5 recent hospital rating and outlook changes, affirmations

The following hospital and health system rating and outlook changes and affirmations took place during the past week, starting with the most recent.

1. Moody's affirms Mercy Health Services' 'Baa2' bond rating
Moody's Investors Service affirmed the "Baa2" rating assigned to Mercy Health Services' approximately $237 million of revenue bonds issued through the Maryland Health and Higher Educational Facilities Authority.

2. Fitch upgrades Hannibal Regional Healthcare System's outlook to positive
Fitch Ratings affirmed the "BBB+" rating assigned to approximately $13.9 million of series 2006 revenue bonds issued on behalf of Hannibal (Mo.) Regional Healthcare System and upgraded the system's outlook to positive from stable.

3. Fitch affirms University Health System's bond rating
Fitch Ratings affirmed the "BBB+" rating assigned to $208.2 million of series 2007 revenue bonds issued on behalf of University Health System, a teaching facility in Knoxville, Tenn.

4. Fitch upgrades rating on Deaconess Health System's bonds to 'AA-'
Fitch Ratings upgraded the rating on $67 million of series 2013A fixed rate revenue bonds, $17.6 million of series 2011A fixed rate revenue bonds and $43.9 million of series 2009A fixed rate revenue bonds issued on behalf of Evansville, Ind.-based Deaconess Health System to "AA-" from "A+."

5. Fitch affirms St. Jude Children's Research Hospital's bond rating
Fitch Ratings affirmed the "AAA" rating assigned to approximately $212.6 million of revenue bonds issued on behalf of Memphis, Tenn.-based St. Jude Children's Research Hospital by the Shelby County Health, Educational, and Housing Facility Board.

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