The following hospital and health system ratings, outlook changes and affirmations took place in August, starting with the most recent.
1. Fitch upgrades Deaconess Health System to 'AA'
Fitch Ratings upgraded Evansville, Ind.-based Deaconess Health System's bond ratings to "AA" from "AA-," affecting about $233 million of debt.
2. Fitch assigns 'AA-' issuer default rating to Billings Clinic
Fitch Ratings assigned Billings (Mont.) Clinic an issuer default rating of "AA-." Concurrently, the credit agency assigned its "AA-" rating on Billings Clinic's series 2018 bonds.
3. Moody's affirms 'Baa2' on Memorial Hospital at Gulfport
Moody's Investors Service affirmed its "Baa2" rating on Memorial Hospital at Gulfport (Miss.), affecting about $50 million of debt.
4. Moody's assigns 'A1' rating to Sarasota County Public Hospital District's bonds
Moody's Investors Service assigned its "A1" rating to Sarasota (Fla.) County Public Hospital District's proposed $350 million series 2018 revenue bonds. The district does business as Sarasota Memorial Health Care System.
5. Moody's assigns 'A2' to University Hospitals Health System
Moody's Investors Service assigned its "A2" rating to Cleveland-based University Hospitals Health System's proposed $350 million series 2018A-F revenue bonds.
6. Moody's affirms 'Baa2' on Holy Name Medical Center
Moody's Investors Service affirmed its "Baa2" rating on Teaneck, N.J.-based Holy Name Medical Center's revenue bonds. The rating action affects $36 million of debt.
7. Fitch assigns 'A+' default rating, positive outlook to St. Tammany Parish Hospital Service District
Fitch Ratings assigned its "A+" issuer default rating to Covington, La.-based St. Tammany Parish Hospital Service District No.1.
8. S&P revises West Park Hospital District's outlook to stable
S&P Global Ratings revised the outlook to stable from positive on Cody, Wyo.-based West Park Hospital District.
9. Moody's revises ThedaCare's outlook to negative
Moody's Investors Service affirmed its "A1" rating on $223 million of Appleton, Wis.-based ThedaCare's debt. Concurrently, the credit agency revised the healthcare provider's outlook to negative from stable.
10. S&P downgrades EvergreenHealth's rating to 'A'
S&P Global Ratings downgraded Kirkland, Wash.-based EvergreenHealth's long-term rating to "A" from "A+." The health system is also known as King County Public Hospital District No. 2.
11. ProMedica gets 3-notch downgrade, negative outlook from Moody's
Six days after a multinotch downgrade from S&P, a second credit rating agency, Moody's Investors Service, lowered Toledo, Ohio-based ProMedica Health System's rating several notches to "Baa1" from "A1." The rating action affects $420 million of debt.
12. Fitch upgrades Gundersen Lutheran's debt to 'AA-'
Fitch Ratings upgraded La Crosse, Wis.-based Gundersen Lutheran Medical Center's series 2011A and series 2012 bonds to "AA-" from "A+," affecting $194 million of debt.
13. Moody's upgrades Mercy Hospital to 'Ba3' after sizable debt payment
Moody's Investors Service upgraded Iowa City, Iowa-based Mercy Hospital to "Ba3" from "B1," affecting $34 milion of debt. Concurrently, Moody's revised the hospital's outlook to positive from negative.
14. S&P revises Denver Health and Hospital Authority's outlook to stable on improved finances
S&P Global Ratings affirmed its "BBB" long-term rating on Denver Health and Hospital Authority and revised its outlook to stable from negative.
15. Moody's affirms 'Aa3' rating on U of North Carolina Hospitals
Moody's Investors Service affirmed its "Aa3" long-term rating on Chapel Hill-based University of North Carolina Hospitals, affecting $330 million of debt.
16. Moody's affirms 'A2' rating on Rex Healthcare
Moody's Investors Service affirmed its "A2" long-term rating on Raleigh, N.C.-based Rex Healthcare, affecting $140 million of debt.
17. ProMedica gets multi-notch downgrade from S&P
S&P Global Ratings downgraded Toledo, Ohio-based ProMedica Health System's long-term rating several notches to "BBB" from "A+."
18. Fitch upgrades Adventist Health's debt to 'A+'
Fitch Ratings upgraded its long-term rating on Roseville, Calif.-based Adventist Health's $919 million in outstanding debt to "A+" from "A."
