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 upgrades Nanticoke Health Services' rating to 'BBB+'
Fitch Ratings upgraded Seaford, Del.-based Nanticoke Health Services' series 2013 revenue bond rating to "BBB+" from "BBB-."
2. Fitch affirms 'BB+' on Loma Linda University Medical Center
Fitch Ratings affirmed its "BB+" rating on Loma Linda (Calif.) University Medical Center's series 2014A, 2014B and 2016A revenue bonds.
3. Moody's assigns 'Aa2' to BJC Health System's bonds
Moody's Investors Service assigned its "Aa2" rating to St. Louis-based BJC Health System's remarketed $75 million series 2017D bonds.
4. Fitch upgrades Summit Health's rating to 'AA-'
Fitch Ratings upgraded Chambersburg, Pa.-based Summit Health's $113 million series 2010 revenue bonds to "AA-" from "A+" and assigned the health system an issuer default rating of "AA-."
5. Fitch upgrades Heritage Valley Health System to 'AA-'
Fitch Ratings upgraded the rating on Beaver, Pa.-based Heritage Valley Health System's revenue bonds to "AA-" from "A+," affecting $51.6 million of debt.
6. S&P downgrades Bozeman Health's rating to 'A'
S&P Global Ratings downgraded the rating on Bozeman (Mont.) Health's outstanding revenue bonds to "A" from "A+."
7. S&P upgrades Freeman Health System's rating to 'A'
S&P Global Ratings upgraded the rating to "A" from "A-" on Joplin, Mo.-based Freeman Health System's series 2011 and series 2015 bonds.
8. S&P downgrades ProMedica's bond rating to 'A+'
S&P Global Ratings downgraded Toledo, Ohio-based ProMedica Healthcare's bonds to "A+" from "AA-."
9. Fitch affirms 'A-' rating on Redlands Community Hospital
Fitch Ratings affirmed its "A-" rating on Redlands (Calif.) Community Hospital's series 2016 revenue bonds.
10. Fitch downgrades Valley Medical Center to 'BBB'
Fitch Ratings downgraded Renton, Wash.-based Valley Medical Center's series 2010A bonds, series 2010B bonds and its issuer default rating to "BBB" from "BBB+.
11. Fitch assigns 'A+' issuer default rating to Orlando Health
Fitch Ratings assigned its "A+" issuer default rating to Orlando (Fla.) Health and upgraded the rating on $690 million in revenue bonds to "A+" from "A."
12. Fitch affirms 'BBB' rating on Memorial Hospital at Gulfport
Fitch Ratings assigned its "BBB" issuer default rating to Memorial Hospital at Gulfport (Miss.).
13. Moody's affirms 'Aa3' rating on Scripps Health
Moody's Investors Service affirmed its "Aa3" long-term rating on San Diego-based Scripps Health, affecting $632 million of rated debt.
14. Moody's revises Firelands Regional Medical Center's outlook to negative
Moody's Investors Service affirmed its "A3" rating on Sandusky, Ohio-based Firelands Regional Medical Center, affecting $77 million of debt.
15. Moody's assigns 'Aa2' to Indiana University Health
Moody's Investors Service assigned its "Aa2" rating to Indianapolis-based Indiana University Health's proposed $354 million series 2018A bonds.
16. Moody's upgrades Medical College of Wisconsin's rating to 'Aa3'
Moody's Investors Service upgraded Milwaukee-based Medical College of Wisconsin's revenue bonds to "Aa3" from "A1," affecting $236 million of debt.
17. Moody's affirms 'A1' rating on Huntsville Health Care
Moody's Investors Service affirmed its "A1" rating on Huntsville (Ala.) Health Care Authority, affecting approximately $205 million of rated debt.