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 'A1' on Arkansas Children's
Moody's Investors Service affirmed the "A1" rating on Little Rock-based Arkansas Children's outstanding revenue bonds, affecting $185 million of debt.
2. Moody's affirms 'A2' on St. Charles Health System
Moody's Investors Service affirmed its "A2" rating on Bend, Ore.-based St. Charles Health System's revenue bonds, affecting $108 million of debt.
3. S&P places Puerto Rico's Ryder Memorial Hospital on credit watch-negative
S&P Global Ratings placed Puerto Rico-based Ryder Memorial Hospital's series 1994A bonds, which are rated "B+," on credit watch with negative implications.
4. Moody's downgrades Southcoast Health System to 'Baa1'
Moody's Investors Service downgraded New Bedford, Mass.-based Southcoast Health System's bonds to "Baa1" from "A3," affecting $148 million of rated debt.
5. Fitch revises Regional West Health Services' outlook to negative
Fitch Ratings affirmed its "BBB+" rating on Scottsbluff, Neb.-based Regional West Health Services' series 2016A bonds, affecting $73.3 million of debt.
6. Fitch assigns 'AA-' rating to Bayhealth Medical Center's bonds
Fitch Ratings assigned its "AA-" rating to Dover, Del.-based Bayhealth Medical Center's proposed $107 million series 2017A bonds.
7. Fitch affirms 'BBB+' on Erlanger Health System's bonds
Fitch Ratings affirmed its "BBB+" rating on Chattanooga, Tenn.-based Erlanger Health System's series 2014A bonds, affecting $149.9 million of debt.