The following hospital and health system ratings, outlook changes and affirmations took place in June, starting with the most recent.
1. S&P downgrades Parkland Health and Hospital System's debt to 'AA-'
S&P Global Ratings downgraded Dallas-based Parkland Health and Hospital System's general obligation debt to "AA-" from "AA."
2. S&P downgrades St. John's Riverside Hospital's rating 3 notches to 'B-,' maintains negative outlook
S&P Global Ratings downgraded Yonkers, N.Y.-based St. John's Riverside Hospital's rating three notches to "B-" from "BB-."
3. Moody's affirms 'A3' rating on Dignity Health
Moody's Investors Service affirmed its "A3" rating on San Francisco-based Dignity Health, affecting $5.3 billion of debt.
4. S&P affirms 'CCC' rating on Verity Health System, revises outlook to stable from positive
S&P Global Ratings affirmed its "CCC" rating on Redwood City, Calif.-based Verity Health System's outstanding debt.
5. Fitch upgrades Jackson County Schneck Memorial Hospital to 'AA-'
Fitch Ratings upgraded Seymour, Ind.-based Jackson County Schneck Memorial Hospital's series 2010 and series 2006B bonds to "AA-" from "A+," affecting $26 million of debt.
6. Fitch assigns 'A+' rating to Phoenix Children's Hospital
Fitch Ratings assigned its "A+" issuer default rating to Phoenix Children's Hospital.
7. Fitch downgrades Boone Hospital Center to 'A-'
Fitch Ratings downgraded Columbia, Mo.-based Boone Hospital Center to "A-" from "A," affecting $79.4 million of debt.
8. Fitch downgrades Lahey Health System to 'BBB+'
Fitch Ratings downgraded Burlington, Mass.-based Lahey Health System to "BBB+" from "A."
9. CHS releases results of debt exchange, gets downgraded by Moody's
Moody's Investors Service downgraded the ratings of Franklin, Tenn.-based Community Health Systems after the for-profit hospital operator released the final results of its debt exchange June 20. Moody's downgraded CHS' corporate family rating to "Caa2" from "Caa1."
10. Fitch affirms 'A' rating on Edward-Elmhurst Healthcare
Fitch Ratings affirmed its "A" rating on Edward-Elmhurst (Ill.) Health's bonds, affecting $405 million of outstanding debt.
11. Fitch upgrades Norton Healthcare's rating to 'A+'
Fitch Ratings upgraded Louisville, Ky.-based Norton Healthcare's outstanding debt to "A+" from "A," affecting about $525 million of revenue bonds.
12. S&P upgrades Froedtert Health's rating to 'AA'
S&P Global Ratings upgraded Wauwatosa, Wis.-based Froedtert Health's bond rating to "AA" from "AA-."
13. S&P revises Glencoe Regional Health Service's outlook to negative
S&P Global Ratings affirmed its "BBB" long-term rating on Glencoe (Minn.) Regional Health Service's revenue bonds and revised the outlook to negative from stable.
14. Moody's affirms 'A1' on CaroMont Health
Moody's Investors Service affirmed its "A1" rating on Gastonia, N.C.-based CaroMont Health, affecting $130 million of outstanding rated debt.
15. Fitch affirms 'AA-' rating on University of Chicago Medical Center
Fitch Ratings affirmed its "AA-" rating on University of Chicago Medical Center's bonds, affecting $750 million of debt.
16. Fitch affirms 'A' rating on Karnes County Hospital District
Fitch Ratings affirmed its "A" issuer default rating on Kennedy, Texas-based Karnes County Hospital District. Fitch also affirmed its "A" rating on the district's $45.1 million series 2014 revenue bonds.
17. Fitch affirms 'A' rating on Hartford HealthCare's bonds, removes rating watch negative
Fitch Ratings affirmed its "A" rating on Hartford (Conn.) HealthCare's bonds, affecting $803 million of debt.
18. Fitch downgrades Spartanburg Regional Health Services District to 'BBB'
Fitch Ratings downgraded Spartanburg (S.C.) Regional Health Services District to "BBB" from "A," affecting $123.8 million of debt.
19. Moody's assigns 'Aa1' rating to Intermountain Healthcare's bonds
Moody's Investors Service assigned its "Aa1" rating to IHC Health Services' series 2018 revenue bonds. IHC Health Services is the borrowing group of Salt Lake City-based Intermountain Healthcare.
20. Moody's affirms 'A1' rating on Methodist Le Bonheur Healthcare
Moody's Investors Service affirmed its "A1" rating on Memphis, Tenn.-based Methodist Le Bonheur Healthcare.
21. Moody's affirms 'Ba1' rating on Eastern Maine Healthcare, maintains negative outlook
Moody's Investors Service affirmed its "Ba1" rating on Brewer-based Eastern Maine Healthcare System, affecting $392 million of debt.
22. Moody's revises Mercy Health Services' outlook to positive
Moody's Investors Service affirmed its "Baa2" rating on Baltimore-based Mercy Health Service's bonds, affecting about $222 million of debt. At the same time, Moody's revised its outlook to positive from stable.
23. Moody's upgrades Presence Health 7 notches to 'Aa2'
Moody's Investors Service upgraded Chicago-based Presence Health's bond and issuer rating seven notches to "Aa2" from "Baa3," affecting $1 billion of rated debt.
