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. Fitch affirms 'AA' rating on St. Elizabeth Medical Center
Fitch Ratings affirmed its "AA" rating on Edgewood, Ky.-based St. Elizabeth Medical Center's series 2016 and series 2009B bonds, affecting approximately $113.3 million of debt.
2. Fitch affirms 'AA' rating on FirstHealth of the Carolinas
Fitch Ratings affirmed its "AA" rating on Pinehurst, N.C.-based FirstHealth of the Carolinas, affecting approximately $41.4 million of debt.
3. Fitch affirms 'BBB+' on Lowell General Hospital's revenue bonds
Fitch Ratings affirmed its "BBB+" rating on Lowell (Mass.) General Hospital's series G revenue bonds, affecting $65.4 million of debt.
4. Moody's assigns 'A1' to Hospital for Special Surgery's bonds
Moody's Investors Service assigned its "A1" rating to New York City-based Hospital for Special Surgery's proposed $180 million series 2018 bonds.
5. Moody's affirms 'A1' rating on Augusta Health Care
Moody's Investors Service affirmed its "A1" rating on Fishersville, Va.-based Augusta Health Care's revenue bonds, affecting $14.8 million of debt.
6. Fitch assigns 'AA-' issuer default rating to Memorial Health Services
Fitch Ratings assigned its 'AA-' long-term issuer default rating to Fountain Valley, Calif.-based Memorial Health Services.
7. Fitch assigns 'AA' issuer default rating to BayCare Health System
Fitch Ratings assigned its "AA" issuer default rating to Clearwater, Fla.-based BayCare Health System and affirmed its "AA" rating on approximately $937.2 million of BayCare's revenue bonds.
8. Moody's affirms 'Baa2' on Erlanger Health System
Moody's Investors Service affirmed its "Baa2" rating on Chattanooga, Tenn.-based Erlanger Health System's outstanding rated debt, affecting $150 million of debt.
9. Fitch affirms 'A' rating on Sierra View Local Health Care
Fitch Ratings affirmed its "A" rating on Porterville, Calif.-based Sierra View Local Health Care District's series 2010 revenue bonds, affecting $13.4 million of debt.