19. Fitch affirms Guadalupe Regional Medical Center's 'BB' rating
Fitch Ratings affirmed its "BB" rating on Seguin, Texas-based Guadalupe Regional Medical Center's series 2015, affecting $113.6 million in debt.
20. Moody's revises Tarrant County Hospital District's outlook to negative
Moody's Investors Service affirmed its "Aa3" rating on Grand Prairie, Texas-based Tarrant County Hospital District, affecting $18 million of debt. The district does business as JPS Health Network.
21. Moody's assigns 'Baa1' rating to Cabell Huntington Hospital
Moody's Investors Service assigned its "Baa1" rating to Cabell Huntington (W. Va.) Hospital's series 2018A and 2018B revenue refunding and improvement revenue bonds. In total, the bonds are $260 million.
22. Moody's affirms 'Baa1' rating on Silver Cross Hospital
Moody's Investors Service affirmed its "Baa1" rating on New Lenox, Ill.-based Silver Cross Hospital's outstanding bonds, affecting $280 million of debt.
23. Moody's affirms Children's Healthcare of Atlanta's 'Aa2' rating
Moody's Investors Service affirmed its long-term "Aa2" rating on Children's Healthcare of Atlanta, affecting $418 million of debt.
24. Fitch downgrades Holy Redeemer Health System to 'BBB-'
Fitch Ratings downgraded Huntingdon Valley, Pa.-based Holy Redeemer Health System's revenue and refunding bonds to "BBB-" from "BBB."
25. Fitch upgrades NewYork-Presbyterian Brooklyn Methodist Hospital's rating to 'A'
Fitch Ratings upgraded the rating on New York City-based NewYork-Presbyterian Brooklyn Methodist Hospital's series 2014 to "A" from "A-," affecting $25.95 million of debt.
26. Fitch affirms Texas Children's Hospital's 'AA' rating
Fitch Ratings affirmed its "AA" long-term rating on the outstanding bonds of Houston-based Texas Children's Hospital, affecting about $666 million of debt.
27. SCL Health gets Fitch issuer default rating of 'AA-'
Fitch Ratings assigned Broomfield, Colo.-based Sisters of Charity Leavenworth Health Services Corp. an issuer default rating of "AA." The system does business as SCL Health.
28. Moody's revises Doctors Community Hospital's outlook to negative
Moody's Investors Service revised Goddard, Md.-based Doctors Community Hospital's outlook to negative and affirmed its "Baa3" rating on the hospital's outstanding bonds. The action affects $64.2 million of debt.
29. Fitch downgrades Premier Health's rating to 'A'
Fitch Ratings downgraded Dayton, Ohio-based Premier Health's rating to "A" from "A+." At the same time, Fitch assigned the health system an issuer default rating of "A."
30. Moody's affirms 'Baa2' rating on King's Daughters' Health
Moody's Investors Service affirmed its "Baa2" rating on the $95 million series 2010 bonds of Madison, Ind.-based King's Daughters' Health.
31. Moody's downgrades San Gorgonio Memorial Healthcare District to 'Baa3', maintains negative outlook
Moody's Investors Service downgraded Banning, Calif.-based San Gorgonio Memorial Healthcare District's general obligation bond rating to "Baa3" from "A3," affecting $115.7 million of outstanding debt.
32. S&P downgrades Westchester County Health Care to 'BBB-'
S&P Global Ratings downgraded Valhalla, N.Y.-based Westchester County Health Care's revenue and refunding bonds to "BBB-" from "BBB."
33. S&P revises UAB Medicine's outlook to negative over weaker operations
S&P Global Ratings revised Birmingham, Ala.-based UAB Medicine's outlook to negative from stable.
34. S&P upgrades Torrance Memorial Medical Center's rating to 'A'
S&P Global Ratings upgraded its long-term and underlying rating on Torrance (Calif.) Memorial Medical Center's outstanding debt to "A" from "BBB."
35. Moody's affirms 'A1' rating on ProHealth Care
Moody's Investors Service affirmed its "A1" rating on Waukesha, Wis.-based ProHealth Care, affecting $181 million of outstanding debt.
36. Moody's assigns 'Baa1' to Baptist Healthcare System's bonds
Moody's Investors Service assigned its "Baa1" rating to Louisville-based Baptist Healthcare System's proposed $130 million series 2018A revenue refunding bonds. At the same time, Moody's upgraded the health system's parity debt to "Baa1" from "Baa2," affecting $442 million of debt.