The following hospital and health system rating and outlook changes and affirmations took place in the last week, starting with the most recent.
1. Moody's assigns 'A1' rating to El Camino Hospital's bonds
Moody's Investors Service assigned an "A1" rating to Mountain View, Calif.-based El Camino Hospital's proposed $266 million of series 2016 fixed rate revenue bonds.
2. Moody's affirms 'Aa1' rating on RWJBarnabas Health's LOC-backed bonds
Moody's Investors Service affirmed the "Aa1" joint support letter of credit-backed ratings on West Orange, N.J.-based RWJBarnabas Health's series 2014B, series 2013B, series 2011B and series 2011C bonds.
3. Fitch assigns 'A' rating to Edward-Elmhurt Healthcare's bonds
Fitch Ratings assigned an "A" rating to Naperville, Ill.-based Edward-Elmhurst Healthcare's $189.4 million of series 2016A fixed rate revenue bonds.
4. S&P assigns 'AA-' rating to Piedmont Healthcare's bonds
S&P Global Ratings assigned an "AA-" rating to Atlanta-based Piedmont Healthcare's $404.2 million of series 2016A revenue bonds.
5. S&P lowers Huntington Memorial Hospital's rating to 'A-'
S&P Global Ratings lowered the rating on Pasadena, Calif.-based Huntington Memorial Hospital's $232 million of series 2005, 2014A and 2014B bonds to "A-" from "A."
6. S&P raises Children's Hospitals and Clinics of Minnesota's rating to 'AA-'
S&P Global Ratings raised the rating to "AA-" from "A+" on Minneapolis-based Children's Hospitals and Clinics of Minnesota's series 2010A, 2004A, 2004B, 2007A, 1995A and 2004A-1 bonds.
7. Fitch assigns 'AA-' rating to Cedars-Sinai Medical Center's bonds
Fitch Ratings assigned an "AA-" rating to Los Angeles-based Cedars-Sinai Medical Center's $275 million of series 2016A bonds and $400 million of series 2016B bonds.
8. Moody's downgrades Sauk Prairie Memorial Hospital’s rating to 'B1'
Moody's Investors Service downgraded Prairie du Sac, Wis.-based Sauk Prairie Memorial Hospital's rating to "B1" from "Ba1," affecting approximately $38 million of series 2013A fixed rate bonds.
9. S&P revises Trinity Health's outlook to stable
S&P Global Ratings revised Minot, N.D.-based Trinity Health's outlook to stable from negative.
10. S&P downgrades Hunt Memorial Hospital District's debt to 'A+'
S&P Global Ratings downgraded the long-term and underlying ratings on Greenville, Texas-based Hunt Memorial Hospital District's general obligation debt to "A+" from "AA-."
11. Fitch affirms Berkshire Health Systems' 'A-' rating
Fitch Ratings has affirmed the "A-" rating on Pittsfield, Mass.-based Berkshire Health Systems' $83.7 million of series 2012G bonds and $23.5 million of series 2005F bonds.
12. Moody's downgrades Adventist HealthCare's rating to 'Baa3'
Moody's Investors Service downgraded the rating on Gaithersburg, Md.-based Adventist HealthCare's outstanding bonds to "Baa3" from "Baa2."
13. Moody's assigns 'Aa3' rating to Cedars-Sinai Medical Center's bonds
Moody's Investors Service assigned an "Aa3" rating to Los Angeles-based Cedars-Sinai Medical Center's series 2016A and series 2016B bonds, expected to be issued in an aggregate amount of $675 million.
14. Moody's assigns 'MIG 1' rating to United Hospital District's BANs
Moody's Investors Service assigned an "MIG 1" rating to Blue Earth, Minn.-based United Hospital District's proposed $22 million of series 2016A and $22 million of series 2016B bond anticipation notes.
15. Moody's assigns 'A2' rating to United Hospital District's bonds
Moody's Investors Service assigned an "A2" rating to Blue Earth, Minn.-based United Hospital District's series 2016 bonds.
16. Moody's affirms Southcoast Health System's 'A3' rating
Moody's Investors Service affirmed New Bedford, Mass.-based Southcoast Health System's "A3" rating on approximately $152 million of rated debt.
17. Moody's revises Wake Forest Baptist Medical Center's outlook to positive
Moody's Investors Service revised Winston-Salem, N.C.-based Wake Forest Baptist Medical Center's outlook to positive.
18. S&P assigns 'A' rating to Wake Forest Baptist Medical Center's bonds
S&P Global Ratings assigned an "A" rating to Winston-Salem, N.C.-based Wake Forest Baptist Medical Center's $150 million of series 2016 bonds.
19. Fitch affirms Stanford Health Care's 'AA,' 'AA/F1+' ratings
Fitch Ratings affirmed the "AA" rating on Stanford (Calif.) Health Care's outstanding debt and the "AA/F1+" ratings on bonds supported by SHC's self-liquidity.
20. Moody's revises Piedmont Healthcare's outlook to negative
Moody's Investors Service revised Atlanta-based Piedmont Healthcare's outlook to negative from stable.
21. Moody's assigns initial 'Ba1' rating to Oaklawn Hospital's bonds
Moody's Investors Service assigned an initial "Ba1" rating to Marshall, Mich.-based Oaklawn Hospital's proposed $73.7 million of series 2016 bonds.
22. Moody's downgrades Fremont-Rideout Health Group's rating to 'Ba3'
Moody's Investors Service downgraded Marysville, Calif.-based Fremont-Rideout Health Group's rating to "Ba3" from "Baa2," affecting approximately $112 million of debt.
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