The following hospital and health system credit rating and outlook changes and affirmations took place in the last week, beginning with the most recent.
1. Moody's affirms 'Aa2' rating on Cook Children's Medical Center's bonds
Moody's Investors Service affirmed its "Aa2" and "Aa2/VMIG 1" ratings on Fort Worth, Texas-based Cook Children's Medical Center's revenue bonds, affecting $427 million of debt.
2. Fitch downgrades Community Health Systems to 'CCC'
Fitch Ratings downgraded Franklin, Tenn. -based Community Health Systems' issuer default rating and outstanding bonds to "CCC" from "B," affecting $14.1 billion of debt.
3. Moody's revises The Queens Health System's outlook to negative
Moody's Investors Service affirmed its "A1" and "A1/ P-1" ratings on Honolulu-based The Queen's Health Systems' revenue bonds, affecting $392 million of debt.
4. Fitch affirms 'BBB-' rating on Hurley Medical Center's revenue bonds
Fitch Ratings affirmed its "BBB-" rating on Flint, Mich.-based Hurley Medical Center's series 2010, series 2013A and series 2013B, affecting a total of $84.1 million of debt.
5. Fitch affirms 'BBB-' rating on Cullman Regional Medical Center's bonds
Fitch Ratings affirmed its "BBB-" rating on Cullman (Ala.) Regional Medical Center's series 2009A revenue bonds, affecting $59.1 million of debt.
6. Moody's assigns 'Baa2' rating to Irving Hospital Authority's revenue bonds
Moody's Investors Service assigned its "Baa2" rating to Irving (Texas) Hospital Authority's proposed $79.2 million series 2017A and $26.8 million series 2017B. Irving Hospital Authority owns Baylor Scott & White Medical Center-Irving, including the property and some of its equipment.