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 affirms 'BBB-' rating for Prime Healthcare
Fitch Ratings assigned a "BBB-" issuer default rating on Ontario, Calif.-based Prime Healthcare and affirmed its "BBB-" rating on outstanding bonds.
2. Fitch affirms 'AA-' rating for ThedaCare
Fitch Ratings assigned a "AA-" issuer default rating to Appleton, Wis.-based ThedaCare and affirmed its "AA-" rating on its outstanding bonds.
3. Moody's affirms Bryan Health's 'A1' rating
Moody's Investors Service affirmed its "A1" rating on Lincoln, Neb.-based Bryan Health, affecting $71 million of debt.
4. Moody's assigns 'A1' rating to Munson Healthcare
Moody's Investors Service assigned an "A1" rating to Traverse City, Mich.-based Munson Healthcare's proposed revenue bonds.
5. Moody's affirms 'A1' rating for Self Regional Healthcare
Moody's Investors Service affirmed its "A1" rating on Greenwood, S.C.-based Self Regional Healthcare, affecting $100 million of outstanding revenue bonds.
6. Moody's affirms 'Aa1/VMIG 1' rating for Renown Health
Moody's Investors Service affirmed its 'Aa1/VMIG 1' ratings on Reno, Nev.-based Renown Health's outstanding revenue bonds.
7. S&P upgrades Southeast Health rating to 'BBB+'
S&P Global Ratings raised its long-term rating on Dothan, Ala.-based Southeast Health from "BBB" to "BBB+."
8. Fitch upgrades Heartland Health rating to 'AA-'
Fitch Ratings upgraded its rating for St. Joseph, Mo.-based Heartland Health, which includes Heartland Regional Medical Center and Mosaic Life Care, from "A+" to "AA-" and assigned an issuer default rating of "AA-."
9. Moody's affirms 'A2' rating for Hendrick Medical Center
Moody's Investors Service affirmed its "A2" rating for Abilene, Texas-based Hendrick Medical Center, affecting $111 million of debt.
10. Moody's affirms 'A1' rating for Beaumont Health
Moody's Investors Service affirmed its "A1" rating on Southfield, Mich.-based Beaumont Health's outstanding revenue bonds.
11. S&P drops underlying rating for Wayne County Hospital Authority to 'A'
S&P Global Ratings lowered its underlying ratings for Wayne County Hospital Authority, which includes Jesup, Ga.-based Wayne Memorial Hospital, from "A+" to "A."
12. Fitch affirms 'BB+' rating for Jennie Stuart Medical Center
Fitch Ratings assigned a "BB+" issuer default rating to Hopkinsville, Ky.-based Jennie Stuart Medical Center.
13. Fitch revises UnityPoint Health's long-term rating to 'AA'
Fitch Ratings revised its long-term rating for West Des Moines, Iowa-based UnityPoint Health from "AA-" to "AA."
14. Moody's assigns 'Aa3/VMIG 1' rating to Atrium Health
Moody's Investors Service assigned an "Aa3/VMIG 1" rating to Charlotte, N.C.-based Atrium Health, which operates legally as Charlotte-Mecklenburg Hospital Authority.
15. Moody's downgrades Major Health Partners' rating to 'Baa3'
Moody's Investors Service downgraded the rating for Shelbyville, Ind.-based Major Health Partners from "Baa2" to "Baa3."