The following hospital and health system credit rating and outlook changes and affirmations occurred in the last week, beginning with the most recent.
1. S&P revises Pullman Regional Hospital's outlook to stable
S&P Global Ratings revised Pullman (Wash.) Regional Hospital's outlook to stable from positive and affirmed its "BBB-" long-term rating on its bonds.
2. Fitch assigns 'AA-' rating to Willis-Knighton Medical Center, revises outlook to stable
Fitch Ratings assigned its "AA-" issuer default rating to Shreveport, La.-based Willis-Knighton Medical Center.
3. Moody's affirms 'Baa1' rating on Central Washington Hospital
Moody's Investors Service affirmed its "Baa1" rating on Wenatchee-based Central Washington Hospital's revenue bonds, affecting $113 million of debt.
4. Moody's affirms 'Baa2' rating on Westchester County Health Care Corp.
Moody's Investors Service affirmed its "Baa2" rating on two members of the Westchester Medical Center Health Care Corp. network — Valhalla, N.Y.-based Westchester Medical Center and Suffern, N.Y.-based Charity Health System. The actions affect a combined $772 million of debt.
5. 9 notch downgrade: S&P lowers Nacogdoches County Hospital District's rating to 'B-'
S&P Global Ratings lowered its long-term rating on Nacogdoches (Texas) County Hospital District nine notches to "B-" from "A."
6. Fitch assigns 'BBB' IDR rating to Tufts Medical Center
Fitch Ratings assigned its "BBB" issuer default rating to Boston-based Tufts Medical Center.
7. Moody's assigns 'A3' rating to St. Luke's Health System, maintains negative outlook
Moody's Investors Service assigned its "A3" rating to Boise, Idaho-based St. Luke's Health System's proposed $387 million series 2018A, 2018B and 2018C revenue bonds.