The following hospital and health system rating and outlook changes and affirmations took place in the last week, starting with the most recent.
1. Fitch affirms Centegra Health's 'BBB' rating
Fitch Ratings affirmed the "BBB" rating on Crystal Lake, Ill.-based Centegra Health System's $134.7 million of series 2014A bonds and $190.4 million of series 2012 bonds.
2. Fitch assigns 'AA-' rating to SCL Health's bonds
Fitch Ratings assigned an "AA-" long-term rating to Broomfield, Colo.-based SCL Health's $220 million of series 2016 A-D revenue bonds.
3. Moody's assigns 'Baa1' to Memorial Hospital at Gulfport's bonds
A proposed $50 million of series 2016A bonds from Memorial Hospital at Gulfport (Miss.) received a "Baa1" rating from Moody's Investors Service.
4. Moody's affirms Baystate Medical Center's 'A2' rating
Moody's Investors Service affirmed the "A2" rating on Springfield, Mass.-based Baystate Medical Center's $240 million of debt issued through the Massachusetts Development Finance Agency.
5. Fitch revises Memorial Hospital at Gulfport's outlook to stable
Fitch Ratings revised Memorial Hospital at Gulfport (Miss.)'s outlook to stable from negative.
6. Moody's downgrades Iraan General Hospital District's rating to 'Baa3'
Moody's Investors Service downgraded Iraan (Texas) General Hospital District's rating to "Baa3" from "A2."
7. Moody's changes NYU Hospitals Center's outlook to positive, assigns 'A3' rating
Moody's Investors Service assigned an "A3" rating to New York City-based NYU Hospitals Center's series 2016A bonds and affirmed the "A3" rating on NYUHC's overall outstanding debt, affecting approximately $1.3 billion.
8. Fitch affirms Memorial Hospital's 'BBB' rating
Fitch Ratings affirmed the "BBB" rating on North Conway, N.H.-based Memorial Hospital's $17.8 million of series 2006 bonds.
9. Fitch assigns 'A-' rating to Beloit Health System's bonds
Fitch Ratings assigned an "A-" rating to Beloit (Wis.) Health System's $14.7 million of series 2016 revenue bonds.
10. Fitch assigns 'A-' rating to Mercy Health Corp.'s bonds
Fitch Ratings assigned an "A-" rating to Janesville, Wis.-based Mercy Health Corp.'s $484.9 million of series 2016 revenue bonds.
11. S&P raises Kaiser Permanente's rating to 'AA-'
S&P Global Ratings raised its long-term and underlying ratings on Oakland, Calif.-based Kaiser Permanente's existing debt to "AA-" from "A+."
12. Moody's assigns 'Aa2' rating to Duke University Health System's bonds
Moody's Investors Service assigned an "Aa2" rating to Durham, N.C.-based Duke University Health System's proposed $169 million of series 2016A fixed rate revenue bonds.
13. Moody's affirms Calvert Health System's 'A3' rating
Moody's Investors Service affirmed the "A3" rating on Prince Frederick, Md.-based Calvert Health System's $31 million of outstanding rated revenue bonds.
14. Moody's affirms Skagit Regional Health's 'Baa2' rating
Moody's Investors Service affirmed Mount Vernon, Wash.-based Skagit Regional Health's "Baa2" rating, affecting $109 million of debt.
15. Moody's affirms Northeast Health System's 'Baa1' rating
Moody's Investors Service affirmed the "Baa1" rating on Beverly, Mass.-based Northeast Health System's $45 million of debt.