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. S&P downgrades East Jefferson General Hospital's rating to 'B+'
S&P Global Ratings downgraded Metairie, La.-based East Jefferson General Hospital's series 2011 hospital revenue bonds to "B+" from "BB."
2. Moody's revises Southern Ohio Medical Center's outlook to negative
Moody's Investors Service affirmed its "A2" rating on Portsmouth-based Southern Ohio Medical Center's series 2016 bonds.
3. Moody's assigns 'A1' to Jackson-Madison County General Hospital
Moody's Investors Service assigned its "A1" rating to Jackson, Tenn.-based Jackson-Madison County General Hospital's proposed $65 million series 2018A revenue bonds.
4. Fitch assigns 'BBB+' on Carson Tahoe Health System
Fitch Ratings assigned its "BBB+" rating on Carson City, Nev.-based Carson Tahoe Health System's proposed $57.7 million series 2017A.
5. Moody's affirms 'A2' rating on Mary Greeley Medical Center
Moody's Investors Service affirmed its "A2" rating on Ames, Iowa-based Mary Greeley Medical Center, affecting $65 million of outstanding debt.
6. S&P revises Yuma Regional Medical Center's outlook to positive
S&P Global Ratings affirmed its "A-" rating on Yuma (Ariz.) Regional Medical Center's series 2014 revenue bonds, affecting $73 million of debt.
7. S&P downgrades Care New England Health System's rating to 'BB-'
S&P Global Ratings downgraded Providence, R.I.-based Care New England Health System's rating to "BB-" from "BB."