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 'A+' rating to Saint Luke's Health System
S&P Global Ratings assigned its "A+" rating to Kansas City, Mo.-based Saint Luke's Health System's proposed $93.1 million series 2018A revenue bonds.
2. S&P downgrades Coalinga Regional Medical Center's rating to 'CCC'
S&P Global Ratings downgraded Coalinga (Calif.) Regional Medical Center's rating to "CCC" from "B-."
3. S&P places ProMedica's bonds on rating watch negative following HCR ManorCare acquisition
S&P Global Ratings placed its Toledo, Ohio-based ProMedica's "A+" rated debt on CreditWatch with negative implications after the hospital operator announced it would acquire a nursing home chain.
4. S&P revises Catholic Health Initiatives outlook to positive
S&P Global Ratings affirmed its "BBB+" long-term rating and underlying rating on Englewood, Colo.-based Catholic Health Initiative's outstanding debt.
5. S&P affirms 'A' rating on Dignity Health, outlook remains negative pending CHI merger
S&P Global Ratings affirmed its "A" long-term rating and underlying rating on San Francisco-based Dignity Health.
6. S&P assigns 'AA' rating to Sentara Healthcare's bonds
S&P Global Ratings assigned its "AA" long-term rating to Norfolk, Va.-based Sentara Healthcare's series 2018 revenue refunding bonds.
7. S&P assigns 'A-' rating to Marin General Hospital
S&P Global Ratings assigned its "A-" rating to Kentfield, Calif.-based Marin General Hospital's proposed $91.9 million series 2018A revenue bonds and $64.8 million series 2018B bonds.
8. S&P assigns 'A-' rating to Ballad Health's bonds
S&P Global Ratings assigned its "A-" rating to Johnson City, Tenn.-based Ballad Health's $514 million series 2018A bonds.
9. Moody's affirms 'A2' on Riverside Healthcare
Moody's Investors Service affirmed its "A2" rating on Kankakee, Ill.-based Riverside Healthcare's bonds, affecting $131 million of debt.