5 recent hospital outlook and credit rating actions

The following hospital and health system rating and outlook changes and affirmations have taken place in the last week, beginning with the most recent.

1. Moody's affirms 'A3' rating on Vanderbilt University Medical Center's bonds
Moody's Investors Service affirmed the "A3" rating on Nashville, Tenn.-based Vanderbilt University Medical Center's approximately $926 million of outstanding bonds. 

2. S&P downgrades rating on MetroHealth System's bonds to 'BBB-'
S&P Global Ratings downgraded the long-term rating on Cleveland-based MetroHealth System's series 2009B taxable hospital revenue bonds to "BBB-" from "A-." 

3. S&P assigns 'AA' rating to Presbyterian Health Services' bonds
S&P Global Ratings assigned an "AA" long-term rating to Albuquerque, N.M.-based Presbyterian Health Services' $236.82 million of series 2017A fixed-rate revenue bonds and $65.66 million of series 2017B taxable fixed-rate bonds.

4. Moody's assigns 'A3' rating to Ochsner Clinic Foundation's bonds
Moody's Investors Service assigned an "A3" rating to New Orleans-based Ochsner Clinic Foundation's $408.4 million of series 2017 revenue and refunding revenue bonds.

5. Moody's assigns 'Baa1' rating to Maple Grove Hospital's bonds
Moody's Investors Service assigned a "Baa1" rating to Maple Grove (Minn.) Hospital's proposed $120 million of series 2017 fixed-rate revenue refunding bonds.

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