14 recent hospital, health system outlook and credit rating actions

The following hospital and health system credit rating and outlook changes or affirmations occurred in the last week, beginning with the most recent:

1. Fitch downgrades UF Health Jacksonville's rating to 'BBB-'
Fitch Ratings downgraded its rating on UF Health Jacksonville (Fla.) to "BBB-" from "BBB." In addition, the credit agency assigned the health system an issuer default rating of "BBB-."  

2. Fitch upgrades Cullman Regional Medical Center to 'BBB'
Fitch Ratings upgraded its rating on Cullman (Ala.) Regional Medical Center to "BBB" from "BBB-." Concurrently, the credit agency assigned the medical center an issuer default rating of "BBB."

3. Fitch assigns 'AA-' rating to Munson Healthcare
Fitch Ratings assigned its "AA-" rating to Traverse City, Mich.-based Munson Healthcare's proposed $18.7 million series 2019A and $14 million series 2019B revenue bonds. 

4. S&P assigns 'BBB' rating to Beebe Medical Center's outstanding bonds
S&P Global Ratings assigned a "BBB" rating to Lewes, Del.-based Beebe Medical Center's outstanding bonds. 

5. S&P revises Virginia Mason Medical Center rating outlook to negative
S&P Global Ratings revised its rating outlook for Seattle-based Virginia Mason Medical Center from stable to negative. 

6. S&P downgrades NorthShore University HealthSystem's rating to 'AA-'
S&P Global Ratings lowered its rating for Evanston, Ill.-based NorthShore University HealthSystem's revenue refunding bonds to "AA-" from "AA."

7. Moody's assigns 'A2' rating to Jackson-Madison County General Hospital's proposed bonds
Moody's Investors Service assigned an "A2" rating to Jackson, Tenn.-based Jackson-Madison County General Hospital's proposed revenue bonds, affecting $265.7 million of debt. 

8. Moody's withdraws ratings on Montefiore Medical Center's prior bond
Moody's Investors Service has withdrawn its ratings on Bronx, N.Y.-based Montefiore Medical Center's prior bonds because their full outstanding balances have been legally defeased or redeemed.  

9. Fitch assigns 'A+' issuer rating to Hunterdon Medical Center
Fitch Ratings assigned its "A+" issuer default rating to Flemington, N.J.-based Hunterdon Medical Center.  

10. Moody's downgrades rating for King's Daughters' Medical Center to 'Baa3'
Moody's Investors Service downgraded Ashland, Ky.-based King's Daughters' Medical Center's revenue bond rating to "Baa3" from "Baa2," affecting $177 million of rated debt. 

11. Moody's affirms 'A2' rating for Harris County Hospital District
Moody's Investors Service affirmed Harris County (Texas) Hospital District's "A2" revenue bond rating, affecting $263 million of debt. 

12. S&P upgrades Aspirus' rating to 'AA-'
S&P Global Ratings upgraded its long-term rating on Wausau, Wis.-based Aspirus from "A+" to "AA-."

13. Fitch assigns 'AA+' issuer rating to Ascension Health Alliance
Fitch Ratings assigned an "AA+" issuer default rating to St. Louis-based Ascension Health Alliance and affirmed its "F1+" short-term rating to the system's variable rate demand bonds.

14. Moody's downgrades Capital Region Medical Center's rating to 'Baa2'
Moody's Investors Service downgraded the bond rating for Jefferson City, Mo.-based Capital Region Medical Center from "Baa1" to "Baa2." 

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