The following hospital and health system credit rating and outlook changes or affirmations occurred in the last week, beginning with the most recent:
1. Moody's affirms North Memorial Health's and Maple Grove Hospital's 'Baa1' rating
Moody's Investors Services affirmed the "Baa1" ratings for Robbinsdale, Minn.-based North Memorial Health Care and and Maple Grove (Minn.) Hospital's outstanding revenue bonds, affecting a combined $162 million of debt.
2. Moody's downgrades Fairfield Medical Center's rating to 'Baa3'
Moody's Investors Service downgraded Lancaster, Ohio-based Fairfield Medical Center's revenue bond rating from "Baa2" to Baa3," affecting $90 million of debt.
3. Moody's downgrades Gwinnett Hospital System revenue certificates to 'Baa1'
Moody's Investors Service downgraded Lawrenceville, Ga.-based Gwinnett Hospital System's revenue certificates from "A3" to "Baa," affecting $132 million of rated debt.
4. Fitch assigns 'BBB+' rating to various series of ProMedica Health System debt
Fitch Ratings assigned a long-term "BBB+" rating to various series of debt for Toledo, Ohio-based ProMedica Health System.
5. Fitch downgrades Erlanger Health System's rating to 'BBB'
Fitch Ratings assigned a "BBB" issuer default rating to Chattanooga, Tenn.-based Erlanger Health System and downgraded its rating on a series 2014A bond from "BBB+" to "BBB."
6. Fitch affirms Regional West Health Services' 'BBB+' rating
Fitch Ratings assigned Scottsbluff, Neb.-based Regional West Health Services a "BBB+" issuer default rating and affirmed its "BBB+" rating for a series 2016A bond.
7. Fitch affirms Carson Tahoe Health System's 'BBB+' rating
Fitch Ratings assigned Carson City, Nev.-based Carson Tahoe Health System an issuer default rating of "BBB+" and affirmed its "BBB+" ratings for outstanding bonds issued by Carson City.
8. Moody's affirms Temple University Health System's 'Ba1' rating
Moody's Investors Service affirmed Philadelphia-based Temple University Health System's "Ba1" bond rating, affecting $478 million of debt.
9. Moody's affirms Forrest County General Hospital's 'A2' rating
Moody's Investors Service affirmed Hattiesburg, Ms.-based Forrest County General Hospital's "A2" bond rating, affecting $104 million of outstanding bonds.
10. Moody's affirms Holland Community Hospital's 'A2' rating
Moody's Investors Service affirmed Holland (Mich.) Community Hospital's "A2" bond rating, affecting $36.5 million of debt.
11. S&P lowers Integris Health's bond rating to 'A+'
S&P Global Ratings lowered its long-term rating for Oklahoma City-based Integris Health's series 2015A bonds from "A+" to "AA-" and its series 2015B bonds from "AA-/A-1+" to "A+/A-1."
12. Fitch assigns PeaceHealth 'F1+' short-term rating
Fitch Ratings assigned an "F1+" short-term rating to the state of Oregon, Oregon Facilities Authority refunding revenue bonds for Vancouver, Wash.-based PeaceHealth and also revised the bonds' long-term rating to "AA-."
13. Fitch revises Edward-Elmhurst's long-term rating to short term
Fitch Ratings revised its "A" long-term rating for Naperville, Ill.-based Edward-Elmhurst Healthcare's series 2018 bonds and assigned the bonds an "F1" short-term rating.
14. Fitch assigns 'AA-' issuer default rating to Johns Hopkins Health System
Fitch Ratings assigned an "AA-" issuer default rating to Baltimore-based Johns Hopkins Health System.
15. Moody's assigns 'A1' rating to UnityPoint Health's proposed bonds
Moody's Investors Service assigned an "A1" rating to West Des Moines, Iowa-based UnityPoint Health's proposed revenue bonds, affecting $929 million.
16. S&P revises TJ Samson Community Hospital outlook to positive
S&P Global Ratings revised its outlook on Glasgow, Ky.-based T.J. Samson Community Hospital from stable to positive.