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. Moody's revises South County Hospital's outlook to stable from negative
Moody's Investors Service affirmed its "Baa3" issuer rating on Wakefield, R.I.-based South County Hospital. 

2. Moody's upgrades Agnesian HealthCare to 'A1' on SSM Health affiliation
Moody's Investors Service upgraded Fond du Lac, Wis.-based Agnesian HealthCare's rating to "A1" from "A2," affecting approximately $57 million of rated debt.

3. S&P revises Methodist Hospital's outlook to negative on declining operating performance
S&P Global Ratings affirmed its "BBB" long-term rating on Gary, Ind.-based Methodist Hospital's series 2014 revenue refunding bonds.  

4. S&P upgrades St. John's Medical Center's rating to 'A-'
S&P Global Ratings upgraded its long-term rating on Jackson, Wyo.-based St. John's Medical Center to "A-" from "BBB+." 

5. S&P downgrades Jefferson Regional Medical Center to 'A-', outlook negative
S&P Global Ratings downgraded Pine Bluff, Ark.-based Jefferson Regional Medical Center's underlying rating to "A-" from "A." 

6. Fitch downgrades Eisenhower Medical Center to 'BBB-'
Fitch Ratings downgraded the rating on Rancho Mirage, Calif.-based Eisenhower Medical Center's series 2017A and 2017B revenue refunding bonds to "BBB-" from "BBB," affecting approximately $333.3 million of debt. 

7. Fitch downgrades CHS to 'C' following debt exchange offer
Fitch Ratings downgraded Franklin, Tenn.-based Community Health System's issuer default rating to "C" from "CCC" after the company commenced a debt exchange offer on three series of unsecured notes due in 2019, 2020 and 2022. 

8. Fitch downgrades Parkland Health & Hospital System to 'A+'
Fitch Ratings downgraded the rating on Dallas County Hospital District to "A+" from "AA," affecting approximately $718.5 million of debt. The district does business as Parkland Health & Hospital System.

9. Fitch affirms 'BB' rating on MaineGeneral Health
Fitch Ratings affirmed its "BB" rating on Augusta-based MaineGeneral Health's outstanding series 2011 revenue bonds, affecting $280.4 million of debt

10. S&P assigns 'A' rating to East Alabama Medical Center
S&P Global Ratings assigned its "A" rating to Opelika-based East Alabama Medical Center's proposed $31.7 million series 2018A revenue bonds. 

More articles on healthcare finance:
Physicians: Is CHS 'a slow-motion train wreck?'
10 hospitals seeking RCM talent
12 latest hospital credit downgrades

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