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. Fitch affirms 'BBB+' rating on Catholic Health Initiatives, resolves rating watch evolving
Fitch Ratings affirmed its "BBB+" rating on Englewood, Colo.-based Catholic Health Initiatives and removed the health system from rating watch evolving, affecting $5.7 billion of outstanding debt.
2. Moody's downgrades FirstHealth of the Carolinas to 'A1'
Moody's Investors Service downgraded Pinehurst, N.C.-based FirstHealth of the Carolinas to "A1" from "Aa3," affecting $53 million of rated debt.
3. Moody's affirms 'A2' on Heritage Valley Health System
Moody's Investors Service affirmed its "A2" rating on Beaver, Pa.-based Heritage Valley Health System's outstanding debt, affecting $48.7 million of debt.
4. Moody's revises Holy Redeemer Health System's outlook to negative
Moody's Investors Service affirmed its "Baa3" rating on Meadowbrook, Pa.-based Holy Redeemer Health System, affecting $46 million of debt.
5. S&P revises Morris Hospital and Healthcare Center's outlook to stable
S&P Global Ratings affirmed its "BBB+" underlying rating and "AA-/A-1+" rating on Morris (Ill.) Hospital and Healthcare Center's series 2009A and 2009B revenue bonds.
6. S&P affirms 'A-' rating on Southern New Hampshire Health System
S&P Global Ratings affirmed its "A-" rating on Nashua-based Southern New Hampshire Health System's outstanding debt.