The following hospital and health system credit rating and outlook changes and affirmations occurred in the last week, beginning with the most recent.
1. Moody's upgrades Mercy Hospital to 'Ba3' after sizable debt payment
Moody's Investors Service upgraded Iowa City, Iowa-based Mercy Hospital to "Ba3" from "B1," affecting $34 milion of debt. Concurrently, Moody's revised the hospital's outlook to positive from negative.
2. S&P revises Denver Health and Hospital Authority's outlook to stable on improved finances
S&P Global Ratings affirmed its "BBB" long-term rating on Denver Health and Hospital Authority and revised its outlook to stable from negative.
3. Moody's affirms 'Aa3' rating on U of North Carolina Hospitals
Moody's Investors Service affirmed its "Aa3" long-term rating on Chapel Hill-based University of North Carolina Hospitals, affecting $330 million of debt.
4. Moody's affirms 'A2' rating on Rex Healthcare
Moody's Investors Service affirmed its "A2" long-term rating on Raleigh, N.C.-based Rex Healthcare, affecting $140 million of debt.
5. ProMedica gets multi-notch downgrade from S&P
S&P Global Ratings downgraded Toledo, Ohio-based ProMedica Health System's long-term rating several notches to "BBB" from "A+."
6. Fitch upgrades Adventist Health's debt to 'A+'
Fitch Ratings upgraded its long-term rating on Roseville, Calif.-based Adventist Health's $919 million in outstanding debt to "A+" from "A."
7. Fitch affirms Guadalupe Regional Medical Center's 'BB' rating
Fitch Ratings affirmed its "BB" rating on Seguin, Texas-based Guadalupe Regional Medical Center's series 2015, affecting $113.6 million in debt.
8. Moody's revises Tarrant County Hospital District's outlook to negative
Moody's Investors Service affirmed its "Aa3" rating on Grand Prairie, Texas-based Tarrant County Hospital District, affecting $18 million of debt. The district does business as JPS Health Network.
9. Moody's assigns 'Baa1' rating to Cabell Huntington Hospital
Moody's Investors Service assigned its "Baa1" rating to Cabell Huntington (W. Va.) Hospital's series 2018A and 2018B revenue refunding and improvement revenue bonds. In total, the bonds are $260 million.