The following hospital and health system rating and outlook changes and affirmations took place in June, beginning with the most recent.
1. S&P places Mississippi Baptist Health System on CreditWatch developing
S&P Global Ratings placed Jackson-based Mississippi Baptist Health System's "BBB+" rated series 2007A and 2015B revenue bonds issued by Mississippi Hospital Equipment and Facilities Authority on CreditWatch developing.
2. Fitch upgrades Children's Hospital of Orange County to 'A+'
Fitch Ratings upgraded the rating to "A+" from "A" on Calif.-based Children's Hospital of Orange County's outstanding debt.
3. Moody's downgrades Magnolia Regional Health Center's bonds to 'Baa3'
Moody's Investors Service downgraded Corinth, Miss.-based Magnolia Regional Health Center's revenue bonds to "Baa3" from "Baa2," affecting $77.8 million of outstanding debt issued through the Mississippi Development Bank.
4. Moody's affirms OhioHealth's 'Aa2' rating
Moody's Investors Service affirmed the "Aa2," "Aa2/VMIG1" and "P-1" ratings on Columbus-based OhioHealth, affecting $1 billion of debt.
5. Moody's withdraws 'A2' rating of Hillcrest Health Service System
Moody's Investors Service withdrew the "A2" rating on Hackensack, N.J.-based Hillcrest Health Service System, affecting $40 million of outstanding debt.
6. Moody's assigns 'Aa3' rating to Parkview Health System's bonds
Moody's Investors Service assigned its "Aa3" rating to Columbia City, Ind.-based Parkview Health System's proposed $115.5 million series 2017A hospital revenue refunding bonds issued by the Indiana Finance Authority. The bonds will mature in 2030.
7. Moody's assigns 'A3' rating to Wyoming Medical Center's bonds
Moody's Investors Service assigned its "A3" rating to Casper-based Wyoming Medical Center's proposed $12.3 million series 2017 hospital revenue refunding bonds issued by Natrona County, Wyo. The bonds will mature in 2031.
8. S&P revises Southeast Georgia Health System's outlook to negative
S&P Global Ratings affirmed the "A-" rating on Brunswick-based Southeast Georgia Health System's series 2015 and 2008 revenue anticipation certificates issued by the Glynn Brunswick Memorial Hospital Authority.
9. Moody's revises Memorial Hermann Health System's outlook to stable
Moody's Investors Service affirmed the "A1" rating on Houston-based Memorial Hermann Health System's outstanding debt, affecting $1.2 billion.
10. Moody's affirms 'A2' rating on Honor Health's revenue bonds
Moody's Investors Service affirmed its "A2" rating on Scottsdale, Ariz.-based Honor Health's revenue bonds, affecting $659 million of debt.
11. Moody's downgrades Pinnacle Health System's rating to 'A3'
Moody's Investors Service downgraded Harrisburg, Pa.-based Pinnacle Health System's rating to "A3" from "A2" on debt issued through Dauphine County General Authority, affecting $287 million.
12. S&P revises Presence Health Network Obligated Group's outlook to stable
S&P Global Ratings affirmed the 'BBB-' long-term rating on Chicago-based Presence Health Network Obligated Group's $1 billion series 2016C fixed-rate bonds issued by the Illinois Finance Authority.
13. Moody's affirms 'Baa1' rating on Central Washington Hospital's bonds
Moody's Investors Service affirmed its "Baa1" rating on Wenatchee-based Central Washington Hospital's revenue bonds issued by the Washington Health Care Facilities Authority, affecting $116 million of rated debt.
14. Moody's affirms 'Aa3' rating on Rady Children's Hospital's revenue bonds
Moody's Investors Service affirmed the "Aa3" rating on San Diego, Calif.-based Rady Children's Hospital and Health Center's revenue bonds issued by the California Statewide Communities Development Authority and California Health Facilities Financing Authority, affecting $379 million of debt.
15. Moody's assigns 'A3' to Vanderbilt University Medical Center's bonds
Moody's Investors Service assigned its "A3" rating to Nashville, Tenn.-based Vanderbilt University Medical Center's upcoming series 2017A tax-exempt and taxable revenue bonds totaling $117.5 million, which will be fixed rate and mature in 2048 and 2037, respectively.
16. S&P revises North Colorado Medical Center's outlook to negative
S&P Global Ratings affirmed the "A+" rating on Greeley-based North Colorado Medical Center's revenue bonds issued by Colorado Health Facilities Authority.
17. Fitch downgrades East Texas Medical Center Regional Health System's rating to 'B+'
Fitch Ratings downgraded Tyler-based East Texas Medical Center Regional Health System's series 2011 and series 2007A revenue bonds to "B+" from "BBB-," affecting a total of $280 million of debt.
18. Moody's affirms BJC Health's bond ratings
Moody's Investors Service affirmed "Aa2" and "Aa2/VMIG 1" ratings on St. Louis- based BJC Health System's fixed rate revenue bonds and variable rate demand bonds, backed by the system's liquidity.
