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 affirms 'Baa3' on Adventist Healthcare
Moody's Investors Service affirmed its "Baa3" rating on Gaithersburg, Md.-based Adventist Healthcare's bonds, affecting $327 million of debt.
2. Moody's affirms 'Aa2' on University of Iowa Hospitals and Clinics
Moody's Investors Service affirmed its "Aa2" rating on Iowa City-based University of Iowa Hospitals and Clinics, affecting $295 million of debt.
3. Moody's affirms 'A3' on The Christ Hospital
Moody's Investors Service affirmed its "A3" rating on Cincinnati-based The Christ Hospital's outstanding bonds, affecting $318 million of debt.
4. S&P assigns 'BBB-' to Orange Regional Medical Center
S&P Global Ratings assigned its "BBB-" rating to Middletown, N.Y.-based Orange Regional Medical Center's series 2015 and 2017 bonds. Orange Regional Medical Center is a subsidiary of Greater Hudson Valley Health System, also in Middletown.
5. S&P affirms 'A+' on MidMichigan Health
S&P Global Ratings affirmed its "A+" rating on Midland-based MidMichigan Health's revenue debt.
6. Moody's revises OSF Healthcare System's outlook to negative
Moody's Investors Service affirmed its "A2" rating on Peoria, Ill.-based OSF Healthcare System, affecting $1.1 billion of debt.
7. Fitch downgrades Jennie Stuart Medical Center to 'BB+'
Fitch Ratings downgraded Hopkinsville, Ky.-based Jennie Stuart Medical Center's bonds to "BB+" from "BBB-," affecting $62.9 million of debt.
8. Moody's downgrades Summa Health to 'Baa2'
Moody's Investors Service downgraded Akron, Ohio-based Summa Health's rating to "Baa2" from "Baa1," affecting $350 million of debt.
9. Fitch affirms 'AA-' on Virtua Health's revenue bonds
Fitch Ratings affirmed its "AA-" rating on Marlton, N.J.-based Virtua Health's revenue bonds, affecting a total of $605 million of debt.
10. Fitch affirms 'A+' rating on St. Luke's Episcopal Presbyterian Hospitals
Fitch Ratings affirmed its "A+" rating on Chesterfield, Mo.-based St. Luke's Episcopal Presbyterian Hospitals' series 2011 and 2015B bonds, affecting $57.7 million of debt.
11. Moody's downgrades Premier Health Partners, Miami Valley Hospital to 'A3'
Moody's Investors Service downgraded Dayton, Ohio-based Premier Health Partners' bonds to "A3" from "A2," affecting $647 million of debt.