10 recent hospital, health system outlook and credit rating actions

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

1. Fitch affirms 'BBB+' rating on Silver Cross Health System
Fitch Ratings affirmed its "BBB+" rating on New Lenox, Ill.-based Silver Cross Health System's outstanding bonds, affecting approximately $361 million of debt.

2. Fitch upgrades Marshall Medical Center's bonds to 'BBB-'
Fitch Ratings upgraded Placerville, Calif.-based Marshall Medical Center's series 2004B bonds to "BBB-" from "BB+."

3. Fitch upgrades Mount Nittany Medical Center to 'AA-'
Fitch Ratings upgraded its rating on State College, Pa.-based Mount Nittany Medical Center's outstanding revenue bonds to "AA-" from "A," affecting approximately $196.9 million of debt.  

4. Moody's affirms 'Aa3' rating on Cedars-Sinai Medical Center
Moody's Investors Service affirmed its "Aa3" rating on Los Angeles-based Cedars Sinai Medical Center's revenue bonds, affecting $1.2 billion of debt.

5. Moody's affirms 'A1' rating on Valley Children's Healthcare
Moody's Investors Service affirmed its "A1" rating on Madera, Calif.-based Valley Children's Healthcare's bonds, affecting approximately $118 million of debt.  

6. Fitch affirms 'AA-' rating on Virginia Hospital Center
Fitch Ratings affirmed its "AA-" issuer default rating on Arlington-based Virginia Hospital Center.

7. S&P revises Children's Hospital of Alabama's outlook to positive
S&P Global Ratings affirmed its "A+" long-term rating on Birmingham-based Children's Hospital of Alabama's series 2015 revenue refunding bonds.

8. S&P downgrades Holy Redeemer Health System to 'BBB'
S&P Global Ratings downgraded Meadowbrook, Pa.-based Holy Redeemer Health System's long term rating to "BBB" from "BBB+."

9. S&P downgrades Ryder Memorial Hospital to 'CCC+'
S&P Global Ratings downgraded Humacao, Puerto Rico-based Ryder Memorial Hospital to "CCC+" from "B+."

10. Fitch upgrades Bayhealth Medical Center to 'AA'
Fitch Ratings upgraded Dover, Del.-based Bayhealth Medical Center's series 2017A to "AA" from "AA-," affecting $112.1 million of debt.

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