19. Moody's revises Jackson Hospital and Clinic's outlook to negative
Moody's Investors Service affirmed the "Baa2" rating on Montgomery, Ala.-based Jackson Hospital and Clinic's revenue bonds issued through the Medical Clinic Board of the City of Montgomery, affecting $84 million of outstanding debt.
20. Moody's assigns 'A2' rating to WellStar's bonds
Moody's Investors Service assigned an "A2" rating to Marietta, Ga.-based WellStar Health System's four upcoming series 2017 revenue anticipation certificates and hospital revenue bonds totaling $546.7 million. The certificates and bonds will be at a fixed rate and mature in 2047.
21. Moody's affirms South Lake County Hospital District's 'Baa1' rating
Moody's Investors Service affirmed a "Baa1" rating on Clermont, Fla.-based South Lake County Hospital District, affecting $49.9 million of outstanding debt.
22. Moody's assigns 'VMIG 1' rating to Partners' series 2007 G-6 bonds
Moody's Investors Service assigned a "VMIG 1" short-term rating to Boston-based Partners HealthCare series 2007 G-6 bonds, issued through the Massachusetts Development Finance Agency.
23. Moody's affirms 'A2' rating on Orlando Health
Moody's Investors Service affirmed the "A2" rating on Orlando (Fla.) Health, affecting $769 million of debt issued through Orange Country Health Facilities Authority.
24. Moody's assigns 'Aa3' to Sutter Health's proposed bonds
Moody's Investors Service assigned its "Aa3" rating to Sacramento, Calif.-based Sutter Health's proposed $440 million series 2017A refunding revenue bonds to be issued by California Health Facilities Financing Authority.
25. Moody's affirms 'A2' rating on Baystate Medical Center
Moody's Investors Service affirmed the "A2" rating on Springfield, Mass.-based Baystate Medical Center's $240 million of debt issued through the Massachusetts Development Finance Agency.
26. Moody's affirms 'Ba2' rating on Genesis HealthCare System
Moody's Investors Service affirmed the "Ba2" rating on Zanesville, Ohio-based Genesis HealthCare System's debt issued through the County of Muskingum, Ohio, affecting $292 million of outstanding debt.
27. Moody's affirms 'A1' rating on Valley Health System's bonds
Moody's Investors Service affirmed the "A1" rating on Winchester, Va.-based Valley Health System's revenue bonds issued through the West Virginia Hospital Finance Authority, the Economic Development Authority of the City of Winchester and the Winchester Industrial Development Authority, affecting $179 million of debt.
28. Moody's affirms 'Aa1' rating on Indiana University Health's LOC-backed bonds
Moody's Investors Service affirmed the "Aa1" rating on Indianapolis-based Indiana University Health's revenue bonds backed by Northern Trust Company, TD Bank, Bank of America and BMO Harris Bank.
29. S&P assigns 'AA-' rating to Sutter Health refunding revenue bonds
S&P Global Ratings assigned its "AA-" rating to California Health Facilities Financing Authority's 2017A refunding revenue bonds issued for Sacramento, Calif.-based Sutter Health, affecting $440.9 million in debt.
30. Moody's affirms 'Baa3' rating on Presence Health
Moody's Investors Service affirmed the "Baa3" rating on Chicago-based Presence Health's issuer and revenue bonds, affecting $1 billion of debt
31. Moody's upgrades IU Health's rating to 'Aa2'
Moody's Investors Service upgraded the rating to "Aa2" from "Aa3" on Indianapolis-based Indiana University Health, affecting $1 billion in debt.
32. Moody's affirms 'A1' rating on ThedaCare
Moody's Investors Service affirmed an "A1" rating on Appleton, Wis.-based ThedaCare's debt issued through the Wisconsin Health and Educational Facilities Authority, affecting $231 million of outstanding debt.
33. Moody's downgrades rating to 'Baa2' on Memorial Hospital at Gulfport
Moody's Investors Service downgraded Memorial Hospital at Gulfport (Miss.) revenue bonds to "Baa2" from "Baa1," affecting $49.3 million of revenue bonds issued through the City of Gulfport.
34. Moody's affirms 'A2' rating on Community Health Network
Moody's Investors Service affirmed the "A2" rating on Indianapolis-based Community Health Network's revenue bonds, affecting $557 million of outstanding debt.
35. S&P upgrades a number of Parkview Health System Obligated Group ratings
S&P Global Ratings raised the long-term rating to "AA-" from "A+" on Indiana Finance Authority's series 2001A, 2001B, 2001C, 2009A, 2009B, 2009D and 2012 bonds issued on behalf of Fort Wayne, Ind.-based Parkview Health System Obligated Group.
36. Moody's affirms 'Aa2/VMIG 1' rating on Paulding County Hospital Authority's certificates
Moody's Investors Service affirmed the "Aa2/VMIG 1" rating on the Paulding (Ohio) County Hospital Authority's Series 2012B letter of credit-backed revenue anticipation certificates.
