The following hospital and health system rating and outlook changes and affirmations took place in the last week, beginning with the most recent.
1. Moody's downgrades UnityPoint Health to 'A1'
Moody's Investors Service downgraded Des Moines, Iowa-based UnityPoint Health's rating from "Aa3" to "A1," affecting $634 million of outstanding debt.
2. Moody's downgrades Monroe Clinic to 'Baa1'
Moody's Investors Service downgraded Monroe (Wis.) Clinic's series 2016 revenue refunding bonds from "A3" to "Baa1," affecting $41 million of debt.
3. S&P downgrades Flagler Hospital's rating to 'BBB+'
S&P Global Ratings downgraded St. Augustine, Fla.-based Flagler Hospital's issuer credit rating to "BBB+" from "A-."
4. S&P downgrades Northwest Community Hospital's rating to 'A'
S&P Global Ratings downgraded Arlington Heights, Ill.-based Northwest Community Hospital's issuer credit rating to "A" from "A+."
5. S&P downgrades Augusta University Medical Center's rating to 'BBB'
S&P Global Ratings downgraded Augusta (Ga.) University Medical Center's issuer credit rating to "BBB" from "A-."
6. Fitch affirms 'BB' rating on Guadalupe Regional Medical Center's bonds
Fitch Ratings affirmed its "BB" rating on Seguin, Texas-based Guadalupe Regional Medical Center's series 2015 hospital mortgage revenue, refunding and improvement bonds, affecting $115.4 million of debt.