24. Moody's upgrades Princeton HealthCare System to 'Aa3'
Moody's Investors Service upgraded Plainsboro, N.J.-based Princeton HealthCare System to "Aa3" from "Baa2," affecting about $188 million of outstanding debt.
25. S&P revises South Shore Hospital's outlook to negative
S&P Global Ratings affirmed its "A-" rating on South Weymouth, Mass.-based South Shore Hospital's revenue bonds and revised the outlook to negative from stable.
26. Fitch affirms 'A+' rating on WakeMed Health System
Fitch Ratings affirmed its "A+" rating on Raleigh, N.C.-based WakeMed Health System's bonds, affecting about $393.3 million of debt.
27. S&P assigns 'A+' rating to MaineHealth's bonds
S&P Global Ratings assigned its "A+" rating to Portland-based MaineHealth's $110 million series 2018A and $75 million series 2018B revenue bonds.
28. Moody's affirms 'A1' rating on Carilion Clinic
Moody's Investors Service affirmed its "A1" rating on the Roanoke, Va.-based Carilion Clinic Obligated Group, affecting $398 million of debt.
29. Fitch downgrades El Paso County Hospital District to 'A-'
Fitch Ratings downgraded El Paso (Texas) County Hospital District to "A-" from "AA-," affecting about $348.3 million of debt. The hospital district does business as University Medical Center of El Paso.
30. Fitch affirms 'A' rating on CoxHealth
Fitch Ratings affirmed its "A" rating on Springfield, Mo.-based CoxHealth's revenue bonds, affecting about $490.3 million of debt.
31. Fitch assigns 'A' issuer default rating to HonorHealth
Fitch Ratings assigned its "A" issuer default rating to Scottsdale, Ariz.-based HonorHealth.
32. S&P downgrades Infirmary Health System to 'BBB+'
S&P Global Ratings downgraded Mobile, Ala.-based Infirmary Health System's issuer credit rating to "BBB+" from "A-."
33. Moody's affirms 'Aa3' on Piedmont Healthcare, outlook remains negative
Moody's Investors Service affirmed its "Aa3" rating on Atlanta-based Piedmont Healthcare's outstanding bonds after the health system completed its acquisition of Columbus (Ga.) Regional Health System and Clearview Regional Medical Center based in Monroe, Ga.
34. Fitch upgrades Mount Sinai Medical Center of Greater Miami to 'A-'
Fitch Ratings upgraded the rating on Mount Sinai Medical Center of Greater Miami's. debt to "A-" from "BBB+."
35. Fitch assigns 'AA-' rating to McLaren Health Care's bonds
Fitch Ratings assigned its "AA-" rating to Grand Blanc, Mich.-based McLaren Health Care's $300 million series 2018 taxable bonds.
36. Fitch upgrades Central Washington Hospital's rating to 'A-'
Fitch Ratings upgraded Wenatchee-based Central Washington Hospital's series 2015 and 2009 revenue bonds to "A-" from "BBB+," affecting about $113.4 million of debt.
37. Fitch downgrades Northwell Health to 'A-'
Fitch Ratings downgraded New Hyde Park, N.Y.-based Northwell Health's long-term bond ratings to "A-" from "A."
38. S&P revises West Tennessee Healthcare's outlook to negative after acquisition
S&P Global Ratings affirmed its "A+" long-term rating on Jackson-based West Tennessee Healthcare's series 2015 and 2008 revenue bonds.
39. S&P upgrades El Camino Hospital's rating to 'AA'
S&P Global Ratings upgraded the long-term rating and underlying rating on Mountain View, Calif.-based El Camino Hospital's series 2017A and 2015A revenue bonds to "AA" from "A+."
40. S&P upgrades Rogers Memorial Hospital to 'A'
S&P Global Ratings upgraded Oconomowoc, Wis.-based Rogers Memorial Hospital's series 2014A and series 2014B rating to "A" from "A-."
41. S&P affirms 'BB-' rating on Care New England amid proposed acquisition
S&P Global Ratings affirmed its "BB-" rating on Providence, R.I.-based Care New England and revised its outlook to developing from negative as the health system works to secure regulatory approval for its deal with Boston-based Partners HealthCare.
42. S&P downgrades Kalispell Regional Medical Center to 'BBB'
S&P Global Ratings downgraded its rating on Kalispell (Mont.) Regional Medical Center to "BBB" from "A-."
43. Fitch upgrades Meritus Medical Center's rating to 'BBB+'
Fitch Ratings upgraded its rating on Hagerstown, Md.-based Meritus Medical Center's series 2015 revenue bonds to "BBB+" from "BBB."
44. Moody's affirms 'A1' rating of Gundersen Lutheran
Moody's Investors Service affirmed its "A1" rating on La Crosse, Wis.-based Gundersen Lutheran Medical Center, affecting about $197 million of rated debt.
45. Fitch assigns 'AA' IDR rating to Scripps Health
Fitch Ratings assigned its "AA" issuer default rating to San Diego-based Scripps Health.
46. Fitch affirms 'AA-' rating on Greenwich Hospital
Fitch Ratings affirmed its "AA-" rating and on Greenwich (Conn.) Hospital.