variable-rate bonds.
3. Moody's downgrades Reading Hospital and Medical Center's rating to 'A2'
Moody's Investors Service downgraded Reading (Pa.) Hospital and Medical Center's bonds to "A2" from "A1," affecting $364 million of outstanding debt.
4. Moody's places Fremont-Rideout Health Group's 'A3' rating under review for downgrade
Moody's Investors Service placed Calif.-based Fremont-Rideout Health Group's "A3" rating under review for downgrade, affecting $112 million of rated revenue bonds.
5. Moody's affirms Murray-Calloway County Public Hospital's rating
Moody's Investors Service affirmed the "Baa3" rating on Murray (Ky.)-Calloway County Public Hospital's series 2007 and series 2010 fixed-rate bonds, affecting $40.6 million of rated debt.
6. Moody's affirms Major Hospital's 'Baa2' rating
Moody's Investors Service affirmed the "Baa2" rating on Shelbyville, Ind.-based Major Hospital's series 2014A fixed-rate revenue bonds, affecting $53.3 million.
7. Moody's assigns 'A1' rating to Sanford Health's bonds
Moody's Investors Service assigned an "A1" rating to Sioux Falls, S.D.-based Sanford Health's proposed series 2015 fixed-rate revenue bonds.
8. Moody's withdraws 'A1' ratings on Mercy Health's bonds
Moody's Investors Service withdrew Cincinnati-based Mercy Health's underlying "A1" ratings on the series 2008A and series 2008B bonds, affecting $200 million.
9. Moody's revises Halifax Regional Medical Center's outlook to positive
Moody's Investors Service affirmed the "Ba3" rating assigned to Roanoke Rapids, N.C.-based Halifax Regional Medical Center's bonds, affecting approximately $12 million of rated debt.
10. Fitch affirms Gwinnett Hospital System's 'A+' rating
Fitch Ratings affirmed its "A+" rating on Lawrenceville, Ga.-based Gwinnett Hospital System's revenue anticipation certificates.
11. Fitch affirms Spartanburg Regional Health System's 'A+' rating
Fitch Ratings affirmed the "A+" rating on the bonds issued on behalf of Spartanburg (S.C.) Regional Health System.