The following hospital and health system credit rating and outlook changes or affirmations occurred in the last week, beginning with the most recent:
1. Moody's affirms Baylor Scott & White's 'Aa3' rating
Moody's Investors Service affirmed its "A3," "Aa3/P-1," and "P-1" ratings for Dallas-based Baylor Scott & White Health.
2. Moody's affirms North Broward Hospital District's 'Baa2' rating
Moody's Investors Service affirmed its "Baa2" rating for North Broward (Fla.) Hospital District, which operates Fort Lauderdale, Fla.-based Broward Health, affecting $317 million of debt outstanding.
3. Fitch assigns 'AA-' issuer default rating to Trinity Health
Fitch Ratings assigned an "AA-" issuer default rating to Livonia, Mich.-based Trinity Health and affirmed the system's "AA-" long-term rating, affecting $5.8 billion of bonds.
4. Fitch assigns 'AA' rating to Lurie Children's Hospital
Fitch Ratings assigned an "AA" rating to Ann & Robert H. Lurie Children's Hospital of Chicago.
5. Fitch affirms 'BB' rating for HCA Healthcare
Fitch Ratings affirmed its "BB" rating for Nashville, Tenn.-based HCA Healthcare, affecting $33.3 billion of debt.
6. Moody's downgrades Good Samaritan Hospital rating to 'Baa1'
Moody's Investors Service downgraded the revenue bond rating of Vincennes, Ind.-based Good Samaritan Hospital from "Baa3" to "Ba1."
7. Moody's affirms Erlanger Health System's 'Baa2' rating
Moody's Investors Service affirmed its "Baa2" revenue bond rating for Chattanooga, Tenn.-based Erlanger Health System, affecting $50 million of rated bonds.