37. S&P raises Delano Regional Medial Center's rating to 'BBB'
S&P Global Ratings raised Delano (Calif.) Regional Medical Center's series 2012 certificates of participation to "BBB" from "BBB-."
38. S&P revises Hendrick Health System's outlook to positive
S&P Global Ratings affirmed the "A" rating on Abilene, Texas-based Hendrick Health Systems' series 2009A, 2009B, 2013 and 2015 bonds.
39. S&P upgrades Pocono Medical Center's bonds to 'A+'
S&P Global Ratings raised the rating to "A+" from "A-" on East Stroudsburg, Pa.-based Pocono Medical Center's hospital revenue bonds issued by Monroe County Hospital Authority.
40. Moody's affirms 'Aa2,' 'Aa2/VMIG 1' and 'P-1' rating on Adventist Health System/ Sunbelt Obligated Group's debt
Moody's Investors Service affirms the "Aa2," "Aa2/VMIG 1" and "P-1" rating on Altamonte Springs, Fla.-based Adventist Health System/Sunbelt Obligated Group's outstanding debt, affecting $1 billion of rated debt.
41. Moody's reviews WellStar Health System's LOC-backed series certificates
Moody's Investors Service upgraded and affirmed ratings on Marietta, Ga.-based WellStar Health System's certificates backed by Bank of America and Wells Fargo Bank.
42. Moody's affirms 'A3' rating on Calvert Health System
Moody's Investors Service affirmed the "A3" rating on Prince Frederick, Md.-based Calvert Health System, affecting $31 million in outstanding revenue bonds.
43. Fitch affirms 'BBB-' rating on Columbia Memorial Hospital
Fitch Ratings affirmed the "BBB-" rating on $18.8 million series 2016 revenue bonds and $27.7 million series 2012 hospital and refunding bonds issued by Hospital Facilities Authority of the City of Astoria on behalf of Columbia Memorial Hospital in Astoria, Ore.
44. Moody's assigns 'Baa2' rating to Eisenhower Medical Center's bonds
Moody's Investors Service assigned a "Baa2" rating to Rancho Mirage, Calif.-based Eisenhower Medical Center's proposed $100 million series 2017B revenue refunding bonds with final maturity in 2047.
45. Moody's affirms 'Ba2' rating on Community Memorial Health System
Moody's Investors Service affirmed the "Ba2" rating on Ventura, Calif.-based Community Memorial Health System, affecting $345 million in revenue bonds.
46. S&P raises MedStar Health's rating to 'A'
S&P Global Ratings raised Columbia, Md.-based MedStar Health's rating to "A" from "A-" on debt from various entities.
47. Fitch assigns 'BB+/RR1' rating to HCA's senior secured notes
Fitch Ratings assigned a "BB+/RR1" rating to Nashville, Tenn.-based HCA Healthcare's proposed senior secured notes issuance. The ratings apply to $31.7 billion of outstanding debt.
48. Moody's downgrades rating on Eastern Maine Health System to 'Ba1'
Moody's Investors Service downgraded Brewer-based Eastern Maine Healthcare Systems' credit rating to "Ba1" from "Baa3," affecting $393 million of outstanding debt.
49. S&P revises Main Line Health System's outlook to stable and affirms 'AA' rating
S&P Global Ratings affirmed the "AA" rating on Philadelphia-based Main Line Health System's fixed-rate revenue bonds, affecting $188 million of rated debt.
50. Moody's assigns 'A2' rating to Centra Health's bonds
Moody's Investors Service assigned an "A2" rating to Lynchburg, Va.-based Centra Health's proposed series 2017A fixed-rate hospital revenue bonds and series 2017B and series 2017C variable-rate revenue and refunding bonds.
51. Moody's affirms 'A1' rating on Akron Children's bonds
Moody's Investors Service affirmed the "A1" rating on Akron (Ohio) Children's Hospital's $186 million of outstanding rated revenue bonds.
52. Fitch withdraws 'AA+' rating on Ascension's bonds
Fitch Ratings withdrew the "AA+" rating on St. Louis-based Ascension Health's series 2017A taxable bonds.
53. Moody's revises Providence St. Joseph's Health's outlook to negative
Moody's Investors Service affirmed the "Aa3" and "Aa3/VMIG1" ratings on Renton, Wash.-based Providence St. Joseph's Health's revenue bonds, affecting $6 billion of rated debt.
54. Moody's assigns 'Aa3' rating to Main Line Health's bonds
Moody's Investors Service assigned an "Aa3" rating to Bryn Mawr, Pa.-based Main Line Health's proposed $54 million of series 2017A fixed-rate health system revenue bonds.
55. S&P downgrades rating on Dawson County Hospital District's debt to 'CCC'
S&P Global Ratings downgraded the long-term and underlying ratings to "CCC" from "BBB" on Lamesa, Texas-based Dawson County Hospital District's general obligation debt.
56. Moody's affirms 'A3' rating on Roper St. Francis Healthcare's bonds
Moody's Investors Service affirmed the "A3" rating on Charleston, S.C.-based Roper St. Francis Healthcare's $100 million of revenue bonds.