21 recent hospital outlook and credit rating actions

The following hospital and health system rating and outlook changes and affirmations took place in the last two weeks, starting with the most recent. 

1. Fitch assigns 'A+' rating to Southern Illinois Healthcare Enterprises' bonds
Fitch Ratings assigned an "A+" rating to Carbondale-based Southern Illinois Healthcare Enterprises' $80.2 million of series 2016A bonds and $65.99 million of series 2016B bonds.

2. S&P assigns 'A-' rating to University of Maryland Medical System's bonds
S&P Global Ratings assigned an "A-" rating to Baltimore-based University of Maryland Medical System's series 2017B and 2017C bonds.

3. S&P assigns 'AA-' rating to the Broad Institute's bonds
S&P Global Ratings assigned an "AA-" long-term rating to Cambridge, Mass.-based the Broad Institute's series 2016 bonds.

4. Moody's downgrades Good Samaritan Hospital's rating to 'Baa3'
Moody's Investors Service downgraded the rating on Vincennes, Ind.-based Good Samaritan Hospital's outstanding revenue bonds to "Baa3" from "Baa2." 

5. Moody's assigns 'Baa1' rating to Summa Health's bonds
Moody's Investors Service assigned a "Baa1" rating to Akron, Ohio-based Summa Health's proposed $344 million of series 2016 bonds.

6. Fitch revises Summa Health System's outlook to positive
Fitch Ratings revised Akron, Ohio-based Summa Health System's outlook to positive from stable.

7. S&P places CHI on CreditWatch negative
S&P Global Ratings placed the "A-" long-term and underlying ratings issued for Englewood, Colo.-based Catholic Health Initiatives' debt on CreditWatch with negative implications.

8. Fitch affirms University Hospital's 'BBB' rating
Fitch Ratings affirmed the "BBB" rating on Newark, N.J.-based University Hospital's $254.98 million of series 2015A bonds.

9. Fitch assigns 'A' rating to Conway Medical Center's bonds
Fitch Ratings assigned an "A" rating to Conway (S.C.) Medical Center's $55.3 million of series 2016 bonds and $42.1 million of series 2007 bonds.

10. Moody's changes Geisinger Health System's outlook to negative
Moody's Investors Service revised Danville, Pa.-based Geisinger Health System's outlook to negative from stable. 

11. S&P revises Novant Health's outlook to positive
S&P Global Ratings revised Winston-Salem, N.C.-based Novant Health's outlook to positive from stable and affirmed the "A+" long-term and underlying ratings on its bonds. 

12. Fitch affirms Dartmouth-Hitchcock Obligated Group's 'A' rating
Fitch Ratings affirmed the "A" rating on Lebanon, N.H.-based Dartmouth-Hitchcock Obligated Group's $57.5 million of series 2009 bonds and $75 million of series 2010 bonds.

13. Fitch affirms Main Line Health's 'AA' rating
Fitch Ratings affirmed the "AA" rating on Bryn Mawr, Pa.-based Main Line Health's $129.99 million of series 2010A bonds and $57.799 million of series 2012A bonds.

14. S&P assigns 'BB+' rating to Jennie Stuart Medical Center's bonds
S&P Global Ratings assigned a "BB+" long-term rating to Hopkinsville, Ky.-based Jennie Stuart Medical Center's $54.5 million of series 2016A bonds.

15. Fitch assigns 'BBB-' rating to Jennie Stuart Medical Center's bonds
Fitch Ratings assigned a "BBB-" rating to Hopkinsville, Ky.-based Jennie Stuart Medical Center's $55.5 million of series 2016 bonds.

16. Moody's affirms Shands Teaching Hospital and Clinics' 'A3' rating
Moody's Investors Service affirmed the "A3" rating on Gainesville, Fla.-based Shands Teaching Hospital and Clinics' $610 million of outstanding debt. 

17. S&P assigns 'BBB-' rating to NorthBay Healthcare System's bonds
S&P Global Ratings assigned a "BBB-" long-term rating to Fairfield, Calif.-based NorthBay Healthcare System's $188.2 million of series 2017A bonds.

18. S&P affirms 'A' rating on Dartmouth-Hitchcock Health's bonds
S&P Ratings affirmed the "A" rating on Lebanon, N.H.-based Dartmouth-Hitchcock Health's series 2009 and 2010 bonds, as well as Dartmouth-Hitchcock Keene (N.H) Cheshire Medical Center's series 2012 bonds. 

19. Fitch revises Aurora Health Care's outlook to stable
Fitch Ratings revised Milwaukee-based Aurora Health Care's outlook to stable from positive. 

20. Moody's revises Wood County Hospital Association's outlook to stable
Moody's Investors Service revised Bowling Green, Ohio-based Wood County Hospital Association's outlook to stable from negative.

21. Fitch affirms Memorial Sloan Kettering Cancer Center's 'AA' rating
Fitch Ratings affirmed the "AA" rating on New York City-based Memorial Sloan Kettering Cancer Center's $2.2 billion of outstanding debt.

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