14 recent hospital, health system outlook and credit rating actions

The following hospital and health system credit rating and outlook changes and affirmations took place in the last week, beginning with the most recent.

1. Fitch downgrades Boone Hospital Center to 'A-'
Fitch Ratings downgraded Columbia, Mo.-based Boone Hospital Center to "A-" from "A," affecting $79.4 million of debt. 

2. Fitch downgrades Lahey Health System to 'BBB+'
Fitch Ratings downgraded Burlington, Mass.-based Lahey Health System to "BBB+" from "A." 

3. CHS releases results of debt exchange, gets downgraded by Moody's
Moody's Investors Service downgraded the ratings of Franklin, Tenn.-based Community Health Systems after the for-profit hospital operator released the final results of its debt exchange June 20.  Moody's downgraded CHS' corporate family rating to "Caa2" from "Caa1."

4. Fitch affirms 'A' rating on Edward-Elmhurst Healthcare
Fitch Ratings affirmed its "A" rating on Edward-Elmhurst (Ill.) Health's bonds, affecting $405 million of outstanding debt. 

5. Fitch upgrades Norton Healthcare's rating to 'A+'
Fitch Ratings upgraded Louisville, Ky.-based Norton Healthcare's outstanding debt to "A+" from "A," affecting about $525 million of revenue bonds.  

6. S&P upgrades Froedtert Health's rating to 'AA'
S&P Global Ratings upgraded Wauwatosa, Wis.-based Froedtert Health's bond rating to "AA" from "AA-." 

7. S&P revises Glencoe Regional Health Service’s outlook to negative
S&P Global Ratings affirmed its "BBB" long-term rating on Glencoe (Minn.) Regional Health Service's revenue bonds and revised the outlook to negative from stable.  

8. Moody's affirms 'A1' on CaroMont Health
Moody's Investors Service affirmed its "A1" rating on Gastonia, N.C.-based CaroMont Health, affecting $130 million of outstanding rated debt.

9. Fitch affirms 'AA-' rating on University of Chicago Medical Center
Fitch Ratings affirmed its "AA-" rating on University of Chicago Medical Center's bonds, affecting $750 million of debt.  

10. Fitch affirms 'A' rating on Karnes County Hospital District
Fitch Ratings affirmed its "A" issuer default rating on Kennedy, Texas-based Karnes County Hospital District. Fitch also affirmed its "A" rating on the district's $45.1 million series 2014 revenue bonds. 

11. Fitch affirms 'A' rating on Hartford HealthCare's bonds, removes rating watch negative
Fitch Ratings affirmed its "A" rating on Hartford (Conn.) HealthCare's bonds, affecting $803 million of debt. 

12. Fitch downgrades Spartanburg Regional Health Services District to 'BBB'
Fitch Ratings downgraded Spartanburg (S.C.) Regional Health Services District to "BBB" from "A," affecting $123.8 million of debt.

13. Moody's assigns 'Aa1' rating to Intermountain Healthcare's bonds
Moody's Investors Service assigned its "Aa1" rating to IHC Health Services' series 2018 revenue bonds. IHC Health Services is the borrowing group of Salt Lake City-based Intermountain Healthcare. 

14. Moody's affirms 'A1' rating on Methodist Le Bonheur Healthcare
Moody's Investors Service affirmed its "A1" rating on Memphis, Tenn.-based Methodist Le Bonheur Healthcare. 

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