The following hospital and health system rating and outlook changes and affirmations took place in the last week, starting with the most recent.
1. S&P revises Memorial Hospital of Sweetwater County's outlook to negative
S&P Global Ratings revised the outlook to negative from stable and affirmed the "BBB-" long-term rating on Rock Springs, Wyo.-based Memorial Hospital of Sweetwater County's $26.8 million of series 2013A bonds.
2. Moody's affirms CoxHealth's 'A2' rating
Moody's Investors Service affirmed the "A2" rating on Springfield, Mo.-based CoxHealth's $501 million of outstanding debt.
3. Moody's affirms Shenandoah Medical Center's 'MIG 2' rating
Moody's Investors Service affirmed the "MIG 2" rating on Shenandoah (Iowa) Medical Center's series 2015 bonds.
4. Moody's revises Hazelden Betty Ford's outlook to negative
Moody's Investors Service revised Center City, Minn.-based Hazelden Betty Ford Foundation's outlook to negative from stable.
5. Fitch affirms Seattle Cancer Care Alliance's 'A+' rating
Fitch Ratings affirmed the "A+" rating on the Seattle Cancer Care Alliance's $91.3 million of series 2014 bonds.
6. S&P lowers ProMedica Healthcare Obligated Group's rating to 'AA-'
S&P Global Ratings lowered the rating to "AA-" from "AA" on Toledo, Ohio-based ProMedica Healthcare Obligated Group's series 2015A, 2015B, 2011A, 2011D, 2008D, 2011B and 2011E bonds.
7. S&P lowers San Antonio Regional Hospital's rating to 'BBB+'
S&P Global Ratings lowered the rating on Upland, Calif.-based San Antonio Regional Hospital to "BBB+" from "A-."
8. Fitch affirms Rush University Medical Center Obligated Group's 'A+' rating
Fitch Ratings affirmed the "A+" rating on Chicago-based Rush University Medical Center Obligated Group's $474 million of bonds.
9. Fitch affirms PeaceHealth's 'A+' rating
Fitch Ratings affirmed the "A+" rating on Vancouver, Wash.-based PeaceHealth's outstanding debt.
10. Fitch affirms Via Christi Hospital in Manhattan's 'A+' rating
Fitch Ratings affirmed the "A+" rating on Via Christi Hospital in Manhattan (Kan.)'s $20.79 million of series 2013 bonds.
11. Moody's affirms Hospital Authority of Valdosta and Lowndes County's 'A2' rating
Moody's Investors Service affirmed the "A2" rating on Hospital Authority of Valdosta (Ga.) and Lowndes County's $49 million of series 2007 revenue bonds.
12. Moody's affirms Aspirus Wausau Hospital's 'A1' rating
Moody's Investors Service affirmed the "A1" rating on Aspirus Wausau (Wis.) Hospital's $170 million of rated revenue bonds.
13. Moody's affirms Greenville Health System's 'A1' rating
Moody's Investors Service affirmed the "A1" rating on Greenville (S.C.) Health System's $500 million of rated debt.
14. S&P raises Covenant HealthCare System's rating to 'A+'
S&P Global Ratings raised the rating to "A+" from "A" on Saginaw, Mich.-based Covenant HealthCare System's series 2010H bonds.
15. S&P raises Bon Secours Health System's rating to 'A'
S&P Global Ratings raised the rating to "A" from "A-" on Marriottsville, Md.-based Bon Secours Health System's debt.
16. Fitch affirms Allina Health's 'AA-' rating
Fitch Ratings affirmed the "AA-" rating on Minneapolis-based Allina Health's $820 million of bonds.
17. Moody's affirms The Health Care Authority for Baptist Health's 'A3' rating
Moody's Investors Service affirmed the "A3" rating on Montgomery, Ala.-based The Health Care Authority for Baptist Health's $300 million of outstanding rated bonds.
18. Moody's affirms Bryan Health's 'A1' rating
Moody's Investors Service affirmed the "A1" rating on Lincoln, Neb.-based Bryan Health's $86 million of debt.
19. Moody's revises Vidant Health's outlook to stable
Moody's Investors Service revised Greenville, N.C.-based Vidant Health's outlook to stable from negative.
20. Moody's affirms Alexian Brothers Health System's 'A2' rating
Moody's Investors Service affirmed the "A2" rating on Arlington Heights, Ill.-based Alexian Brothers Health System's $62 million of debt.
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