8 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. Moody's affirms 'Ba1' rating on Eastern Maine Healthcare, maintains negative outlook
Moody's Investors Service affirmed its "Ba1" rating on Brewer-based Eastern Maine Healthcare System, affecting $392 million of debt.

2. Moody's revises Mercy Health Services' outlook to positive
Moody's Investors Service affirmed its "Baa2" rating on Baltimore-based Mercy Health Service's bonds, affecting about $222 million of debt. At the same time, Moody's revised its outlook to positive from stable.  

3. Moody's upgrades Presence Health 7 notches to 'Aa2'
Moody's Investors Service upgraded Chicago-based Presence Health's bond and issuer rating seven notches to "Aa2" from "Baa3," affecting $1 billion of rated debt. 

4. Moody's upgrades Princeton HealthCare System to 'Aa3'
Moody's Investors Service upgraded Plainsboro, N.J.-based Princeton HealthCare System to "Aa3" from "Baa2," affecting about $188 million of outstanding debt. 

5. S&P revises South Shore Hospital's outlook to negative
S&P Global Ratings affirmed its "A-" rating on South Weymouth, Mass.-based South Shore Hospital's revenue bonds and revised the outlook to negative from stable

6. Fitch affirms 'A+' rating on WakeMed Health System
Fitch Ratings affirmed its "A+" rating on Raleigh, N.C.-based WakeMed Health System's bonds, affecting about $393.3 million of debt.

7. S&P assigns 'A+' rating to MaineHealth's bonds
S&P Global Ratings assigned its "A+" rating to Portland-based MaineHealth's $110 million series 2018A and $75 million series 2018B revenue bonds.  

8. Moody's affirms 'A1' rating on Carilion Clinic
Moody's Investors Service affirmed its "A1" rating on the Roanoke, Va.-based Carilion Clinic Obligated Group, affecting $398 million of debt.  

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