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 upgrades rating on Halifax Health to 'A-'
Fitch Ratings upgraded Daytona Beach, Fla.-based Halifax Health's series 2016, 2015 and 2008 revenue bonds to "A-" from "BBB+," affecting $343 million of debt total
2. Moody's affirms 'A1' rating CentraCare Health System
Moody's Investors Service affirmed its "A1" rating on St. Cloud, Minn.–based CentraCare Health System's outstanding rated revenue bonds, affecting $284 million of debt.
3. Moody's affirms 'Baa2' rating on Skagit Regional Health
Moody's Investors Service affirmed its "Baa2" rating on Mt. Vernon, Wash.-based Skagit Regional Health's revenue bonds, affecting $120 million of rated debt
4. Moody's downgrades MaineGeneral Medical Center to 'Ba3'
Moody's Investors Service downgraded Augusta-based MaineGeneral Medical Center to "Ba3" from "Ba2," affecting $280 million of rated debt.
5. S&P affirms 'A-' rating on Norton Healthcare
S&P Global Ratings affirmed its "A-" rating on Louisville, Ky.-based Norton Healthcare.
6.Fitch assigns 'A-' rating to Anne Arundel Health System's bonds
Fitch Ratings assigned the "A-" rating to Annapolis, Md.-based Anne Arundel Health System's series 2017A and 2017B, affecting $58.4 million of debt.
7. Moody's assigns 'A3' rating to Tower Health's bonds
Moody's Investors Service assigned its "A3" rating to West Reading, Pa.-based Tower Health's proposed $584 million series 2017 bonds.
8. S&P downgrades Baptist Memorial Health Care to 'BBB+'
S&P Global Ratings downgraded Memphis, Tenn.-based Baptist Memorial Health Care to "BBB+" from "A-."
9. Fitch affirms 'BBB+' on University Health System's bonds
Fitch Ratings affirmed the "BBB+" rating on Knoxville, Tenn.-based University Health System's series 2017 and series 2016 bonds, affecting $233.4 million of debt.
10. Moody's affirms 'A2' rating on Spartanburg Regional Healthcare System
Moody's Investors Service affirmed its "A2" rating on Spartanburg (S.C.) Regional Healthcare System's outstanding rated revenue bonds, affecting $185 million of debt.