The following hospital and health system rating and outlook changes and affirmations took place in the last week, beginning with the most recent.
1. Fitch downgrades rating on MaineGeneral Health's bonds to 'BB'
Fitch Ratings downgraded the rating to "BB" from "BBB-" on Augusta-based MaineGeneral Health's $280.75 million of series 2011 revenue bonds.
2. Moody's places Mercy Hospital 'Baa2' rating on review for downgrade
Moody's Investors Service placed the "Baa2" rating on Iowa City, Iowa-based Mercy Hospital's bonds under review for a downgrade, affecting approximately $74 million of debt.
3. Fitch Ratings affirms 'BBB' rating on Pella Regional Health Center's bonds
Fitch Ratings affirmed the "BBB" rating on Pella (Iowa) Regional Health Center's $43.7 million of series 2006 health facilities revenue bonds.
4. Fitch affirms 'AA-' rating on Greenville Health System's bonds
Fitch Ratings affirmed the "AA-" rating on Greenville (S.C.) Health System's bonds.
5. Fitch withdraws rating on St. Anthony's Medical Center's bonds
Fitch Ratings withdrew the "A" rating on St. Louis-based St. Anthony's Medical Center's $66,630,000 of series 2015B health facilities revenue bonds.
6. Fitch affirms 'A-' rating on South Lake Hospital's bonds
Fitch Ratings affirmed the "A-" rating on Clermont, Fla.-based South Lake Hospital's $49.9 million of series 2009A hospital revenue bonds.
7. Moody's downgrades Gwinnett Medical Center's rating to 'A3'
Moody's Investors Service downgraded the rating on Lawrenceville, Ga.-based Gwinnett Medical Center to "A3" from "A2," affecting approximately $138 million of outstanding revenue anticipation certificates.
8. Moody's Investors Service affirms 'A1' rating on Self Regional Healthcare's bonds
Moody's Investors Service affirmed the "A1" rating on Greenwood, S.C.-based Self Regional Healthcare's $129 million of outstanding rated revenue bonds.
9. S&P revises Orlando Health's outlook to positive
S&P Global Ratings revised Orlando Health's outlook to positive from stable. The agency also affirmed the "A" long-term rating and underlying rating on the health system's bonds.
10. S&P assigns 'AA' rating to CHOP's bonds
S&P Global Ratings assigned an "AA" rating to the Children's Hospital of Philadelphia's $177.7 million of series 2017 fixed-rate revenue bonds.
11. Fitch assigns 'AA' rating to Duke University Health System's bonds
Fitch Ratings assigned an "AA" rating to Durham, N.C.-based Duke University Health System's $600 million of series 2017 taxable bonds.
12. Moody's assigns 'Aa2' rating to Ascension Health's bonds
Moody's Investors Service assigned an "Aa2" rating to St. Louis-based Ascension Health's proposed series 2017 taxable bonds and series 2017A privately placed bonds.