The following hospital and health system rating and outlook changes and affirmations took place in the last week, starting with the most recent.
1. Moody's affirms Health Care Service Corporation's ratings, changes outlook to negative
Moody's Investors Service affirmed Chicago-based Health Care Service Corporation's insurance financial strength rating of "A1" and its senior unsecured debt rating of "A2." Moody's also changed the outlook on the ratings from stable to negative.
2. Moody's places Ingalls Health System's 'Baa1' rating on review for downgrade
Moody's Investors Service placed Harvey, Ill.-based Ingalls Health System's "Baa1" rating on review for downgrade.
3. S&P lowers Great Plains Regional Medical Center's rating to 'BB-'
S&P Global Ratings lowered its rating on Elk City, Okla.-based Great Plains Regional Medical Center's series 2007 bonds from "BB" to "BB-."
4. Fitch downgrades Dartmouth-Hitchcock Obligated Group's ratings to 'A'
Fitch Ratings downgraded the ratings on Lebanon, N.H.-based Dartmouth-Hitchcock Obligated Group's $57.5 million of series 2009 bonds and $75 million of series 2010 bonds to "A" from "A+."
5. Moody's affirms Major Hospital's 'Baa2' rating
Moody's Investors Service affirmed the "Baa2" rating on Shelbyville, Ind.-based Major Hospital's $53.5 million of series 2014A fixed rate revenue bonds.
6. S&P revises Trinitas Regional Medical Center's outlook to positive
S&P Global Ratings revised the outlook to positive from stable and affirmed the "BBB" rating on Elizabeth, N.J.-based Trinitas Regional Medical Center's series 2007A and 2007B bonds.
7. Moody's assigns 'A1' rating to University Health's certificates
Moody's Investors Service assigned an "A1" rating to Augusta, Ga.-based University Health's proposed $127 million of series 2016 revenue anticipation certificates.
8. Fitch affirms Universal Health Services' 'BB+' rating
Fitch Ratings affirmed King of Prussia, Pa.-based Universal Health Services' "BB+" issuer default rating.
9. Moody's affirms Mercy Medical Center's 'A2' rating
Moody's Investors Service affirmed the "A2" rating on Cedar Rapids, Iowa-based Mercy Medical Center's $111 million of revenue bonds.
10. Fitch affirms Alexian Brothers Health System's 'A-' rating
Fitch Ratings affirmed the "A-" rating on Arlington Heights, Ill.-based Alexian Brothers Health System's $61.9 million of bonds.
11. Fitch downgrades Care New England's bond rating to 'BBB-'
Fitch Ratings downgraded the rating on Providence, R.I.-based Care New England's $82.2 million of series 2013A bonds to "BBB-" from "BBB."
12. S&P assigns 'BBB' rating to Boston Medical Center's bonds
S&P Global Ratings assigned a "BBB" rating to Boston Medical Center's series 2016E bonds.
13. S&P places Dartmouth-Hitchcock Obligated Group's bonds on CreditWatch negative
S&P Global Ratings placed its "A" rating on Lebanon, N.H.-based Dartmouth-Hitchcock Obligated Group's debt on CreditWatch with negative implications.
14. Moody's assigns 'A3' rating to Seminole Hospital District's bonds
Moody's Investors Service assigned an "A3" rating to Seminole (Texas) Hospital District's $13.075 million of series 2016 general obligation refunding bonds.