The following hospital and health system rating and outlook changes and affirmations took place in the last two weeks, starting with the most recent.
1. Fitch assigns 'A+' rating to Southern Illinois Healthcare Enterprises' bonds
Fitch Ratings assigned an "A+" rating to Carbondale-based Southern Illinois Healthcare Enterprises' $80.2 million of series 2016A bonds and $65.99 million of series 2016B bonds.
2. S&P assigns 'A-' rating to University of Maryland Medical System's bonds
S&P Global Ratings assigned an "A-" rating to Baltimore-based University of Maryland Medical System's series 2017B and 2017C bonds.
3. S&P assigns 'AA-' rating to the Broad Institute's bonds
S&P Global Ratings assigned an "AA-" long-term rating to Cambridge, Mass.-based the Broad Institute's series 2016 bonds.
4. Moody's downgrades Good Samaritan Hospital's rating to 'Baa3'
Moody's Investors Service downgraded the rating on Vincennes, Ind.-based Good Samaritan Hospital's outstanding revenue bonds to "Baa3" from "Baa2."
5. Moody's assigns 'Baa1' rating to Summa Health's bonds
Moody's Investors Service assigned a "Baa1" rating to Akron, Ohio-based Summa Health's proposed $344 million of series 2016 bonds.
6. Fitch revises Summa Health System's outlook to positive
Fitch Ratings revised Akron, Ohio-based Summa Health System's outlook to positive from stable.
7. S&P places CHI on CreditWatch negative
S&P Global Ratings placed the "A-" long-term and underlying ratings issued for Englewood, Colo.-based Catholic Health Initiatives' debt on CreditWatch with negative implications.
8. Fitch affirms University Hospital's 'BBB' rating
Fitch Ratings affirmed the "BBB" rating on Newark, N.J.-based University Hospital's $254.98 million of series 2015A bonds.
9. Fitch assigns 'A' rating to Conway Medical Center's bonds
Fitch Ratings assigned an "A" rating to Conway (S.C.) Medical Center's $55.3 million of series 2016 bonds and $42.1 million of series 2007 bonds.
10. Moody's changes Geisinger Health System's outlook to negative
Moody's Investors Service revised Danville, Pa.-based Geisinger Health System's outlook to negative from stable.
11. S&P revises Novant Health's outlook to positive
S&P Global Ratings revised Winston-Salem, N.C.-based Novant Health's outlook to positive from stable and affirmed the "A+" long-term and underlying ratings on its bonds.
12. Fitch affirms Dartmouth-Hitchcock Obligated Group's 'A' rating
Fitch Ratings affirmed the "A" rating on Lebanon, N.H.-based Dartmouth-Hitchcock Obligated Group's $57.5 million of series 2009 bonds and $75 million of series 2010 bonds.
13. Fitch affirms Main Line Health's 'AA' rating
Fitch Ratings affirmed the "AA" rating on Bryn Mawr, Pa.-based Main Line Health's $129.99 million of series 2010A bonds and $57.799 million of series 2012A bonds.
14. S&P assigns 'BB+' rating to Jennie Stuart Medical Center's bonds
S&P Global Ratings assigned a "BB+" long-term rating to Hopkinsville, Ky.-based Jennie Stuart Medical Center's $54.5 million of series 2016A bonds.
15. Fitch assigns 'BBB-' rating to Jennie Stuart Medical Center's bonds
Fitch Ratings assigned a "BBB-" rating to Hopkinsville, Ky.-based Jennie Stuart Medical Center's $55.5 million of series 2016 bonds.
16. Moody's affirms Shands Teaching Hospital and Clinics' 'A3' rating
Moody's Investors Service affirmed the "A3" rating on Gainesville, Fla.-based Shands Teaching Hospital and Clinics' $610 million of outstanding debt.
17. S&P assigns 'BBB-' rating to NorthBay Healthcare System's bonds
S&P Global Ratings assigned a "BBB-" long-term rating to Fairfield, Calif.-based NorthBay Healthcare System's $188.2 million of series 2017A bonds.
18. S&P affirms 'A' rating on Dartmouth-Hitchcock Health's bonds
S&P Ratings affirmed the "A" rating on Lebanon, N.H.-based Dartmouth-Hitchcock Health's series 2009 and 2010 bonds, as well as Dartmouth-Hitchcock Keene (N.H) Cheshire Medical Center's series 2012 bonds.
19. Fitch revises Aurora Health Care's outlook to stable
Fitch Ratings revised Milwaukee-based Aurora Health Care's outlook to stable from positive.
20. Moody's revises Wood County Hospital Association's outlook to stable
Moody's Investors Service revised Bowling Green, Ohio-based Wood County Hospital Association's outlook to stable from negative.
21. Fitch affirms Memorial Sloan Kettering Cancer Center's 'AA' rating
Fitch Ratings affirmed the "AA" rating on New York City-based Memorial Sloan Kettering Cancer Center's $2.2 billion of outstanding debt.