7 recent hospital, health system outlook and credit rating actions

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 assigns 'AA+' rating to Inova Health System Foundation
S&P Global Ratings assigned its "AA+" long-term rating to Falls Church, Va.-based Inova Health System Foundation's $500 million series 2018A and 2018B revenue bonds.

2. Fitch affirms 'BBB+' rating on Lifespan's bonds
Fitch Ratings affirmed its "BBB+" rating on Providence, R.I.-based Lifespan's revenue refunding bonds. In addition, Fitch assigned Lifespan an issuer default rating of "BBB+."

3. Fitch downgrades MedStar Health's rating to 'A-'
Fitch Ratings downgraded Columbia, Md.-based MedStar Health's bond ratings to "A-" from "A."  

4. Fitch downgrades King's Daughters Medical Center to 'BBB-'
Fitch Ratings downgraded Ashland, Ky.-based King's Daughters Medical Center's bonds to "BBB-" from "A-."  

5. Fitch upgrades Calvert Health System's rating to 'AA-'
Fitch Ratings upgraded the rating on Prince Frederick, Md.-based Calvert Health System's revenue bonds to "AA-" from "A."  

6. Moody's affirms 'Aa3' rating on Methodist Health System
Moody's Investors Service affirmed its "Aa3" rating on Dallas-based Methodist Health System, affecting about $348 million of outstanding debt.

7. Moody's assigns 'A2' rating to Centra Health, maintains negative outlook
Moody's Investors Service assigned its "A2" rating to Lynchburg, Va.-based Centra Health's proposed $126.6 million series 2018 bonds.

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